Hubungan Antara Pengetahuan Tentang Nilai Guna Rekam Medis Dengan Perilaku Pengisian Dokumen Rekam Medis Oleh Tenaga Kesehatan Di Rsud Larantuka

Abstract

The service of medical record documents, is required to provide files quickly and accurately. Based on the results of observations during street vendors at Lawang Health Center, the authors found that the implementation of medical record file storage in Lawang Health Center was not in accordance with (Standard Operational Procedure). The study was conducted to analyze the effectiveness of medical record file storage SOPs at Lawang Health Center. The type of research used is qualitative research. The phenomenology approach is used in research because it focuses on describing what is common / common to all participants when they experience a phenomenon. Data collected are interview data and documentation. There were 4 officers in the medical record room including 1 medical record graduate, 1 midwifery graduate, and 2 high school graduates who already had basic skills in managing medical record files. At the Lawang Community Health Center there was a policy but there was still no information about the obligations of the officers in carrying out the storage of medical records. The results showed that 30% had not implemented the SOP effectively so that it caused missing and difficult files to track it. In addition, the flow of medical record documents is embedded and written. The medical record room is ± 2 m x 2.5 m with a medical record file of 29200 files. This results in the process of searching the medical record file to be slow and ineffective.