Faktor Penyebab Keterlambatan Pengiriman Data Sensus Harian Rawat Inap di RSU Dadi Keluarga Purwokerto

NISA FAHMI ALIMA, Dina Fitriana Rosyad, S.K.M., M.KL.

2019 | Tugas Akhir | D3 REKAM MEDIS DAN INFORMASI KESEHATAN

Latar Belakang : Sensus harian rawat inap di RSU Dadi Keluarga Purwokerto masih terlambat dikirim oleh perawat bangsal, yang seharusnya data sensus dapat dikirimkan setiap hari pada pagi hari, namun pengiriman data sensus harian rawat inap di RSU Dadi keluarga Purwokerto dilakukan setiap satu bulan sekali. Pengiriman dilakukan oleh perawat bangsal pada awal bulan, misalnya sensus harian rawat inap bulan maret akan dikirimkan pada awal bulan april. Tujuan : Mengetahui faktor penyebab keterlambatan pengiriman data sensus harian rawat inap di Rumah Sakit Umum Dadi Keluarga Purwokerto. Metode : Jenis penelitian ini adalah penelitian deskriptif dengan pendekatan kualitatif serta rancangan penelitian studi kasus. Subjek penelitian meliputi dua petugas rekam medis dan lima perawat bangsal rawat inap. Objek penelitian ini yaitu proses pembuatan sensus harian rawat inap dan pengolahan data sensus harian rawat inap. Teknik pengumpulan data dengan cara wawancara, studi dokumentasi, dan observasi. Hasil : Pengiriman sensus harian rawat inap ke unit rekam medis pada beberapa bangsal mengalami keterlambatan selama dua hari sampai satu bulan. Hal tersebut disebabkan oleh 2 faktor penyebab yaitu faktor man dan methods. Faktor man yaitu terkait kesibukan perawat, jumlah pasien yang banyak, dan perawat kurang disiplin, sedangkan faktor methods yaitu terkait waktu pengiriman tidak sesuai aturan, sistem pembuatan sensus harian rawat inap dan standar operasional terkait pengelolaan sensus harian rawat inap tidak ditemukan di bangsal rawat inap. Kesimpulan : Standar operasional prosedur terkait pengelolaan sensus harian rawat inap dengan sistem komputerisasi belum dibuat. Oleh karena itu, disarankan agar standar operasional prosedur tersebut dapat dibuat serta dapat disosialisasikan kepada petugas yang berkaitan dengan sensus harian rawat inap.

Background : The daily census of at the Dadi Keluarga Public Hospital Purwokerto is still being sent late by ward nurses, who should be able to send census data every day in the morning, but the delivery of inpatient daily census data at the Dadi Keluarga Public Hospital Purwokerto is conducted once every month. Deliveries are carried out by ward nurses at the beginning of the month, for example the inpatient daily census in March will be sent in early April. Objective : Knowing the factors causing delays in sending inpatient daily census data at the Dadi Keluarga Public Hospital Purwokerto. Methods : This type of research is a descriptive study with a qualitative approach and a case study research design. The research subjects included two medical record officers and five inpatient nurses. The object of this research is the process of making inpatient daily census and processing of inpatient daily census data. Data collection techniques by means of interviews, documentation studies, and observations. Results : Daily hospitalized census deliveries to medical record units in some wards have been delayed for two days to one month. This is caused by two factors, namely man and methods. Man factor is related to nurses' activities, large number of patients, and nurses lacking discipline, while method factors are related to delivery time not according to the rules, system of making inpatient daily census and operational standards related to the management of inpatient daily census not found in inpatient wards. Conclusion : Operational standards related to the management of inpatient daily census with a computerized system have not been made. Therefore, it is recommended that the operational standard of the procedure can be made and can be disseminated to officers relating to the inpatient daily census.

Kata Kunci : Kata Kunci : Keterlambatan, Pengiriman, Penyebab, Sensus Harian Rawat Inap