FAKTOR PENYEBAB MISSED FILE YANG MENGHAMBAT PROSES PELAYANAN KESEHATAN DI RS PKU MUHAMMADIYAH BANTUL BERDASARKAN ANALISIS FISHBONE

MIFTAHUL ZOGA D, Nuryati, S.Far.,MPH.

2018 | Tugas Akhir | D3 REKAM MEDIS SV

ABSTRAK Latar Belakang : Petugas filling harus tepat dan cepat ketika melakukan pengambilan berkas rekam medis sesuai dengan permintaan untuk menjaga mutu pelayanan, dari peminjaman berkas rekam medis tersebut terkadang ada berkas rekam medis yang hilang, terselip atau tidak pada tempatnya (missed file) sehingga menghambat pelayanan kesehatan. Dari hasil studi pendahuluan diketahui terdapat berkas rekam medis missed file di RS PKU Muhammadiyah Bantul. Tujuan : mengetahui gambaran umum pengelolaan dan penanganan berkas rekam medis missed file, serta mengetahui apa saja faktor penyebab missed file berdasarkan analisis fish bone. Metode : Metode penelitian kualitatif dan rancangan penelitian Study Case. Obyek penelitiian dibatasi hanya ruang filling. Subyek penelitian petugas filling yang berjumlah 7 orang. Pengumpulan data menggunakan wawancara, observasi, dan studi dokumentasi. Hasil : Proses pengelolaan berkas rekam medis belum sesuai dengan SOP. Analisis fish bone : 1) Man: penghitungan beban kerja pegawai di bagian filling serta perlu diadakan pelatihan pengelolaan berkas rekam medis 2) Methode: rekam medis aktif yang terbawa saat penyusutan, 3) Machine: ruang filling butuh tempat yang lebih luas serta dibutuhkan penggantian rak roll o pack, 4) Material: struck permintaan berkas rekam medis terkadang terlepas dari tracer, 5) Money: sudah dianggarkan perluasan ruangan dan penggantian rak roll o pack namun belum ter-realisasikan. Kesimpulan : 1) Penyimpanan berkas rekam medis masih belum sesuai dengan SPO.044/RM/12/16 tahun 2016 RS PKU Muhammadiyah Bantul karena terdapat beberapa berkas rekam medis aktif disimpan dalam kardus, 2) ruang filling rekam medis yang kurang luas. Kata Kunci : filling, rekam medis, missed file, diagram fish bone.

ABSTRACT Background: The filling officer must be accurate and prompt when filing the medical record file in accordance with the request to maintain the quality of service, from the borrowing of the medical record file there are sometimes missing medical records file, tucked or missed file so as to inhibit the health service. From the preliminary study, it is known that there is file file of medical missed file in RS PKU Muhammadiyah Bantul. Objective: to know the general description of managing and handling file of medical record of missed file, and to know what are the causes of missed file based on fish bone analysis. Method: Qualitative research method and Study Case study design. Object of research is limited to filling room only. Subjects of filling officer amounted to 7 people. Data collection using interviews, observation, and documentation study. Result: The process of medical record file management is not yet in accordance with SOP. Analysis of fish bone: 1) Man: calculation of workload of employees in the filling section and need to be held training of medical record file management 2) Methode: active medical record carried during shrinkage, 3) Machine: filling room need a bigger place and needed replacement shelf roll o pack, 4) Material: struck requests for medical record files sometimes regardless of tracer, 5) Money: already budgeted room expansion and replacement of roll o pack shelf but not yet realized. Conclusions: 1) The storage of medical records file still not in accordance with SPO.044 / RM / 12/16 year 2016 RS PKU Muhammadiyah Bantul because there are several records of active medical record kept in cardboard, 2) medical record filling room less wide. Keywords: filling, medical record, missed file, fish bone diagram

Kata Kunci : filling, rekam medis, missed file, diagram fish bone