Gambaran Ketepatan Pengembalian Rekam Medis Rawat Jalan di Klinik Kebidanan dan Kandungan Rumah Sakit Permata Hati Tangerang

Abstract

In order to obtain a quality medical record unit performance, the administration of medical records must be carried out properly, including the return of medical records. The standard for returning medical records at Permata Hati Hospital is 1x24 hours. Delays in returning medical records can disrupt the quality of medical services and hinder further activities such as coding. The purpose of this study was to obtain an overview of the return of outpatient medical records at Permata Hati Hospital, Tangerang. The method used is descriptive method. The type of research used is quantitative research. Data collection techniques in the form of interviews, observations and checklists. The results of the study on timely return of medical records were 64% and those that were not on time were 36%. Based on the results of this study, it is known that the return of outpatient medical records has not gone well. The delay in returning outpatient medical records was due to the lack of labor at the obstetrics and gynecology clinic so that there was no checking of borrowed medical records with those returned by clinic officers and medical record officers. Delays in medical records because clinic staff still do not understand and lack of socialization of SOPs related to returning outpatient medical records. One of the efforts made is to provide special training for clinic staff regarding the time limit for returning outpatient medical records.