ANALISIS REVIEW KELENGKAPAN FORMULIR RINGKASAN PULANG DALAM PEMENUHAN ELEMEN PENILAIAN MIRM 15 SNARS EDISI 1 DI RUMAH SAKIT MUHAMMADIYAH SELOGIRI

Authors

  • Febri Sri Mardeni Rumah Sakit Muhammadiyah Selogiri
  • Fahmi Hakam Program Studi Rekam Medis & Informasi Kesehatan, FKM, Universitas Veteran Bangun Nusantara
  • Yul Asriati Program Studi Rekam Medis & Informasi Kesehatan, FKM, Universitas Veteran Bangun Nusantara

DOI:

https://doi.org/10.32585/jmiak.v3i2.1006

Keywords:

SNARS1st edition, MIRM15, copleteness of the return summary form

Abstract

The incompleteness in filling out medical records will greatly affect the SNARS 1st
edition accreditation assessment.The results of the assessment from the Hospital Accreditation
Committee survey of the MIRM 15 standard at Muhammadiyah Selogiri Hospital, namely the
summary of going home with the completion level of filling in 2019 has not reached the 100%
standard. The purpose of this study was to review the completeness of the return summary form in
fulfilling the elements of the MIRM 15 SNARS 1st edition assessment at the Muhammadiyah
Hospital Selogiri. This research used a descriptive research method, with a qualitative approach,
the data collection method used observation, interviews, documentation study with the subject of 4
officers, the object was all documents of inpatients in February 2020 totaling 571 documents. The
survey results revealed the completeness of the summary forms return in February at the reviews
of identification of 100%, review authentication 81%, Review of recording by 64%, reviews
reporting in accordance SNARS element 1 are met incomplete, element 2 is fulfilled complete, the
element 3 is met, the elements 4 are met complete, element 5 is fulfilled completely, element 6 is
partially fulfilled. The conclusion of this study is that the level of completeness of the summary
form home at Muhammadiyah Selogiri Hospital in February 2020 is not according to the standard,
namely 11%.

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References

Harjanti and Rizka, K., 2019. The

Accuracy of Abbreviation Symbol

Usage toward Inpatient Medical

Record Documents with

Schizophrenia Diagnosis Ketepatan

Penggunaan Singkatan Dan Simbol

Pada Dokumen Rekam Medis

Rawat Inap Diagnosis

Schizophrenia’, Rekam Medis dan

Informasi Kesehatan, 2.

Hatta, G. R., 2010. Pedoman

Manajemen Informasi Kesehatan

disarana pelayanan kesehatan.

Edited by G. R. Hatta. Jakarta: UI

Press.

KARS., 2017. Efektif 1 Januari 2018’,

Standar Nasional Akreditasi Rumah

Sakit, 1, p. 421.

Kusbaryanto., 2010. Peningkatan Mutu

Rumah Sakit dengan Akreditasi

Increasing Hospital Quality by

Accreditation’, Mutiara Medika, 10

No.1 :, pp. 86–89.

Mahawati, E. et al., 2019. Studi kasus di

rumah sakit tipe C dan tipe B :

Analisis identifikasi dan autentikasi

dokumen rekam medis berbasis

SNARS’, VISIKES : Jurnal

Kesehatan Masyarakat, 18, pp.

–145.

Mangentang, F. R., 2015. Kelengkapan

Resume Medis dan Kesesuaian

Penulisan Diagnosis Berdasarkan

ICD-10 Sebelum dan Sesudah JKN

di RSU Bahteramas’, 1(44), pp.

–168.

Menkes RI, 2008. Keputusan Menteri

Kesehatan RI Nomor

/MENKES/SK/II/2008

tentang Standar Pelayanan

Minimal Rumah Sakit.

Menkes RI. 2008. Peraturan Menteri

Kesehatan Republik Indonesia No.

/Menkes/Per/2014, tentang

Klasifikasi dan Perizinan Rumah

Sakit.

Menkes RI, 2008. Peraturan Menteri

Kesehatan Republik Indonesia No.

/Menkes/Per/III/2008, tentang

Rekam Medis.

Menkes RI, 2017. Peraturan Menteri

Kesehatan Republik Indonesia No.

/Menkes/Per/2017, tentang

Akreditasi Rumah Sakit.

Menkes RI, 2012. Peraturan Menteri

Kesehatan Republik Indonesia No.

/Menkes/Per/2012, tentang

Akreditasi Rumah Sakit.

Menkes RI, 2013. Peraturan Menteri

Kesehatan Republik Indonesia No.

/Menkes/Per/2013, tentang

Manajemen Rumah Sakit.

Sudra, R. I., 2013. Rekam Medis.

Tangerang Selatan: Universitas

Terbuka.

Republik Indonesia, 2009. UndangUndang RI Nomor 44 Tahun 2009

tentang Rumah Sakit.

Republik Indonesia, 2009. UndangUndang RI Nomor 36 Tahun 2009

tentang Kesehatan.

Published

2021-07-09

Issue

Section

Volume 3, No 2, 2020