Perpustakaan Terpadu

Rekam Medis adalah dokumen yang berisikan data identitas pasien, pemeriksaan, pengobatan, tindakan, dan pelayanan lain yang telah diberikan kepada pasien, sehingga harus dijaga keamanan dan kerahasiaannya dari bahaya kerusakan. Tujuan penelitian ini untuk mengetahui faktor penyebab kerusakan fisik dokumen rekam medis di ruang filing Puskesmas Arjowinangun Kota Malang. Penelitian ini bersifat deskriptif. Populasi adalah seluruh dokumen rekam medis yang ada di ruang filing Puskesmas Arjowinangun dan sampelnya diambil dengan cara simple random sampling yang berjumlah 100 dokumen. Data diperoleh dari hasil observasi dan wawancara. Dari hasil penelitian diperoleh kerusakan dokumen rekam medis di ruang filing Puskesmas Arjowinangun Kota Malang sebesar 61%. Faktor intrinsik yang meliputi kualitas kertas, tinta dan perekat bukan penyebab kerusakan pada dokumen rekam medis di ruang filing Puskesmas Arjowinangun. Faktor ekstrinsik yaitu atap yang bocor, ada rembesan air di dinding, kabel listrik tidak tersusun rapi, sinar matahari langsung jatuh di permukaan dokumen, kelembaban udara, suhu, jamur dan debu dapat menjadi penyebab kerusakan pada dokumen rekam medis di ruang filing Puskesmas Arjowinangun. Disarankan kepada pihak Puskesmas Arjowinangun agar dapat menambah fasilitas di ruang penyimpanan seperti pengukur suhu ruangan dan memperbaiki atap dan rembesan air di dinding. Kata Kunci: Kerusakan, Dokumen Rekam Medis, Ruang Penyimpanan.

Medical record is a document that contains patient identity data, examinations, treatment, actions, and other services that have been provided to patients, so that security and confidentiality must be maintained from the danger of damage. The purpose of this study was to determine the factors causing physical damage to medical record documents in the filing room of the Arjowinangun Health Center, Malang City. This research is descriptive in nature. The population is all medical record documents in the filing room of the Arjowinangun Community Health Center, Malang City and the sample is taken by simple random sampling method, amounting to 100 documents. Data obtained from observations and interviews. From the results of the study, it was found that 61% of the damage to medical record documents in the filing room at the Arjowinangun Health Center in Malang City was 61%. Intrinsic factors which include the quality of paper, ink and adhesive are not the cause of damage to medical record documents in the filing room of the Arjowinangun Health Center. Extrinsic factors, namely a leaking roof, water seepage on the walls, electrical cables not neatly arranged, direct sunlight falling on the surface of the document, air humidity, temperature, mold and dust can cause damage to medical record documents in the filing room of the Arjowinangun Health Center. It is suggested to the Arjowinangun Health Center to be able to add facilities in the storage room such as measuring room temperature and repairing the roof and water seepage on the walls. Keywords: Damage, Medical Record Documents, Storage Space.