PROSIDING INTERNASIONAL KEPERAWATAN Proceedings of the International Conference on Nursing and Health Sciences, Volume 3 No 1, May 2022.
MEDICAL RECORD STORAGE SYSTEM BASED ON ACCREDITATION CRITERIA 3.8.4 IN PUBLIC HEALTH CENTERS
Dublin Core
Title
PROSIDING INTERNASIONAL KEPERAWATAN Proceedings of the International Conference on Nursing and Health Sciences, Volume 3 No 1, May 2022.
MEDICAL RECORD STORAGE SYSTEM BASED ON ACCREDITATION CRITERIA 3.8.4 IN PUBLIC HEALTH CENTERS
MEDICAL RECORD STORAGE SYSTEM BASED ON ACCREDITATION CRITERIA 3.8.4 IN PUBLIC HEALTH CENTERS
Subject
coding; documentation; identification; retention; storage
Description
The Sawit Boyolali Community Health Center was accredited in 2017. Retention of medical record
documents has been carried out in the last three years, namely 2020, 2021 and 2022. The obstacle in
implementing retention is that there are no standard operating procedures regarding retention, storage
systems and identification of medical records. This type of research is descriptive qualitative with a cross
sectional research design. The research variable consists of three assessment elements on criteria 3.8.4.
Collecting research data using interviews, observation and documentation. Processing, analysis and
presentation of data is done descriptively. The results of the study are: the decree of the head of the public
health center becomes the basis for the policy of implementing medical record retention without standard
operating procedures, namely the decree of the head of the community health center Sawit Boyolali number
440 of 2017 concerning the storage of medical records. The implementation of medical record identification
is regulated through standard operating procedures number 005/SOP/VII/UKP/2017 regarding patient
registration. Medical record coding provides a medical record number code of eight digits, the first two
digits are the village/kelurahan code, the second two digits are the medical record number, and the third two
digits are the family card code/family status. The medical record storage system is centralized, that is,
outpatient and inpatient medical records are stored in one folder/folder. Documentation of the results of
examinations, treatment, actions, and other services that have been provided to patients by doctors, dentists
and or health workers made immediately and after the patient receives services. The conclusions of the
research based on accreditation criteria 3.8.4 are: (1) there is a retention policy in the form of a decree from
the head of the public health center without standard operating procedures. Patient identification in medical
records is regulated in standard operating procedures regarding patient registration. Medical record coding
uses eight digits with a centralized storage system. Recording and documentation of medical records is
carried out by the doctor in charge of the patient.
documents has been carried out in the last three years, namely 2020, 2021 and 2022. The obstacle in
implementing retention is that there are no standard operating procedures regarding retention, storage
systems and identification of medical records. This type of research is descriptive qualitative with a cross
sectional research design. The research variable consists of three assessment elements on criteria 3.8.4.
Collecting research data using interviews, observation and documentation. Processing, analysis and
presentation of data is done descriptively. The results of the study are: the decree of the head of the public
health center becomes the basis for the policy of implementing medical record retention without standard
operating procedures, namely the decree of the head of the community health center Sawit Boyolali number
440 of 2017 concerning the storage of medical records. The implementation of medical record identification
is regulated through standard operating procedures number 005/SOP/VII/UKP/2017 regarding patient
registration. Medical record coding provides a medical record number code of eight digits, the first two
digits are the village/kelurahan code, the second two digits are the medical record number, and the third two
digits are the family card code/family status. The medical record storage system is centralized, that is,
outpatient and inpatient medical records are stored in one folder/folder. Documentation of the results of
examinations, treatment, actions, and other services that have been provided to patients by doctors, dentists
and or health workers made immediately and after the patient receives services. The conclusions of the
research based on accreditation criteria 3.8.4 are: (1) there is a retention policy in the form of a decree from
the head of the public health center without standard operating procedures. Patient identification in medical
records is regulated in standard operating procedures regarding patient registration. Medical record coding
uses eight digits with a centralized storage system. Recording and documentation of medical records is
carried out by the doctor in charge of the patient.
Creator
Sri Wahyuningsih Nugraheni , Muhammad Amin bin Sahari, Beta Setiawati, Kufita Alya Salsabila
Source
http://jurnal.globalhealthsciencegroup.com/index.php/PICNHS
Publisher
Global Health Science Group
Date
May 2022,
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Sri Wahyuningsih Nugraheni , Muhammad Amin bin Sahari, Beta Setiawati, Kufita Alya Salsabila, “PROSIDING INTERNASIONAL KEPERAWATAN Proceedings of the International Conference on Nursing and Health Sciences, Volume 3 No 1, May 2022.
MEDICAL RECORD STORAGE SYSTEM BASED ON ACCREDITATION CRITERIA 3.8.4 IN PUBLIC HEALTH CENTERS,” Repository Horizon University Indonesia, accessed April 30, 2025, https://repository.horizon.ac.id/items/show/2856.
MEDICAL RECORD STORAGE SYSTEM BASED ON ACCREDITATION CRITERIA 3.8.4 IN PUBLIC HEALTH CENTERS,” Repository Horizon University Indonesia, accessed April 30, 2025, https://repository.horizon.ac.id/items/show/2856.