Medical records as one of the authentic proof of service must be stored as appropriated with predetermined time period. Based on the circular letter from director general of medical services No.hK.00.06.1.5.01160 dated March 21, 1995 has been set depreciation schedules medical record file according to the type of illness. In Yogyakarta City hospital has implemented a process of imaging (imaging) since April this 2013. This matter anticipates the various needs related to medical records, for example, medical records are still worth to be required can be found easily and can be printed again. This study describes the implementation of imaging (imaging) medical record file on shrinkage activities in hospitals in Yogyakarta.To investigate the imaging process (imaging) on the implementation of the shrinkage in the hospital medical record file of Yogyakarta, determine the factors that affect the implementation of the process of imaging (MrI) in hospitals of Yogyakarta, and identify any obstacles in the implementation process of imaging (MrI) in hospitals the city of Yogyakarta.This study is a descriptive study using a case study approach. Subjects of this study consisted of three medical records clerk and one IT officer. The object of this study is the implementation of imaging (MRI) in the depreciation file medical records in hospitals in Yogyakarta.Based on interviews and observations, imaging process (MRI) is one of the stages in the implementation of depreciation medical record file. Stages in the medical record file shrinkage in Yogyakarta City Hospital is a medical record file sorting, checking the last visit to the health Information System (hIS), the process of imaging (imaging), move the sheet of medical records into a folder, and enter the medical record sheet not worth order to the warehouse. while activity in the process of imaging (MrI) in Yogyakarta City hospital medical record sheet includes sorting, scanning, and storage. Factors that affect the implementation process of imaging (MrI) in hospitals Yogyakarta City is divided into 5 groups: the man (human resources), money, machine (engine), method (method), and materials. Obstacles in the implementation process of imaging (MrI) is the lack of human resources (hr), there is no fixed procedure and work instructions, the results of imaging (MRI) is not connected to the Health Information System (hIS) hospital Yogyakarta, there was no budget imaging tool (imaging) for large-size sheet of medical records.

Kata kunci : Clinical pathway, average length of stay, outcomes, DF, DHF ABSTRACT Background: Clinical pathway is used as quality and cost control in the health services. One of the quality of service can be seen from the average length of stay and outcomes of patients. Implementation of clinical pathway that has been applied need to be measured for its effectiveness in lowering the average length of stay and produce better outcomes. DF and DHF are in the list of 10 major of hospitalization diseases. Objective: To measure the differences in average length of stay and outcomes of DF-DHF child patients between before and after implementation of clinical pathway in RSUD Kota Yogyakarta. Methods: The type of research used in this study is quantitative research with analytic survey method and cross sectional design. Data collection was done by study documentation in 146 medical record documents and clinical pathway forms. Results: The higgest percentation of outcomes in DF child patients is good category, 71,4% before CP and 80,9% after CP. The higgest percentation of outcomes in DHF child patients is good category, 83,9% before CP and 90,3% after CP. Average length of stay after CP is smaller than before in DF-DHF child patients, with p-value DF = 0,016 < α = 0,05 and p-value DHF = 0,021 < α = 0,05. Nothing difference in outcomes of DF-DHF child patients between before and after implementation of clinical pathway, with p-value DF = 0,775 > α = 0,05 > 0,05 and p_value DHF = 1 > α = 0,05. Conclusion: Implementation of clinical pathway can lowering the average lenght of stay, but it haven't been able to prove the differences in patient's outcomes.

The development of various technologies makes easiness in the health field, one of which is the online indirect registration to unravel the patient's buildup due to the length of registration time. Online registration of outpatients applied in RSUP dr. Soeradji Tirtonegoro which is divided into 3 types. However, in the implementation of this system has not been matched by a wise attitude by users, that is the online registration cancellation without confirmation. Therefore, this study aims to determine the implementation and effectiveness of online outpatients registration dr. Soeradji Tirtonegoro. The type of this research is quantitative descriptive with data collection by observation. Implementation procedures online registration RSUP dr. Soeradji Tirtonegoro is described in SPO Outpatient Registration through Short Message Service (SMS) / WhatsApp (WA). From the results of the observation of 1594 sample online registrants, there are positive patients list of 416 applicants via WhatsApp and 1049 registrants via SMS. However, from the sample there are 9 cancellations of registration via WhatsApp and 120 cancellation of registration via SMS. It can be concluded that online registration via SMS has a higher number, both registration and cancellation of registration compared with online registration via WhatsApp.

The availability of medical record quickly and accurately when needed will greatly help the quality of health care provided to patients. If the medical record filing system were poor then there will be problems that can interfere with the availability of medical record. In the case of medical record filing system, the staffs at Dlingo I Bantul community health center do not using tracer to mark the medical records that were out from storage. This will have an impact on the wrong location, misfile, and complicates the return of medical record in the right order. Method used in this community service was the diffusion of science and technology to design the tracer which is suitable for use in Dlingo I Bantul community health centers. Furthermore, the training was also implemented, started with counseling. Community service was running smoothly. At first, the tracer was not used as a tracker and a guidance of medical record which was out from the storage. After counseling and training, the staffs finally realized that it is necessary to use tracer.

Incidents related to patient safety indicators for patients in hospitals. Monitoring incidents have done through analysis of incident reports. This article describes incidents based on 6 patient safety goals.Type of descriptive quantitative research with cross-sectional design. The research location is a one of Type B teaching hospital in the Special Region of Yogyakarta. The study population is a report on incidents in 2017.The number of incidents reported in 2017 was 138 incidents consisting of incidents related to SKP.1 to SKP.6 and facilityrelated incidents were 31.88%; 7.97%; 41.30%; 2.90%; 1.45%; 13.04%; and 1.45% of facilities related incidents. Conclusion: Regular monitoring of incident rates and timely reporting feedback processes are good learning to avoid second incidents.