Based on initial observations in November 2022-January 2023, 375 damaged medical records were found at RSI. Ibn Sina Simpang Empat. The impact of tampering with medical records on the incidence of patient safety in target I was 124, target II was 36, and target III was 56. Impact on service response time that was not appropriate was 235 patients. The impact on  submitting BPJS claims was delayed by 157 patients. The research objective was to determine the impact of damage to outpatient medical records at RSI Ibnu Sina Simpang Empat.The research method is descriptive qualitative analysis. Respondents who were interviewed were 8 respondents with a supporting sample of 826 damaged outpatient medical records. Data collection techniques used are interviews and observation. The results showed that damaged medical records had an impact on the incidence of patient safety, target I resulted in an error in identifying the patient, target II broke the communication between the service provider and the patient and target III resulted in an error in administering medication to the patient. Impact on inappropriate service response time (> 10 minutes). The impact on the delayed submission of BPJS claims is that the workload increases. The impact of damage to medical records on patient safety, service response time, and submission of BPJS claims. have patient data backups, provide standard time for providing medical records, and provide roll o pack cabinets.

Berdasarkan observasi awal pada bulan November 2022-Januari 2023 ditemukan 375 rekam medis rusak di RSI. Ibnu Sina Simpang Empat. Dampak kerusakan rekam medis terhadap kejadian patient safety sasaran I sebanyak 124, sasaran II sebanyak 36, dan sasaran III sebanyak 56. Dampak terhadap response time pelayanan yang tidak sesuai sebanyak 235 pasien. Dampak terhadap pengajuan klaim BPJS yang tertunda sebanyak 157 pasien. Tujuan penelitian adalah untuk mengetahui dampak kerusakan rekam medis pasien rawat jalan di RSI Ibnu Sina Simpang Empat. Metode penelitian adalah diskriptif analitik kualitatif. Responden yang diwawancara sebanyak 8 resposden dengan sampel pendukung sebanyak 826 rekam medis rawat jalan yang rusak. Teknik pengumpulan data yang digunakan adalah wawancara dan observasi. Hasil penelitian menunjukan bahwa rekam medis yang rusak berdampak terhadap kejadian patient safety sasaran I mengibatkan terjadi kesalahan dalam mengidentifikasi pasien, sasaran II terputusnya komunikasi pemberi layanan dengan pasien dan sasaran III mengakibatkan terjadi kesalahan pemberian obat kepada pasien. Dampak terhadap response time pelayanan tidak sesuai (>10 menit). Dampak terhadap pengajuan klaim BPJS yang tertunda yaitu beban kerja bertambah. Dampak kerusakan rekam medis terhadap patient safety, response time pelayanan, dan pengajuan klaim BPJS. memiliki backup data pasien, memberikan standar waktu penyediaan rekam medis, dan menyediakan lemari roll o pack.