Analysis of the uncompleted medical records documents in the case of inpatient in the Patut Patuh Patju Hospital
DOI:
https://doi.org/10.37824/jkqh.v6i1.2018.8Keywords:
Ketidaklengkapan, Data klinik, Data identitas, Formuir penunjangAbstract
The purpose of this study is to investigate the uncomplete medical records documents in Patut Patuh Patju Hospital in 2017. The sample has 86 files and presented in the check list form. The result of the study shows the existence of the uncomplete documents in the data identities 84,83% complete and 15,17% uncomplete. The mean of the uncomplete clinical record is 22% while the complete record is 55,36%. Meanwhile, the uncomplete records of support file form is 8,5% and 32,13% is complete. This study concludes that the hospital needs to improve its medical records staff competence to produce decent documents.
Keywords: Uncomplete, clinical record, identities record, support file
References
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[2] Permenkes RI No.269/MENKES/PER/III/2008. Tentang rekam medis.
[3] Dirjen Yanmed Departemen Kesehatan RI. 2006. Pedoman pengelolaan Rekam Medis Rumah Sakit di Indonesia. Jakarta: DepKes.2006.
[4] Shofari,B. 2002. PSRK 01 pengelolaan Rekam Medis dan dokumentasi Rekam Medis: PORMIKI.
[5] Husen Umar. 1999. Riset Pemasaran dan Perilaku Konsumen, Cetakan Ketiga, Jakarta:PT.Gramedia Pustaka Utama.
[6] Hatta, Gemala. 2010. Pedoman manajemen informasi kesehatan disarana pelayanan kesehatan, hal 201, Jakarta:universitas Indonesia.
[7] Dirjen Yanmed Departemen Kesehatan RI. 1997. Pedoman Pengelolaan Rekam Medis Rumah Sakit Di Indonesia. Jakarta: Departemen Kesehatan Republik Indonesia.
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Published
2018-07-24
How to Cite
maliki, ahmad, & Saimi, S. (2018). Analysis of the uncompleted medical records documents in the case of inpatient in the Patut Patuh Patju Hospital. Jurnal Kesehatan Qamarul Huda, 6(1), 17–23. https://doi.org/10.37824/jkqh.v6i1.2018.8
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