Jurnal Administrasi Kesehatan Indonesia
ISSN 23033592
Vol. 1 / No. 4 / Published : 2013-04
Order : 8, and page :345 - 351
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Original Article :
Analysis of medical record filling completeness and returning in hospital inpatient unit
Author :
- Winarti*1
- Stefanus Supriyanto*2
- Mahasiswa Fakultas Kesehatan Masyarakat
- Dosen Fakultas Kesehatan Masyarakat
Abstract :
Medical record is a compilation of documentation that consists of patient identity, evaluation, treatment, procedures and other health service in a health care centre. Resending procedures of medical records to Medical Records Unit at least 2x24 hours after outpatient process. It has to send back on time for many values. The aim of research was to analyze why the medical records were many medical records sent back lately to medical records unit in General Hospital of “X”. This was descriptive study with medical records as sample. They were medicalrecords 195 files, taken by random sampling. The results showed that of the 195 files that timely repayment time as many as 57 files or 29%, while late as 138 files or 71%. Factors that led to the delay in returning the medical record were the completeness of medical record completeness, and the complete medical record filing, and compliance of health workers who responsible in filing the medical record. To minimize the incompletness of medical records, improve the ontime target. The medical staffs needs to expose by socialization of medicalrecord.
Keyword :
medical records, procedures analysis,
References :
Arikunto, S,(2005) Prosedur Penelitian Jakarta : Rineka Cipta
Departemen Kesehatan Republik Indonesia,(1997) Pedoman Rekam Medis Rumah Sakit Jakarta : Dirjen Bina Pelayanan Medik
Departemen Kesehatan Republik Indonesia,(2008) Standart Pelayanan Minimal Rumah Sakit Jakarta : Dirjen Bina Pelayanan Medik
Hatta, G.,(2004) Paradigma Baru Rekam Medis: Manajemen Informasi Kesehatan Surabaya : Universitas Airlangga
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