The sample count studied was 15 randomly taken samples from a total of 150 action forms in March - April. The object of the study is in the form of actions in March - April 2021.
This research was conducted at Pakundang Health Center using descriptive statistical methods. To avoid incompleteness of the contents of outpatient medical records, an in-depth study of medical record samples is conducted. Under the law medical records must be completed within 24 hours before the end of outpatient services. The type of research used is qualitative descriptive research that has the aim to identify the completeness of filling out the poly dental action form at pakutandang health center. The specific purpose of this study is to find out the adequacy of filling out the patient identification and authentication action form at the Klinik Gigi Puskesmas Pactndang. Medical records are very important documents in the medical world because in medical records describe the patient's medical history, actions, treatment and other documents ranging from patient diseases in health facilities to patientspu lang. Medical records, health facilities, medical action form Abstract Politeknik Piksi Ganesha Bandung, Jawa Barat Indonesia The journal is not liable for any losses incurred by misuse of information from this site.Politeknik Piksi Ganesha Bandung, Jawa Barat, Indonesia All Information contained in the journal is academic. This allows authors and others to share (copy and redistribute the material in any medium or fomat) and adapt (remix, transform, and build upon the material) for non-commercial purposes.Ĥ. If you find one or more articles contained in the journal that violate or potentially infringe your copyright, please contact us via email The formal legal aspect of access to any information and articles contained in this journal site refers to the terms of the licensed under a Creative Commons Attribution 4.0 International License. All material contained in this site is protected by law.ģ. The authors agree to automatic transfer of the copyright to the publisherĢ. The authors who publish their articles in Jurnal Ilmiah Kesehatan Media Husada must approve the copyright statement as follows :ġ. This work is licensed under a Creative Commons Attribution 4.0 International License. Keywords : Incompleteness inpatien Medical Resume.Ĭopyright (c) 2021 Jurnal Ilmiah Kesehatan Media Husada Conclusion: to overcome the problem usually requires more optimal socialization and collaboration between doctors and medical recorders, to further improve health services regarding the completeness of filling out medical record documents in order to improve the quality of health services, and the head of medical records needs to hold meetings or directives to the unit concerned so that the resume is filled out.
The problem that usually arises is that there are still many incomplete components of a medical resume. And the highest percentage of completeness is no medical record (76%). The highest percentage of incompleteness is the doctor's signature (52%). Results: Based on the results of the study, the incomplete medical resume form for inpatients in 2021 with a sample of 50 medical resume forms, the average percentage of medical resume completeness was 66.7%, while the incomplete medical resume was 33.3% of the 50 samples of medical resume forms. The data analysis used is descriptive data analysis. Method: The sampling technique used is the total sample. In this study there were 4 medical recorder and 50 medical resume form. This research is a descriptive research with a qualitative approach. Incomplete filling of medical resumes can be caused by negligence of officers or lack of understanding of the importance of completing patient data. Preliminary: A medical resume is a summary of medical service activities provided by health workers, especially doctors during the treatment period until the patient is discharged either in good health or in death.
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