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All Journal Faletehan Health Journal Journal of Comprehensive Science
Prananingtias, Rosita
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Computer Science & IT Economics, Econometrics & Finance Electrical & Electronics Engineering Health Professions Languange, Linguistic, Communication & Media Library & Information Science Nursing Public Health

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Analisis Kelengkapan Pengisian Berkas Rekam Medis dan Ketepatan Pengembalian Berkas Rekam Medis Pasien Rawat Inap di Rumah Sakit Universitas Airlangga Prananingtias, Rosita; Peristiowati, Yuly; Suprapto, Sentot Imam
Faletehan Health Journal Vol 10 No 02 (2023): Faletehan Health Journal, July 2023
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v10i02.602

Abstract

The implementation of medical records in hospitals can support the improvement of service quality through a fast and accurate documentation, so that the information produced is more effective and efficient. At Airlangga University Hospital, one of indicators of service that hadn’t been achieved was incompleteness of filling and returning medical record that exceeded 2x24 hours after service. The aim of the study was to analyze the implementation of filling and returning medical record for inpatients at Airlangga University Hospital. The research design was qualitative, using in-depth interview techniques with 30 main informants from doctors and nurses and 5 triangulation informants from assembling monitoring and medical record distribution officers. The results of the study illustrated that the implementation of filling and returning medical record was still lacking. In the input component, the doctor's activity and the number of items in the medical record caused incomplete filling. There was no reward and punishment policy from the hospital. In the process component, the incomplete medical records were found and the return of medical record wasn’t timely. In the output component, the most unfilled medical record forms were 58% informed consent and 33% doctor's signature. It was recommended that the hospital hold workshop about medical records and make policies related to reward and punishment.
Analisis Kelengkapan Pengisian Berkas Rekam Medis dan Ketepatan Pengembalian Berkas Rekam Medis Pasien Rawat Inap di Rumah Sakit Universitas Airlangga Prananingtias, Rosita; Peristiowati, Yuly; Suprapto, Sentot Imam
Faletehan Health Journal Vol 10 No 02 (2023): Faletehan Health Journal, July 2023
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v10i02.602

Abstract

The implementation of medical records in hospitals can support the improvement of service quality through a fast and accurate documentation, so that the information produced is more effective and efficient. At Airlangga University Hospital, one of indicators of service that hadn’t been achieved was incompleteness of filling and returning medical record that exceeded 2x24 hours after service. The aim of the study was to analyze the implementation of filling and returning medical record for inpatients at Airlangga University Hospital. The research design was qualitative, using in-depth interview techniques with 30 main informants from doctors and nurses and 5 triangulation informants from assembling monitoring and medical record distribution officers. The results of the study illustrated that the implementation of filling and returning medical record was still lacking. In the input component, the doctor's activity and the number of items in the medical record caused incomplete filling. There was no reward and punishment policy from the hospital. In the process component, the incomplete medical records were found and the return of medical record wasn’t timely. In the output component, the most unfilled medical record forms were 58% informed consent and 33% doctor's signature. It was recommended that the hospital hold workshop about medical records and make policies related to reward and punishment.
Optimalisasi Penggunaan Rekam Medis Wabah Dan Bencana Di Rumah Sakit Universitas Airlangga Surabaya Rosarini, Anna; Prananingtias, Rosita; Wardani, Ratna; Indasah, Indasah
Journal of Comprehensive Science Vol. 2 No. 5 (2023): Journal of Comprehensive Science (JCS)
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/jcs.v2i5.312

Abstract

Kegiatan pengabdian kepada masyarakat yang dilakukan oleh tim residensi mahasiswa Manajemen Administrasi Rumah Sakit Magister Kesehatan Masyarakat Institut Ilmu Kesehatan Strada Indonesia yang dilaksanakan pada tanggal 16 Januari - 10 Februari 2023 bertempat di RS Universitas Airlangga Surabaya ini memberikan usulan design formulir khusus untuk wabah dan bencana beserta petunjuk teknis pengisiannya. Sosialisasi dilakukan kepada pengguna formulir di RS Universitas Airlangga Surabaya dengan tujuan memberikan pandangan/ informasi terkait kebutuhan formulir jika sewaktu waktu terjadi wabah atau bencana alam, dimana pada kejadian wabah pandemic COVID19 RS Universitas Airlangga Surabaya menjadi salah satu RS Rujukan Nasional. Diharapkan formulir tersebut dapat di tindak lanjuti oleh pihak manajemen untuk menjadi formulir yang digunakan di RS Universitas Airlangga Surabaya. Kamipun berharap formulir tersebut dapat dikembangkan menjadi Rekam Medis Elektronik oleh tim IT RS Universitas Airlangga Surabaya. Faktor pendukung kegiatan tersebut adalah peserta sosialisasi memiliki kemampuan dalam mengaplikasikan formulir IGD sehingga peserta sangat antusias sekali. Kendala yang dihadapi pada saat sosialisasi adalah kegiatan sosialisasi yang direncanakan berjalan 1 hari tidak dapat terealisasi dikarenakan terbentur dengan aktivitas para peserta yaitu karyawan IGD yang bekerja 3 shift, sehingga tim sosialisasi agak repot untuk menyesuaikan waktu yang cocok. Maka dari itu sosialisasi kami adakan beberapa kali
Co-Authors Indasah Ratna Wardani Rosarini, Anna Suprapto, Sentot Imam Yuly Peristiowati