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All Journal Tadulako Journal Sport Sciences And Physical Education Jurnal Pendidikan Islam Kinerja: Jurnal Ekonomi dan Manajemen Martabe : Jurnal Pengabdian Kepada Masyarakat AL-TANZIM : JURNAL MANAJEMEN PENDIDIKAN ISLAM ARTERI : Jurnal Ilmu Kesehatan Jurnal Pengabdian kepada Masyarakat Nusantara J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Kultura: Jurnal Ilmu Sosial dan Humaniora Proceeding Of International Conference On Education, Society And Humanity
Moh Sabran Sabran
Unknown Affiliation
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Electrical & Electronics Engineering Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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Analisis Faktor Penyebab Keterlambatan Pengembalian Rekam Medis Rawat Inap di Rumah Sakit X Sabran, Sabran; Angelina, Alvia Irin; Alfiansyah, Gamasiano; Mudiono, Demiawan Rachmatta Putro; Deharja, Atma
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 7 No 1 (2025): December
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v7i1.5909

Abstract

Delays in the return of inpatient medical records at Hospital X reached 25.01%, which is far below the required standard of 100% completion within 2×24 hours. This study aims to analyze the factors contributing to these delays using a qualitative approach. The main informants were medical record officers, and data were collected through interviews, observations, and documentation, with validity ensured through source and method triangulation. The findings show that predisposing factors include mismatched educational background, limited knowledge, and staff attitudes related to the completeness of signatures from attending physicians and nurses. Enabling factors involve the long distance between inpatient wards and the medical record unit, as well as the absence of elevator facilities for transporting records. Reinforcing factors include the lack of penalties for delayed returns and insufficient understanding of the physical form and standard operating procedures for medical record return. Improvement efforts include staff training, socialization of medical record completeness requirements, procurement of dedicated transport facilities for records, and regular revision and dissemination of standard operating procedures. The hospital is advised to strengthen monitoring, improve inter-unit coordination, provide efficient record transportation systems, and implement a reward and punishment mechanism to enhance the timeliness of inpatient medical record returns.
Analisis Faktor Penyebab Ketidaklengkapan Pengisian Resume Medis Rawat Inap Di RSU Bahagia Makassar AT Tabrani, Zahratul Jannah; Sabran, Sabran; Putra, Dony Setiawan Hendyca; Alfiansyah, Gamasiano
ARTERI : Jurnal Ilmu Kesehatan Vol 7 No 1 (2025): November
Publisher : Puslitbang Sinergis Asa Professional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/arteri.v7i1.716

Abstract

Incomplete medical resume documentation remains a persistent issue, including at Bahagia General Hospital Makassar. In the Cempaka inpatient ward, the percentage of incomplete medical resumes in November, December, and January reached an average of 8.00 and showed an increasing trend. This study aims to analyze the factors contributing to the incompleteness of medical resume documentation based on Armstrong and Baron’s (1998) performance theory. The study employed a qualitative approach through interviews, observations, documentation review, and brainstorming. Research subjects consisted of physicians, nurses, and medical record staff. The findings indicate several contributing factors. Individual factors include the suitability of staff educational backgrounds, the absence of training related to medical resume completion, and limited knowledge regarding completeness standards (SPM). Leadership factors involve the lack of motivational strategies such as rewards for staff who consistently complete medical resumes, as well as insufficient involvement of all staff in completeness evaluations. System factors include suboptimal use of checklist forms, the absence of standardized operating procedures (SOP) for completing and assessing medical resumes, and the lack of SOP socialization. Situational factors are related to workload issues, particularly staff performing multiple roles (double jobs). Meanwhile, group factors were found to function well through effective teamwork among staff. In conclusion, incompleteness in medical resume documentation is influenced by individual, leadership, system, and situational factors. It is recommended to provide training for involved staff, develop and implement SOPs, and conduct SOP socialization to improve medical resume completeness.
Co-Authors Abdul Wahid Zaini Alfiansyah, Gamasiano Angelina, Alvia Irin Arifin, Muh. AT Tabrani, Zahratul Jannah atik, hamsiati Badaruddin Anwar Baharun, Hasan Budiman, Herdi Deharja, Atma Djawad, Yasser A. Djawad, Yasser Abd, Faradiva, Muhammad Ariyanda Farihatun, Farihatun Fauziah Hassan Habib Anwar Al Anshori hendik mentara hendrik mentara, hendik mentara hendrik Hendra Jaya Hendriana Sri Rejeki Ilham Ilham Iskandar Iskandar Jasman Jasman Khalif Oktifan Yani Kurniawati, Lutfi M. Abzar Duraesa Miftahul Jannah Mudiono, Demiawan Rachmatta Putro Muhamad Fajri, Muhamad Muhammad Iwan Abdi Muhammad Kabil Djafar Mukhamad Ilyasin Putra, Dony Setiawan Hendyca Ratri, Putri Rahayu Rosninawati Hussin Sadri Sadri Siti Julaiha Sofia Hayati Yusoff Suria Hani A Rahman Syahruddin Syahruddin Thohir , Putri Fahmadia Dinda Maulida Wayan Suardana, Wayan Zamroni Zamroni