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Dian Sari
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 1 
Overview of Incompleteness of Filling Out Summary Forms of in- and Outpatient Medical Records on Hypertension in RSUD Lubuk Basung Yulfa Yulia; Dian Sari; Oktamianiza; Mila Sari; Vitratul Ilahi; Kalasta Ayunda; Gopinda Deska Putra
Miracle Journal Get Press Vol 1 No 2 (2024): May, 2024
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v1i2.37

Abstract

The admission and discharge summary is a medical record form that is used to record a summary of the course of the disease from the time the patient entered the hospital until the patient was discharged. The research used is quantitative research with a descriptive approach. Data collection was carried out at Lubuk Basung Regional Hospital from 27 May to 1 July 2023., and the sample consisted of 88 entry and exit summary forms from the medical records of patients suffering from hypertension. Research through observation with a checklist table. Computerization is used to process data and carry out univariate analysis. The results of the study showed that there were still incomplete filling out of entry and exit forms on patient identification items (40.9%), important patient reports (20.5%), patient permission (12.5%), good record keeping (15.9%) . ), and scribbled and clearly legible (17.05%). The results showed that the summary of admissions and discharges for hypertensive patients was still incomplete. In conclusion, this shows that the summary of admissions and discharges for hypertensive patients is still incomplete. It is recommended to carry out evaluations and reviews, as well as outreach and evaluation with doctors, nurses and other related personnel. It mainly deals with quantitative analysis of incoming and outgoing summaries.
Co-Authors Akhmad Faisal Amiruddin Kadir Amri, Irman Andi Abdul Gaffar Andi Maryam Andiyono Arifin Noor Sugiharto Arza, Seti Astri Fransiska Ayu Permata Sari Ayunda Putri, Kalasta Budi Pratama Budjang A, Gusti Cholifa, Syadita Darim, Abu Darmawan, Bambang Dermawan, Bambang Desy Aryani Putri Aryani Putri Desy Aryani Putri Aryani Putri, Desy Aryani Putri Devy Wulandari Efendi, Defi Ega Ega eka rahmawati Eka Rahmawati Evi Susanti Fauzi Ashra Fiona Fiona, Fiona Friska Nurul Fitria Gani, Mardiah Gopinda Deska Putra Gusdiansyah, Edo Gusmiati, Rita Gusmita, Dini Halimatushadiah Halimatushadiah Hasanah, Maulidhatul Hermawati, Linda Ilahi, Vitratul Ilham, Rizky Amaliyah Ramdhani Imami Nur Rachmawati Imania, Annisa Imran . Irawan Jaenun, M. Kalasta Ayunda Kalasta Ayunda Putri Kosassy, Siti Mutia Leonard, Devid Lis Setyowati Maisharoh Maisharoh, Maisharoh Mardiawati, Dewi Masniar Masniar, Masniar Masyithah Fadhani Mila Sari Muawanah, Hani Muhammad Fahreza Muhammad Faisal Muhammad Pauzi Muhammad Tafsir Mukhtar Lutfi Muntu, A Tenri Sri Murtiadi Awaluddin Nasrullah Bin Sapa Nike Puspita Alwi Ningsih, Sri Wahyu Novita Novita Nurhizratul Dina Nurul Natasha Nuryadi Nuryadi Oktamianiza Oktamianiza Oktamianiza Ony Thoyib Hadiwijaya Rahman Ambo Masse Rahmi Kurnia Gustin Ramadanti, Tika Retno Budiarti Bahrun Rifani, Sabira Ridha Rima Rima Berlian Putri Rima Rima Berlian Putri, Rima Rita, Nova Rizky Amaliyah Ramdhani Ilham Rostina Salam, Selmiana Sanny Hahury, Sanny Sapa, Nasrulah Bin Sari, Mila Sari, Yanti sharoh, mai Siradjuddin, Siradjuddin Sudirman Suwandi, Febrian R Suwandi, Febrian Rahmat Tamayanti, Ratri Tawaqal, Fitriyya Tri Sulistyani Uray Dian Novita Uray Dian Novita, Uray Dian Uryanti, Yaya Vera Kurnia Vitratul Ilahi Weni Safitri Widjatmiko, Andrik Gastri Widura, Bella Wilis Widi Wilujeng Wulandari, Devy Y. Suhendro Yade Kurnia Sari Yanti Puspita Sari Yanti Puspita Sari, Yanti Yudhanto, Satrio Bhagas Yuhendri Putra Yulfa Yulia Yulia, Yulfa Yusmita, Yusmita