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Journal : Archive of Community Health

ANALISIS KELENGKAPAN BERKAS REKAM MEDIS DI PUSKESMAS KUTA UTARA Marselinus Gede Widiarta; I Putu Dedy Kastama Hardy; Ni Kadek Yunita Sari
ARCHIVE OF COMMUNITY HEALTH Vol 9 No 3 (2022): Desember 2022
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ACH.2022.v09.i03.p10

Abstract

ABSTRACTEvery health facility, from primary/primary, secondary, tertiary levels is required to maintain medical records. Medical records are an important part of health services. The quality of medical records also determines the quality of health services. The North Kuta Health Center is one of the health centers in Badung Regency whose medical records have not yet reached 100%. The purpose of this study was to describe the completeness of patient identification and authentication of medical record files at the North Kuta Health Center and identify factors that affect the completeness of patient identification and authentication of medical record files. The research method used is a quantitative and qualitative method with a sequential explanatory design. The research sample based on the slovin formula was 92 medical record files. There were seven informants consisting of doctors, nurses, midwives, registration officers and medical records officers. The results showed that the average completeness of filling in patient identification and authentication of medical record files was quite complete but still less than the standard of completeness set by the Indonesian Ministry of Health of 100%. The lack of special training on filling out medical records, the occurrence of human errors due to lack of awareness and discipline of officers in filling out medical record files, patients not carrying identities, lack of socialization of SOPs for filling medical records, and the absence of sanctions for officers who do not fill out medical record files completely are factors that affect the completeness of patient identification and authentication of medical record files. So it is advisable to socialize the SOP for filling out medical records intensively, giving warnings or sanctions to officers who do not fill out medical record files completely and giving awards to officers who fill out medical records completely.Keywords : Completeness, factors, Medical Records, Health Services
Co-Authors A.A. Ayu Putri Permatasari Adi Sofyan Ansori, Muhammad Adnyana, Gabriel Firsta Afta Daniel Zato Waruwu Anggriani, Martha Sephtia Aprodita, Ni Wayan Seila Aris Jatmiko Aryaswari, Ni Kadek Dwi Liopita Aulia Iefan Datya Buu, Ani Wini Carolina Widyawati Deswiniyanti, Ni Wayan Deswiniyanti Dylla Hanggaeni Dyah Puspaningrum Efendi, I Kadek Eka Jaya Elok Faiqotus Zahra Elok Faiqotus Zahro Endah K, Natalia Sri ENIEK KRISWIYANTI Fimaputra, Jatu Maranatha Fir, Maria Alfira Juita Garry Ganvis Jonteo Hani Gerson Feoh Hanggaeni Dyah Puspaningrum, Dylla Hasanah, Nina Huawatun I Gede Widhiantara I Ketut Junitha I Made Endra Puniawan I Made Gde Sudyadnyana Sandhika I Made Murna I Made Tegeh I Made Wisnu Adhi Putra I Putu Dedy Kastama Hardy I Wayan Rosiana IDA AYU ASTARINI K, Natalia Sri Endah Komang Ayuk Supriani Lestari, Ni Kadek Dwipayana MADE PHARMAWATI Marselinus Gede Widiarta Matius Victorino Ola Dame Mochammad Aqilah Herdiansyah Natalia Sri Endah K Ni Kadek Dwipayani Lestari Ni Kadek Wini Ewintiani Ni Komang Widiastuti Ni Luh Putu Wina Ewiantini Ni Luh Sunarsih Ni Luh Utari Sumadewi Ni Made Virginia Ni Made Wagi Ambakesari Ni Nyoman Ari Mardianti Ni Putu Widya Astuti Ni Putu Yuria Mendra Ni Wayan Deswiniyanti Ni Wayan Nursini Novaria Sari Dewi Panjaitan Panjaitan, Novaria Sari Dewi Permatasari , A.A. Ayu Putri Permatasari , Anak Agung Ayu Putri Permatasari, A. A. Ayu Permatasari Permatasari, Anak Agung Ayu Permatasari, Anak Agung Ayu Putri Permatasari, Anak Agung Ayu Putri Permatasari Putri, Fadillaisyia Riandani Putri, Ni Putu Diah Paramita Putu Angga Wiradana Putu Ayu Tantri Dewi Putu Eka Sudaryatma Rahmadi Prasetijo Rai Riska Resty Wasita Razaq, Imanuddin Rony MahaPutraUmbu Pingge Sandhika, I Made Gde Suadnyana Sri Endah K, Natalia Sri Puji Astuti Wahyuningsih Teguh Hari Sucipto, Teguh Hari Virgilia Gabreni Amleni Waruwu, Ernawati Widiiastuti, Ni Komang Wiradana , Putu Angga