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All Journal Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Journal of Educational Innovation and Public Health
Zulham Andi Ritonga
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Analisis Kualitatif Pengisian Rekam Medis Rawat Inap Di Rumah Sakit Umum Daerah Kabupaten Aceh Tamiang Tahun 2022 Zulham Andi Ritonga; Ali Sabela Hasibuan; Tasya Adinda Putri
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 8 No. 1 (2023): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v8i1.1228

Abstract

Completeness of filling out medical records in hospitals is a must for health workers and can be done using qualitative analysis. The purpose of this study was to determine the qualitative analysis of filling in inpatient medical records at the Aceh Tamiang District General Hospital. This research is a descriptive research with a quantitative approach. The research was conducted at the Aceh Tamiang District Hospital. The population in this study was 1,840 and the sample obtained was 95 inpatient medical records. The results showed that the review of the completeness and consistency of the diagnosis was 90 (95%) accurate and 5 (5%) inaccurate, namely in the inpatient doctor's notes. In the notes and nursing care and nursing diagnoses there were 87 (92%) complete and 8 (8%) incomplete. Review of the consistency of recording the diagnosis, there were 85 (89%) complete and 10 (11%) incomplete. There are 83 medical records (87%) accurate and 12 (13%) inaccurate. Incomplete and inaccurate filling of inpatient medical records is found in the consistency of development records and nursing care. There were 82 (86%) complete and 13 (14%) incomplete records of things that were carried out during treatment and treatment, namely on evidence of implementation of treatment plans, instructions and drug changes, and actions taken which were filled out by nurses. Review of informed consent from 16 inpatient medical records, there were 14 (87%) complete and 2 (13%) incomplete, namely the completeness of the contents of the informed consent filled out by nurses. Review of medical methods or practices, there are 84 (88%) complete and 11 (12%) incomplete, namely on the date and time, the signature / initials is easy to read filled in by the doctor
Stres Kerja Petugas Pendaftaran Rawat Jalan di Rumah Sakit Umum Madani Medan Zulham Andi Ritonga; Nabilla Dwi Putri Siregar; Siddik Karo Karo
Journal of Educational Innovation and Public Health Vol. 4 No. 2 (2026): April: Journal of Educational Innovation and Public Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v4i2.9274

Abstract

Occupational stress is a physical or psychological reaction that occurs when job demands are unbalanced with an individual's ability to cope. This condition is often experienced by outpatient registration officers who are required to provide fast, accurate service, and deal with a fluctuating number of patients every day. This study aims to determine the factors influencing occupational stress among outpatient registration officers at Madani General Hospital, Medan, in 2025. This study used a qualitative approach with in-depth interviews with five informants, as well as direct observation to strengthen the findings in the field. The results showed that occupational stress is influenced by several factors, namely the work environment (cleanliness and noise), workload (number of patients and demands from patients' families), superior support (direct interaction with superiors and assistance during difficulties), working hours (regularity of working hours and availability of rest periods), and salary (relationship with work enthusiasm and motivation). An unclean and noisy work environment due to building renovations was the main trigger for discomfort. In addition, the increased workload on certain days and high demands from patients and families added to psychological stress. Although some officers felt supported by their superiors and received adequate rest periods, aspects of work well-being were still considered suboptimal. Researchers concluded that work stress among outpatient registration staff is a complex problem influenced by both environmental and organizational factors. Hospital management needs to take strategic steps to improve the work environment, manage a balanced workload, and provide motivation and recognition to staff to improve mental well-being and the quality of healthcare services.
Co-Authors Nabilla Dwi Putri Siregar Sabela Hasibuan, Ali Siddik Karo Karo Tasya Adinda Putri