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All Journal Saintika Medika: Jurnal Ilmu Kesehatan dan Kedokteran Keluarga. Jurnal Penelitian Kesehatan Suara Forikes Martabe : Jurnal Pengabdian Kepada Masyarakat Jurnal Medika Malahayati Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Jurnal Teknologi Informasi dan Multimedia ARTERI : Jurnal Ilmu Kesehatan Jurnal Agriovet Jurnal Aisyah : Jurnal Ilmu Kesehatan Community Development Journal: Jurnal Pengabdian Masyarakat Jurnal Kesehatan Tambusai Journal of Community Development BIOS : Jurnal Teknologi Informasi dan Rekayasa Komputer Jurnal Rekam Medik & Manajemen Informasi Kesehatan (RAMMIK) JOURNAL OF MEDICAL RECORDS AND HELATH INFORMATION PEKAT : Jurnal Pengabdian Kepada Masyarakat Health & Medical Sciences International Journal of Healthcare and Information Technology
Sabran Sabran
Politeknik Negeri Jember
Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Education Electrical & Electronics Engineering Environmental Science Health Professions Immunology & microbiology Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Analisis Faktor Penyebab Ketidaklengkapan Pengisian Resume Medis Rawat Inap Di RSU Bahagia Makassar Zahratul Jannah AT Tabrani; Sabran Sabran; Dony Setiawan Hendyca Putra; Gamasiano Alfiansyah
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 Aghasi Hana Faradila Aji Galih Pamenang Almira Kusumaningrum Alvira Nafisah Eky Mulia Angga Rahagiyanto Arniati Ramadhani Atma Deharja Atma Deharja Dian Kartika Sari Dony Setiawan dony setiawan hendyca putra Dony Setiawan HP Efri Tri Ardianto Erna Selviyanti Gamasiano Alfiansyah Gamasiano Alfiansyah Indah Muflihatin Intan Mega Pratiwi Jabal Nur Hamdani Jennie Raissa Maghfira Khomsatun Ni’mah Lani Lani Annisa Majiida Lu'aily Munawaroh Lutfi Kurniawati M. Kurniawan Maya Weka Santi Maya Weka Santi Maya Weka Santi Maya Weka Santi Miftahul Jannah Miftahul Jannah Mochammad Choirur Roziqin Muhammad Yunus Nabila Agustina Ni Made Oktin Permata Sari Niyalatul Muna Novita Nuraini nurmawati, ida Pratita, Dian Galuh Putri Rahayu Ratri Putri Rahayu Ratri Rachmawati, Ervina Ratih Putri Damayati Rika Furi Retnoningrum Rini Anggraeni Robithatil Khoirot Rossalina Adi Wijayanti Roudhotul Falah S Deddy Setiadi S Deddy Setiadi Satya, Malinda Capri Nurul Siti Sofia Surya Dewi Puspita Sysilia Mahendra Ainunnisa Veronika Vestine Wiwik Dian Sari Zahratul Jannah AT Tabrani