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All Journal Ensiklopedia of Journal Indonesian of Health Information Management Journal (INOHIM) Pelita Masyarakat Abdi-Dharma NURSING ANALYSIS: Journal of Nursing Research MEDICORDHIF Jurnal Rekam Medis Journal Medical Informatics Technology International Journal of Health and Medicine EDU RMIK Jurnal Edukasi Rekam Medis Informasi Kesehatan Klinik: Jurnal Ilmiah Kedokteran dan Kesehatan
Gama Bagus Kuntoadi
STIKes Widya Dharma Husada Tangerang
Arts Humanities Computer Science & IT Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Industrial & Manufacturing Engineering Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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Analisis Kelengkapan Pengisian Laporan Operasi pada Tindakan Sectio Caesarean di Rumah Sakit Buah Hati Pamulang Rumondang Christin; Dede Resa Oktaviani; Gama Bagus Kuntoadi
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 1 (2025): Januari : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i1.6089

Abstract

The operation report form is a report or record of the surgical procedure on the patient. The operation report form is used to report and record the patient's condition before, during, and after receiving surgery. The type of research used is descriptive with a quantitative approach. Data collection using observation results and check list sheets. The population of this study was 200 operation report forms on sectio caesarea at RSIA Buah Hati Pamulang in March - May 2025. The sample of this study was 133 operation report forms on sectio caesarea with simple random sampling technique. From The results of the study found that the patient identity component was filled in completely, namely 100%, in the important report sub-component almost completely filled in with a percentage of 94% and there was a post-surgical diagnosis sub-component that was only mostly with the lowest percentage of 8%, in the researcher's authentication component there was a sub-component of the surgeon's TTD which was almost completely filled in with a percentage of 99%, and and there was a percentage of almost completely complete, namely 99% assistant anesthesiologist 98%, It is recommended for RSIA Buah Hati Pamulang to immediately use the electronic operation report form in accordance with PMK 24 of 2022 concerning Medical Records governing Electronic Medical Records in health service facilities (fasyankes) in Indonesia.
Co-Authors Ai Purwati Alita, Dini Arum Andriyani R Fahriati Andriyani Rahmah Fahriati Angelina, Novia Arniawan, Arniawan Aryani, Sofi Dwi Asep Hidayat Berliana, Azzahra Christin, Rumondang Darmawan, Dea Natania Deannisa Bagus Rachmatika Dede Resa Oktaviani Dena Apriliana Lestari DEWI FITRIANI Dinaya, Nadhira Putri Febriari, Fiza Fenita Purnama Sari Indah G. Gunawan Gina Aulia Gita Ayuningtyas Harum, Mutiara Sekar Herniyatun, Herniyatun Holidah, Holidah Hudiyati Agustini Ima Rusdiana Indah Kristina Indah Kristina Innocentius Probosanjoyo Joko Asmoro Widhi Karlina, Nonok Kristina, Indah LESTARI, SANTI Lestyani, Lestyani Listiana, Ida Lubis, Astri Yulia Sari Lukman Handoyo Lutfia Nurafni, Aida Shopi Maulina, Fresty Cahya Miftah Parid Firmansyah MUHAMMAD AL AZHARY Nur Endah Sari Nurhana D. Ashari Nurwulan Adi Ismaya Nusaibah, Shoffy Najma Oktavia, Liana Devi Paryono PUJI LESTARI Putra, Ryryn Suryaman Prana Putri, Dhiah Faza Aliya Rahmi Junaida Ramdan, Raka Fahri Rendi Iryawandi RIRIS ANDRIATI Risky Adiprana Rita Dwi Pratiwi Rokiah Kusumapradja Rumondang Christin Rumondang Christin Rusdiana, Ima Sendra, Eny Sheli, Sheli Siti Novy Romlah Siti Utami Dewi, Siti Utami Solihah, Mutiara Putri Sri Haryanto Sucipto Sucipto Sucipto Sutiswa, Shandra Isasi Uswatun Hasanah Veri, Veri Yuni Marugun