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Penyuluhan Alur Pendaftaran Pasien di Rumah Sakit pada Anak Asrama Medan Pomarida Simbolon; Nagoklan Simbolon; Pestaria Saragih; Nasipta Ginting; Arjuna Ginting; Jev Boris; Adrian Hutauruk; Anthonyus Anthonyus
Lok Seva: Journal of Contemporary Community Service Vol 1, No 1 (2022)
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/lok seva.v1i1.6219

Abstract

Pendaftaran pasien merupakan proses awal terjadinya rekam medis di setiap fasilitas pelayanan kesehatan, di tempat pendaftaran pasien akan di data identitas pribadi pasien serta keperluan kunjungannya ke rumah sakit. Selain mencatat data identitas pasien, akan diperlukan juga pendataan lain mengenai penanggung jawab pasien, asuransi, pekerjaan, dan lain sebagainya. Dalam sistem pendaftaran, pasien akan diterima sebagai pasien rawat jalan, dan rawat inap. Tujuan dilaksanakannya kegiatan pengabdian masyarakat ini untuk meningkatkan pengetahuan anak asrama tentang alur pendaftaran pasien di Rumah Sakit atau fasilitas pelayanan kesehatan. Kegiatan pengabdian dilakukan dalam beberapa tahap yaitu tahap persiapan, tahap pelaksanaan, serta tahap evaluasi. Kegiatan pengabdian masyarakat dilaksanakan pada bulan Agustus 2022. Hasil pengabdian diperoleh nilai pretest 61,90 dan nilai posttest. 77, 14. Terjadi peningkatan pengetahuan anak asrama setelah dilakukan penyuluhan tentang alur pendaftaran pasien di Rumah Sakit 15,24 poin, yang berarti bahwa penyuluhan tentang alur pendaftaran pasien di rumah sakit yang dilaksanakan berdampak terhadap peningkatan pengetahuan peserta penyuluhan.
Ketepatan Kode Penyakit Bronkopneumonia dan Kelengkapan Rekam Medis di Rumah Sakit St. Elisabeth Medan Tahun 2022 Pestaria Saragih; Nasipta Ginting; Misda Nainggolan
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 1 No. 4 (2022): Oktober 2022
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v1i4.896

Abstract

The accuracy of the bronchopneumonia case code is that all diagnoses are filled out correctly based on the completeness of filling out the medical record with code J18.0 as the code in the ICD 10 book. Completeness of filling out the medical record is a medical record that has been completely filled out by a doctor within 1x24 hours, after completing outpatient services. or after an inpatient is decided to go home which includes a patient identity sheet, medical resume, and supporting diagnostic examination sheet. Researchers take specific cases of bronchopneumonia because during the practice service at St. Hospital. Elisabeth in 2021 there are 10 files of bronchopneumonia patients, there are 3 medical record files with incorrect codes. Based on this background, researchers are interested in conducting research with the title of code accuracy and completeness of medical records of bronchopneumonia patients at St. Hospital. Elisabeth Medan 2022. The type of research design used was a descriptive design with a sampling method of 82 respondents in total at St.Elisabeth Hospital Medan 2022. The instrument used in data collection was a checklist study documentation. The results of the study obtain that the correct category code was 70 medical records (85.3%) and the incorrect category are 12 medical records (14.7%) medical record files. While the completeness of the patient identity sheet is 85.3%, the medical resume sheet is 85.3%, and the laboratory support results sheet is 81.7% complete.