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Dewi Oktavia
Apikes Iris, Indonesia
Computer Science & IT Dentistry Economics, Econometrics & Finance Health Professions Languange, Linguistic, Communication & Media Nursing Public Health Veterinary

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Evaluation of the implementation of electronic medical records in Lubuk Buaya Padang Public Health Center in 2023 Dewi Oktavia; Annisa Wahyuni
Jurnal Mantik Vol. 7 No. 3 (2023): November: Manajemen, Teknologi Informatika dan Komunikasi (Mantik)
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/mantik.v7i3.4357

Abstract

The importance of electronic medical records aims to improve the quality of health services, provide legal certainty in the administration and management of medical records, guarantee the security, confidentiality, integrity and availability of medical record data; and realizing the implementation and management of digital-based and integrated Medical Records. Based on the results of observations in the field, several community health centers in Padang City conducted comparative studies with the Lubuk Buaya Community Health Center. This public health center is an example of a community health center that has implemented electronic medical records. This research aims to evaluate the use of electronic medical records at the Lubuk Buaya Padang Public Health Center in 2023. The research method uses a quantitative approach with the Performance, Information, Economic, Control, Efficiency, Service (PIECES) method. Sampling was carried out using a total sampling technique. Research data was collected by distributing questionnaires regarding the use of electronic medical records. The results of the variable or dimensional analysis show that the aspects with an average level of satisfaction for each performance are 3.76 (satisfied), information is 3.67 (satisfied), economics is 3.75 (satisfied), Control is 3.11 (doubtful), efficiency is 3.86 , (satisfied) and service 3.89 (satisfied). Of the six dimensions, all answered that they were satisfied with the implementation of electronic medical records except for the Control dimension which was still unsure. It is recommended that the Puskesmas need to improve control aspects so that the implementation of electronic medical records becomes of higher quality
Quantitative analysis of the completeness of medical records documents for inpatient general surgery patients at X Padang Hospital Dewi Oktavia
Science Midwifery Vol 11 No 4 (2023): October: Midwifery and Health Sciences
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v11i4.1371

Abstract

The quality of medical records is an indicator of the quality of hospital services which can be seen from the completeness of filling out medical record documents. Incompleteness in filling out medical record documents will disrupt administrative order which will affect the patient treatment process, where officers will have difficulty identifying the patient, officers will have difficulty determining the next treatment or therapy action that will be carried out on the patient. Based on the results of the initial survey at Hospital X Padang, it was found that a quantitative review of medical record documents had never been carried out. The aim of this study was to determine the results of a quantitative review of the completeness of medical records for general surgery inpatients. This research method is descriptive with a quantitative approach. The population and sample in this study were documents from inpatients specifically for general surgery in the fourth quarter of 2021, with a total sample of 38 documents. The research location is at Hospital the doctor's hand was 94.7%, the method of recording abbreviated items was 73.7%. From the results of the quantitative analysis research, it was concluded that it still does not meet the Minimum Service Standards, namely 100%. To increase the completeness of filling out medical records, it is hoped that hospitals can create reward and punishment policies, implement rules or SOP guidelines for filling out medical record documents.
Co-Authors Annisa Wahyuni