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Description Of Duplication Of Medical Record Numbers In Outpatient Registration At RSU Madani Medan In 2021 Abdul Malik Ritonga; Sarida Surya Manurung; Dinda Dinda; Jonni Sastra Manurung
Jurnal Media Informatika Vol. 5 No. 1 (2023): Jurnal Media Informatika
Publisher : Jurnal Media Informatika

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Abstract

Good medical record number numbering is one of the keys to the success or goodness of medical record management of a health service, of course, if supported by a good system. Quality human resources and good procedures or work procedures as well as adequate facilities or facilities. The special purpose is to identify the policy of the medical record numbering system, identify the factors causing the duplication of medical record numbers. One patient file is accompanied by one medical record number. The purpose of medical record numbering is to distinguish one patient's medical record from another, but in Madani Hospital there are still duplications of patient medical record numbers that can cause health services to be disrupted and the patient's disease history is not well documented, this study aims to determine the number of duplicated medical record numbers at Madani Hospital. This research uses a type of descriptive research, namely research.
KESIAPAN KELUARGA DALAM MERAWAT PASIEN PASCA STROKE UNTUK MENINGKATKAN FUNGSI KOGNITIF PASIEN PASCA STROKE DI RUMAH SAKIT UMUM IMLEDA PEKERJA INDONESIA MEDAN Sarida Surya Manurung; Enggel Dwi Suci Ramadhanti; Abdul Malik Ritonga; Jonni Sastra Manurung; Sheila Hamdah Hanum Ritonga
Jurnal Ilmiah Keperawatan IMELDA Vol. 12 No. 1 (2026): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v12i1.2170

Abstract

Stroke is a neurological disease that can cause physical, emotional, and cognitive impairment in sufferers. Recovery of cognitive function in post-stroke patients requires an active role for the family as the primary caregiver in the rehabilitation process at home. This study aims to explore family readiness in caring for post-stroke patients. The research method used a qualitative approach with a phenomenological design. Data collection was conducted through in-depth interviews with five participants selected using a purposive sampling technique at the Imelda Buruh Indonesia General Hospital in Medan. Data analysis used thematic analysis through a process of coding, categorization, and theme determination. The results of the study identified five main themes, namely: (1) family knowledge about post-stroke patient care, (2) family skills in meeting the patient's basic needs, (3) family readiness in supporting cognitive function recovery, (4) utilization of health services, and (5) barriers to care, such as limited time and emotional burden. The findings indicate that families play an important role in the patient's recovery process, but still face limited knowledge and challenges in implementing optimal care. Therefore, ongoing education and support from health workers are needed to improve family readiness in caring for post-stroke patients at home.
FAKTOR RISIKO TERJADINYA GANGGUAN FUNGSI KOGNITIF PADA PASIEN PASCA STROKE BERULANG DI RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA MEDAN TAHUN 2024 Sarida Surya Manurung; Nurhalimah Nurhalimah; Jonni Sastra Manurung
Jurnal Ilmiah Keperawatan IMELDA Vol. 11 No. 2 (2025): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v11i2.1979

Abstract

Stroke is a neurological condition that can cause impaired cognitive function. The risk of post-stroke cognitive impairment is higher in individuals who have experienced a recurrent stroke. This study aims to identify the main risk factors that contribute to impaired cognitive function in post-stroke patients. This research was conducted using qualitative descriptive research methods, the research location was carried out at the Imelda Workers Indonesia General Hospital, Medan. The research time from the start of preparing the proposal to completion was from March 2024 to August 2024. Research data was collected through in-depth interviews with participants and analyzed. The results of this research consist of 4 themes, namely: 1. (The influence of age on impaired cognitive function after a stroke). 2. (Between men and women who have the greatest potential to experience impaired cognitive function after a stroke). 3. (The patient's daily habits before experiencing impaired cognitive function after a stroke change). 4. (Is there a history of other diseases that can cause impaired cognitive function after a stroke). The conclusions from this research are: 1. Age influences cognitive function disorders after a stroke. 2. Women are more at risk of experiencing impaired cognitive function than men. 3. Activity has a big influence on impaired cognitive function after a stroke. 4. Participants' ignorance about post-stroke cognitive function disorders is increasing.
Exploring Healthcare Workers' Experiences in Maintaining Consistent Medical Discharge Summaries within an Electronic Medical Record System: A Phenomenological Study Abdul Malik Ritonga; Windy Andini Sitinjak; Cosmas Samuel Daeli; Sarida Surya Manurung; Jonni Sastra Manurung; Sheila Hamdah Hanum Ritonga
Benih : Journal of Midwifery Vol. 5 No. 02 (2026): Benih : Journal of Midwifery
Publisher : Cattleya Darmaya Fortuna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54209/benih.v5i02.620

Abstract

Medical discharge summaries are essential documents in healthcare services that provide a comprehensive overview of a patient's clinical condition throughout hospitalization. The consistency of completing medical discharge summaries within an Electronic Medical Record (EMR) system plays a crucial role in ensuring documentation quality, patient safety, and the efficiency of administrative processes and health insurance claims. This study aimed to explore healthcare workers' experiences in maintaining consistent medical discharge summaries within the Electronic Medical Record system at Imelda Pekerja Indonesia General Hospital. A qualitative research design with a phenomenological approach was employed. The participants consisted of the Attending Physician (DPJP), the Head Nurse of the Emergency Department, medical record officers, Case Mix officers, and Hospital Information System (HIS) officers. Data were collected through in-depth interviews and analyzed using data reduction, data display, and conclusion drawing techniques. The findings revealed that the consistency of medical discharge summary documentation was influenced by three major factors: organizational support through training and socialization programs, healthcare workers' understanding of clinical documentation standards and Standard Operating Procedures (SOPs), and hospital policies supporting the implementation of Electronic Medical Records. In addition, workload, differences in perceptions regarding documentation completeness, and technical issues within the EMR system remained significant challenges affecting documentation consistency. The study concludes that strengthening healthcare workers' competencies, optimizing validation features within the Electronic Medical Record system, and implementing continuous monitoring and evaluation are necessary to improve the quality of medical documentation and hospital healthcare services.