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All Journal Paediatrica Indonesiana Indonesian Journal of Obstetrics & Gynecology Science Journal of Intelligent Computing and Health Informatics (JICHI) Jurnal Promotif Preventif Pancasakti Journal Of Public Health Science And Research Sahabat Sosial: Jurnal Pengabdian Masyarakat Barongko : Jurnal Ilmu Kesehatan International Journal of Health Sciences
Indrayadi, Indrayadi
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Humanities Computer Science & IT Dentistry Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Other

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Journal : Journal of Intelligent Computing and Health Informatics (JICHI)

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Part of Incomplete Medical Record Documents: Literature Review Indrayadi, Indrayadi; Asih, Hastin Atas
Journal of Intelligent Computing & Health Informatics Vol 4, No 1 (2023): March
Publisher : Universitas Muhammadiyah Semarang Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jichi.v4i1.11443

Abstract

The study aimed to examine the extent of incompleteness in various sections of medical histories within Indonesian hospitals by conducting a literature review based on inclusion and exclusion criteria. The data were analyzed, and the findings were presented. The databases Google Scholar, Garuda, Emerald, and DOAJ were searched using keywords such as 'medical records' and 'hospitals' between 2018 and 2022, yielding 461 papers. Fourteen papers were selected in the final stage. The most frequently incomplete components of medical record documents include essential reports, authentication, data entry, documentation completion, and record-keeping. To prevent incomplete medical records, comprehensive interventions that provide adequate support and training to all staff members involved in completing patient medical records are necessary.
Co-Authors Aditiawati Aditiawati, Aditiawati Ainun Jariah Albernande, Anggy Arif, Muhamad Syaiful Asih, Hastin Atas Ata Maran, Albertus Auliani, Firda Azis, Eyastuti Basir, Anatasia A. Betan, Abu Bakar Chantika, Rahardina Dwi Elsa Yuniarti Fauzi, Moretta Damayanti Fredy Saputra, M.Khalid Haedir, Haedir Hanifa, Latifa Alya Hayati, Nur Sa'adah Heriyadi, Muhamad Idris Idris Islaeli, Islaeli Julius Anzar, Julius Khalid, Naman Lahming, Lahming Magfiro, Shafana Indika Misnarliah, Misnarliah Msy Rita Dewi, Msy Rita Nur Istiqamah, Nur Octaviani, Sri Rezki Pannyiwi, Rahmat Peby Maulina Lestari, Peby Maulina Putri Lestari, Putri Rafiun, Annajemin Ria Nova, Ria Rini Susanti RM Indra, RM Rose Mafiana SAHABUDDIN SAHABUDDIN Salam, Rizkiy Sembiring, Dhea Amanda Sembiring, Rinawati Siprianus Singga Siti Fatimah Sri Wahyuni Sutrisno, Muhammad Al Farisi Yermi, Yermi Yuhansyah, Yuhansyah Yulianto kusnadi Yulisnawati Hasanah