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All Journal J-Kesmas: Jurnal Kesehatan Masyarakat (Indonesian Journal of Public Health) Nautical: Jurnal Ilmiah Multidisiplin Indonesia
Nurzannah, Mifta
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Religion Humanities Computer Science & IT Education Engineering Public Health

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Analysis of Completeness of Medical Records in Inpatient Patients at Dr. Pirngadi Hospital, Medan City Harahap, Reni Agustina; Wulan, Retna; Lubis, Eli Marlina; Nurzannah, Mifta; Oktaviani, Ririn; Tampubolon, Julianti
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 11, No 1 (2024): April 2024
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v11i1.7249

Abstract

Recording of medical record files must meet the minimum standards of hospital services. The purpose of this study was to analyze the completeness of medical record documents for inpatients at RSUD DR. Pirngadi, Medan City. This study used a quantitative method with a descriptive approach, the data analysis used was a univariate test. Of the 540 medical record files, there were 131 incomplete medical record files which were used as the population and used a sample of 99 medical record files. The research was conducted on January 9-February 17, 2023. The results showed that of the 99 medical record files on the patient's medical resume items, the majority 75 (75.8%) were complete, the minority 24 (24.2%) were incomplete, assessment initial medical majority 88 (88.9%) complete files, minority 11 (11.1%) incomplete, majority nursing assessment complete 99 (100%), cppt majority 83 (83.8%) complete files, minority 16 (16.2%) were incomplete, the majority of hand over forms were 99 (100%) complete, the majority of medical cards were 87 (87.9%) complete, the minority were 12 (12.1%) incomplete and the majority of nutritional care forms are complete 99 (100%). Based on the results of the study, it can be concluded that the incomplete inpatient medical record files at RSUD Dr. Pirngadi Medan City were affected by PPA's lack of compliance and discipline in filling out medical record files. It is expected that all PPAs can write down all examination actions in the patient's medical record file completely.
Tingkat pengetahuan ibu hamil terhadap pentingnya zat besi pada masa kehamilan Nurzannah, Mifta; Susilawati, Susilawati
Nautical : Jurnal Ilmiah Multidisiplin Indonesia Vol. 1 No. 6 (2022): Nautical: Jurnal Ilmiah Multidisiplin Indonesia
Publisher : ARKA INSTITUTE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55904/nautical.v1i6.388

Abstract

Pada Saat kehamilan ibu hamil memerlukan zat besi lebih banyak dari biasanya. Zat besi memiliki peran yang sangat penting pada masa kehamilan dan perkembangan janin. Prevensi anemia pada ibu hamil di Indonesia adalah 70% dari 10 ibu hamil yang anemia, dengan penyebab utama adalah asupan zat besi yang rendah. Penelitian ini ditujukan untuk mengetahui pengetahuan ibu hamil terhadap pentingnya zat besi pada masa kehamilan. Metode Penelitian : Penelitian ini merupakan jenis penelitian analitik observassional menggunakan desain cross sectional. Teknik pengambilan data menggunakan lembar kuesioner.Hasil penelitian : hasil penelitian menunjukkan bahwa pengetahuan ibu hamil tentang pentingnya zat gizi pada masa kehamilan baik (56,6%).
Co-Authors Harahap, Reni Agustina Lubis, Eli Marlina Oktaviani, Ririn Susilawati, Susilawati Tampubolon, Julianti Wulan, Retna