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All Journal Jurnal Rekam Medis dan Informasi Kesehatan Indonesia
Rizki Oktaviana Tri Wilujeng
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Computer Science & IT Public Health

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LITERATURE REVIEW: EVALUASI KUALITAS KELENGKAPAN DATA PADA FORMULIR REKAM MEDIS PASIEN DI RUMAH SAKIT Yula Budi Wardiyana; Mega Purnama Dewi Setiyowati; Ayu Nur Jannah; Agin Gianiska; Harprisiskayani Trisna Lestari; Alief Wijayanto; Rizki Oktaviana Tri Wilujeng; Aninda Nur Laili
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 4 No. 1 (2024): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v4i1.62

Abstract

This study aims to analyze the completeness of inpatient medical record filing using a literature review method. A total of 10 articles were selected from journal databases, grey literature, and hand searching. The research findings indicate variation in the percentage of medical record completeness among the analyzed articles, with some showing high completeness rates and others showing low completeness rates. Factors contributing to incompleteness include errors in form filling and insufficient understanding among medical staff regarding the importance of medical record completeness. Recommendations from this study include the necessity to enhance medical staff's understanding of the medical record filling process, as well as the implementation of better policies and training to ensure optimal completeness in medical documentation. This research contributes to understanding the factors influencing the completeness of inpatient medical records and provides a basis for developing strategies to improve the quality of healthcare services in hospitals.
Co-Authors Agin Gianiska Alief Wijayanto Aninda Nur Laili Ayu Nur Jannah Harprisiskayani Trisna Lestari Mega Purnama Dewi Setiyowati Yula Budi Wardiyana