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Weryco Latupeirissa, Loura
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Analisis Faktor Yang Mempengaruhi Kelengkapan Resume Medis Rawat Jalan Di Rs Sumber Waras Kabupaten Cirebon Weryco Latupeirissa, Loura; Setiawan, Dede
MEJORA Medical Journal Awatara Vol 2 No 3 (2024): Juli
Publisher : Awatara Publisher

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Abstract

Completeness of medical records is important because it influences the service process provided by health workers and has an impact on the quality of service in a hospital. A medical record containing a medical resume is said to be complete if it is filled 100%. This research is an observational study and uses a cross sectional design. The sample to determine the completeness of the outpatient medical record resume was 53 documents and to determine the factors that influence the completeness of the outpatient medical resume, namely all doctors at Sumber Waras Hospital were 53 people. The results of this research were that outpatient medical resumes were 24 documents complete and 29 documents were incomplete. For the completeness knowledge variable, a p value of 0.025 was obtained. (0.025 < 0.05), then knowledge influences the completeness of the medical resume, on the attitude variable with a completeness p value of 0.027. (0.027 < 0.05), then attitude influences the completeness of the medical resume, and for the behavior and completeness variables, a p value of 0.025 is obtained. (0.025 < 0.05) then behavior influences the completeness of a medical resume.
Evaluasi Kesesuaian Pengelolaan Rekam Medis Dengan Standar Akreditasi Di Rumah Sakit Kabupaten Cirebon Nur Afifah Mubaroch, Vadia; Weryco Latupeirissa, Loura; Luxiarty, Riantina
MEJORA Medical Journal Awatara Vol 2 No 4 (2024): October
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i4.262

Abstract

Accreditation is recognition given to prayer house because it has made efforts to improve the quality of services on an ongoing basis. The aim of this research is to fid out how appropriate the implementation of medical records in fulfilling accreditation standards at Horpital Cirebon Regency. This type of research uses quantitatve descriptive. The variable in this research is the evaluation of the suitability of medical record administration in meeting accreditation standards at Hospital Cirebon Regency. The object of this research is an evaluation of the suitability of medical record management in fulfilling accreditation standards at Hospital, the subject of this research is medical records management. The data collection technique uses observation with research instrumen namely a checklist sheet. Based on the research results, it is known that from 51 assessment elements that have been studied at Hospital accreditation standards consist of, it was found that standards were not in accordance with hospital accreditation, 3 assessment elements with a percentage of 6%, partially corresponds 7 assessment elements with a percentage of 14%  and 41 assessment elements that were in accordance with hospital accreditation standards with a percentage of 80%. This research can be used as reference material in implementing hospital policies regarding the maintenance of medical records, carrying out regular monitoring regarding the administration of medical records.
Co-Authors Luxiarty, Riantina Nur Afifah Mubaroch, Vadia Setiawan, Dede