Jurnal Health Sains
Vol. 2 No. 10 (2021): Jurnal Health Sains

Pengaruh Kelengkapan Pencatatan Form Tindakan terhadap Mutu Rekam Medis di Puskesmas Pakutandang

Maylan Rahmawati (Politeknik Piksi Ganesha Bandung, Jawa Barat, Indonesia)
Riki Solihin (Politeknik Piksi Ganesha Bandung, Jawa Barat Indonesia)
Erix Gunawan (Politeknik Piksi Ganesha Bandung, Jawa Barat Indonesia)



Article Info

Publish Date
25 Oct 2021

Abstract

Medical records are very important documents in the medical world because in medical records describe the patient's medical history, actions, treatment and other documents ranging from patient diseases in health facilities to patientspu lang. The specific purpose of this study is to find out the adequacy of filling out the patient identification and authentication action form at the Klinik Gigi Puskesmas Pactndang. The type of research used is qualitative descriptive research that has the aim to identify the completeness of filling out the poly dental action form at pakutandang health center. Under the law medical records must be completed within 24 hours before the end of outpatient services. To avoid incompleteness of the contents of outpatient medical records, an in-depth study of medical record samples is conducted. This research was conducted at Pakundang Health Center using descriptive statistical methods. The object of the study is in the form of actions in March - April 2021. The sample count studied was 15 randomly taken samples from a total of 150 action forms in March - April. According to the results of the study conducted, 14 samples or 94% of medical records examined are incomplete. Lack of completeness is mainly found in the signatures of doctors who treat as many as 10 forms or 67%. From these results it is expected that in the future it can reduce the incompleteness of medical record forms at Pakundang Health Center

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Journal Info

Abbrev

jhs

Publisher

Subject

Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

Description

Jurnal Health Sains adalah jurnal yang diterbitkan sebulan sekali oleh Ridwan Institute. Jurnal Health Sains akan menerbitkan artikel ilmiah dalam lingkup ilmu kesehatan. Artikel yang diterbitkan adalah artikel dari penelitian, studi atau studi ilmiah kritis dan komprehensif tentang isu-isu penting ...