Journal of Intelligent Computing and Health Informatics (JICHI)
Vol 4, No 1 (2023): March

Part of Incomplete Medical Record Documents: Literature Review

Indrayadi, Indrayadi (Unknown)
Asih, Hastin Atas (Unknown)



Article Info

Publish Date
23 Feb 2023

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.

Copyrights © 2023






Journal Info

Abbrev

ICHI

Publisher

Subject

Computer Science & IT Dentistry Electrical & Electronics Engineering Medicine & Pharmacology Public Health

Description

Journal of Intelligent Computing & Health Informatics (JICHI) was printed in March 2020. JICHI is a scientific review journal publishing that focus on exchanging information relating to intelligent computing and health informatics applied in industry, hospitals, government, and universities. All ...