Jurnal Kesehatan Sejahtera
Vol. 1 No. 2 (2024): Desember

TINJAUAN KELENGKAPAN FORMULIR RESUME MEDIS BERDASARKAN ELEMEN PENILAIAN MIRM 15 STANDAR NASIONAL AKREDITASI RUMAH SAKIT (SNARS) DI RSU IMELDA PEKERJA INDONESIA

Jihan Alna (Universitas Imelda Medan)
Jhon Barker Liem (Universitas Imelda Medan)



Article Info

Publish Date
30 Dec 2024

Abstract

Incompleteness in filling out medical resumes will greatly affect the assessment of Hospital accreditation. This study aims to determine the completeness of filling out medical resume forms based on the MIRM 15 SNARS Edition 1.1 assessment elements at RSU Imelda Buruh Indonesia Medan. This study uses quantitative and qualitative methods, with a population of all medical resume forms at RSU Imelda Buruh Indonesia Medan. A sample of 93 medical resumes was rounded up to 100 medical resume forms. Based on the results of the study, it was found that the completeness of the medical resume forms was 76 medical resume forms (70%) and 30 medical resume forms (30%) were incomplete. Based on the SNARS Edition 1.1 assessment score, the number of complete medical resume forms was 76% with a score of 5 (partially fulfilled) because the achievement range was 29% -79%. The highest completeness of the medical resume form at RSU Imelda Buruh Indonesia is found in the components of patient history, diagnostic examination, diagnosis, therapy procedures and actions, drugs given and drugs when the patient is discharged from the hospital, patient health condition (current status) and follow-up instructions as much as (100%) medical resume forms and the lowest completeness is found in physical examination (15%) indications for patient hospitalization (6%), comorbidities (12) and patient/family signatures as much as (24%) medical resume forms. The researcher's suggestion is that continuous socialization should be held to increase knowledge for medical personnel about filling out the completeness of the medical resume form according to SNARS at RSU Imelda Buruh Indonesia Medan

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Journal Info

Abbrev

JKS

Publisher

Subject

Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

Description

Jurnal Kesehatan Sejahtera (JKS ) adalah jurnal kesehatan yang diterbitkan sebanyak 2X1 Tahun pada setiap bulan Juni dan Desember. Proses penyerahan naskah terbuka sepanjang tahun. Jurnal Kesehatan Sejahtera meliputi literatur, artikel penelitian serta studi kasus yang berfokus pada bidang ilmu ...