Analisis Faktor Penyebab Ketidaklengkapan Pengisian Berkas Rekam Medis Rawat Inap Di Rumah Sakit

KHATIMAH, HUSNUL (2020) Analisis Faktor Penyebab Ketidaklengkapan Pengisian Berkas Rekam Medis Rawat Inap Di Rumah Sakit. Undergraduate thesis, Politeknik Negeri Jember.

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Abstract

Incomplete filling of hospitalization medical record files due to human resources factor (man) still lack of understanding of doctors in filling medical record files, limited time and busyness of doctors so as to cause medical record files have not been filled in fully. Method factor (Methode) has not been done evaluation and socialization of SOP (Standard operating procedure) with the maximum. Material Factor (Material) incompleteness filling medical record files. Machine factor (Machine) hospital facilities are many shortcomings. Money factor (Money) limited the budget of the source of funds to provide training, and to support the completeness of medical records files. This type of research is literature review or literature study with summarize technique, namely by rewing the results from previous research sources or literature with sentences discussed by researchers on components that affect the success of an information system seen from user perception. The search results of articles that meet or are in accordance with the purpose / problem / title / topic of the diagram will be analyzed by recap and poured in the form of a table. As one of the hospital's suggestions that it is necessary to provide a special place and pay more attention to the completeness of medical records files as one of the priorities in and the need for doctor coordination with nurses in filling in inpatient file data. For some hospitals that do not have SOPs should be followed up with the provision of SOPs in order to support medical personnel more responsible in carrying out SOPs related to the completeness of filling out inpatient medical record documents. For hospitals that have SOPs but are not run in such a way at home, the hospital should hold regular socialization related to SOPs.

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