Desain Formulir Asesmen Nyeri Dalam Berkas Rekam Medis Di Rumah Sakit Daerah Balung Jember Tahun 2016

Laksono, Moch Jach Catur (2016) Desain Formulir Asesmen Nyeri Dalam Berkas Rekam Medis Di Rumah Sakit Daerah Balung Jember Tahun 2016. Undergraduate thesis, Politeknik Negeri Jember.

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Abstract

A form must be designed to fulfill its purpose. Increasing the number of patients can be considered a good record-keeping and complete so as to produce accurate information to support patient care. Regional Hospital in Balung Jember, the problems identified are not doing it as a pain assessment detailing to patients who complain of pain at the time came in the outpatient, emergency, and hospitalization. The absence of a special form that records the assessment of pain in his medical record file. The purpose of this study design and design forms medical record pain assessment sheet. This type of research is descriptive qualitative method of observation, interviews, and focused discussions (brainstorming). Results from this study is the identification of terms of the physical aspects of the paper used is A4 paper with a weight of 70 grams and white. From the aspect of anatomy that is the location of the hospital's identity on the left with the hospital logo, header or title form to be above the left as well as the font in bold. Orders already placed on any part of the charging. For the body to adjust to the paper size. In terms of content aspects of the completeness of the item, item sorting, grouping items, abbreviations, symbols and ways of charging has been adapted to other forms and requirements needed by the user. The results of the design later in the mentioned discussion focused brainstorming to obtain the final result to be mutually agreed. The results of the assessment of pain in the form of design expect able to help in the ministry, especially that assist in the management of patients who complain of pain so that treatment is more effective.

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