Analisis Dan Desain Formulir Rekam Medis Poli Gigi Di Klinik Politeknik Negeri Jember

Efendi, Mohammad Yusuf (2021) Analisis Dan Desain Formulir Rekam Medis Poli Gigi Di Klinik Politeknik Negeri Jember. Undergraduate thesis, Piliteknik Negeri Jember.

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Abstract

Medical record form is an very important document because it records in detail about the patient's condition and the medical actions given to the patient. Based on the preliminary study, it is known that in the Clinic Politeknik Negeri Jember in making dental poly medical record forms there are aspects of the form that are not appropriate in the anatomical aspect, there is no signature and bright name of the examining doctor and on the content aspect there is no description of the general condition of the patient, odontogram, and symbol used when examining a patient. This study aims to analyze and design a dental poly medical record form at the Clinic Politeknik Negeri Jember. This type of research is a qualitative study with research subjects including clinic heads, medical record officers and dentists. Data collection techniques in this study used interviews, observation, documentation and brainstorming. The results of this study were seen from the anatomical aspect, there were additional agency addresses, replacement introductions, and additional examination dates, bright names and signatures of the examining doctor. On the physical aspect, using F4 paper with briefcard 116gr paper material. Whereas in the contents, there were additional items in the patient identity group, the medical data group that needed attention, the odontogram group, and the dental poly patient care data. The suggestion from this research is that it is hoped that the design of this dental polygon form can be used as a consideration for the procurement of a dental poly form or applied to support the completeness of information in the patient's dental medical record. Keywords: Form Design, Anatomical Aspects, Physical Aspects, Content Aspects,

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