scholarly journals Factors that cause compliance filling medical records in hospitals

2020 ◽  
Vol 7 (10) ◽  
pp. 4180
Author(s):  
Chamy Rahmatiqa ◽  
Nurul Abdillah ◽  
Fajrilhuda Yuniko
Keyword(s):  
Human Resources ◽  
Medical Record ◽  
Medical Records ◽  
Research Data ◽  
Recording System ◽  
The Internet ◽  
Financial Conditions ◽  
Document Review ◽  
Published Research

Hospital recording system guidelines or known as medical records. Failure to fill medical records has an impact on the quality of service and hospital accreditation. The purpose of this study is to see what factors are the cause of non-compliance in filling Medical Records in hospitals throughout Indonesia. Research is a systematic review. The source of this research data comes from the literature obtained through the internet in the form of published research results regarding the causes of the inability of medical record documents in hospitals from all journals that have been published and can be accessed via the internet. Data was collected from 15 April 2020-10 July 2020. The results of the analysis through document review showed that the factors causing non-compliance of filling medical record documents at the High Hospital were human resources which were 66.6%, there was no clear and firm policy of 33.3%, facilities that did not support were 22.2% and limited funds by 11.1%. It is expected that each hospital must have a clear and firm policy in dealing with non-compliance with filling out this medical record document. With a clear and firm policy on the condition of HR unpreparedness, the facilities and financial conditions which will also be regulated in the policy can also be overcome at the same time.

scholarly journals Analysis The Level of Compliance of Hospital Human Resources in Writing The Status of Inpatient Medical Record Dr Sayidiman Hospital and The Influences Factors

2020 ◽  
Vol 3 (2) ◽  
pp. 423-433
Author(s):  
Ratnawati Ratnawati
Keyword(s):  
Linear Regression ◽  
Human Resources ◽  
General Hospital ◽  
Medical Record ◽  
Health Professionals ◽  
Medical Records ◽  
Regional Hospital ◽  
P Value ◽  
The Status

The quality of medical records in hospitals also determines the quality of service, completeness of writing Medical Records documents correctly and correctly is very important. The purpose of this study was to analyze the level of compliance of hospital human resources in writing the status of the inpatient Medical Record Dr. Sayidiman Magetan Regional Hospital and the factors that influence it. The design of this study was an observational quantitative study with a cross section approach with the focus of the research directed to be analyzing the level of compliance of hospital human resources in writing the status of the inpatient Medical Record Dr Sayidiman Magetan Regional Hospital and the factors that influenced it with a sample of 192 respondents taken with the Simple Random Sampling technique. The findings found that most of the respondents have high motivation that is 144 respondents (75%). Most of the respondents care to write in the medical record that is 160 respondents (83.3%). Most of the respondents have a high appreciation of 136 respondents (70.8%). Most of the respondents did not comply doing medical record writing of 107 respondents (55.7%). Based on the Linear Regression analysis the motivation variable on compliance p-value 0.015 <0.05, the variable concern for compliance p-value 0.025 <0.05 then H0 is rejected so there is the influence of motivation and concern for compliance with medical record writing by health professionals in Regional General Hospital Dr. Sayidiman Magetan. Linear regression variable rewards for compliance shows that the p-value of 0.665> 0.05 then H0 is accepted so it is concluded that there is no effect of rewards on compliance with writing medical records by health professionals at the Dr Sayidiman Magetan Regional General Hospital. It is expected that respondents can comply to fill out medical records so that the delivery of care to passion can be well integrated

Faktor-Faktor yang Mempengaruhi Mutu Pelayanan Rekam Medis di Rumah Sakit

2019 ◽  
Vol 14 (2) ◽  
pp. 59
Author(s):  
Rindi Rendarti
Keyword(s):  
Service Quality ◽  
Human Resources ◽  
Medical Record ◽  
Medical Records ◽  
Services Quality ◽  
Medical Services ◽  
Quality Of Services ◽  
Hospital Services ◽  
Incomplete Filling

Background: Medical record units as part of supporting medical services in hospitals have an important role in improving the quality of services in hospitals. The indicator of service quality in hospital is measured by incomplete inpatient medical record files. Based on several studies in various hospitals, the complete of inpatient medical record files is around 70% - 80% from 100%. Based on the preliminary data in action research in PKU Muhammadiyah hospital, there were 60 % incomplete in filling the medical resume from 100% target. There are many things that occurred, one of them are about human resources that is affected by behavior, the implementation of operational standards in filling medical records, punish and reward files. Objective: To review the factors that affect the quality of service in medical record units related to improving the quality of hospital services.  Methods: the method of this study used relevant health databases including Scholars by using a combination of  terms: hospital service quality indicators, incompleteness in filling medical medical records, quality of medical record services. Results: The result of this study said that there were related between medical record services and quality of hospital services. The quality indicator in the medical record can be able to be measured was the number of incomplete filling in medical record files. Filling of incomplete medical record files has the potential to reduce the overall quality of hospital services Keywords: quality of medical record services, quality of hospital medical services, incomplete medical record filling

scholarly journals Description Of Factors Affecting Delay Return Of Hospitalization Medical Record

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Linda Handayuni ◽  
Dewi Mardiawati ◽  
Ririn Afrima Yenni ◽  
Elda Nelfia
Keyword(s):  
Human Resources ◽  
Medical Record ◽  
Medical Records ◽  
Research Method ◽  
Rate Of Return ◽  
Inclusion Criteria ◽  
Literature Study ◽  
Factors Affecting ◽  
And Training

Background: The restoration of medical records is an important part of the medical record unit, because it is the beginning of activities before the start of processing the patient's medical records. Many factors influence the delay in returning medical records, namely the medical resume form sheets that have not been filled in completely by doctors and nurses who handle patients and the lack of good responsibility in returning inpatient medical records. The purpose of this literature study is to determine the factors that influence the delay in returning hospitalized medical records.Methods: The research method used is literature study with data search using google shoolar. The inclusion criteria used were journals to determine the factors that influenced the delay in returning fully accessed inpatient medical records.Results: The results of the literature study show that the rate of delay in returning inpatient medical records is still high 50%, late which is influenced by 44.4% poor responsibility for returning medical records, and doctor's discipline in filling in complete 70% complete medical resume.Conclusions: Based on the results of this study, it can be concluded that the rate of return of medical records in hospitals is still high. Researchers suggest cooperation between nurses and doctors in filling and returning medical records to improve the quality of hospital medical records, as well as the need to improve human resources and training.

scholarly journals MANAJEMEN SURAT MASUK DAN SURAT KELUAR DI UNIVERSITAS NEGERI SEMARANG MELALUI SIRADI (SISTEM INFORMASI SURAT DINAS)

2022 ◽  
Vol 9 (1) ◽  
pp. 42-49
Author(s):  
Agung Kuswantoro ◽  
Ratu Bunga Maremitha Ungu ◽  
Wanda Dwi Rahmahwati ◽  
Fentya Dyah Rahmawati
Keyword(s):  
Qualitative Research ◽  
Human Resources ◽  
Research Data ◽  
The Internet ◽  
Work Unit ◽  
Literature Research ◽  
Work Units ◽  
General Section ◽  
Input Error

The purpose of the study are (1) To know the management of incoming and outgoing mail at UNNES through SIRADI, (2) To know the obstacles faced in the management of incoming and outgoing mail at UNNES through SIRADI. The type of research used is descriptive qualitative research. Data collection techniques are literature research methods and field study methods. The conclusion in this study is (1) The management of incoming and outgoing mail has been managed electronically using SIRADI, (2) On the management of incoming mail, the letter is received centrally in the General Section of BUHK UNNES, (3) At the entry letter recording stage, there is still a work unit that requires an agenda book to record incoming mail, (4) At the stage of preparation of the concept of exit letter is done manually then the letter will be processed through SIRADI, (5) There are constraints such as network and human resources factor, there are still work units that do not digitize the letter i.e. by scanning and uploading mail files. Suggestions of this study are: (1) Need to improve the quality of the internet network to reduce network disturbances, thereby expediting the process of managing incoming and outgoing mail through SIRADI, (2) Need to have a unity of understanding between the staff at each work unit, (3) Writing in an agenda book or expedition book, so that when needed can look at the book to reduce input error.

ANALISIS PELAKSANAAN REKAM MEDIS DI RUMAH SAKIT IBU DAN ANAK (RSIA ) WIDIYANTI

2018 ◽  
Vol 11 (1) ◽  
Author(s):  
Fera Siska
Keyword(s):  
Qualitative Research ◽  
Data Analysis ◽  
Data Collection ◽  
Human Resources ◽  
Medical Record ◽  
Medical Records ◽  
Depth Information ◽  
Operational Procedure ◽  
Patient Registration ◽  
Qualitative Research Design

ABSTRACTBackground : Medical record is one of the most important pillars that can not be considered trivial in a hospital, with the development of medical scienceCommon Purpose : To find in-depth information about the implementation of medical records at the hospital Widiyanti PalembangResearch Method : Qualitative research design with data collection techniques are conducted in triangulation, The data analysis is inductive, and the results of the study are emphasized more at the meaning than the generalization. The Research Results : the Implementation of medical records have been running but there is no medical record organization, the implementation of medical record activities done by rolling. Human Resources (HR) medical records should be placed specifically in the medical record along with clear tasks. Method of organizing medical record has been run although the result is not optimal, because Standard Operational Procedure (SOP) that made not socialized. Facilities and infrastructure that support the implementation of the medical record is good, marked by the existence of a special records archive medical records. Facilities and infrastructure such as chairs, desks, computers, patient registration books and outpatient registration and inpatient services are available, do not have budget funds for medical record implementation, especially by sending medical recruiter for trainingConclusion : Implementation of medical records have been running but not optimal.

scholarly journals Reinforcement of human resources in implementing healthy indonesian program with family approach

2020 ◽  
Author(s):  
Retno Widiarini ◽  
Djazuly Chalidyanto ◽  
Eva Rusdianah
Keyword(s):  
Human Resources ◽  
Continuous Training ◽  
Group Discussions ◽  
Center Staff ◽  
Family Approach ◽  
Design And Methods ◽  
Document Review ◽  
Feeling Overwhelmed ◽  
Depth Interviews

Background: The Healthy Indonesia Program is a government program implemented with the Family Approach (HIP-FA) through a survey on healthy families. However, the quality of the program depend on the performance of the Human Resources (HR). This study aims to examine various aspects of HR in implementing the program at health centers. Design and methods: Data were collected through in-depth interviews, Focus Group Discussions, and document review on eight informants at the Health Office center. Results: Four themes revealed from the study: being burdened, feeling overwhelmed, feeling incompetent, and confused managing technology. The results showed that the implementation of the HIP-FA survey is an additional burden for health center staff. Conclusions: It is necessary to strengthen the implementation of all programs through continuous training and education, positive affirmation, recalculating employee workload and remunerations.

Study of Incompleteness Medical Records of Inpatient in Appendicitis Cases at Dr. Reksodiwiryo Hospital Padang

2022 ◽  
Vol 2 (1) ◽  
pp. 39-44
Author(s):  
Nurhasanah Nasution
Keyword(s):  
Medical Record ◽  
Medical Records ◽  
Research Method ◽  
Digestive Surgery ◽  
Diagnostic Codes ◽  
Diagnosis Codes ◽  
Service Information ◽  
Incomplete Filling ◽  
Existing Data

Background: Incomplete filling of medical record files for inpatients at Dr. Reksodiwiryo hospital medical records will be describe health services and the quality of medical record services. Medical record quality services include the completeness of medical record files, accuracy in providing diagnosis and diagnosis codes, as well as speed in providing service information. The requirements for quality medical records must be accurate, complete, reliable, valid, timely, usable, common, comparable, guaranteed, and easy.Methods: This research method is a descriptive with a retrospective approach or looking at existing data. This study was carried out in September 2021. The population was 70 files cases of inpatient digestive surgery. Samples were taken from 27 files of inpatients with appendicitis cases.Results: From the research that has been done, the highest percentage of incomplete identification components is found on the gender item about 81.48%, the highest percentage of incomplete important report components is obtained on the medical resume and informed consent items about 11.1%. The highest percentage of incomplete authentication components was obtained in the nursing degree about 96.3%. The highest percentage of the components of the recording method was obtained by 59.3%, there are several blank sections about 16 files. The percentage of incomplete diagnostic codes and procedures is 100%  Conclusions: the researcher suggested that the hospital can have an Operational Standart on filling out the completeness of medical records files

scholarly journals Improvement of patient safety through implementation of electronic medical records

2017 ◽  
Vol 1 (4) ◽  
pp. 111-112
Author(s):  
Elahe Gozali ◽  
Marjan Ghazisaiedi ◽  
Malihe Sadeghi ◽  
Reza Safdari
Keyword(s):  
Patient Safety ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Access To Health Care ◽  
Clinical Care ◽  
Drug Management ◽  
Bar Code

Introduction: Today, with the complexity of the process of conducting activities, the increase in diversity and the number of hospital services, and the increase in the expectations of clients - consistent with the fast technological advances - most of the hospitals in Iran have turned to mechanized systems to organize their daily activities and to register the patients' information and the care provided. One of these technologies is electronic medical records, which is known as a valuable system to evaluate patients' information in hospitals. The purpose of this paper was to examine the advantages of running electronic medical records in patient safety. Methods: This study is a review paper based on a structured review of papers published in the Google Scholar, SID, Magiran, Pubmed, and Science Direct databases (from 2007 to 2015) and the books on the benefits of implementing electronic medical records in patient safety and the related keywords. Results: Clinical information systems can have a significant effect on the quality of the outputs and patient safety. Various studies have indicated that the physicians with access to clinical guidelines and features such as computer reminders, doctors who did not have these features, presented more appropriate preventive care. Studies show that electronic medical records play a crucial role in improving the quality of patient health and safety services. Moreover, electronic medical record system is usually in connection with other technological tools: electronic drug management records,  electronic record of time and date of drug management are usually associated with bar code technology. Among the benefits of this system is the possibility to record clinical care by the treatment team, which would be especially beneficial for patient's bedside record. If the treatment personnel forgets to ask the patient a particular question, system reminds him/her. Furthermore, electronic medical record is able to remind the nurses of the patient's allergic reactions and medical history without the need for the patient to remind, which improves patient safety. Conclusion: Implementation of electronic medical records boosts up the quality of health services, patient safety, people's access to health care services, and the speed of patients treatment, leading to lower healthcare costs. Thus, considering the benefits mentioned and some other benefits of this kind, one can use this technology in clinical care provided to patients to come up with a safe and effective clinical care.

scholarly journals The efficient of beds used based on graphic Barber Johnson at Semen Padang Hospital in 2017

2019 ◽  
Vol 6 (12) ◽  
pp. 5071
Author(s):  
Sayati Mandia
Keyword(s):  
Statistical Analysis ◽  
Length Of Stay ◽  
Medical Record ◽  
Medical Records ◽  
Average Length ◽  
Sampling Technique ◽  
Occupancy Rate ◽  
Bed Occupancy ◽  
Average Length Of Stay

Background: Quality of hospital services can be seen from the bed usage. Statistical analysis of efficiency bed usage can be mesured based on inpatient medical records. To determine the efficiency requires four parameters namely bed occupancy rate (BOR), average length of stay (ALoS), turnover interval (TI), and bed turnover (BTR). parameters can be presented using Graphic Barber Johnson. This study aims to determine the efficiency of bed usage at Semen Padang Hospital in 2017.Methods: This research was conducted at Semen Padang Hospital, West Sumatera, Indonesia from January to December 2017. The study used a descriptive method with a qualitative approach. The data was collected from medical records department. The population is all abstraction data of in-patient medical record in 2017, 9796 medical record used total sampling technique. Data analysis was performed by calculating the values of ALoS, BOR, BTR, and TI. Data will be presented based on graphic Barber Johnson. Excel 2010 and graphic Barber Johnson method were applied for data analysis.Results: Number of daily inpatient censuses in 2017 are 31227 and number of service days are 31362. Number of beds 144. Statistical analysis results obtained total BOR 60%, BTR 67 times, TI 2 days and ALoS 3 days. The highest value of bed occupancy rate is 66% on August.Conclusions: Based on statistical, value of bed occupancy rate (60%) and turnover interval (2 days) are efficient at Semen Padang Hospital in 2017. Average length of stay (3 days) and bed turnover rate (67 times) are not efficient.

scholarly journals PENGEMBANGAN AIR TERJUN DLUNDUNG UNTUK MENJADI DESTINASI PARIWISATA UNGGULAN DI KABUPATEN MOJOKERTO

2019 ◽  
Vol 2 (2) ◽  
pp. 93
Author(s):  
RUDI TRI HANDOKO
Keyword(s):  
Qualitative Research ◽  
Human Resources ◽  
Development Strategy ◽  
Local Communities ◽  
Research Data ◽  
Community Empowerment ◽  
Natural Beauty ◽  
The Development Strategy

This aims of the study are finding the development strategy in the tourist area of the Dlundung waterfall to be excellent destination in Mojokerto. This is a descriptive qualitative research. Data collection techniques are observation, interviews, questionnaires, and documentation. Data will be analyzed by SWOT method. Strategies have been found is the increased promotion of the natural beauty of waterfalls and campgrounds, additional facilities of outbound and painball, repair and improvement of facilities, road improvements, additional services and hours of operation of public transport, improving the quality of human resources of tourism, Perhutani reports the condition of the campground to Disparta about prioritized apparatus intensively, Perhutani and Disparta give an opportunity for investors to benefit location of the campsite, ask for the role of local communities in improving the security of tourism, Perhutani maintains the cleanliness and comfort of the facilities at tourist sites, increasing community empowerment in troubleshooting facilities and accessibility. Keywords: the development strategy, excellent destination

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