scholarly journals Review Of Returning Medical Records In Outpatient Medical Record

2021 ◽  
Vol 1 (1) ◽  
pp. 6-12
Author(s):  
Raden Minda Kusumah ◽  
Jessica Putri Meyliyan

In returning the outpatient medical record file to thesection of the Medical Record Unit, Assembling there was a delay. This is because the return of medical record files has not been carried out according to Standard Operating Procedures, as a result, causing delays in the reporting system. The method used is qualitative using a descriptive approach. Data collection techniques by observation, interviews and literature study. This study aims to determine the return of former medical records of outpatients at Dayeuhkolot Health Center. The results of the study prove that the delay in returning outpatient medical record files at the Dayeuhkolot Health Center with presentations during the 1 week study amounted to 63 or 22% of 285 medical record files. Efforts have been made to disseminate information to all officers related to the efforts made by the person in charge of COVID-19 patients in returning medical record files on time.

Author(s):  
Deni Maisa Putra ◽  
Rahmadhani

The medical record is also a documentation of the patient's condition and the contents of the medical record are medical secrets, especially in the storage of status in the filling room, which must be kept confidential, secure, and the medical record layout, whether it is appropriate or not by every health worker. The purpose of this study was to determine the Knowledge Review and Attitudes of Officers and Patients on the Confidentiality of Medical Record Files Primary Health Center at Kuranji Padang. This type of research is descriptive with a quantitative approach, the research sample is 90 patients and 4 health center officers using accidental sampling technique with data collection using questionnaires for patients and table cklis for officers. The results showed that there are still officers whose knowledge and attitude in maintaining the confidentiality of medical records (50%) or 2 people are still lacking and more than half of the knowledge (51.1%) and attitudes (52.2%) of patients towards maintaining the confidentiality of record files medical who do not understand and know. It can be concluded that Kuranji Primary Health Center, both patients and officers, is still lacking in maintaining the confidentiality of medical records. It is hoped that the head of the Primary Health Center will prepare Standard Operating Procedures (SOP) on medical records so that officers and patients know about medical records and about the confidentiality of medical records. In implementing the confidentiality of medical records, competent and professional medical record officers should know and understand more about medical records, participate in training and provide information to patients so that the confidentiality of medical records is maintained and can create good service.


2018 ◽  
Vol 11 (1) ◽  
Author(s):  
Fera Siska

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.


2018 ◽  
Vol 24 (3) ◽  
pp. 342
Author(s):  
Sri Haryati

ABSTRACTThisi study was aimed at to constructed the actual issues of national resilience ini thei developmenti of educational content of civici educationi as a description of knowledge about the actual issue of citizenship in the national resilience studies asi thei content of civici educationi in school.The research used qualitative descriptive approach. Source of informant data with purposive sampling technique, relevant document and literature study. Data collection was done throughi in-depthi interviewsi, FGD, iobservation, and documenti studyi. The validity of data was done by triangulation process of source and method. iData analysisi was done byireduction, data ipresentation, and iconclusion.Thei resultsi showedi thati the description of the content of civic education was based on the actual issues of national resilience concerning ideological, political, economic, socio-cultural and security issues in the form of basic competence study which translated into indicators to achieved the objectives of basic competence. Based on idataianalysis, it wasiinecessary to studiedi theiactual issue of national resilience to supported the content of civic education education in schoolABSTRAKPenelitian ini bertujuan untuk mengkonstruksi isu aktual bidang ketahanan nasional dalam pengembangan isi pendidikan kewarganegaraan persekolahan berupa deskripsi pengetahuan tentang isu aktual kewarganegaraan bidang ketahanan nasional sebagai isi pendidikan kewarganegaraan persekolahan.Penelitian menggunakan pendekatan deskriptif kualitatif. Sumber data informan dengan teknik purposive sampling, dokumen dan kepustakaan yang relevan. Data dikumpulkan dan diolah dengan cara wawancara mendalam, FGD, observasi, dan studi dokumen. Validitas data dilakukan melalui proses trianggulasi sumber dan metode. Data dianalisis melalui reduksi data, pemyajian data, dan penarikan kesimpulan.Penelitian ini menemukan rumusan tentang deskripsi isi pendidikan kewarganegaraan berdasarkan isu aktual bidang ketahanan nasional yaitu tentang isu-isu ipoleksosbudhankam berupa kajian kompetensi dasar yang diterjemahkan menjadi indikator-indikator untuk mencapai tujuan dari kompetensi dasar tersebut. Berdasarkan analisis data, diperlukan kajian isu aktual ketahanan nasional untuk mendukung isi pendidikan kewarganegaraan persekolahan


Author(s):  
Deni Maisa Putra ◽  
Oktamianiza Oktamianiza ◽  
Mega Yuniar ◽  
Washi Fadhila

The return of medical record files is a system that is quite important in medical records, because the return of medical records starts from the file in the inpatient room until it returns to the medical record section in accordance with the return policy, which is 2x24 hours. The method used is a literature study with descriptive analysis which is done by describing the facts that exist then being analyzed, described, looking for similarities, views, and summaries of several studies. The results of the literature study show that humans are not responsible for returning medical record files, the organization lacks supervision from the management of returning files, technology (technology) with technology can assist in returning medical record files. So it is necessary to pay attention to the 3 components, so that it can produce a benefit (Net Benefit) from returning the medical record document. Based on the results of the study, it can be concluded that the factors that influence the return of medical record documents are in terms of the HOT-FIT method, (human) where the officers lack a sense of responsibility for medical record documents, and doctors and nurses do not pay attention to the form of filling out record documents medical records, so that it becomes an obstacle in returning medical record documents. It's good to have good supervision from the management.


2017 ◽  
Vol 3 (2) ◽  
pp. 359-383 ◽  
Author(s):  
Sudjana Sudjana

This study aims to obtain information on: first, the obligation to create and conceal Electronic Medical Record and its juridical consequences; Secondly, due to the law of absence or error in the manufacture of Electronic Medical Records and the position of Electronic Medical Record as a tool in the theoretical transactions.The research method used is normative juridical approach method, analytical descriptive research specification, research phase is done through literature study to examine primary law material, secondary law material, and tertiary law material. Data collection techniques are conducted through document studies, conducted by reviewing documents on positive law. Furthermore, the method of data analysis is done through normative qualitative.The results of the study indicate: Legal aspects of Medical Record or Electronic Medical Record   in Teurapetik Transactions related to: first, the obligation of health workers in coaching and health services to make Medical Record or Electronic Medical Record correctly and responsible for secrecy because it is the opening of Medical Record or Electronic Medical Record without With the permission of the patient having the consequences of criminal law. The absence or misuse of the Medical Record or Electronic Medical Record means that health workers may be subject to criminal, civil and administrative sanctions. Second, the position of  Medical Record or Electronic Medical Record is evidence in the form of a letter (if given outside the court), and expert information (if delivered in court).


2021 ◽  
Vol 2 (1) ◽  
pp. 17
Author(s):  
Wildan Munawar

AbstractNazir has a central role in management and development of waqf assets. A nazir’s method of managing waqf assets will decide the quality and quantity of the use of waqf assets, so that the existence of a professional work team will make the waqf assets more developed and productive. The purpose of this study was to determine the professionalism of waqf nazir by analyzing the management of productive waqf in the Daarut Tauhiid Bandung waqf institution. This research used a qualitative descriptive approach by analyzing productive waqf management from three aspects, namely nazir, waqf assets, and finance at the Daarut Tauhiid waqf institution. The data collection techniques are observation, interviews, documentation, and literature study. The data analysis technique used interactive model analysis by Miles and Huberman. The findings of this study indicate that productive waqf management at the Daarut Tauhiid Waqf Institution, which is reflected in three aspects, namely nazir, asset management, and financial reporting has gone well. This is supported by professional and competent nazirs in managing and developing waqf assets productively through collaboration with various parties; as well as management of waqf finances in a transparent and accountable manner through reporting to BWI, the community and waqif. AbstrakNazir memiliki peran sentral dalam pengelolaan dan pengembangan aset wakaf. Cara nazir dalam memperlakukan aset wakaf akan menentukan kualitas dan kuantitas pemanfaatan aset wakaf, sehingga keberadaan tim kerja yang profesional menjadikan aset wakaf akan semakin berkembang dan produktif. Tujuan penelitian ini untuk mengetahui profesionalitas nazir wakaf dengan menganalisa manajemen wakaf produktif di lembaga wakaf Daarut Tauhiid Bandung. Metode penelitian ini menggunakan pendekatan deskriptif kualitatif dengan menganalisa manajemen wakaf produktif dari tiga aspek, yaitu nazir, aset wakaf, dan keuangan di lembaga wakaf Daarut Tauhiid. Adapun teknik pengumpulan data menggunakan observasi, wawancara, dokumentasi dan studi kepustakaan. Teknik analisis data menggunakan analisis model interaktif Miles dan Huberman. Temuan penelitian ini menunjukkan bahwa manajemen wakaf produktif di Lembaga Wakaf Daarut Tauhiid yang direfleksikan melalui tiga aspek yaitu nazir, pengelolaan aset, dan pelaporan keuangan telah berjalan dengan baik. Hal ini didukung oleh para nazir yang profesional dan kompeten dalam mengelola dan mengembangkan aset wakaf secara produktif melalui kerja sama dengan berbagai pihak, dan juga pengelolaan keuangan wakaf secara transparan dan akuntabel melalui pelaporan kepada BWI, masyarakat dan waqif. 


2021 ◽  
Vol 5 (1) ◽  
pp. 105-115
Author(s):  
Prila Anjani ◽  
Shinta Wahyu Hati

This study aims to design a Standard Operating Procedure (SOP) for shipping companies in PT Bintan Samudra Pacific. The administration is an instruction that becomes an important factor in the success of a shipping company to control transportation operations. PT BSP which requires a Standard Operating Procedure (SOP) flow which is expected to be a reference and guide in conducting administrative activities that can facilitate the management of data related to the division of marketing administration, personnel administration, and financial administration. The method used in the design of SOPs is made by summarizing and analyzing several data obtained from data collection and evaluating business processes that have been carried out. From this research, SOP administration in shipping, marketing, personnel, and financial administration can be used as a guide in data management integrated.


ASKETIK ◽  
2020 ◽  
Vol 4 (2) ◽  
pp. 175-186
Author(s):  
Juli Natalia Silalahi

The purpose of this study is to explain the meaning of work rationality for Alfamart employees (Crew, ACOS, COS) while serving at PT. Sumber Alfaria Tri Jaya, TBK (Alfamart). The benefits of research are criticizing the workings of capitalism in the objective reality of Alfamart employees. Meaning was analyzed using the perspective of C. Wright Mills about Cheerful Robots. Rationality in Mills's perspective that ratio work must precede objective reality, because objective reality is the exploitation of the human ratio. The present social reality is not the work of ratio work, but the work of technology. Accordingly, Alfamart employees understand their work as technological work, not ratio work. Alfamart makes the reproduction of excited robots that are workers who are ready to run Standard Operating Procedures (SOP) from PT. Sumber Alfaria Tri Jaya, TBK.The method used is qualitative research with a qualitative descriptive approach.  The results of this study indicate: 1. Alfamart employees do not have the creative power to speak out about the discomfort they get, because all of that is covered with sweet promises from the company. Though the promise is not certain, and the income obtained by Alfamart employees is very far from the owner of PT. Sumber Alfaria Trijaya and structural position holders (Korwil, Inventory Collection / IC, Directors, President Commissioners, etc.). 2. Without realizing by this Alfamart employee that they become Cheerful Robots that are driven by PT. Sumber Alfaria Trijaya, Tbk. They consider this work to be fine, even though they know there is a loss they are getting, but it is considered fairness and responsibility. They lose their reason and autonomy of mind.


2014 ◽  
Vol 2 (3) ◽  
pp. 203-208
Author(s):  
Purnaresa Yuliartanto ◽  
Adian Fatchur Rochim ◽  
Ike Pertiwi Windasari

Abstract - Health services include the recording of the patient's medical record . Medical records were used to aid the treatment process. The number of medical records continues to grow proportional to the number of patients. Tens of thousands of sheets of paper used to record medical record requires effort , time and place great . The amount of effort will continue to grow each day. Search one sheet of medical records among a set of storage shelves requires considerable time and risk data is not found. The risk of error in the search and storing will increase every day. The development of technology allows the implementation of technology in the process of record-keeping. Changes in the form of digital medical records will reduce the need of a previous process. Labor, time and place required by the help of information systems will be reduced significantly . Storage process data stored in the cloud will provide more value for the system as a patient's medical records from a health center can be accessed from other health centers. The development of this system will reduce the risk of inappropriate storage and retrieval of medical records. Grobogan Health Department that oversees health center in Grobogan are office that are ready to migrate business processes into the digital age. Development of medical record information system for the health center expected to improve the quality of service of health centers , especially in health care.


2021 ◽  
Vol 1 (1) ◽  
pp. 28-38
Author(s):  
Yoki Muchsam ◽  
Ilham Rizkiana Muharam

This study aims to determine and analyze the medical record storage system on the effectiveness of patient care at the Cikole Public Health Center. The research method used is quantitative with inferential statistical analysis techniques. Data collection techniques by means of observation, interviews and questionnaires. Cikole Lembang Public Health Center is one of the first level health care facilities. Based on observations, the storage system used is a regional storage system in which each region starts from the first digit. There are 2 officers who work in the medical records section of the Cikole Public Health Center. With the storage system used, there are several shortcomings, namely the occurrence of misfiles and duplication. To find out whether there is an analysis of the medical record storage system on the effectiveness of the service, the author gives a questionnaire to the Cikole Public Health Center officers. The results of the questionnaire also show that the highest percentage level is found in item no.7, namely the decentralized storage system is in accordance with the target of 71%. Then the second is item no. 8, namely a decentralized storage system that allows the provision of medical record files on time by 61%. From the results of interviews with medical records officers, suggestions and input were given: (1). The storage system used was changed to centralization so that the alignment system was not duplicated; (2). The use of bindex as an additional tool to make storage neater and easier.


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