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Journal : Jurnal Sains dan Teknologi

Gambaran Ketepatan Waktu Pengembalian Rekam Medis Rawat Inap di RSUP Dr. Sitanala Kota Tangerang Yoga Septian Bayu Ariyanto; Nanda Aula Rumana; Noor Yulia; Daniel Happy Putra
INSOLOGI: Jurnal Sains dan Teknologi Vol. 1 No. 2 (2022): April 2022
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (286.827 KB) | DOI: 10.55123/insologi.v1i2.235

Abstract

Medical record is a file that contains records and documents of patient identity, examination, treatment, actions and other services that have been provided by doctors to patients. One of the factors that support medical record services is the return of medical records. Based on hospital policies that have been established inpatient medical records at RSUP Dr. Sitanala Tangerang City must return 1 x 24 hours after the patient returns home. The method used in this research is quantitative descriptive method and the data collection technique uses observation and interviews. Sampling in this study used a non-random sampling method by means of convenience sampling or no special criteria by selecting which medical records were encountered by the researcher. Based on the results of the study, it was found that 77 medical records (22.6%) were on time and 264 medical records (77.4%) were not returned on time, with an average return time of 9 x 24 hours. The factor that causes the inaccuracy of returning medical records is due to doctors who have not filled out the patient's medical resume. So it was concluded that the return of medical records was not in accordance with the guidelines set by the hospital. For this reason, there must be a new policy and sanctions that regulate the return of medical records for the sake of quality of service and the return of medical records can be returned on time.
Tinjauan Pelaksanaan Pengisian Formulir General Consent Rawat Inap RSUP Dr. Sitanala Kota Tangerang Tahun 2021 Setiawan Irwansyah; Noor Yulia; Daniel Happy Putra; Nanda Aula Rumana
INSOLOGI: Jurnal Sains dan Teknologi Vol. 1 No. 3 (2022): Juni 2022
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (301.371 KB) | DOI: 10.55123/insologi.v1i3.312

Abstract

General consent is an agreement signed by the patient’s family at the inpatient registration. The purpose of this research is to describe the implementation of filling out the general consent form at Dr. RSUP. Sitanala Tangerang City. Using descriptive method with quantitative analysis of observation and interviews. Cross sectional design, non-random sampling of the patient’s family at the inpatient registration place. Result the officer explained how to fill out the general consent form only to 86 patient's family (57.3%), explained the purpose of filling only 24 patient's family (16%), explained the procedure for filling out the to 90 patient's family (60%), explained the contents of the form to 68 patient's family (44%), the factors that influenced the incomplete filling of the general consent from were the officers did not explain in detail how to fill out the complete form, factors from the patient's family are those who rush to fill in, don’t listen to detailed explanations, did not understand ethe explanation given by the officer but was lasy to ask, afraid to ask research suggestions, audit filling out the general consent form according to standard operating prosedures.