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All Journal LINK Jurnal Rekam Medis dan Informasi Kesehatan

Rizky Febri Nugroho

Poltekkes Kemenkes Semarang

Author-ID : 3268823

Health Professions

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RETENSI REKAM MEDIS DALAM UPAYA EFISIENSI RAK PENYIMPANAN Edy Susanto; Adhani Windari; Irmawati Irmawati; Ivana Putri Risyanti; Yogi Teguh Prakoso; Johninda Aulia Akbar; Rizky Febri Nugroho; Agustin Ira Krisnanita; Bernadeta Riski Kristiyani
Jurnal LINK Vol 14, No 2 (2018): NOVEMBER 2018
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

[MEDICAL RECORD RETENCE FOR EFFICIENCY OF THE STORAGE RACK] Medical records of hospitalized patients must be kept at least for a period of 5 (five) years calculated from the last date the patient was treated or returned (Permenkes 269 / Menkes / Per / III / 2008 in chapter IV article 8. Based on the preliminary study date December 12, 2016, the problems that occurred in the management of medical records at Tugurejo Hospital Semarang especially medical record retention were the last implementation of medical record document retention in 2011 due to a lack of knowledge of HR in the procedures for retention of medical records. The service at the hospital was aimed at increasing the knowledge of employees of the medical record work unit on medical record retention and the implementation of medical record retention to optimize the utilization of medical record storage space.The method used was through Health Education: exposure to theories about medical record retention (policy, flow, procedure), simulation, support and consultations then monitoring and evaluation in the retention was carried out for 20 days involving 5 students with an average of medical records which were retained 180 days from active medical records 6,364. community service related to medical record retention fosters knowledge to filing officers through exposure and assistance in implementing retention.

ANALISIS KUANTITATIF KELENGKAPAN PENGISIAN FORMULIR PERSETUJUAN TINDAKAN KEDOKTERAN KASUS BEDAH Marsum Marsum; Elise Garmelia; Edy Susanto; Rizky Febri Nugroho
Jurnal Rekam Medis dan Informasi Kesehatan Vol 1, No 2 (2018): OKTOBER 2018
Publisher : Poltekkes Kemenkes Semarang

AbstrakBerdasarkan studi pendahuluan bahwa dari sepuluh formulir persertujuan tindakan kedokteran yang diambil secara acak seluruhnya atau sebesar 100% tidak terisi lengkap. Pada empat review yang dilakukan untuk menelaah formulir yaitu review identifikasi, laporan isi informasi, autentikasi, pencatatan tidak ada yang semuanya terisi lengkap. Tujuan dari penelitian ini yaitu melakukan analisis kuantitatif kelengkapan pengisian formulir persetujuan tindakan kedokteran di RSUD Ambarawa.Jenis penelitian yang digunakan adalah deskriptif. Sampel penelitian ini adalah formulir persetujuan tindakan kedokteran kasus bedah di RSUD Ambarawa pada triwulan 1 tahun 2018. Besar sampel dihitung menggunakan rumus Solvin dan didapat 96 sampel. Metode pengumpulan data yaitu observasi dan studi dokumentasi. Hasil Penelitian menunjukan bahwa review identifikasi pasien terisi dengan lengkap sebesar 99%. Review lsi informasi (laporan penting) terisi dengan lengkap sebesar 5%. Review autentikasi terisi dengan lengkap sebesar 46%. Review pencatatan tidak ditemukan kesalahan. Pengisian formulir persetujuan tindakan kedokteran kasus bedah di RSUD Ambarawa sebesar 4 % Abstract[English Title : Quantitative Analysis Completeness Form Informed Consent Case Surgery In RSUD Ambarawa] Based on a preliminary study that out of ten forms of intentional medical action taken completely randomly or at 100% incomplete. In the four reviews conducted to review the form of identification reviews, information content report, authentication, recording none of which are completely filled. The purpose of this research is to conduct a quantitative analysis of completeness informed consent form at RSUD Ambarawa. The type of research used is descriptive. The sample of this research is the informed consent form of medical case at Ambarawa General Hospital in first quarter of 2018. The sample size is calculated using Solvin formula and obtained 96 samples. Methods of data collection are observation and documentation study. The results showed that the patient identification review was completely filled by 99%. Review information filled (important reports) with complete 5%, Authentication review complete with 46% complete. recording review there is no mistake. Completed the form of approval of the medical action of the surgical case at RSUD Ambarawa at 4%

Co-Authors Adhani Windari Agustin Ira Krisnanita Bernadeta Riski Kristiyani Edy Susanto Edy Susanto Elise Garmelia Irmawati, Irmawati Ivana Putri Risyanti Johninda Aulia Akbar Marsum Marsum Yogi Teguh Prakoso

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