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All Journal Jurnal Kesehatan Qamarul Huda
Saimi Saimi
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Health Professions Medicine & Pharmacology Nursing Public Health

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The Analisis Ketidaklengkapan Dokumen Rekam Medis Pada Kasus Rawat Inap Di Rsud Patut Patuh Patju Gerung ahmad maliki; Saimi Saimi
Jurnal Kesehatan Qamarul Huda Vol. 6 No. 1 (2018): Juni 2018
Publisher : Universitas Qamarul Huda Badaruddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (382.002 KB) | DOI: 10.37824/jkqh.v6i1.2018.8

Abstract

The purpose of this study is to investigate the uncomplete medical records documents in Patut Patuh Patju Hospital in 2017. The sample has 86 files and presented in the check list form. The result of the study shows the existence of the uncomplete documents in the data identities 84,83% complete and 15,17% uncomplete. The mean of the uncomplete clinical record is 22% while the complete record is 55,36%. Meanwhile, the uncomplete records of support file form is 8,5% and 32,13% is complete. This study concludes that the hospital needs to improve its medical records staff competence to produce decent documents. Keywords: Uncomplete, clinical record, identities record, support file
Co-Authors ahmad maliki