Fitria Eka Resti Wijayanti
Nursing Study Program, STIKES Tujuh Belas, Indonesia

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Management of Inpatient Medical Records at Dr. Tajuddin Chalid Hospital Makassar Ema Julita; Saka Suminar; Rusli Rusli; Sulistyani Prabu Aji; Fitria Eka Resti Wijayanti; Eko Prastyo; Muhammad Syafri
International Journal of Health Sciences Vol. 1 No. 1 (2023): International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (53.919 KB) | DOI: 10.59585/ijhs.v1i1.50

Abstract

Hospitals are health care institutions that organize comprehensive individual health services that provide inpatient, outpatient, and emergency services. Therefore, hospitals are expected to be able to carry out good medical recording activities. Since pre-independence Indonesia has carried out medical recording activities, it's just that it has not been implemented properly, in terms of structuring and processing or following the correct information system. One of the supports for improving the quality of the hospital is in its Medical Record activities. Medical records are related to recording, processing data, and reporting information needed for hospital activities. Medical records as patient health records are useful for providing information from various data on activities carried out to patients while patients are undergoing treatment at the hospital. This study aims to determine how the processing of inpatient medical record files at Ujung Pandang Dr. Tajuddin Chalik Hospital. The research conducted used qualitative research methods with a descriptive approach, namely research that describes and describes the inpatient medical record management system at Dr. Tajuddin Chalik General Hospital. The results of this study are the process of processing medical record files consisting of the process of Completeness (Assembling), Coding (Coding), and Storage (Filling). Conclusion Based on the results of research on the Inpatient Medical Record Management System at Dr Tajuddin Chalid Hospital Makassar that for the input component, namely the medical record personnel of Dr Tajuddin Chalid Hospital Makassar still lacks officers so that it is no longer in accordance with the workload. For facilities and infrastructure, there is a shortage of storage shelves and expansion is needed for medical record storage rooms.
Therapeutic Communication of Nurses in the Surgical Treatment Room of RSUD Arifin Nu’mang Ema Julita; Rasi Rahagia; Mochamad Robby Fajar Cahya; Fitria Eka Resti Wijayanti; Naomi Malaha; Djusmadi Rasyid; Rahmat Pannyiwi
International Journal of Health Sciences Vol. 1 No. 1 (2023): International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (230.993 KB) | DOI: 10.59585/ijhs.v1i1.51

Abstract

The quality of health services is what refers to the level of perfection of health services in causing satisfaction in each patient. The more perfect the satisfaction felt, the better the quality of health services. In organizing efforts to maintain the quality of health services in hospitals, it is inseparable from the nursing profession which plays an important role because nursing services ensure the existence of high-quality nursing care in quality control programs in hospitals, considering that nursing services take place continuously for 24 hours a day. The nursing service team provides services to clients in accordance with professional beliefs and established standards, this shows that the nursing services provided are always safe services and can meet the needs and expectations of clients. The purpose of this study was to determine the relationship between educational background with the implementation of therapeutic communication of nurses in the surgical treatment room of Arifin Nu'mang Hospital Sidenreng Rappang. This research methodology is a non-experimental research with descriptive research type, with observational research form. The research design in this study is Cross Sectional. Data in this study were obtained by finding respondents who fit the inclusion criteria then giving or distributing questionnaires to respondents. From the univariate analysis, the results obtained between verbal therapeutic communication as much as 63.5% who perceived well and non-verbal nurses as much as 85% who perceived well. The conclusion in this study is that the client's perception of the nurse's therapeutic communication shows quite good results.