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All Journal Jurnal Manajemen Informasi dan Administrasi Kesehatan Journal of Multidisciplinary Academic Nusantara Hasana Journal Indonesian Journal of Health Information Management (IJHIM) Jurnal Ilmiah Kesehatan Masyarakat Sehat Rakyat: Jurnal Kesehatan Masyarakat Jurnal Rumpun Ilmu Kesehatan Jurnal Sosial dan Sains Cerdika: Jurnal Ilmiah Indonesia MEDICORDHIF Jurnal Rekam Medis Journal of Educational Innovation and Public Health Vitamin: Jurnal Ilmu Kesehatan Umum Obat: Jurnal Riset Ilmu Farmasi dan Kesehatan
Widjaja, Lily
Universitas Esa Unggul, Jakarta
Agriculture, Biological Sciences & Forestry Humanities Astronomy Computer Science & IT Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Library & Information Science Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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Journal : Vitamin: Jurnal Ilmu Kesehatan Umum

 1 
Tinjauan Ketepatan Penjajaran Rekam Medis Di Rumah Sakit Umum Daerah Kembangan Fauziah Irfany; Lily Widjaja; Laela Indawati; Deasy Rosmala Dewi
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 2 No. 1 (2024): January : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v2i1.188

Abstract

Alignment is the process of aligning medical records in the storage room according to the system used. The medical record storage system at Kembangan Hospital uses centralization, the medical record numbering system uses the Unit Numbering System (UNS) and the alignment system uses Terminal Digit Filing (TDF). The aim of this research is to determine the accuracy of medical record alignment. This research used a descriptive method with a quantitative approach, the population was 293 medical records using a saturated sample. From the results of research on the primary digit 07 storage shelf, it was found that there were inaccuracies in the alignment of 162 medical records (55%). This alignment inaccuracy was divided into three digits, namely 34 medical records (21%) had the 1st digit incorrect, 85 medical records (52%) had the 2nd digit incorrect and 43 medical records (27%) had the 3rd digit incorrect. . It was found that the cause of the alignment error was due to human error, the unavailability of a tracer and the map not using color coding. Medical records that cannot be found can be traced by looking at the patient's history of treatment at Simrs Khanza, then looking for the first digit number that is being searched for. When a medical record is not found, a search for the accuracy of the alignment of the medical record is carried out using the medical record tracking method. If a medical record cannot be found, a new medical record will be used temporarily.
Co-Authors Adinda Pratiwi Alex Sander Alfi Shiddiq Syafrian Aliyani Aliyani Angelina Angelina Annisa Nur Salsabila Arip Budiana Bahlani Bayu Fajar Ilhami Choirunisa Choirunisa Dani Sagitha Daniel Happy Putra Deasy Rosmala Dewi Deasy Rosmala Dewi Dian Nur Muslimah Dina Sonia Dinda Nurmalasari Eka Widya Rita P. Fauziah Irfany Ferina Ferina Gabriella Eviana Bangun Gina Sonia Ilham Abdurohman Intan Rusdiana Dewi Khoirunnisa Sabiladina Laela Indawati Laela Indawati Mega Puspita Azidah Muniroh - Muniroh Muniroh Muniroh Muniroh Muniroh Muniroh Muniroh Muniroh Nanda Aula Rumana Natsir Nugroho Noor Yulia Octa Rina Sari Puteri Fannya Putri Nurindahsari Ratna Indrawati Sarah Khonsa Siti Rahmawati Handayani Suciyanti Suciyanti Vania Rachma Putri Wiwik Viatiningsih Yenni Syafitri