So the researcher gives suggestions to be further improved in the timeliness of returning inpatient medical record files so that there is no delay in returning inpatient medical record files to the medical record unit. medical treatment by doctors and room nurses. 269/Menkes/PER/III/2008 bahwa rekam medis adalah berkas yang berisikan catatan dan dokumen tentang identitas pasien, pemeriksaan, pengobatan, tindakan dan pelayanan lain yang telah diberikan kepada pasien. Surat permintaan masuk rawat (KL-05) ditempelkan pada lembaran dokumen pengantar. Dokumen Pengantar (KL-01) berfungsi sebagai pembatas formulir Rekam Medis Rawat Inap dan Rawat Jalan. Formulir Rawat Inap Pasien Umum/Bedah/Kebidanan terdiri dari : a. The factor of delay in returning inpatient medical records is that there are still some nurse officers who do not follow the applicable SOP rules in returning inpatient files, namely 2x24 hours after the patient returns, the lack of special care personnel for the management of inpatient medical records and incomplete filling of the record form. Definisi Rekam Medis Berdasarkan Permenkes RI No. Hasil Pemeriksaan ECG (CM-11) jika perlu. The results were obtained in the May – June period from a total of 751 inpatient medical record files that returned on time to the medical record unit as many as 594 files (61%) and 157 files (39%). If you are author or own the copyright of this book, please report to us by using this DMCA report form. This research was conducted on April 26 – Jdescriptively with a qualitative approach with data collection methods using observations, interviews, and documentation studies. This document was uploaded by user and they confirmed that they have the permission to share it. ketidaklengkapan rekam medis yang dilihat dari faktor SDM, alat, metode, material dan keuangan. This study aims to determine the timeliness of returning inpatient medical record files to the medical record unit and the delay factor in returning inpatient medical records. One of the units involved in recording patient medical records is the Inpatient Unit. The implementation of medical records has a very broad scope of cooperation between work units, starting from hospital leaders, doctors, nurses to other health workers. SUSUNAN FORMULIR BERKAS REKAM MEDIS RAWAT INAPKASUS BEDAH 1. Inpatient Unit, The Delayed Of Return Of Medical Record. There are differences between the two graphs, namely the origin of the hospital, the name of the doctor, initial symptoms, examination of the diagnosis code, follow-up treatment, and method of payment.Prodi Rekam Medis dan Informasi Kesehatan, Politeknik Piksi Ganesha From the results of the analysis of the processing of graph data produces information about the patient's identity. Data is differentiated according to the type of service provided to patients. Reports, data is processed using the Tracking system. Desain formulir rekam medis harus komunikatif dan informasi menyimpan sangat diperlukan, rekam medis dalam hal hukum financial/kuangan penelitian pendidikan dan pendokumentasian. Data verification is done so that data can be printed / entries. Produce information related to Input of outpatient and inpatient data, starting from the start with information on basic patient input data and then getting a medical record number and data stored as a database. Flowmap functions to connect between actors, processes, and data flow both in the form of output or input. Flowmap is useful for helping analysis and programmers to solve problems into smaller segments and help in making grooves. Flowmap is a graphical representation of the steps and sequence of procedures of a program. The concept of medical record unit information is one unit that has important meaning in conducting medical information services, as learning medical record information that can be described in the form of a flowmap system. Many hospitals are still not maximal or fully utilize or develop existing communication and health information technology. This includes information and communication technology in the health sector. Technological developments have developed rapidly in the era of globalization.
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