KARAKTERISTIK PEGAWAI YANG BERHUBUNGAN DENGAN AKURASI DAN KELENGKAPAN PENGISIAN DOKUMEN REKAM MEDIS DI PUSKESMAS PARDAMEAN KOTA PEMATANGSIANTAR TAHUN 2019

  • Elisabeth Dame Manalu
  • Selamat Ginting
  • Diana Sinulingga
Keywords: Employee’s Characteristics, Accuracy, Completeness of Documents

Abstract

The Characteristics of Employees Related to the Accuracy and Completeness of Filling in Medical Record Documents at the Pardamean Health Center, Pematangsiantar City in 2019. Thesis, Department of Public Health, Faculty of Public Health, Health Institute of Deli Husada Deli Tua .(Supervised by: Ns. Selamat Ginting, S.Kep, M.Kes)

 

The quality of medical records at the hospital is one determining factor of the quality of service. The aim of the research was to analyze the relationship between the employment status, knowledge, motivation, expertise, and the duration of work of the physician with the completeness of the medical record datasheet resume during hospitalization. This research was a quantitative research survey analytic approach, with a cross-sectional study design. The population was 55 doctors, the sample in this study was the entire population, data analysis was chi-square, and multiple logistic regressions. The results showed that there was a relationship between employment status and knowledge with the completeness of the medical record data. There was no relationship between motivation and skills with the completeness of the medical record data. There was a relationship between the duration of work with the completeness of the medical record data. This study suggests the development of human resources through education and training, guidance to the physicians on the filling of medical record and document, provide internal training regarding the determination of the main diagnosis in accordance with the ICD-10, improved knowledge of the completeness of filling medical records. Motivating doctors fill medical records through career development, promotion, and providing feedback with reward and punishment.

References

Agustinah, N., Agushybana, F., & Suryawati, C. (2019). Hubungan Motivasi, Pelatihan, Lingkungan Kerja, Reward Dan Punishment, Beban Kerja, Serta Kompensasi Dengan Kinerja DPJP Dalam Melaksanakan Clinical Document Improvement. Jurnal Kesehatan Vokasional, 5(1), 17. https://doi.org/10.22146/jkesvo.52466
Antik, P. ,Indradi, R. (2014). Hubungan Kelegkapan Dengan Keakuratan Kode Diagnosis Dan Tindakan Pada Dokumen Rekam Medis Rawat Inap.
Masturoh. Imas, Nauri Anggita T. 2018. Metodologi Penelitian Kesehatan. Pusat Pendidikan Sumber Daya Manusia Kesehahatan. Jakarta Selatan.
Peraturan Menteri Kesehatan RI. (2007). Peraturan Menteri Kesehatan Republik Indonesia Nomor 512/Menkes/Per/IV/2007 tentang Izin Praktik dan Pelaksanaan Praktik Kedokteran. In Menteri Kesehatan Republik Indonesia
Permenkes Ri No 269/Menkes/Per/III/2008. (2008). permenkes ri 269/MENKES/PER/III/2008. In Permenkes Ri No 269/Menkes/Per/Iii/2008 (Vol. 2008, p. 7)
Pratiwi. Putri Adhinda. 2017. “Faktor Yang Berhubungan Dengan Ketidaklengkapan Rekam Medis di RSUD Daya Kota Makassar.” Skripsi. Fakultas Kesehatan Masyarakat. Universitas Hassanudin Makassar.
RI, K. (2007). Kemenkes RI No. 377 tahun 2007 terkait Standar Profesi Perekam Medis dan Informasi Kesehatan. Kemenkes RI
Siswati. Yati Maryati. 2017. Managemen Mutu Informasi Kesehatan II: Akreditasi dan Managemen Resiko. Pusat Pendidikan Sumber Daya Manusia Kesehahatan. Jakarta Selatan.
Sukadi. dkk. 2015. Sistem Pengelolaan Data Rekam Medis Di RSUD Dan Puskesmas Kabupaten Pacitan. Indonesian Journal on Networking and Security,Vol.4,No3., Magister Teknik Informatika STMIK AMIKOM Yogyakarta, Yogyakarta.
Susanto. Edy, Sugihanto. 2017. Managemen Informasi Kesehatan IV: Etika Profesi dan Hukum Kesehatan. Pusat Pendidikan Sumber Daya Manusia Kesehahatan. Jakarta Selatan.
Ulfa. Siti Nadya dan Lily Widjaya. 2017. Faktor Yang Mempengaruhi Rekam Medis Rawat Inap Dengan Menggunakan Diagram Fishbone di Rumah Sakit Pertamina Jaya Tahun 2017. Journal INOHIM. 5(1). 39-44.
Undang-Undang RI. (2009). No Title. In Undang-Undang RI Nomor 44 Tahun 6 2009 tentang Rumah Sakit. Presiden RI.
Widjaya. Lily, Deasy Rosmaladewi. 2017. Manajemen Informasi Kesehatan II: Sistem dan Subsistem Pelayanan RMIK. Pusat Pendidikan Sumber Daya Manusia Kesehahatan. Jakarta Selatan.
Zainaro, A. (2017). Pengaruh Sarana Prasarana, Pendidikan Dan Masa Kerja Perawat Terhadap Kepuasan Kerja Dan Kinerja Perawat Di Ruang Rawat Inap Rumah Sakit Umum Daerah Dr. A. Dadi Tjokrodipo Bandar Lampung. 11(1), 1–4.
Published
2019-10-31