Covid infection risks among non-medical staff in healthcare facilities may not be as high as physicians and nurses. However, healthcare facilities should understand infection risk among non-medical staff who works during the pandemic. This study describes several factors associated with Covid-19 infection among medical recorders. A descriptive study with a cross-sectional approach observed 124 medical record officers in Central Java Province from January to June 2021. This study measured socio-demographic factors, job characteristics, infection prevention and control (IPC) efforts, and Covid-19 infection through an online questionnaire with Kobotoolbox. Data analyze performed in descriptive and bivariate analysis. Most respondents said personal protective equipment (PPE) availability was adequate and had received IPC training. Socio-demographic factors, PPE availability, IPC training, and occupation were significantly unrelated to covid 19 infections. Having infected co-workers was related to covid 19 transmissions. Covid-19 cases proportion mostly in respondents who work in type C and D hospitals, never or rarely available PPE, received IPC training, worked <7 hours/day, and medical record staff. Healthcare facilities should pay more attention to PPE availability and other infection prevention and control for medical recorder staff. Further research should assess the contact history of workers with positive covid 19 both in or outside their workplace and their activities outside their workplace, PPE use compliance, and IPC training time.
Missfile can inhibit medical services provided to patients without information about history. From the initial survey, it found 90 missile incidents (4.7%) from 2000 medical record documents, the second survey found 578 incidents from 7000 medical record documents with 9.0% missfile. This study aims to identify the medical records management in the outpatient filing section of The Private Hospital, Semarang Regency in 2019. This research is a mix methode study. Data collection by observation and interview methods with a cross-sectional approach. The research subjects were 3 filing officers. The research objects to the management of medical record documents in the outpatient filing section. The research instrument used in this research were interview and observation guidelines.The number of polyclinics at The Private Hospital in Semarang Regency is 20 polyclinics. There should be a submission terminal so staff will not be tired. The hospital management facilities were adequate but have not been properly utilized by the officers, the officers should use these facilities to facilitate document tracking. The Hospital should make a policy regarding the management of medical record documents and use colour codes on the documents so that the staff can understand and carry out their duties properly.Key Word : medical record management, storage systems, management standards
Objective: Hospitals are legally responsible for the excellent service quality provided to patients based on statutory provisions. Hospital responsibilities in health services include criminal, civil and administrative liability. This study aims to determine the responsibility of the hospital in documenting medical resumes. Methods: The research method used is literature review, through review of research journals related to the completeness of medical resumes that have been published on accredited journal platforms in 2010-2020. This research was conducted in August-October 2020. Results: Analysis of 20 research journals relating to the completeness of medical resumes in the reviewed hospitals, it is known that the completeness of medical resume documents in the hospital is on average 75.80% Only 2 hospitals out of 20 hospitals documented medical resumes in accordance with the minimum hospital service standards. Based on the prevailing laws and regulations, the hospital is not criminally responsible for the incomplete documentation of medical resume, but the hospital is responsible civilian based on the principle of representative responsibility and administratively. Conclusion: The hospital has not optimally documented medical resumes in accordance with the minimum hospital service standards. As a result, the hospital is both civilly and administratively liable. Supervision of the doctor's performance in documenting medical resumes and the role of the medical record committee in ensuring medical staff complete all medical records of patients served is required.
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