Description of health employees knowledge regarding the completion of medical records in inpatient installation unit at Stella Maris Hospital in Makassar

Irwandy,; Fadila, Rizki; Noor, Noor Bahry; Mangilep, Adellia U.A.

doi:10.1016/j.enfcli.2019.07.020

Cited by 1 publication

(1 citation statement)

References 4 publications

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“…[15]. Qualitative Analysis is an analysis that aims to determine the consistency of the contents of medical record documents which include recording identity, recording the main diagnosis, agreement based on information, and things that cause harm to the hospital [16,17]. The quantitative and qualitative analysis has been carried out at the Bendan General Hospital with a hospital information system controlled by coding officers but based on observations there are still found some incomplete documents containing medical record documents that are not recorded names and signatures of names of doctors/nurses in charge responsible service and there are still many scribbles that are not initialed.…”

Section: Discussionmentioning

confidence: 99%

The Assessment of Medical Recording Resources in Asembling Units with Workload Staffing Needs (WISN) Methods in Bendan General Hospital, Pekalongan

Aryana

Abiyasa

Kurniawan

et al. 2020

AJARR

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Objective: Bendan district general hospital is a type C hospital owned by the Pekalongan City Government which is demanded to have good service performance. The assembling unit in the Medical Records department at the Hospital is a unit that influences the overall service process because in this unit all medical records management for patients from all wards is managed. Research Purposes: This study aims to find a general description of the workload and the needs of assembling officers in the medical records department. Method: This research was conducted by assembling officers, from February to March 2020, with the type of descriptive research using the interview method based on the Workload Indicator Staffing Needs (WISN) Formula. The Results: The results of the study were based on the calculation of the WISN method so that the officers' needs were 2 people for 7 hours / day and with 6 working days / week. The effective working day in 1 year is 227 days with a standard workload of assembling medical record documents on the inpatient ward of 14887 documents and inputting data in a computer with a standard workload of 23820 documents. Conclusion: that the workload of the assembling officer in the medical record department is not appropriate, there is still a buildup of medical records in the assembling section. Suggestion: It is necessary to add assembling officers to the medical record unit and to provide ongoing training so that the performance of officers is compatible in performing their work.

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Section: Discussionmentioning

confidence: 99%