In the Medical Record Unit of the Kembangan Regional General Hospital, the work space of the medi... more In the Medical Record Unit of the Kembangan Regional General Hospital, the work space of the medical record unit is directly related to the active medical record storage room, the door of the medical record unit at the Kembangan Regional General Hospital does not yet have a secret key or additional security such as a fingerprint. The purpose of this study was to determine the layout of the medical record unit in maintaining the security and confidentiality of medical records at the Kembangan Regional General Hospital. This study used quantitative descriptive methods with observation and interview data collection techniques, as well as direct measurements in the workspace and storage of the medical record unit of the Kembangan Regional General Hospital using a measuring instrument in the form of a building meter, then to determine the need for storage space obtained from the calculation of shelf requirements. medical record storage using the formula according to the International Fed...
Abstract Determination of diagnosis and code of the cause of death are one of the functions in me... more Abstract Determination of diagnosis and code of the cause of death are one of the functions in medical records unit that requires accuration . In determining code of the cause of death must be precise and accurate in accordance based on ICD 10. Rules determinant of the accuracy of diagnosis codes are comp leteness of the writing in a medical certificate of the death causal .The object of this study to known the association between the completeness of the medical certificate of death cause and accuracy of diagnosis code of patients death cause in SumberWarasJakartahospital in 2016. This study is a quantitative study with cross sectional observation . The study sample are 74 death certificates on (January-March) 2016. Data were analyzed using chi square test.The results showed that the completenessof the medical certificate cause of death is complete was 55 (74.3%), and accuration of diagnosis code was 49 (66.2%) .The P value = 0.010 (0.010 <0.05) and the OR = 4.027 . there is about association between the completeness of the medical certificate of death cause and accuracy of diagnosis code of patients death cause in SumberWarasJakartahospital in 2016. Keywords: code the cause of death, t he completeness writing a diagnosis, ICD-10 Abstrak Penentuan diagnosa dan kode penyebab kematian merupakan salah satu fungsi yang penting dari fungsi unit kerja rekam medis yang membutuhkan ketelitian. Dalam menentukan kode penyebab kematian haruslah tepat dan akurat sesuai dengan aturan ICD 10. Salah satu penentu ketepatan kode adalah kelengkapan penulisan diagnosa di sertifikat medis penyebab kematian.Mengetahui hubungan antara kelengkapan sertifikat medis penyebab kematian dengan ketepatan kode diagnosa penyebab kematian pasien di Rumah Sakit Sumber Waras Jakarta tahun 2016.Jenis penelitian ini adalah penelitian kuantitatif. Dilaksanakan dengan observasi secara cross sectional terhadap sertifikat kematian pasien untuk melihat kelengkapan penulisan diagnosa penyebab kematian dan ketepatan kode diagnosa. Sampel penelitian 74 sertifikat kematian pada triwulan (januari-maret) tahun 2016. Analisis data menggunakan uji chi square.Penelitianinimenunjukan bahwa kelengkapan sertifikat medis penyebab kematian yang lengkap adalah 55 (74.3%) dan ketepatan kode diagnosa yang tepat adalah 49 (66.2%). Nilai P value = 0,010 (0,010 < 0,05) dan nilai OR = 4,027. Sehingga menunjukan adanya hubungan antara kelengkapan sertifikat medis penyebab kematian dengan ketepatan kode diagnosa penyebab kematian pasien. Kata k unci : Kode Penyebab Kematian, kelengkapan penulisan diagnosa, ICD-10
In the Medical Record Unit of the Kembangan Regional General Hospital, the work space of the medi... more In the Medical Record Unit of the Kembangan Regional General Hospital, the work space of the medical record unit is directly related to the active medical record storage room, the door of the medical record unit at the Kembangan Regional General Hospital does not yet have a secret key or additional security such as a fingerprint. The purpose of this study was to determine the layout of the medical record unit in maintaining the security and confidentiality of medical records at the Kembangan Regional General Hospital. This study used quantitative descriptive methods with observation and interview data collection techniques, as well as direct measurements in the workspace and storage of the medical record unit of the Kembangan Regional General Hospital using a measuring instrument in the form of a building meter, then to determine the need for storage space obtained from the calculation of shelf requirements. medical record storage using the formula according to the International Fed...
Abstract Determination of diagnosis and code of the cause of death are one of the functions in me... more Abstract Determination of diagnosis and code of the cause of death are one of the functions in medical records unit that requires accuration . In determining code of the cause of death must be precise and accurate in accordance based on ICD 10. Rules determinant of the accuracy of diagnosis codes are comp leteness of the writing in a medical certificate of the death causal .The object of this study to known the association between the completeness of the medical certificate of death cause and accuracy of diagnosis code of patients death cause in SumberWarasJakartahospital in 2016. This study is a quantitative study with cross sectional observation . The study sample are 74 death certificates on (January-March) 2016. Data were analyzed using chi square test.The results showed that the completenessof the medical certificate cause of death is complete was 55 (74.3%), and accuration of diagnosis code was 49 (66.2%) .The P value = 0.010 (0.010 <0.05) and the OR = 4.027 . there is about association between the completeness of the medical certificate of death cause and accuracy of diagnosis code of patients death cause in SumberWarasJakartahospital in 2016. Keywords: code the cause of death, t he completeness writing a diagnosis, ICD-10 Abstrak Penentuan diagnosa dan kode penyebab kematian merupakan salah satu fungsi yang penting dari fungsi unit kerja rekam medis yang membutuhkan ketelitian. Dalam menentukan kode penyebab kematian haruslah tepat dan akurat sesuai dengan aturan ICD 10. Salah satu penentu ketepatan kode adalah kelengkapan penulisan diagnosa di sertifikat medis penyebab kematian.Mengetahui hubungan antara kelengkapan sertifikat medis penyebab kematian dengan ketepatan kode diagnosa penyebab kematian pasien di Rumah Sakit Sumber Waras Jakarta tahun 2016.Jenis penelitian ini adalah penelitian kuantitatif. Dilaksanakan dengan observasi secara cross sectional terhadap sertifikat kematian pasien untuk melihat kelengkapan penulisan diagnosa penyebab kematian dan ketepatan kode diagnosa. Sampel penelitian 74 sertifikat kematian pada triwulan (januari-maret) tahun 2016. Analisis data menggunakan uji chi square.Penelitianinimenunjukan bahwa kelengkapan sertifikat medis penyebab kematian yang lengkap adalah 55 (74.3%) dan ketepatan kode diagnosa yang tepat adalah 49 (66.2%). Nilai P value = 0,010 (0,010 < 0,05) dan nilai OR = 4,027. Sehingga menunjukan adanya hubungan antara kelengkapan sertifikat medis penyebab kematian dengan ketepatan kode diagnosa penyebab kematian pasien. Kata k unci : Kode Penyebab Kematian, kelengkapan penulisan diagnosa, ICD-10
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