Abstract
Acute diarrhea is on the first rank of 10 major diseases at the inpatient installation of RSI Masyithoh Bangil Pasuruan in 2015and also on the second rank in 2014. The problems that occur are the low completeness and consistency of medical record document of toddler’s acute diarrhea at RSI Masyithoh Bangil Pasuruan in 2016. The purpose of this research is to analyze the qualitative document of hospitalization medical record on toddler’s acute diarrhea at RSI Masyithoh Bangil Pasuruan in 2016. The type of this research is qualitative research and data collection technique used are observation, interview, and documentation. The population in this research was 272 DRM toddler’s acute diarrhea, with the total sample of 82 DRM. The results of this research are, incompatibilities and incompleteness of DRM toddler’s acute diarrhea at RSI Masyithoh Bangil Pasuruan especially in terms of qualitative medical history, physical examination, action or therapy, and home status. Utilization of extra information is recorded correctly. Health personnel are advised to complete DRM immediately after completion of the action or examination. And the need to do evaluation in improving the quality of inpatient medical records, especially on toddler’s acute diarrhea is in the completeness and consistency of qualitative data on medical record documents.
Highlights
ABSTRAK Laporan 10 besar penyakit di instalasi rawat inap RSI Masyithoh Bangil Kabupaten Pasuruan tahun 2015 yang menempati urutan pertama adalah diare akut dan menempati urutan nomor dua pada tahun 2014
Acute diarrhea is on the irst rank of 10 major diseases at the inpatient installation of RSI Masyithoh Bangil Pasuruan in 2015and on the second rank in 2014
Analisis Kualitatif Pada Rekam Medis Pasien Balita Rawat Inap Kasus Diare Akut di RSU.Dr.HKoesnadi Bondowoso Tahun 2016
Summary
Metode pengumpulan data yang digunakan dalam penelitian ini adalah melalui wawancara, observasi, dan dokumentasi.Variabel yang digunakan dalam penelitian ini adalah kejelasan masalah dan kondisi/diagnosis, masukan konsisten, alasan pelayanan, informed consent yang lengkap, telaah rekaman, anamnesa penyakit, pemeriksaan isik, tindakan atau terapi, status pulang pasien. Unit analisis sejumlah 4orang yaitu 1 dokter spesialis anak, 1 kepala ruang anak, 1 perawat ruang anak, dan 1 kepala rekam medis. Penelitian ini dalam mendapatkan keabsahan data dilakukan dengan 2 macam triangulasi yaitu triangulasi sumber dan triangulasi teknik
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
