Abstract
Preliminary: A medical resume is a summary of medical service activities provided by health workers, especially doctors during the treatment period until the patient is discharged either in good health or in death. Incomplete filling of medical resumes can be caused by negligence of officers or lack of understanding of the importance of completing patient data. This research is a descriptive research with a qualitative approach. In this study there were 4 medical recorder and 50 medical resume form. Method: The sampling technique used is the total sample. The data analysis used is descriptive data analysis. Results: Based on the results of the study, the incomplete medical resume form for inpatients in 2021 with a sample of 50 medical resume forms, the average percentage of medical resume completeness was 66.7%, while the incomplete medical resume was 33.3% of the 50 samples of medical resume forms. The highest percentage of incompleteness is the doctor's signature (52%). And the highest percentage of completeness is no medical record (76%). The problem that usually arises is that there are still many incomplete components of a medical resume. Conclusion: to overcome the problem usually requires more optimal socialization and collaboration between doctors and medical recorders, to further improve health services regarding the completeness of filling out medical record documents in order to improve the quality of health services, and the head of medical records needs to hold meetings or directives to the unit concerned so that the resume is filled out. can be carried out properly.
 Keywords: Incompleteness; inpatien; Medical Resume.
Highlights
This journal aims to make a description or description of a situation objectively
Preliminary: A medical resume is a summary of medical service activities provided by health workers, especially doctors during the treatment period until the patient is discharged either in good health or in death
Incomplete filling of medical resumes can be caused by negligence of officers or lack of understanding of the importance of completing patient data
Summary
Kesehatan merupakan salah satu kebutuhan atau luka. Rekam medis adalah berkas yang dimana yang paling mendasar bagi manusia untuk menjadi berisikan catatan dan dokumen tentang identitas produktif sehingga mendapat kehidupan yang setiap pasien, pemeriksaan, pengobatan, serta layak. Seseorang yang sehat bukan hanya sehat tindakan dan pelayanan yang telah diberikan fisik saja, namun juga harus di tinjau dari hal hal kepada pasien tersebut
Sign-in/Register to view highlights & summary 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.
