INCOMPLETENESS ANALYSIS OF FILLING IN THE SUMMARY OF DISCHARGE OF INPATIENTS AT LAWANG MEDIKA HOSPITAL, MALANG REGENCY, EAST JAVA PROVINCE
DOI:
https://doi.org/10.30994/jhms.v7i1.110Keywords:
Summary of Return, Management Elements, Incompleteness, Medical RecordsAbstract
The discharge summary form has an important function for the claims process and the follow-up treatment required by patients in the hospital. The purpose of this study is to find out the cause of the incomplete filling of the summary of the discharge of inpatients at Lawang Medika Hospital, Malang Regency, East Java Province. The method in this study is qualitative descriptive. The data analysis carried out is data reduction, data presentation and conclusion drawn. The data validity test in this study is Data Triangulation. The policy in returning the incomplete return summary has not been implemented by the medical record officer because it focuses on the number of return medical record documents which are then given to the unit in charge of the claim process. Based on the results of the study, it is concluded that the four elements that can cause incompleteness in filling out the discharge summary must be evaluated and followed up so as not to hinder in providing services to patients at Lawang Medika Hospital.
References
Anas. 2019. "Getting to know what SOPs are and all things related to SOPs". (https://cpssoft.com/blog/manajemen/mengenal-apa-itusop-dan- all-of-things-related-to-sop/). Retrieved 06 June 2024
Atmaja, I.K.S. Sukendra, I.K. 2020. Research Instruments. Pontianak: Mahameru
Budiono, M. 2016. The implementation of the personnel development system in an effort to improve employee performance at the Jember Regency Irrigation Public Works Office. Jember
Ministry of Health of the Republic of Indonesia. 2006. Guidelines for the Implementation and Procedure of Hospital Medical Records. Jakarta: Directorate General of Medical Services
Kartini, S.A., Liddini, H. 2019. Review of Incomplete Inpatient Medical Resume Writing at Mitra Medika General Hospital Year
Medan: Scientific Journal of Recorder and Health Information Imelda
Mardan, P.D. 2021. Factors for the completeness of filling in inpatient medical records at Labuang Baji Makassar Hospital. Makassar.
Minister of Health of the Republic of Indonesia. 2008. Minimum Service Standards for Hospitals. Jakarta Muhadjir, N. 1996. Qualitative Research Methodology. Yogyakarta: Rake Sarasin
Moloeng, Lexy. 2016. Qualitative Methods. Bandung: PT Remaja Rosda Karya Notoatmodjo, Soekidjo. 2018. Health Research Methodology. Jakarta: PT Asdi Mahasatya
Novi, 2021. "7 Elements of Management and Their Definition, Functions, and Types". (https://www.gramedia.com/literasi/visi-misi-organisasi/). Retrieved 6 June2024
Nugrahani, F. 2014. Qualitative Research Methods. Surakarta
Nurhaidah, et al. 2016. Factors Causing Incompleteness in Filling in Inpatient Medical Records at the University of Muhammadiyah Malang Hospital. Brawijaya Medical Journal. Hapless
Nursalam. 2013. Nursing Science Research Methodology: A Practical Approach. Jakarta: Salemba Medika
Government Regulation of the Republic of Indonesia No. 47. 2021. Maintenance of Hospital Midwives. Jakarta
Regulation of the Minister of Health of the Republic of Indonesia No. 269. 2008. Medical Records. Jakarta
Regulation of the Minister of Health of the Republic of Indonesia No. 03. 2020. Hospital Classification and Licensing. Jakarta
Regulation of the Minister of Health of the Republic of Indonesia No. 24. 2022. Medical Records. Jakarta
Riyantika, D. 2018. Analysis of the Factors Causing Incompleteness in Filling Inpatient Medical Resume Sheets. Kediri: Strada Scientific Journal of Health
Purwanto. 2018. Techniques for Preparing Instruments for Validity and Reliability Test of Sharia Economic Research. Source: Staia Press
Saputra, O.H. 2021. Literature Review Analysis of Incomplete Factors in Filling Inpatient Medical Resumes. Jember: Infokes Vol 11 No 2 Saragi, et al. 2022. Analysis of Incomplete Medical Records of Inpatients in the Francis Room of Santa Elisabeth Hospital Medan. Medan: Preventive Promotive Journal
Sari, F.S. 2019. The success of Reedja RJ Production's business in maintaining its existence. Semarang
Siwayana, P.A, et al. 2020. Literature Review: Factors Causing Incompleteness in Hospital Inpatient Medical Record Filling. Journal of Medical Records and Health Information. Bali
Strauss, A. Corbin, J. 2007. Basics of Qualitative Research. Yogyakarta: Student Library
Sugiyono. 2009. Research Methods of Quantitative, Qualitative, and R&D Approaches. Bandung: Alphabet
Sugiyono. 2013. Quantitative, Qualitative and R&D Research Methodology. Bandung: Alphabet
Sugiyono. 2014. Quantitative Approach Educational Research Methods,
Qualitative. and R&D. Bandung: Alphabet
Sugiyono. 2017. Qualitative Research Methods. Bandung
Sutopo. 2003. Interactive Multimedia with Flash. Yogyakarta: Graha Ilmu Sutoto, Dr. 2018. National Standards of Hospital Accreditation
(SNARS) Edition 1. Jakarta
UCEO.2016. Data Collection Methods in Research. Invite
Undang RI No. 17. 2023. Health. Jakarta
Law of the Republic of Indonesia No. 36. 201 2014. Health Workers. Jakarta