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Abstract

This study aims to analyze the medical records implementation system (input, process, output, feedback and control) in the "X" Hospital Tangerang period from April to May 2015. This research is a mixed method. The data collected by observation, interview, documentation. Results: The medical record system implementation was not running optimally so this is due to produce output completeness of medical record file is only 55.2%, while the timeliness of the provision of medical record file is only 31%. This relates to the control and the process does not complete the analysis of the file. Suggestion: Hospital activate Control Committee of medical records and set a completeness analysis activities outpatient medical record.

Bahasa Abstract

Penelitian ini bertujuan untuk menganalisis sistem penyelenggaraaan rekam medis (input, proses, output, feedback dan control) di Rumah Sakit “X” Tangerang periode April-Mei 2015. Penelitian ini adalah penelitian mixed methode. Cara pengumpulan data dengan observasi, wawancara mendalam, dokumentasi. Hasil: sistem penyelenggaraan rekam medis belum berjalan optimal sehingga menghasilkan output kelengkapan berkas rekam medis hanya 55,2% sedangkan ketepatan waktu penyediaan berkas rekam medis hanya 31%. Hal ini berkaitan dengan tidak dilakukannya kontrol dan proses analisis kelengkapan berkas. Saran: Rumah Sakit mengaktifkan fungsi kontrol Panitia rekam medis dan menetapkan kegiatan analisis kelengkapan rekam medis rawat jalan.

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