Sesuai dengan UU Praktik Kedokteran No.OUTLINE § Pengertian § Fungsi dan Manfaat Rekam Medis § Macam-macam Rekam Medis di FKTP § Pengelolaan Rekam Medis § Pengembangan Rekam Medisīerkas yang berisikan catatan dan dokumen tentang identitas pasien, pemeriksaan, pengobatan, tindakan dan pelayanan lain yang telah diberikan kepada pasien Terbitan: (2013)ĪNALISIS KETAATAN KARYAWAN DALAM PEMERIKSAAN KESEHATAN BERKALA DI RUMAH SAKIT PKU MUHAMMADIYAH KOTA YOGYAKARTA oleh: Salhah, Afridah Fakultas Kesehatan Masyarakat, Universitas Ahmad Dahlan, Yogyakarta, et al.PENGELOLAAN REKAM MEDIS DI FKTP Insi Farisa Desy Arya, dr.,M.Si Fakultas Kesehatan Masyarakat, Universitas Ahmad Dahlan, Yogyakarta, et al. Terbitan: (2013)ĪNALISIS KETIDAKLENGKAPAN PENGISIAN DOKUMEN REKAM MEDIS RAWAT JALAN DI RUMAH SAKIT MATA MASYARAKAT JAWA TIMUR oleh: ALVINA REVITASARI, 101211133084 Terbitan: (2016)ĪNALISA COST SHARING PERHITUNGAN TARIF HEMODIALISIS (HD) MASYARAKAT MISKIN DI RUMAH SAKIT UMUM PKU MUHAMMADIYAH UNIT I YOGYAKARTA oleh: Primandita. HUBUNGAN PENGETAHUAN DAN SIKAP DENGAN PERILAKU PERAWAT DALAM PEMBUANGAN SAMPAH MEDIS DI RUMAH SAKIT PKU MUHAMMADIYAH YOGYAKARTA oleh: Sudiharti. KEBIJAKAN PENGISIAN DIAGNOSIS UTAMA DAN KEAKURATAN KODE DIAGNOSIS PADA REKAM MEDIS DI RUMAH SAKIT PKU MUHAMMADIYAH YOGYAKARTA oleh: Rohman, Hendra Fakultas Kesehatan Masyarakat, Universitas Ahmad Dahlan, Yogyakarta, et al. The factors that become obstacles to overcome if all the officers realized the importance of completeness of filling the medical record file and run it.Keywords : incompleteness, Causes, Medical Records Conclusions: Completeness of medical record file filling very important to set the course of activities and communication between relevant personnel as the basis of quality of service.
The cause of the incompleteness of medical records file charging Disease Section is a limitation of time and indiscipline health workers to the completeness of filling medical record file. Tested the validity of qualitative data through triangulation techniques.Results: The percentage of incompleteness of medical records file charging Disease Section PKU Muhammadiyah Hospital in Yogyakarta is 40.43%. Respondents in this research are specialists, doctors who served in internal medicine ward, and medical records officers. The sample in this study is an incomplete file fill in May 2010. The population in this study is to file medical records. This study used cross-sectional study design. The purpose of this study is to determine the cause of the incompleteness of filling the patient's medical record file PKU Muhammadiyah Hospital in Yogyakarta.Methods: This was a non-experimental research qualitative methods. In previous studies, there is still a problem in the charging file medical records of inpatients who sometimes can not be filled by a physician. The primary responsibility will be the completeness of medical records lies in the responsible physician treat the patient. The main purpose of medical records is as evidence of disease progression and treatment of patients who have been granted, means of communication among the health workers who provide parawatan to the patient, the source of information for research and education, as well as the source of the data collection of health statistics (WHO, 2002). 269/Menkes/Per/III/2008 about medical records, medical records are files that contain records and documents concerning patient identification, examination, treatment, action and other services that have been given to the patient. Background: The medical records is one important part in helping the implementation of service delivery to patients at the hospital.