Hilma Mutammimah, . (2024) ANALISIS PERBANDINGAN KUALITAS KELENGKAPAN PENGISIAN REKAM MEDIS MANUAL DENGAN REKAM MEDIS ELEKTRONIK RAWAT JALAN DI RSUP FATMAWATI. Skripsi thesis, Universitas Pembangunan Nasional Veteran Jakarta.
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Abstract
Medical records are documents that contain patient identity data, examinations, treatment, procedures and other services that have been provided. The development of science and technology also participates in the development of medical science. The development of digital technology in society has brought about a digital transformation of health services. The administration of medical records can be divided into two forms, namely manual medical records and electronic medical records. The aim of this study was to determine the comparison of the quality of manual medical records with outpatient electronic medical records at Fatmawati General Hospital. Method: This study used a descriptive research design with a cross sectional approach on outpatients in 2022 - 2023 at Fatmawati General Hospital who met the restriction criteria. Results: There were 396 patients who were samples of manual medical records and 396 patients who were samples of electronic medical records. In the patient identity variable, the average completeness of manual medical records was 87.6% and electronic medical records averaged 99.7%. In the clinical information variable, the average completeness of manual medical records was 84.3% and electronic medical records averaged 99.9%. Conclusion: Based on data obtained from Fatmawati General Hospital in 2022-2023 for outpatients, the quality of completeness of electronic medical record filling is superior with an average of 99.7% compared to manual medical record filling with an average of 87.6%.
| Item Type: | Thesis (Skripsi) |
|---|---|
| Additional Information: | [No.Panggil: 2010211067] [Pembimbing 1: Abdul Kolib] [Pembimbing 2: Agneta Irmarahayu] [Penguji : Isniani Ramadhani] |
| Uncontrolled Keywords: | Comparison of completeness, electronic medical records, manual medical records |
| Subjects: | K Law > K Law (General) |
| Divisions: | Fakultas Kedokteran > Program Studi Kedokteran (S1) |
| Depositing User: | Hilma Mutammimah |
| Date Deposited: | 08 Mar 2024 08:54 |
| Last Modified: | 08 Mar 2024 08:54 |
| URI: | http://repository.upnvj.ac.id/id/eprint/28501 |
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