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Medical records are an element that must be fulfilled in a hospital with a good medical record management system that will automatically improve the quality of service for both patients and hospitals. This thesis discusses what factors influence nurse compliance in returning inpatient medical record files at the Kalawa Atei Mental Hospital in 2021. Where there are 3 factors, namely individual factors, pshycology factors and organization factors. This research uses quantitative research with cross sectional method. Data in the form of secondary data obtained from medical records and primary data from questionnaires involving the entire population of nurses who served in inpatient rooms from January to February 2021. The results showed a significant relationship between age, years of service, employment status and knowledge. It is hoped that this research can be input for hospitals with the same characteristics, especially the management of the Kalawa Atei Mental Hospital in compliance with returning medical records of inpatients
Salah satu aspek di Rumah Sakit yang paling mendatangkan keluhan pasien adalah menunggu. Departemen Penerimaan Pasien (Admission Department) mempunyai peranan penting bagi Rumah Sakit, karena departemen ini merupakan tempat pertama kali pasien datang ke Rumah Sakit.Pada Departemen Penerimaan Pasien Rawat Inap di RSPI, tempat tersebut merupakan tempat pendaftaran pasien rawat inap, rawat jalan dan informasi. Departemen ini dikeluhkan karena waktu proses pendaftaran rawat inapnya lama. Penghitungan awal waktu proses penyelesaian administrasi pendaftaran rawat inap yang dilakukan pada tanggal 6 - 11 Agustus 2001 pada 20 pasien di dapat waktu rata-ratanya adalah 30 menit (pasien belum diantar ke ruangan).Waktu proses pendaftaran pasien rawat inap ini, kalau menurut hasil studi yang dilakukan bulan Mei 1993 dl oleh NAHAM (National Association of Health care Access Management) adalah 10,57 menit/pasien.Penelitian ini bertujuan untuk memperoleh gambaran lamanya proses pendaftaran pasien masuk rawat inap di RSPI, serta faktor-faktor apa yang ada hubungannya dengan lamanya waktu proses tersebut. Metode penelitian yang dipakai pada penelitian ini adalah deskriptif dengan pendekatan kualitatif dan kuantitatif, dilakukan dengan cara pengamatan (observasi), yaitu melihat dan mencatat jumlah dan taraf aktifitas tertentu, serta mencatat jumlah waktu yang dibutuhkan untuk penyelesaian setiap tahapan proses pendaftaran pasien rawat inap.Penelitian dilakukan selama 22 hari, dengan jumlah sampel 131 pasien yang mendaftar rawat inap di RSPI (yang bukan dari emergency). Pengambilan sampel dengan metoda proposional random sampling berdasarkan jenis pembayaran yang berlaku di RSPI, yaitu Cash (69%), Asuransi (16%) dan Kerjasama Perusahaan (15%).Hasil penelitian menunjukkan bahwa untuk pendaftaran rawat inap mempunyai alur proses yang berbeda antara pasien yang melakukan pembayaran rawat inapnya dengan cash, asuransi atau kerjasama perusahaan. Rata-rata lamanya waktu proses pendaftaran pasien masuk rawat inap di RSPI adalah 32 menit 7 detik.Untuk melihat ada tidaknya hubungan antara variabel bebas dengan variabel terikat, maka dilakukan uji Chi-Square, maka hasil didapat dari 8 variabel bebas yang diteliti ada 4 variabel yang mempunyai hubungan bermakna dengan lamanya waktu penyelesaian proses pendaftaran pasien rawat inap (variabel terikat), yaitu kesiapan ruang rawat dalam menerima pasien, kesiapan pasien untuk diantar ke ruang rawat, mencari bed (alokasi bed) dan pemberian tanda kunjungan dan tanda parkir.Dengan teridentifikasinya rata-rata lama waktu proses pendaftaran pasien rawat inap dan faktor-faktor penghambatnya, diharapkan hasil penelitian ini dapat dimanfaatkan untuk memperbaiki prosedur penyelesaian pendaftaran pasien rawat inap agar lebih singkat lagi.
Factors Influencing the Administration Processing Time for In-Patients Admitted at Rumah Sakit Pondok Indah (RSPI) (2002)One of the common aspects in hospital that complained by patients is "waiting time?. The admission department in hospital plays an important role as the initial point for patient to obtain various hospital services.The admission department in Rumah Sakit Pondok Indah (RSPI) is the location where patients make inquiries and do their admission to be treated as in-patient out-patient. The department has been complained due to its long administration processing time, particularly for in-patients.A survey conducted on 6 - 11 august 2001 to 20 samplers showed the average administration processing time for in-patients admitted in RSPI was 30 minutes/patient, prior to their admission.Meanwhile, according to study carded out by NAHAM (National Association of Healthcare Access Management) in May 1993, the ideal time of administration process for in-patients are 10.57 minutes/patient.The objective of this thesis is to find out the length of administration processing time for in-patients in RSPI; and to identify factors influencing the processing time. The method adopted on this study is descriptive by qualitative and quantitative approach through in-depth observation to the activities involved in the admission process.The field study was performed in RSPI for 22 days to 131 samples, excluding the emergency-unit patients. The sampling method carried out is a proportional random sampling based on the type of payment in RSPI, which covers cash (69%), insurance (16%) and company cooperation (15%). The study indicates that different types of payment have different admission process, with the average processing time of 32.07 minutes/patientTo find out the correlation between `dependent variables' and 'independent variables', Chi-Square method is applied. The study reveals that 3 out of 8 independent variables observed have direct correlation to the length of administration processing time (as the dependent variable). These three in depended variables are: room/bed preparation, room/bed allocation, patient preparation and issuing the visitor badge & parking ticket.By identifying the average length of administration processing time for inpatients and the impediment factors, it is expected that the processing time can be reduced in order to increase patient's satisfaction.
Tujuan dari penelitian ini adalah untuk mengetahui gambaran kelengkapan terhadap persetujuan setelah penjelasan (informed consent) pada tindakan bedah secara menyeluruh di ruang rawat inap bedah RSUP Sanglah Denpasar pada tahun 2017. Metode penelitian ini merupakan penelitian kuantitatif dan kualitatif dengan pendekatan retrospektif dan crossectional. Jumlah sampel dokter bedah yang menjadi subjek penelitian terdiri dari 57 dokter bedah, 647 informed consent dan tiga orang informan untuk pengumpulan data secara kualitatif.
Dari penelitian ini didapatkan bahwa kelengkapan informed consent tindakan bedah di ruang rawat inap bedah RSUP Sanglah pada tahun 2017 hanya mencapai 30%. Hasil penelitian ini menunjukkan adanya hubungan signifikan antara jumlah kasus yang ditangani dan proses pemberian informed consent yang baik dengan kelengkapan pemberian informed consent tindakan bedah dengan p-value berturut-turut 0,02 dan 0,01. Dari penelitian ini dapat disimpulkan bahwa kelengkapan pemberian informed consent berhubungan dengan jumlah kasus yang ditangani dan proses pemberian informed consent yang baik.
Kata kunci: faktor-faktor, kelengkapan, informed consent
Informed consent is not a signature on a form, but a communication process in which patients are informed of their choice for a health, care, or procedure test, and then choose the option that is most appropriate for its purpose and value. Informed consent is essential for therapeutic relationships between physicians and patients. This process allows patients, or those who are legally responsible for their care, to make informed decisions about the treatment or procedure in question. In RSUP Sanglah Denpasar in 2016, compliance level of informed consent is still low ie 58%, non-compliance rate of writing abbreviation as much as 42%.
The purpose of this study was to know the description of the completeness of informed consent to the overall surgical procedure in surgical hospitalization of Sanglah Hospital Denpasar in 2017. This research method was a quantitative and qualitative research with retrospective and crossectional approach. The number of samples of surgeons who were the subjects of the study consisted of 57 surgeons, 647 informed consents and 3 informan for qualitative study.
From this research it is found that the completeness of informed consent of surgery in surgical hospitalization of Sanglah Hospital in 2017 only reach 30%. The results of this study indicate a significant relationship between the number of cases handled and the process of providing good informed consent with the completeness of the surgical informed consent provision with p-value 0,02 and 0,01. From this study it can be concluded that the completeness of the informed consent provision relates to the number of cases handled and the process of providing good informed consent.
Keywords: factors, completeness, informed consent
The function of the medical record involves administrative aspects, medical aspects, legal aspects, financial aspects, research and education aspects, documentation aspects. Considering the importance of the medical record functions, the filling standard in the medical record file is determined by 100% based on the national medical record quality indicator. The low achievement of the completeness quality in the contents of the inpatients medical record files at RS XYZ Tangerang Selatan become the reason of this research. Based on the results of research conducted at RS XYZ Tangerang Selatan in the inpatients medical record file in the period July-September 2018, the low number of achievement was caused by several factors. This design of research uses qualitative research, with in-depth interview guidelines, document review and observation guidelines. The low number of completeness and legality of the inpatient medical record file contents caused by input elements, process elements. In the output, the completeness number and legality of the inpatients medical record file at RS XYZ Tangerang Selatan under 100%. This illustrates the incompatibility of services provided by the prevailing fixed procedures, thereby reducing the quality of hospital services and the absence of compliance with aspects of legal regulation