THE IMPORTANCE OF NURSE KNOWLEDGE ABOUT PHYSICAL EXAMINATION AND INFORM ON MEDICAL RECORD FACILITY INPATIENT PATIENT: CASE STUDY IN SARI ASIH HOSPITAL KARAWACI TANGERANG

Based on the results of the observation in Sari Asih Hospital Karawaci Tangerang obtained medical record of hospitalized records are still many empty is that in 2016 there are 296 (3.4%) patients and in 2017 there are 405 (3.9%) patients. The incompleteness of medical record data mostly occurred on the accuracy of patient identity (name, a medical record number, place of birth date, sex) that is 37 patients (9%); and physical examination of 44 patients (11%), informed consent 47 (12%). The nurse s function as one of the data inputs that make the documentation of nursing care actions will affect the quality of the patient s medical records. The incompleteness of DRM is because there are still many nurses who have poor knowledge (60%) about medical records.The purpose of this research is to determine the effect of knowledge of nurses in filling out medical records on the completeness of medical records file of inpatients (case study in Rs. Sari Asih Karawaci Tangerang). The design of this study is associative causal (causal) with a quantitative approach. The object of this research is nurses in hospital wards as much,and samples counted 25 people with purposive sampling technique. Data collection by using primary data in the form of questionnaire/questionnaire and secondary data based on RM 2017 data which then analyzed by binary logistic regression analysis.Based on the result of regression logistic binary statistical analysis, it is found that the nurses knowledge variable in the filling of the medical record has a significant effect on the accuracy of the medical records file of the inpatients The better the nurse s knowledge, the more complete the patient s medical record. Advice for hospitals to socialize, regularly monitor and evaluatenurses, about the importance of completeness in filling the medical record.

1.  UEU-Article-19308-5_0708.pdf - 687 KB

• HUBUNGAN MOTIVASI KERJA DAN PRESTASI KERJA BIDAN DI RUANG KEBIDANAN SILOAM HOSPITAL KEBON JERUK
• HUBUNGAN KEPUASAN PASIEN RAWAT JALAN DAN TINGKAT LOYALITAS PASIEN DI POLIKEBIDANAN SILOAM HOSPITAL
• HUBUNGAN PERSEPSI PEKERJA TENTANG GAYA KEPEMIMPINAN DAN INTENSI UNTUK KELUAR (INTENTION TO TURNOVER) DI SILOAM HOSPITAL KEBON JERUK JAKARTA
• Changes Time Of Service Quality of PT Equity Life Indonesia and Provider Hospital Satisfaction
• PENGARUH PROGRAM ORIENTASI KEPERAWATAN TERHADAP PENINGKATAN KOMPETENSI PERAWAT BARU DI SILOAM HOSPITAL LIPPO VILLAGE 2014
• PERAN ORANG TUA TERHADAP DAMPAK HOSPITALISASI PADA ANAK USIA PRASEKOLAH DI RUMAH SAKIT ROYAL TARUMA JAKARTA
• FAKTOR YANG MEMPENGARUHI EFEKTIVITAS ASUHAN KEPEPRAWATAN DI RUMAH SAKIT SILOAM HOSPITAL
• PENGARUH KEPEMIMPINAN, KOMPENSASI DAN PENGEMBANGAN KARIR TERHADAP KOMITMEN KARYAWAN EKA HOSPITAL, BSD
• HUBUNGAN PEMASANGAN KATETER YANG DILAKUKAN PERAWAT DENGAN KEJADIAN INFEKSI SALURAN KEMIH DI EKA HOSPITAL BSD
• HUBUNGAN PEMASANGAN KATETER YANG DILAKUKAN PERAWAT DENGAN KEJADIAN INFEKSI SALURAN KEMIH DI EKA HOSPITAL BSD