MODEL KUANTITATIF AUDIT PENDOKUMENTASIAN TERHADAP KELENGKAPAN REKAM MEDIS

Appropriate and structured Medical Records documentation audit is required in measuring the achievement of Medical Record Completeness (MR) indicators in hospitals. Based on observations of the implementation of MR documentation audit in a hospital, it was found that the measured MR components varied greatly, and did not know the quantitative model of MR documentation audit. This study aims to determine the effect of Quantitative Audit Model Documentation on Completeness of MR. The hypothesis of this study is the influence of Quantitative Audit Model Documentation on Completeness of MR. This type of research is a quasi-experimental using the pretest and Posttest design, Non-Equivalent Control Group Design. The measurement of the completeness of medical records was carried out by students using conventional models and quantitative models of RM documentation audit. The population is 30 students with saturated samples. The dependent variable is MR Completeness and the independent variable is the Audit Model MR Documentation. The research instrument is a checklist. Research analysis using dependent T-test. The results of this study there are significant differences in the average value of the completeness of all components before and after the application of a quantitative audit documentation model reflects that the implementation of this model is better than the conventional model. This Quantitative Model can track each component of the medical record being audited, allowing correction of parts that can still be equipped, structured so that they can measure up to this RM completeness subcomponent.

1.  UEU-Journal-20902-11_1754.pdf - 1743 KB

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