马卡萨桑迪卡尔萨医院住院病人病历管理系统分析

Q3 Pharmacology, Toxicology and Pharmaceutics
Try Ganjar Wati, Amran Razak, Darmawansyah Darmawansyah, Muhammad Yusran Amir, Rahmatiah Yunus, A. Wahyu, Anwar Mallongi
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引用次数: 0

摘要

目标:望加锡 Sandi Karsa 医院的病历管理在收集、报告和归档过程中仍然存在不足。本研究旨在分析望加锡 Sandi Karsa 医院的住院病历管理系统。研究方法:本研究采用的研究类型为定性研究,数据收集采用访谈、观察和记录的方式,并使用目的性抽样技术对关键信息提供者和辅助信息提供者进行抽样调查。研究结果医疗记录人员短缺,而且没有接受过培训。可用的电脑较少,SIMRS 系统只与病人登记系统集成,管理室与档案室合二为一。在过去几个月里,没有进行装配工作,报告被推迟,档案积压。管理 SOP 的执行情况不理想,没有开展社会化活动。完整性和回报率不达标。病历质量指标低,没有开展反馈活动。结论:缺乏工作人员,他们从未参加过有关 SOP 的培训和社会化活动。缺乏电脑等设施,病历室有大量文件,SIMRS 系统尚未与病历管理整合,病历回执有延误,病历文件填写不完整。医院可以开展外联活动,定期召开会议,评估或考核医务人员管理病历的表现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Analysis of the Inpatient Medical Records Management System at Sandi Karsa Hospital Makassar
Objectives: Management of medical records at Sandi Karsa Hospital Makassar is still lacking in the process of assembling, reporting, and filing. This study aims to analyze the inpatient medical record management system at Sandi Karsa Hospital, Makassar. Methods: The type of research used in this research is qualitative research and data collection using interviews, observation, and documentation with key informants and supporting informants using purposive sampling techniques. Result: There is a shortage of medical records officers, and they have not received training. There are fewer computers available, SIMRS is only integrated with patient registration, and the management room is combined with the filing room. The assembly process has not been carried out in the last few months, reporting has been delayed, and there is a backlog of files. Implementation of management SOPs has not been optimal, and socialization activities have not been carried out. Completeness and returns are not up to standard. Medical record quality indicators are low, and there are no feedback activities. Conclusion: Lack of staff they have never participated in training and socialization regarding SOPs. There is a lack of facilities such as computers, the medical record room has lots of files, SIMRS is not yet integrated with medical record management, and there are delays in returns and incomplete filling out of medical record files. The hospital can provide outreach and hold regularly scheduled meetings to evaluate or assess officers' performance managing medical records.
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来源期刊
Pharmacognosy Journal
Pharmacognosy Journal Pharmacology, Toxicology and Pharmaceutics-Pharmacology
CiteScore
2.20
自引率
0.00%
发文量
151
期刊介绍: In 2004, as the PHCOG.NET – a non-profit private organization dedicated to Natural Products Research leading to develop promising drugs. Our main mission is to make information on herbal drug research readily available in different formats to suit the individual needs. Pharmacognosy Journal (Phcog J.) is one of the six journals published by Phcog.Net, Each issue covers different topics in natural product drug discovery, and also publishes manuscripts that describe pharmacognostic investigations, evaluation reports, methods, techniques and applications of all forms of medicinal plant research
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