IDENTIFICATION OF INCOMPLETE FILLMENT OF MEDICAL RECORDS DOCUMENTS BASED ON EXPECTANCE MOTIVATION THEORY IN RSUD dr. R. KOESMA TUBAN

International Nutrition and Health Administrations Journal Pub Date : 2022-07-25 DOI:10.47710/inhaj.v1i1.3

Adibah Enggar, S. Ilmiah, Esty Yunitasari

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Abstract

Completeness of medical record documents becomes important because it describes the practice of quality services. RSUD dr. R. Koesma Tuban have problems with completeness of medical record documentation. Incompleteness medical record documentation of outpatient at RSUD dr. R. Koesma Tuban was rated at 87, 67%. The object of this study was to identify the incompleteness of medical record documentation of outpatient based on Victor Vroom expectancy theory motivation at RSUD dr. R. Koesma Tuban. The present study conducts a cross-sectional, descriptive research during May 2021 through to use questionnaires and observation on medical record documentation of outpatient. The respondents of this study were personnel who were filling the outpatient medical record documentation. These people were 5 doctors, 5 refractions, and 6 nurses. The result of the study showed that Filling of the medical record documentation at RSUD dr. R. Koesma Tuban was low. Motivation has driving factor to the incompleteness of outpatient medical record documentation at RSUD dr. R. Koesma Tuban. Suggestions given to monitoring the performance to complete the medical record documentation of outpatient. Keywords : hospital, incompleteness, medical record, motivation, outpatient, victor vroom

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基于期望动机理论的病历文件填写不全的识别

医疗记录文件的完整性非常重要，因为它描述了优质服务的实践。RSUD dr. R. Koesma Tuban在医疗记录文件的完整性方面存在问题。RSUD门诊病人R. Koesma Tuban医生病历文件不完整率为87.67%。本研究的目的是在RSUD的dr. Koesma Tuban医生基于Victor Vroom期望理论动机的基础上，识别门诊病人病历文件的不完整性。本研究于2021年5月进行横断面描述性研究，通过问卷调查和门诊病历文件观察。本研究的调查对象为填写门诊病历文件的工作人员。这些人是5名医生，5名屈光医生和6名护士。研究结果表明，RSUD dr. Koesma Tuban的病历文件填写率很低。动机是RSUD R. Koesma Tuban医生门诊病历文件不完整的驱动因素。对完成门诊病案文件的监控工作提出建议。关键词:医院，不完整性，病案，动机，门诊，病房

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International Nutrition and Health Administrations Journal

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