Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
October 5, 2025Jurnal Rekam Medis dan Informasi Kesehatan Indonesia.Open Access

Analysis of the Accuracy of Diagnosis and Coding in Patient Medical Records at the Mutiara Delima Clinic Sawoo, Ponorogo Regency

View Full Paper
Ask AI
Bookmark
Share

Authors

RRRismawati RismawatiRNRia Fajar Nurhastuti

Discussion

Loading...

Member takes

Overview

Descriptive analysis reveals diagnostic coding inaccuracies in patient records, highlighting training needs.

Key Points

  • Only 31.54% of medical records were accurately coded, indicating a significant gap in documentation quality.
  • Analysis of 260 medical records within one month shows 59.62% had diagnosis but lacked coding, stressing the need for improved practices.
  • The approach involved qualitative methods, including interviews and observations with healthcare personnel, to gather comprehensive data.
  • Enhancing training for medical staff and better monitoring systems are crucial to improve coding accuracy and support service quality.

Cite This Study

Rismawati et al. (2025) studied this question.

synapsesocial.com/papers/68e22da774308421369aefc3https://doi.org/10.62951/jurmiki.v4i2.104
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Review Of The Accuracy Of Diagnosis Codes For Inpatients With Diabetes Mellitus Type II Cases Based On ICD-10 At Berkah Pandeglang Regional Public Hospital In The Period Of January-April 20252025
  2. 2THE RELATIONSHIP BETWEEN ACCURACY OF MEDICAL TERMINOLOGY DOCUMENTATION AND DIAGNOSTIC CODE ACCURACY IN OBSTETRIC CASES AT RSIA PURI MALANG2025
  3. 3Medical Record Audit of Patients with Diabetes Mellitus, Gastroenteritis, and Pneumonia2025
  4. 4The Behavior of Medical Record Officers at Mamuju Tengah General Hospital2025
  5. 5Factors Causing Delays in BPJS Health Inpatient Claims at Dr. Harjono S Regional General Hospital in Ponorogo Regency2025 · 3 citations