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One part of the large intestine can be affected by an anal fistula or rectovaginal fistula due to infection of the anal glands. In patients who have undergone colonostomy, radiological examinations such as lopography are necessary to detect abnormalities, especially in the anal region. Pediatric lopography with clinical rectovaginal fistula post colonostomy at the Radiology Department of Dr. Sardjito General Hospital involves inserting contrast media into the proximal section through the proximal stoma with an anteroposterior projection and into the distal section through the anal opening with a lateral projection. The study aimed to determine the contrast enema examination procedure in pediatric patients with clinical rectovaginal fistula post-colonostomy, including examination techniques, patient preparation, equipment and materials used, as well as handling problems such as blockages in the distal intestine. Methods: The study was conducted in May–June 2025 using a qualitative descriptive method through observation, interviews, and documentation, involving three radiographers and one radiologist. Data analysis was performed through data collection, data reduction, data presentation, discussion, and conclusion drawing. Results: The results showed that lopography examinations used water-soluble iodine contrast media mixed with NaCl at a ratio of 1:3, which was inserted through the proximal stoma and anus. Preparation included fasting from breast milk, confirming patient identity, informedconsent, and preparation of equipment such as an X-ray machine with fluoroscopy, catheters, syringes, and Computed Radiography.

Minister of Health Regulation No. 269 of 2008 explains that medical records are defined as a collection of documents containing complete information regarding patient identity, examination results, therapy, medical procedures, and health services received. In working, an employee should be able to balance their workload to achieve work harmony that contributes to increased productivity. Job satisfaction reflects the appreciation and comfort felt by an individual for the tasks they perform. Conversely, dissatisfaction at work can trigger negative reactions in the form of aggressive behavior or a tendency to withdraw from social interactions around them. Job satisfaction also greatly influences employee motivation and commitment to continue working with enthusiasm and achieve the desired goals. The purpose of this study was to determine the relationship between workload and job satisfaction with employee performance in the Medical Records Installation of Cut Meutia Hospital, Lhokseumawe in 2023. The research method was an analytical survey with a cross-sectional approach. The study was conducted at Cut Meutia Hospital, Lhokseumawe from September to December 2023. The study population was 40 Medical Records Installation employees. The sampling technique used total sampling, namely 40 respondents. Data analysis used univariate analysis and bivariate analysis. The results of the study based on the chi-square test showed a relationship between workload and employee performance at the Medical Records Installation of Cut Meutia Hospital, Lhokseumawe with a p-value = 0.001 <0.05 and a relationship between job satisfaction and employee performance at the Medical Records Installation of Cut Meutia Hospital, Lhokseumawe with a p-value = 0.000 <0.05. Conclusion; The conclusion in the study is that there is a relationship between workload and job satisfaction with employee performance at the Medical Records Installation of Cut Meutia Hospital, Lhokseumawe in 2023.

Efforts to realize the implementation of good medical records require supporting elements in the form of medical record folders with a design that meets standards. Medical record folders protect patient documents and simplify the process of identifying, storing, and managing health data. Based on the results of observations at the UMSIDA Physiotherapy Clinic, the medical record folder used is still simple, only made of ordinary paper without a logo, name, clinic address, or columns for writing patient identity and medical record number. This condition has the potential to cause obstacles in the administration and security of patient data. The purpose of this research is to redesign (redesign) medical record folders based on anatomical, physical, and content aspects to make them more professional and functional. The methods used include needs analysis through interviews with users, evaluation of old designs, and the creation of new designs. The redesign was carried out by adding heading elements in the form of the name and address of the clinic, introduction in the form title or medical record folder, and instructions in the form of the text "Confidential Documents." On the body, the patient's identity is contained such as full name and medical record number. From the physical aspect, the folder is designed in the form of a portrait with a size of 21.5 cm × 33.0 cm, using white 260 grams of ivory paper with a blue background. Meanwhile, the content aspects include the identity of the health service facility, the writing "Confidential Document," the patient's name, medical record number, and year of visit. The results of the study concluded that the redesign of the medical record folder has met the anatomical, physical, and content standards needed to support more organized health services.

Pharmacist professionalism is a key component in ensuring the quality of pharmaceutical services, encompassing not only compliance with technical and scientific standards but also a deep commitment to moral and ethical principles. In the Indonesian cultural context, the concept of "medicine as a trust" (obat sebagai amanah) reflects a profound sense of responsibility, where medicine is viewed not merely as a commodity, but as a mandate that must be preserved with integrity and accountability in health care practices. This article conceptually explores the relationship between pharmacist professionalism and the moral value of trust within the framework of the Nusantara constitutional theory. This theory emphasizes the integration of legal, cultural, and moral dimensions in shaping professional conduct in Indonesia. Using a descriptive-critical approach through literature review, this study investigates how trust functions as both a legal expectation and a cultural imperative in the practice of pharmacy. The findings highlight that trust must be internalized as a core value in pharmaceutical services—manifested through ethical decision-making, transparency in drug management, and a commitment to prioritizing patient welfare. Pharmacists are not only required to uphold professional standards, but also to carry out their duties as custodians of public trust. To realize this vision, the integration of the value of trust into pharmacy education, legal regulations, and clinical practice is essential. Educational institutions, professional organizations, and regulatory bodies must work collaboratively to instill this value as part of a pharmacist’s identity. In doing so, the profession can contribute more effectively to building a health care system that is just, culturally grounded, and centered on the well-being of the people.

Critical values ​​in an examination indicate a disorder that requires special and rapid action to improve patient safety. Urea examination is one of the laboratory parameters that functions as an indicator in assessing the level of kidney function. Urea levels are considered critical if the results exceed 100 mg/dl. This study aims to understand how to handle critical values ​​in urea examinations. This study describes a case in the field of clinical chemistry related to critical results obtained from urea examinations. The object of the case study used in this study was a serum sample, with data showing a critical urea level of 185 mg/dl. Based on the confirmation results, this figure is in accordance with the condition of patients who have kidney failure and will undergo hemodialysis therapy. The conclusion of this study shows that handling critical values ​​in urea examinations is carried out by identifying patient identity and ensuring good sample quality. In addition, the sample testing process must be carried out carefully and precisely, control results must be optimal, the reagents used must have the appropriate temperature and not expired, and the equipment must be properly maintained and calibrated. Finally, confirmation and reporting of results must be carried out accurately and on time.

Medical records are a hospital service that stores patient identity data and plays a role in making medical decisions. Analysis of the workload of medical records officers is needed to ensure efficiency and effectiveness in implementation. This study aims to identify and evaluate the workload of medical records officers at RSUD dr. R. Soedarsono Pasuruan using the Health Workload Analysis (ABK-KES) method. This study is quantitative descriptive in nature with data collection methods in the form of observation, interviews, questionnaires, and document review. Research findings reveal that there is inequality in the distribution of workload in various medical records units, which can impact the quality of hospital services. Therefore, researchers suggest that the workforce with D3 and D4 qualifications still needs to be increased to support higher quality services and it is necessary to optimize the number of workers and make the workload distribution more balanced. Hospital management is also advised to recruit D3 and D4 staff to be more competent in medical record management and training to increase the effectiveness of services at the hospital. Optimizing the workforce by ABK-KES, medical services are expected to operate more effectively so a strategy for optimizing the number and distribution of the workforce is needed to increase service efficiency.

A medical resume is a summary of patient care that plays a vital role in administrative, clinical, legal, and hospital accreditation aspects. This document serves as a crucial component in ensuring service quality and acts as legal medical evidence. This study aims to analyze the completeness of medical resume documentation at Dr. Harjono S Regional Public Hospital and identify the contributing factors to incomplete documentation. This research employed a qualitative descriptive method with a cross-sectional approach. Data were collected through observation of 15 inpatient medical resume documents from two departments (Pediatrics and Orthopedics) and interviews with medical record officers. The research instrument included an observation checklist assessing seven documentation components. Results showed that supporting examination results were the most complete component (100%), while patient identity data had the lowest completeness (67%). Contributing factors to incompleteness included high workload, lack of supervision, and low awareness among staff regarding the importance of complete documentation. Moreover, the absence of an internal quality control system was also identified as a challenge. This study recommends enhancing training, conducting regular supervision, and implementing electronic medical record systems to improve documentation quality.

Background: According to the Regulation of the Minister of Health of the Republic of Indonesia Number 24 of 2022 concerning Medical Records, they are documents that contain patient identity data, examinations, treatment, procedures and other services that have been provided to patients. Minimum Hospital Service Standards Completeness of filling in medical records 24 hours after completion must reach 100%. Objective: To determine the completeness factor in writing the patient's name in the patient's medical record at the hospital. Method: This research uses a literature review method. Results: The highest percentage of completeness in writing patient names was in research journals with a percentage of 98%, while the lowest percentage was 56%. Conclusion: From the results of a review of the completeness of writing patient names in hospital medical records, it was found that the completeness results were not 100% and not all hospitals had SOPs regarding procedures for writing patient names. Suggestion: Create an SPO for procedures for writing patient names that comply with standards so that officers can carry out these activities with guidelines. Background: In accordance with Republic of Indonesia Health Minister Regulation Number 24 of 2022, medical records are records that include information about a patient's identity, medical examinations, treatments, procedures, and other services rendered to them. Minimum Requirements for Hospital Services Within 24 hours of finishing, all medical records must be 100% complete. Goal: To ascertain the degree of completeness in entering the patient's name in the hospital's medical file. Method: A literature review approach is used in this study. Findings: Research journals had the highest percentage of complete patient names (98%) and the lowest percentage (56%) of complete patient names. Conclusion: A review of the completeness of writing patient names in hospital medical records revealed that not all hospitals have standard operating procedures (SOPs) pertaining to patient name writing, and the findings were not 100% complete. Recommendation: Establish a standard operating procedure (SPO) for writing patient names that adhere to standards so that officers can perform these tasks in accordance with protocols.

Background: The process of managing medical records at Dharma Yadnya General Hospital is not in accordance with the work procedures and organization of health service facilities. This can be seen from incomplete medical records, doctor writing is not specific in diagnosis and human error which results in errors in taking medical records. Purpose: This study aim to evaluate the process of managing patient medical records at Dharma Yadnya General Hospital. Method: This research is descriptive qualitative using in-depth interviews. The sampling technique used purposive sampling method with a sample of 6 people. Results: Based on the analysis results, 5 themes were discussed, namely assembling, filling, coding, indexing, filling and retention activities. Overall, the management of patient medical records at Dharma Yadnya Hospital has not been able to run optimally, namely the filling of incomplete medical record documents, namely patient identity, diagnosis, medical resume, signature of the doctor in charge of the service and there are still errors in placing medical records (missfiles) so that the management of medical records takes a long time so that the assembling, coding, indexing, filling and retention processes are hampered. Conclusion: The management system of patient medical records at RSU Dharma Yadnya starting from assembling, coding, indexing, filling and retention have not been run optimally.

The rapid development of information technology has penetrated into various sectors of life, including in the health sector, which has also had an impact on the development of computer-based medical record systems. The purpose of this study was to determine the implementation of Electronic Medical Records at the Internal Medicine Clinic at Kembangan Hospital. The research method uses descriptive methods with qualitative analysis on 10 informants by means of observation and interviews which will provide an overview and see directly a situation when the use of electronic medical records is carried out. The results showed that the hospital already had an SOP for filling in electronic medical records, which was not implemented according to what the officers did. The use of Electronic Medical Records, especially in the Internal Medicine Polyclinic, has gone well. Constraints from 5M Factor, namely Man, there are still registration officers who are incomplete or incorrect in filling in patient identity data, PPA (Professional Caring Provider) is incomplete in filling in patient diagnoses, Internet network material is sometimes slow, and the server is sometimes down, user complaints include display is less efficient, when filling. It is suggested to the Medical Record Unit, IT team and hospital management to evaluate the SOP, revise and socialize it in order to reduce the human error factor. Kembangan Hospital needs to improve the appearance of SIMRS Khanza to make it more attractive so as to increase the enthusiasm of the officers in inputting medical record data at SIMRS. Kembangan Hospital should improve network quality in the hospital environment to improve the performance of SIMRS.

Medical record is a document that contains patient identity data, treatment, examination, action, and other services that have been given to patients. In order for medical records to be maintained, supervision is needed in medical records. The purpose of this study was to find out how the oversight of the medical record alignment system with the Standard Operating Procedures at the Jakarta Islamic Hospital Cempaka Putih. This research method uses a descriptive method with qualitative analysis, conducting observations and interviews that aim to provide an overview and see directly a state of the supervision process during the alignment of medical records in the filing room of the Jakarta Islamic Hospital Cempaka Putih. This research was conducted in a storage room with 5 informants. The results of the study showed that the supervisory process was aligned with the supervisory element, namely determining the size of the implementation, there was a deficiency, namely there was no mention of tasks in the job description in controlling medical records. In measuring the actual implementation, there are inappropriate implementations such as misfiles and there are several tracers that are still hanging. In measuring behavior, officers do not yet have definite standards or tools to measure officer performance behavior. Obstacles in the alignment of medical records through the 5M factor, namely, the lack of number of officers in the filing room, the occurrence of misfiles and staff errors in writing unclear numbers. Materials namely, there are a lot of maps that are too thick. Machines, that is, there are still many tracers hanging on storage racks whose time limit has passed the stipulation. Methods, that is, the Hospital does not yet have an SOP for alignment supervision and there is only a Medical Record alignment system in the SOP for storing and returning Medical Records.

A medical record is a file that contains document records regarding the patient's identity, examination, treatment, actions, and other services that have been provided to the patient. Pratama Clinic as a health service provider must have a competitive advantage and be competitive in terms of the quality of the health services provided. Pratama Halyna Clinic is located in Gajahan, Kebongembong, Kec. Pagerruyung, Kendal Regency, Central Java. In this clinic, there are several polyclinics, namely, general, Kia / birth control, elderly, childbirth, and circumcision. To carry out data recapitulation to find out the number of patients who visited and the polyclinics that were frequently visited, the operator carried out manual calculations, namely by opening the data in the form of paper regarding patient recaps for that month which was then carried out by manual counting. Based on these observations and observations, we, the staff, propose creating a patient data recording system.

Healthcare services, conflicts often arise between doctors and patients, involving allegations of medical criminal actions. Health laws are designed to provide greater certainty in the administration of healthcare services and to offer protection for both the public and healthcare resources. This research adopts a normative juridical approach, employing qualitative descriptive methodology. Medical professionals may face criminal charges for engaging in illegal abortions, performing reconstructive and aesthetic plastic surgery with the intent to alter someone's identity, refusing healthcare services in emergency situations, committing negligence, and practicing Without a License (STR) and/or Practice Permit (SIP). Medical professionals are obliged to adhere to professional standards, service standards, and operational procedure standards, while upholding the values of professional ethics and exerting their best efforts (Inspanning Verbintenis). Dispute resolution should initially take place through restorative justice mechanisms, utilizing alternative methods outside the court.

Seeking knowledge is an obligation for humans, men and women, young and old, adults and children, in ways appropriate to their circumstances, talents and abilities. So on this occasion the author will discuss some verses about teaching and learning. The purpose of writing this article is to find out the verses that command us to learn and teach. This research uses a qualitative method with a literature review approach regarding teaching and learning verses. Here, we, the authors, try to discuss verses from the Koran about teaching and learning. The research results of verses about teaching and learning: QS. Al-Alaq verses 1-5 contain the command to read as motivation in seeking knowledge, QS. An-Nahl verse 78 Allah grants hearing with which humans are able to hear, sight with which humans are able to see various things, and a heart with which humans are able to find their identity and holiness in the form of reason whose center is the heart. And QS. Luqman verses 17-19 commands to perform prayers, be patient, not be arrogant and the story of Luqman Al-Hakim is a portrait of parents educating their children through teaching.

This research is a literature review and aims to explore various literature of the Order of Clare Capuchins and reflect on the challenges and opportunities to live the characteristics of contemplative life in the present. as for the challenges of contemplative life at this time are experiencing an identity crisis, a crisis of appreciation of faith, pride, and dealing with scientific and technological advances. The way to face these challenges is through discernment, persevering in prayer, meditating on the word of God, realizing the work of the Holy Spirit, living in the presence of God, daring to enter silence, living joy, having humility, remaining patient and living simply.      

A medical record folder is a thick paper cover that unites all of a patient's sheets so that they become one complete history, protects the medical record files inside so that they are not easily damaged and makes it easier to store, search and transfer medical record files (Heltiani, 2020). Designing a medical record folder has physical aspects, anatomical aspects and content aspects. The physical aspect consists of materials: Ivory paper, the shape resembles a rectangular book, there are folds to increase the capacity to store medical record forms accompanied by color coding. Anatomical aspects include the Header, which contains the logo, name, address and telephone number, Introduction, Instructions, which contains confidential information from the medical record folder, Body contains the Name and Medical Record Number. Register Number and Year of Visit, Font using Time New Roman, form title size 40, patient identity and year of visit size 12, while Arial font size 14 is used for instructions, Ruler has a ruler on the medical record folder to limit the heading and body of the map, Border there is a border in the medical record folder. Content aspects include the identity of the health service facility, the identity of the name of the health service facility, the patient's name, the medical record number, the year of the last visit and the row available in the year of the last visit in the medical record folder. Socialization is given to medical record officers using discussion, lecture and question and answer methods. It is hoped that the results of this socialization will be for the Bestari Community Health Center to redesign the medical record folder which refers to three aspects, namely: anatomical aspects, physical aspects and content aspects so that the medical record forms are not damaged or scattered.

Medical records are files that contain records of documents regarding patient identity, examinations, treatment, actions and other services provided to patients. Medical records contain written or recorded information containing identity, anamnesis, support, diagnosis, services and medical actions that will be given to patients and treatment whether inpatient, outpatient or receiving emergency services (Permenkes RI No. 269 of 2008) . Increasing the effectiveness of recording medical record data accurately and quickly can take advantage of current technological advances through Electronic Medical Records (RME). Electronic Medical Records are Medical Records created using an electronic system intended for the maintenance of Medical Records

Nurses must correctly identify patients as people who will be given certain services or treatment, this must be done by adapting the service or treatment to each patient. This identification process requires at least two ways of identification, such as name, identification number, date of birth, barcoded bracelet or others. The aim of this research is to analyze the behavior of nurses in wearing patient identification bracelets in the children's inpatient installation at RSUD. Dr. RM. Djoelham Binjai. This research uses qualitative research (In-depth interviews). From this research, the sample consisted of 6 (six) people, namely 1 key informant and 5 main informants. The results of the research are that not all nurses know about the Fixed Procedure (PROTAP) for using patient identification bracelets in the class III children's inpatient room at Dr. RSUD. R.M. Djoelham Binjai is good, not all nurses' attitude in carrying out the Permanent Procedure (PROTAP) for wearing patient identification bracelets in the class III children's inpatient room at RSUD Dr. R.M. Djoelham Binjai is not yet good, not all of the nurses' actions were correct in carrying out the Permanent Procedure (PROTAP) for wearing patient identification bracelets in the class III children's inpatient room at Dr. R.M. Joelham Binjai, Suggestions are expected for hospital management to avoid things that are undesirable for babies to also wear identity bracelets, not just mothers. Protap disseminates affirmations and hospital policies that include rewards and punishments for nurses so that there are no mistakes in identity. And continues to provide socialization, education and understanding of the importance of nurse behavior when installing patient identification bracelets in pediatric inpatient rooms.

Uncontrolled diabetes could lead to serious complication. Diabetes therapy consists of four pillars where nutrition education is very important in managing the disease. Objective : To analyze the effect of nutrition education (Diabetes’ four pillars management) through android mobile application on the knowledge of Diabetes’ four pillars management in patients with DMT2. Method : A quasi experiment research with a pretest posttest control group design. Twenty-six participants were selected by simple random sampling method. Data were collected based on identity and knowledge which were done by interviewing with questionnaires. Changes on knowledge levels were determined by Mann Whitney test. Result : There were significant changes on knowledges related to diabetes (p=0.034), medical nutrition therapy (p=0.008) and physical exercise (0.014) between intervention and control groups, and there was an increase in pharmacological therapy knowledge but we did not observe any significant differences between intervention and control group (p=0.976). Conclusion : Nutrition education (Diabetes four pillars management) through android mobile application can increase knowledge of diabetes, medical nutrition therapy and physical exercise

Before the patient is delivered to the operating room, the sign-in action is carried out in the reception room by the health worker before the patient is escorted to the operating table, the sign-in compliance includes identifying the patient, checking the informed consent (consent sheet), checking the surgical site marking, allergy history and supporting examination documents. Every health worker will take action on pre-operative patients in the application of health workers still do not properly identify patients during routine medical / nursing actions, patient identity is mentioned by health workers, health workers do not immediately record and report the results of sign in. This study aims to determine the relationship between sign-in compliance with the accuracy of pre-operative patient identification at Primaya Betang Pambelum Hospital, Method: This type of research is correlational using Cross sectional. The technique of determining respondents using purposive sampling using the Chi Square statistical test. The sample is patients who will undergo surgery at Primaya Betang Pambelum Hospital totaling 109 respondents. Results: The results of the Chi Square statistical test that obtained p value = 0.000 or the level of significance p < 0.05 so that there is a relationship between sign-in compliance with the accuracy of pre-operative patient identification, Conclusion: There is a relationship between sign-in compliance with the accuracy of pre-operaif patient identification as evidenced by the results of p < α with a significant level of 0.05 indicating a significant and meaningful relationship between sign-in compliance with the accuracy of patient identification at Primaya Betang Pambelum Hospital.