Medical Record as a Tool to Control Doctor for Not Malpractice

Abstract

Process Medical Record (Medical Record) is procedures for admission of patients who will be treated to a clinic or to be treated as part of the system procedures hospital services. Patients in hospitals can be categorized as a patient polyclinics (outpatient treatment) there are outpatient and inpatient. The arrival of the patient to the hospital are either: delivered by physicians practice outside the hospital, sent by other hospitals, health center, or other type of health care, come on their own. Patient medical records made to the Emergency Department, Outpatient inpatient. The doctor's responsibility in manufacturing Medical Record (Medical Record) As the Certificate is that the rules governing ethical responsibility and a doctor is the Code of Medical Ethics and pronunciation Oath Indonesia Physician. Codes of ethics are the guidelines behaviour. Medical Record is written evidence of the services provided by doctors and other health professionals to patients, it is a reflection of the cooperation than one the health teanga for healing the patient. Written proof of service performed after inspection action, so that treatment can be justified.