SPECIAL DENTAL CASE SHEET AS A MEDICAL AND FORENSIC COMMUNICATION TOOL

Authors

  • Irin Kirana Hospital Administration Program, Faculty of Public Health, Universitas Indonesia
  • Wahyu Sulistiadi Faculty of Public Health, Universitas Indonesia
  • Tjen Dravinne Winata Department Management of Hospital Services, Universitas M.H. Thamrin, Indonesia

Abstract

Background: The implementation of the International Classification of Diseases, Tenth Edition (ICD-10 codes) in the medical records serving as the humanitarial tools for practitioners is to establish treatment procedures for re-admitted patients in a hospital. Medical records serves as a tool in determining the appropriate treatment for each patient. But in reality, has never the ICD-10 been applied to the Electronic Medical Record Management. For it to be used as a humanitarian tool, it has first to be used as legal evidence in the court as a written legal system in Indonesia. However, the implementation by the lawyers and relevant officers is under the progress. The result of the previous research showed on the Dental Professionals' Medical Record Form in 2014 at FKG Usakti [29] had determined the need for special dental case sheets as a humanitarian tool between practitioners and dentists. The Special Sheet should meet the specific requirement to be utilized in a class A hospital and it also needs to be standardized with the Indonesian National Police.

Methods: In this Systematic Review, the researchers conducted a Proquest database published from January 2012 to June 2019. 10 relevant studies of the medical records were selected as a humanitarian tool in Disaster Victim Identification (DVI) done by the dentist.

Results: From 10 present studies and previous studies [29] conducted by the researcher, it had succesfullyidentified the importance of medical record management as a humanitarian tool between practitioners and dentists in hospitals.

Conclusion: Special Dental Case Sheet is required for the implementation of collective information which serve as a general humanitarian tool among health professionals. It is required as a comparative data in the identification process if the related patients are the disaster victims. 

Keywords: Medical Record, Humanitarian Tool, Health Professionals, Dental Professional Teaching Hospital

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References

Sheikhmotahar Vahedi H, Mirfakhrai M, Vahidi E, Saeedi M. Impact of an educational intervention on medical records documentation. World J Emerg Med. 2018;9(2):136–40.

Finkelstein MM. Redefining the ‘Legal Medical Record' and How to Be Prepared to Respond to Legal Requests for a Patient's Legal Medical Record. 2017.

N Jafar AJ, Norton I, Lecky F, Redmond AD, Wilkinson Building E, HCRI Ellen Wilkinson Building Mbc. A Literature Review of Medical Record Keeping by Foreign Medical Teams in Sudden Onset Disasters. Prehosp Disaster Med. 2015;30, Iss. 2:216–22.

Ghali WA, Pincus HA, Southern DA, Brien SE, Romano PS, Burnand B, et al. ICD-11 for quality and safety: overview of the who quality and safety topic advisory group. Int J Qual Heal Care. 2013 Dec 1 ;25(6):621–5.

Bailey E. Contemporary views of dental practitioners' on patient safety. Br Dent Journal; London Vol 219, Iss 11, (Dec 11, 2015). 2015;219(11):535-540.

Smitha T, Sheethal HS, Hema KN, Franklin R. Forensic odontology as a humanitarian tool. J Oral MaxillofacPathol JOMFP; Chennai Vol 23, Iss 1, (Jan/Apr 2019) 164-164. 2019;23(1):164–71.

Martins A, Warmling F, Amante CJ, Lúcia A, Ferreira De Mello S. Information and communication technologies in dental education: students' perceptions. 2014.

Adebayo B, Durey A, Slack-Smith LM. Role of information and communication technology in promoting oral health at residential aged care facilities. Aust J Prim Health. 2017;23(3).

Knott NJ. The use of information and communication technology (ICT) in dentistry. BDJ. 2013;214:151–3.

Yang T-H, Ku C-Y, Yen DC, Hsieh W-H. Electronic Hand-Drafting and Picture Management System. J Med Syst. 2012;36, Iss. 4:297–307.

Paterick ZR, Patel NJ, Ngo E, Chandrasekaran K, Tajik AJ, Paterick TE. Medical liability in the electronic medical records era. Baylor Univ Med Cent Proc.2018;31:558–61.

Luchian M, Vasiliu M, Stroici C, Bí¢rgćƒoanu A, Stadoleanu C. MANAGEMENT OF AN EFFICIENT COMMUNICATION IN THE MEDICAL OFFICE. STRUCTURAL ELEMENTS. Vol. 4, International Journal of Medical Dentistry Oral healt. 2014.

Graziele Rodrigues L, Batista De Souza J, Miranda De Torres E, Ferreira Silva R. Screening the use of informed consent forms prior to procedures involving operative dentistry: ethical aspects. Tabriz Univ Med Sci. 2017;11(1):66–70.

Lakshmi Bhaskar N, Naga S, Kumar S, MeeraSubhashini M, Satyanarayana N, Resident J, et al. Medical Auditing-A Study of Systematic Case Review in a Tertiary Care Hospital. Vol. 4, Indian Journal of Public Health Research & Development. 2013.

Lorenzo Vaccaro G, Gabriele Di Carlo L, Maria De Sanctis C, Antonella Polimeni D, Sfasciotti G, Di Carlo G. Informed consent to medical treatment in pediatric dentistry: a proposal for two new model forms for the public health care system. Ann Stomatol (Roma). 2018;9(1):1–23.

Deepak Kumar B, Vinaya Kumari CM, Sharada MS, Mangala MS. Evaluation of the Medical Records System in an Upcoming Teaching Hospital-A Project for Improvisation. J Med Syst. 2012;36, Iss. 4:2171–5.

Adjei E, Mensah M. Adopting total quality management to enhance service delivery in medical records Exploring the case of the Korle-Bu Teaching Hospital in Ghana. Rec Manag J. 2016;26, Iss. 2:140–69.

Regulation of the Minister of Health of the Republic of Indonesia Number 1171 / Menkes / Per / VI / 2011 concerning Hospital Information Systems.

Du Fresne D, Holder LJ, Samudio I, Nallavadla Sujana R. Interconnectivity of health information exchanges using patient access number (pan). Vol. 11, ASBBS eJournal. 2015.

Shin Tan W, Yoong Ding Y, Fung Chong W, Chin Tay J, Yu-Ling Tan J. Impact of data source and time reference of functional status on hospital mortality prediction. J Med Syst. 2012;36(1):115.

Sahelangi, P; Novita MNL of M. Role of dentists in Indonesian disaster victim identification operations: religious and cultural aspects. - ProQuest. J Forensic Odontostomatol. 2012;30(1):60–71.

Choudhary, Swati; Prasad, Krishna Deo; Yadav P. General RECORDS-LIFE OF FORENSIC ODONTOLOGY. Bljnor. 2014;7(6):80–3.

Gupta A, Mishra G, Bhutani H, Hoshing C, Bhalla A. Forensic revolution need maintenance of dental records of patients by the dentists: A descriptive study. J IntSocPrev Community Dent Mumbai Vol 6, Iss 4,. 2016;6(4).

Patidar K, Parwani R, Wanjari S. Effects of high temperature on different restorations in forensic identification: Dental samples and mandible. J Forensic Dent Sci. 2010;2(1):37.

Gentles SJ, Charles C, Ploeg J, Mckibbon KA. Sampling in Qualitative Research: Insights from an Overview of the Methods Literature. Vol. 20, The Qualitative Report. 2015.

Yazan B. Three Approaches to Case Study Methods in Education: Yin, Merriam, and Stake. Vol. 20, Teaching and Learning Article. 2015.

Tjen.Dw. Law on Health and Legal Obligations of Health Workers in Indonesia, vi, 206 pages, 15 x 21 cm, CV Radjak University Press, Indonesia 2017. ISBN 978-602-51269-1-8.

Tjen.Dw. Textbooks. Law and Medical Professional in Indonesia, vi, 150 pages, 15 x 21 cm, CV Radjak University Press, Indonesia 2017. ISBN: 978-602-51269-0-1.

Kirana, I. Research Report. Aspek Hukum Rekam Medis RS Khusus Gilut FKG Usakti. ‘Legal Aspects of Medical Records in Dental and Oral Special Hospitals FKG Usakti', Fakultas Kedokteran Gigi Universitas Trisakti, Jakarta, Indonesia, 2014

Published

2019-08-25

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Articles

How to Cite

SPECIAL DENTAL CASE SHEET AS A MEDICAL AND FORENSIC COMMUNICATION TOOL. (2019). Proceedings of the International Conference on Applied Science and Health, 4, 1041-1049. https://publications.inschool.id/index.php/icash/article/view/731