Pub Date : 2022-08-31DOI: 10.52943/jipiki.v7i2.1078
Ardani Setiowati, Sri Sugiarsi
Based on a preliminary survey at RSJD Surakarta, the completeness of filling out the electronic-based and paper-based Integrated Patient Development Record (CPPT) form with a total of 10 samples taken at random has 40% completeness on the electronic-based and 60% paper-based CPPT form. This type of research is comparative. The population in this study were all medical record documents of inpatients with a diagnosis of paranoid schizophrenia at the Surakarta Hospital in the first quarter of 2019 totaling 59 electronic patient medical record documents and 63 paper patient medical record documents in the first quarter of 2020. The sample size was obtained by the sample formula. a minimum of unpaired numerical comparative research and with a simple random sampling technique, the results obtained were 31 electronic medical record documents and 31 paper medical record documents. The results of the research on electronic-based CPPT forms on identification reviews are 100%, 100% authentication reviews, and 88% important report reviews. Meanwhile, in the paper-based CPPT form, the identification review is 97%, the authentication review is 90.5% and the important report review is 100%. In this study, the Mann-Whitney test was used as an alternative to the independent t-test which did not meet the requirements. Mann Whitney test results p-value <0.05 so ha is accepted which means there is a difference in the completeness of the electronic-based and paper-based CPPT forms. Keywords: Electronic and paper CPPT forms, identification review, authentication review, important report review
{"title":"Analisis Perbedaan Kelengkapan Formulir Catatan Perkembangan Pasien Terintegrasi (CPPT) Berbasis Elektronik Dengan Berbasis Kertas Pada Diagnosis Skizofrenia Paranoid Di RSJD Surakarta","authors":"Ardani Setiowati, Sri Sugiarsi","doi":"10.52943/jipiki.v7i2.1078","DOIUrl":"https://doi.org/10.52943/jipiki.v7i2.1078","url":null,"abstract":"Based on a preliminary survey at RSJD Surakarta, the completeness of filling out the electronic-based and paper-based Integrated Patient Development Record (CPPT) form with a total of 10 samples taken at random has 40% completeness on the electronic-based and 60% paper-based CPPT form. This type of research is comparative. The population in this study were all medical record documents of inpatients with a diagnosis of paranoid schizophrenia at the Surakarta Hospital in the first quarter of 2019 totaling 59 electronic patient medical record documents and 63 paper patient medical record documents in the first quarter of 2020. The sample size was obtained by the sample formula. a minimum of unpaired numerical comparative research and with a simple random sampling technique, the results obtained were 31 electronic medical record documents and 31 paper medical record documents. The results of the research on electronic-based CPPT forms on identification reviews are 100%, 100% authentication reviews, and 88% important report reviews. Meanwhile, in the paper-based CPPT form, the identification review is 97%, the authentication review is 90.5% and the important report review is 100%. In this study, the Mann-Whitney test was used as an alternative to the independent t-test which did not meet the requirements. Mann Whitney test results p-value <0.05 so ha is accepted which means there is a difference in the completeness of the electronic-based and paper-based CPPT forms. \u0000Keywords: Electronic and paper CPPT forms, identification review, authentication review, important report review","PeriodicalId":261208,"journal":{"name":"Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121124865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-31DOI: 10.52943/jipiki.v7i2.702
Khairani, Khairannisa Harefa
Medical Record is a file containing records and documents regarding patient identity, examination, treatment, actions and other services for patients at health care facilities. The factors that affect archive damage can be divided into two, namely intrinsic factors which are the cause of damage originating from the archive object itself, for example the quality of paper and the influence of ink. extrinsic factors are the causes of damage that come from external factors of archive objects, such as physical, biological and chemical environmental factors. cross-sectional approach, that is, each research subject is only observed once and measurements are made on the status of the character or variable of the subject at the time of examination. Intrinsic factors which include paper, ink and adhesive with the amount of damage to medical record documents caused by ink with a total of 89 (29.5%). Extrinsic factors include physical, biological and chemical factors with 72 (23.9%) damage caused by fungi. The conclusion is that the biggest damage is caused by intrinsic factors, namely chemical damage as many as 89 (29.5%) medical record documents
{"title":"Tinjauan Faktor-Faktor Penyebab Terjadinya Kerusakan Dokumen Rekam Medis Rawat Inap Di Rumah Sakit Putri Hijau Medan","authors":"Khairani, Khairannisa Harefa","doi":"10.52943/jipiki.v7i2.702","DOIUrl":"https://doi.org/10.52943/jipiki.v7i2.702","url":null,"abstract":"Medical Record is a file containing records and documents regarding patient identity, examination, treatment, actions and other services for patients at health care facilities. The factors that affect archive damage can be divided into two, namely intrinsic factors which are the cause of damage originating from the archive object itself, for example the quality of paper and the influence of ink. extrinsic factors are the causes of damage that come from external factors of archive objects, such as physical, biological and chemical environmental factors. cross-sectional approach, that is, each research subject is only observed once and measurements are made on the status of the character or variable of the subject at the time of examination. Intrinsic factors which include paper, ink and adhesive with the amount of damage to medical record documents caused by ink with a total of 89 (29.5%). Extrinsic factors include physical, biological and chemical factors with 72 (23.9%) damage caused by fungi. The conclusion is that the biggest damage is caused by intrinsic factors, namely chemical damage as many as 89 (29.5%) medical record documents \u0000 ","PeriodicalId":261208,"journal":{"name":"Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125492742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-31DOI: 10.52943/jipiki.v7i2.950
K. Jayanti, Ratna Frenty Nurkhalim, Ninda Mulya Ike Ardila, B. Pranoto, I. Setyawan, I. Susilowati
Rekam medis rawat jalan dan gawat darurat wajib dilengkapi dan diselesaikan setelah pelayanan kepada pasien hari itu juga. Penelitian ini bertujuan untuk mengetahui penyebab misfile dari aspek manjemen man, method, machine, dan material di RSUD Kabupaten Jombang. Penelitian bersifat deskriptif kuatilatif dengan pendekatan case study. Sampel pada penelitian ini adalah 11 orang petugas. Teknik pengumpulan data yang digunakan adalah lembar kuesioner dan observasi. Hasil penelitian menunjukkan bahwa pada unsur man, ditemukan masalah tidak adanya petugas rekam medis berlatar belakang pendidikan rekam medis dimana hal tersebut juga sebagai pemicu terjadinya misfile di ruang filing, tidak adanya pelatihan untuk petugas rekam medis dikarenakan belum adanya program terkait pelatihan rekam medis di RSUD Kabupaten Jombang, dan petugas belum pernah mendapatkan penghargaan dalam bentuk apapun seperti pujian atau insentif dan hukuman agar termotivasi bekerja lebih baik. Pada unsur method ditemukan masalah tidak adanya pelaksanaan kegiatan penyisiran dokumen rekam medis setiap hari secara berkala oleh petugas untuk mencegah terjadinya misfile. Pada unsur machine ditemukan masalah tidak digunakannya tracer dan outguide. Pada unsur material ditemukan masalah yaitu kode warna di RSUD Kabupaten Jombang tidak diterapkan secara keseluruhan karena kurangnya pengetahuan petugas akan pentingnya kode warna untuk mencegah terjadinya misfile. Dapat disarankan bahwa sebaiknya pimpinan memberikan reward dan punishment, mengikutsertakan pelatihan, menambah item dalam SOP pencarian dokumen rekam medik terkait penyisiran DRM, diterapkannya tracer, dan diberikannya kode warna pada seluruh sampul DRM.
{"title":"Tinjauan Penyebab Terjadinya Misfile Dokumen Rekam Medis Rawat Jalan Di RSUD Kabupaten Jombang Tahun 2020","authors":"K. Jayanti, Ratna Frenty Nurkhalim, Ninda Mulya Ike Ardila, B. Pranoto, I. Setyawan, I. Susilowati","doi":"10.52943/jipiki.v7i2.950","DOIUrl":"https://doi.org/10.52943/jipiki.v7i2.950","url":null,"abstract":"Rekam medis rawat jalan dan gawat darurat wajib dilengkapi dan diselesaikan setelah pelayanan kepada pasien hari itu juga. Penelitian ini bertujuan untuk mengetahui penyebab misfile dari aspek manjemen man, method, machine, dan material di RSUD Kabupaten Jombang. Penelitian bersifat deskriptif kuatilatif dengan pendekatan case study. Sampel pada penelitian ini adalah 11 orang petugas. Teknik pengumpulan data yang digunakan adalah lembar kuesioner dan observasi. Hasil penelitian menunjukkan bahwa pada unsur man, ditemukan masalah tidak adanya petugas rekam medis berlatar belakang pendidikan rekam medis dimana hal tersebut juga sebagai pemicu terjadinya misfile di ruang filing, tidak adanya pelatihan untuk petugas rekam medis dikarenakan belum adanya program terkait pelatihan rekam medis di RSUD Kabupaten Jombang, dan petugas belum pernah mendapatkan penghargaan dalam bentuk apapun seperti pujian atau insentif dan hukuman agar termotivasi bekerja lebih baik. Pada unsur method ditemukan masalah tidak adanya pelaksanaan kegiatan penyisiran dokumen rekam medis setiap hari secara berkala oleh petugas untuk mencegah terjadinya misfile. Pada unsur machine ditemukan masalah tidak digunakannya tracer dan outguide. Pada unsur material ditemukan masalah yaitu kode warna di RSUD Kabupaten Jombang tidak diterapkan secara keseluruhan karena kurangnya pengetahuan petugas akan pentingnya kode warna untuk mencegah terjadinya misfile. Dapat disarankan bahwa sebaiknya pimpinan memberikan reward dan punishment, mengikutsertakan pelatihan, menambah item dalam SOP pencarian dokumen rekam medik terkait penyisiran DRM, diterapkannya tracer, dan diberikannya kode warna pada seluruh sampul DRM.","PeriodicalId":261208,"journal":{"name":"Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123027540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-31DOI: 10.52943/jipiki.v7i2.1023
Shiila Nika Adiffa, Imas Masturoh
APM merupakan mesin pendaftaran secara mandiri yang didalamnya terdapat layar touchscreen, barcode scanner, Printer atau alat tambahan lainnya. Terdapat beberapa masalah terkait penggunaan APM di RSU Pakuwon salah satunya adalah nomor antrian yang tidak bisa dicetak akibat jaringan SIMRS yang error. Keadaan tersebut membuat proses pelayanan yang diperoleh pasien terhambat. Kualitas pelayanan yang diberikan pihak rumah sakit kepada pasien dapat menimbulkan rasa puas pada pasiennya. Kepuasan pasien harus selalu diperhatikan karena mengandung nilai subjektif terhadap kualitas pelayanan yang diberikan. Tujuan dari penelitian ini untuk mengetahui tingkat kepuasan pasien pengguna APM di RSU Pakuwon Sumedang. Jenis penelitian yang dilaksanakan adalah kuantitatif dengan desain penelitian deskriptif. Pengukuran kepuasan menggunakan Metode End User Computing Satisfaction (EUCS) yang dilihat dari 5 dimensi EUCS. Populasi yang digunakan sebanyak 72.364 pasien dan sampel yang diambil sebanyak 110 pasien. Teknik pengumpulan data menggunakan kuesioner. Analisis data menggunakan skor kriterium. Karakteristik responden yang terdapat dalam penelitian ini berdasarkan usia, pendidikan, pekerjaan dan status kepesertaan. Tingkat kepuasan yang didapatkan berdasarkan aspek isi (content) adalah 89,22%, aspek keakuratan (accuracy) 87,60%, aspek tampilan (format) 88,37%, aspek ketepatan waktu (Timeliness) 86,98%, aspek kemudahan pengguna (ease of use) 88,50% serta total kepuasan pasien keseluruhan adalah 84,30%.
{"title":"Gambaran Kepuasan Pasien Terhadap Penggunaan Anjungan Pendaftaran Mandiri (APM) Di RSU Pakuwon Sumedang Tahun 2022","authors":"Shiila Nika Adiffa, Imas Masturoh","doi":"10.52943/jipiki.v7i2.1023","DOIUrl":"https://doi.org/10.52943/jipiki.v7i2.1023","url":null,"abstract":"APM merupakan mesin pendaftaran secara mandiri yang didalamnya terdapat layar touchscreen, barcode scanner, Printer atau alat tambahan lainnya. Terdapat beberapa masalah terkait penggunaan APM di RSU Pakuwon salah satunya adalah nomor antrian yang tidak bisa dicetak akibat jaringan SIMRS yang error. Keadaan tersebut membuat proses pelayanan yang diperoleh pasien terhambat. Kualitas pelayanan yang diberikan pihak rumah sakit kepada pasien dapat menimbulkan rasa puas pada pasiennya. Kepuasan pasien harus selalu diperhatikan karena mengandung nilai subjektif terhadap kualitas pelayanan yang diberikan. Tujuan dari penelitian ini untuk mengetahui tingkat kepuasan pasien pengguna APM di RSU Pakuwon Sumedang. Jenis penelitian yang dilaksanakan adalah kuantitatif dengan desain penelitian deskriptif. Pengukuran kepuasan menggunakan Metode End User Computing Satisfaction (EUCS) yang dilihat dari 5 dimensi EUCS. Populasi yang digunakan sebanyak 72.364 pasien dan sampel yang diambil sebanyak 110 pasien. Teknik pengumpulan data menggunakan kuesioner. Analisis data menggunakan skor kriterium. Karakteristik responden yang terdapat dalam penelitian ini berdasarkan usia, pendidikan, pekerjaan dan status kepesertaan. Tingkat kepuasan yang didapatkan berdasarkan aspek isi (content) adalah 89,22%, aspek keakuratan (accuracy) 87,60%, aspek tampilan (format) 88,37%, aspek ketepatan waktu (Timeliness) 86,98%, aspek kemudahan pengguna (ease of use) 88,50% serta total kepuasan pasien keseluruhan adalah 84,30%.","PeriodicalId":261208,"journal":{"name":"Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127703807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-31DOI: 10.52943/jipiki.v7i2.988
Mei Sryendang Sitorus, Esraida Simanjuntak, Valentina Valentina
Quantitative Analysis is a review of certain parts of the contents of medical records to find deficiencies, especially those related to the documenting of medical records. Coronavirus Disease 2019 (Covid-19) is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARSCoV-2). The purpose of this study is to find out the implementation of the Covid-19 Isolation Room Patient Medical Record Document Review at RSU Imelda Pekerja Indonesia in 2020. The population is all patients treated in the Covid-19 Isolation Room in 2020 as many as 182 people, the study sample is all patients treated in the Covid-19 Isolation Room in October as many as 48 people. The DRM review was conducted on four variables. From the results of the study obtained that the Review of Timeliness of appropriate DRM Returns as much as 35.41%; Review of the Accuracy of Filling out DRM for the exact Opname Warrant Form (SPO) 31.25%, the appropriate IGD Assessment Form 52.08%, the right Medical Resume Form 100%, and the proper Observation Form 66.67%; DRM Readability Review for Opname Warrant Form (SPO) which reads 100%, IGD Assessment Form that reads 77.08%, Medical Resume Form that reads 100%, and Observation Form that reads 72.92%; Drm Completeness Review for Screening Form found in 68.75% of documents, Triage Form found in 77.08% documents, Internal Transfer Form found on 89.58% of documents, Discharge Planning Form found on 81.25% of documents.For General Consent Forms, Inpatient Assessments, CPPT Forms, Observation Forms, and Information and Education Forms are found in all documents that are 100%. It is recommended that the existing SPO socialization prioritizes the accuracy of filling out medical records qualitatively, not limited to the completeness of the form only.
定量分析是对病历内容的某些部分进行审查，以发现不足之处，特别是与病历文件编制有关的不足之处。冠状病毒病2019 (Covid-19)是一种由严重急性呼吸综合征冠状病毒2 (SARSCoV-2)引起的传染病。本研究的目的是了解2020年印度尼西亚伊梅尔达佩克贾RSU隔离室患者病历文件审查的实施情况。人群是2020年在新冠肺炎隔离室接受治疗的所有患者多达182人，研究样本是10月份在新冠肺炎隔离室接受治疗的所有患者多达48人。DRM审查在四个变量上进行。从研究结果中得出，对合适DRM的时效性进行评审的比例高达35.41%;审核准确Opname Warrant Form (SPO)填写DRM的准确率31.25%，正确IGD Assessment Form填写DRM的准确率52.08%，正确Medical Resume Form填写DRM的准确率100%，正确Observation Form填写DRM的准确率66.67%;Opname Warrant Form (SPO)的DRM可读性审核(100%)、IGD Assessment Form(77.08%)、Medical Resume Form(100%)、Observation Form (72.92%);68.75%的文件发现Drm完整性审查筛选表，77.08%的文件发现分诊表，89.58%的文件发现内部转移表，81.25%的文件发现出院计划表。一般同意表、住院病人评估表、CPPT表、观察表以及信息和教育表均可在100%的文件中找到。建议现有的SPO社会化优先考虑填写医疗记录的准确性，而不仅仅局限于表格的完整性。
{"title":"Review Rekam Medis Pasien Ruang Isolasi Covid-19 RSU Imelda Pekerja Indonesia Tahun 2020","authors":"Mei Sryendang Sitorus, Esraida Simanjuntak, Valentina Valentina","doi":"10.52943/jipiki.v7i2.988","DOIUrl":"https://doi.org/10.52943/jipiki.v7i2.988","url":null,"abstract":"Quantitative Analysis is a review of certain parts of the contents of medical records to find deficiencies, especially those related to the documenting of medical records. Coronavirus Disease 2019 (Covid-19) is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARSCoV-2). The purpose of this study is to find out the implementation of the Covid-19 Isolation Room Patient Medical Record Document Review at RSU Imelda Pekerja Indonesia in 2020. The population is all patients treated in the Covid-19 Isolation Room in 2020 as many as 182 people, the study sample is all patients treated in the Covid-19 Isolation Room in October as many as 48 people. The DRM review was conducted on four variables. From the results of the study obtained that the Review of Timeliness of appropriate DRM Returns as much as 35.41%; Review of the Accuracy of Filling out DRM for the exact Opname Warrant Form (SPO) 31.25%, the appropriate IGD Assessment Form 52.08%, the right Medical Resume Form 100%, and the proper Observation Form 66.67%; DRM Readability Review for Opname Warrant Form (SPO) which reads 100%, IGD Assessment Form that reads 77.08%, Medical Resume Form that reads 100%, and Observation Form that reads 72.92%; Drm Completeness Review for Screening Form found in 68.75% of documents, Triage Form found in 77.08% documents, Internal Transfer Form found on 89.58% of documents, Discharge Planning Form found on 81.25% of documents.For General Consent Forms, Inpatient Assessments, CPPT Forms, Observation Forms, and Information and Education Forms are found in all documents that are 100%. It is recommended that the existing SPO socialization prioritizes the accuracy of filling out medical records qualitatively, not limited to the completeness of the form only.","PeriodicalId":261208,"journal":{"name":"Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128976967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-31DOI: 10.52943/jipiki.v7i2.719
Reny Nugraheni, Ananda Muchamad Syaiful
Sistem pencatatan dan pelaporan terpadu puskesmas atau (SP2TP) merupakan kegiatan dan pelaporan data umum, sarana, tenaga dan upaya pelayanan pusat kesehatan di masyarakat. Sistem pencatatan dan pelaporan terpadu puskesmas merupakan sumber pengumpulan data dan informasi ditingkat puskesmas. Tujuan penelitian adalah untuk evaluasi pelaksanaan system pencatatan dan pelaporan terpadu di Puskesmas Pesantren II Kota Kediri Jawa Timur. Desain penelitian menggunakan desain kualitatif dengan pendekatan studi kasus meallui wawancara dan observasi. Kuesioner yang digunakan bertujuan untuk mengetahui input, proses dan output pelaksanaan program puskesmas melalui data primer dan data sekunder. Ketepatan waktu pelaporan adalah penyampaian atau penerimaan menjadi faktor penting dalam arus laporan atas dasar pertimbangan laporan diperlukan untuk bahan pengambilan kebijaksanaan pada saat tertentu atau secara berkala. Keterlambatan penyampaian atau penerimaan laporan akan mengganggu mekanisme pengambilan keputusan.
{"title":"Pelaksanaan Program Sistem Pencatatan dan Pelaporan Terpadu (SP2TP) Puskesmas Pesantren II","authors":"Reny Nugraheni, Ananda Muchamad Syaiful","doi":"10.52943/jipiki.v7i2.719","DOIUrl":"https://doi.org/10.52943/jipiki.v7i2.719","url":null,"abstract":"Sistem pencatatan dan pelaporan terpadu puskesmas atau (SP2TP) merupakan kegiatan dan pelaporan data umum, sarana, tenaga dan upaya pelayanan pusat kesehatan di masyarakat. Sistem pencatatan dan pelaporan terpadu puskesmas merupakan sumber pengumpulan data dan informasi ditingkat puskesmas. Tujuan penelitian adalah untuk evaluasi pelaksanaan system pencatatan dan pelaporan terpadu di Puskesmas Pesantren II Kota Kediri Jawa Timur. Desain penelitian menggunakan desain kualitatif dengan pendekatan studi kasus meallui wawancara dan observasi. Kuesioner yang digunakan bertujuan untuk mengetahui input, proses dan output pelaksanaan program puskesmas melalui data primer dan data sekunder. Ketepatan waktu pelaporan adalah penyampaian atau penerimaan menjadi faktor penting dalam arus laporan atas dasar pertimbangan laporan diperlukan untuk bahan pengambilan kebijaksanaan pada saat tertentu atau secara berkala. Keterlambatan penyampaian atau penerimaan laporan akan mengganggu mekanisme pengambilan keputusan.","PeriodicalId":261208,"journal":{"name":"Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122292899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-26DOI: 10.52943/jipiki.v7i1.712
Raysella Khaulla Miandi, Yuly Peristiowati
Hospital accreditation is a government recognition of hospitals that have met the standards that have been set to get an idea of the extent of meeting hospital standards in Indonesia, so that the quality of service can be accounted for. The purpose of review research is systematic to find out the influence of accreditation in improving the quality of service and patient safety in hospitals. The research design used in this study is Systematic Review. The purpose of this method is to help researchers better understand the background of the research that is the subject of the topic sought and understand why and how the results of the study so that it can be a reference for new research. Independent variables are accreditation and variable dependents, namely the quality of hospital services and the safety of hospital patients. Researchers conducted a search for data through the websites of accessible journal portals such as PubMed, Elsevier, Springer, and Google Schoolar. The results showed after the collection of journals using accredited journal sites such as PubMed, Elsevier, Springer, and Google Schoolar. 496 journals were identified and eligibility criteria were carried out. Then after it was filtered obtained 23 journals, then excluded studies were obtained 3 journals met the exclusion criteria, after that based on inclusion criteria so that the total number of articles eligible for review was 20 articles. Quality improvement in all fields, especially in the field of health, one of which is through Hospital Accreditation towards the quality of International services. In the accreditation system that refers to the Standards of the Joint Commission International (JCI) obtained the most relevant standards related to the quality of hospital services International Patient Safety Goals (international targets of patient safety) which includes six hospital patient safety goals.
{"title":"Pengaruh Akreditasi Untuk Meningkatkan Mutu Pelayanan dan Keselamatan Pasien di Rumah Sakit (Studi Sistematik Review)","authors":"Raysella Khaulla Miandi, Yuly Peristiowati","doi":"10.52943/jipiki.v7i1.712","DOIUrl":"https://doi.org/10.52943/jipiki.v7i1.712","url":null,"abstract":"Hospital accreditation is a government recognition of hospitals that have met the standards that have been set to get an idea of the extent of meeting hospital standards in Indonesia, so that the quality of service can be accounted for. The purpose of review research is systematic to find out the influence of accreditation in improving the quality of service and patient safety in hospitals. The research design used in this study is Systematic Review. The purpose of this method is to help researchers better understand the background of the research that is the subject of the topic sought and understand why and how the results of the study so that it can be a reference for new research. Independent variables are accreditation and variable dependents, namely the quality of hospital services and the safety of hospital patients. Researchers conducted a search for data through the websites of accessible journal portals such as PubMed, Elsevier, Springer, and Google Schoolar. The results showed after the collection of journals using accredited journal sites such as PubMed, Elsevier, Springer, and Google Schoolar. 496 journals were identified and eligibility criteria were carried out. Then after it was filtered obtained 23 journals, then excluded studies were obtained 3 journals met the exclusion criteria, after that based on inclusion criteria so that the total number of articles eligible for review was 20 articles. Quality improvement in all fields, especially in the field of health, one of which is through Hospital Accreditation towards the quality of International services. In the accreditation system that refers to the Standards of the Joint Commission International (JCI) obtained the most relevant standards related to the quality of hospital services International Patient Safety Goals (international targets of patient safety) which includes six hospital patient safety goals.","PeriodicalId":261208,"journal":{"name":"Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114179355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-26DOI: 10.52943/jipiki.v7i1.722
Mordekhai Immanuel Sitorus, Noor Yulia, Puteri Fannya, N. Rumana
Submission of claim files to BPJS Health is carried out every 10th of the month, BPJS Health will provide information whether the claim file is feasible or not. If the claim file is not feasible, it needs to be corrected. The purpose of the research is to describe the role of the coder in filing claims for BPJS Health inpatients at RSUD Dr. R.M. Djoelham Binjai City. The research method used is descriptive method with a quantitative approach. The sample uses 43 claim files returned by BPJS Health in April and May 2021 and also interviews with two coders. Data is collected by using observation with a checklist instrument and interviews with interview guidelines. The result shows that the hospital does not have standard operating procedures related to the submission of BPJS Health claim files, from 276 files (100%) submitted in April and May 2021, there were 233 files (84,42%) that deserve to be claimed and 43 files (15,58%) that were returned (not eligible). The reasons for the return were due to confirmation of diagnosis (18,60%), medical support (25,58%), indications for hospitalization (16,28%), coding (11,63%), purification failure (6,98%) and other causes (20,93%). The roles of the coder in handling claim files are assembling, determining the primary diagnosis code and secondary diagnosis based on ICD-10, determining the code of action (procedure) based on the ICD-9-CM, and coordinating with various internal parties for the completeness of the BPJS Health claim file. Suggestions for hospital to make standard operating procedures related to claim files submission and coders to be more thorough in preparing the complete claim files.
每个月10日向BPJS Health提交索赔文件，BPJS Health将提供索赔文件是否可行的信息。如果索赔文件不可行，则需要进行更正。本研究的目的是描述编码员在RSUD Dr. R.M. Djoelham Binjai City的BPJS健康住院患者的索赔申请中的作用。本研究采用的研究方法是描述性方法与定量方法相结合。样本使用了BPJS Health在2021年4月和5月返回的43份索赔文件，并采访了两名程序员。数据收集的方法是使用检查表工具进行观察，并根据访谈指南进行访谈。结果显示，医院没有BPJS健康索赔文件提交的标准操作程序，在2021年4月和5月提交的276份文件(100%)中，值得索赔的文件有233份(84.42%)，退回的文件有43份(15.58%)(不符合条件)。返诊原因为确诊(18.60%)、医疗支持(25.58%)、住院指征(16.28%)、编码(11.63%)、净化失败(6.98%)及其他原因(20.93%)。编码员在索赔文件处理中的作用是:根据ICD-10确定主要诊断代码和次要诊断代码，根据ICD-9-CM确定行动代码(程序)，协调内部各方以确保BPJS健康索赔文件的完整性。建议医院制定与索赔文件提交相关的标准操作程序，并建议编码员在准备完整的索赔文件时更加彻底。
{"title":"Tinjauan Peranan Koder Dalam Pengajuan Berkas Klaim BPJS Kesehatan Pasien Rawat Inap Di RSUD DR. R.M. Djoelham Kota Binjai","authors":"Mordekhai Immanuel Sitorus, Noor Yulia, Puteri Fannya, N. Rumana","doi":"10.52943/jipiki.v7i1.722","DOIUrl":"https://doi.org/10.52943/jipiki.v7i1.722","url":null,"abstract":"Submission of claim files to BPJS Health is carried out every 10th of the month, BPJS Health will provide information whether the claim file is feasible or not. If the claim file is not feasible, it needs to be corrected. The purpose of the research is to describe the role of the coder in filing claims for BPJS Health inpatients at RSUD Dr. R.M. Djoelham Binjai City. The research method used is descriptive method with a quantitative approach. The sample uses 43 claim files returned by BPJS Health in April and May 2021 and also interviews with two coders. Data is collected by using observation with a checklist instrument and interviews with interview guidelines. The result shows that the hospital does not have standard operating procedures related to the submission of BPJS Health claim files, from 276 files (100%) submitted in April and May 2021, there were 233 files (84,42%) that deserve to be claimed and 43 files (15,58%) that were returned (not eligible). The reasons for the return were due to confirmation of diagnosis (18,60%), medical support (25,58%), indications for hospitalization (16,28%), coding (11,63%), purification failure (6,98%) and other causes (20,93%). The roles of the coder in handling claim files are assembling, determining the primary diagnosis code and secondary diagnosis based on ICD-10, determining the code of action (procedure) based on the ICD-9-CM, and coordinating with various internal parties for the completeness of the BPJS Health claim file. Suggestions for hospital to make standard operating procedures related to claim files submission and coders to be more thorough in preparing the complete claim files.","PeriodicalId":261208,"journal":{"name":"Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127661799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-26DOI: 10.52943/jipiki.v7i1.603
Citra Wiguna Bakti Bakhtiar, S. Rohmah, G. Panuntun
Medical record is an inpatient outpatient treatment that stores important data and very important benefits, one of which is as a basis and guidance in planning and analyzing actions and services that will be provided to patients after checking and treatment. Based on the observations that have been made, it turns out that there are several medical record files that are missing and their placements are swapped from other medical record files, this is because too many medical records are accommodated and the lack of medical recording methods in an effort to minimize the occurrence of inaccuracies in storing medical record files. Efforts to solve the problem are to provide a tracer to the medical record file that has just been taken so that when returning the medical recorder it is not confused in finding and placing the correct medical record file. After applying the tracer system, it turns out that there is an effect of giving a tracer on the accuracy of the medical record file.
{"title":"Pengaruh Pemberian Tracer Terhadap Ketepatan Penyimpanan Berkas Rekam Medis Di RSU Purbowangi","authors":"Citra Wiguna Bakti Bakhtiar, S. Rohmah, G. Panuntun","doi":"10.52943/jipiki.v7i1.603","DOIUrl":"https://doi.org/10.52943/jipiki.v7i1.603","url":null,"abstract":"Medical record is an inpatient outpatient treatment that stores important data and very important benefits, one of which is as a basis and guidance in planning and analyzing actions and services that will be provided to patients after checking and treatment. Based on the observations that have been made, it turns out that there are several medical record files that are missing and their placements are swapped from other medical record files, this is because too many medical records are accommodated and the lack of medical recording methods in an effort to minimize the occurrence of inaccuracies in storing medical record files. Efforts to solve the problem are to provide a tracer to the medical record file that has just been taken so that when returning the medical recorder it is not confused in finding and placing the correct medical record file. After applying the tracer system, it turns out that there is an effect of giving a tracer on the accuracy of the medical record file.","PeriodicalId":261208,"journal":{"name":"Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126277850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-26DOI: 10.52943/jipiki.v7i1.680
A. Fitriani, Adistia Maulidiah
Until now, there is no guarantee that every hospital is able to implement a Hospital Information System (SIRS) properly. Medan Adventist General Hospital has organized SIRS since 2018, but its use is still not optimal. This study aims to determine the factors that influence the use of SIRS with a technology acceptance model approach. The data used is primary data. The total respondents obtained in this study were 197 and the statistical tests used were chi-square and structural equation modeling.. The regression weight test showed that perceived usefulness was only significantly influenced by length of work experience (e = 0.173), and computer facilitation (e = 2.235). Meanwhile, perceived ease of use was only significantly influenced by length of work experience (e = -0.223), ability to operate computers (e = 0.439) and computer facilitation (e = 4.842).
{"title":"Faktor yang Memengaruhi Penggunaan Sistem Informasi Rumah Sakit Berdasarkan Metode Technology Acceptance Model di RSU Advent Kota Medan","authors":"A. Fitriani, Adistia Maulidiah","doi":"10.52943/jipiki.v7i1.680","DOIUrl":"https://doi.org/10.52943/jipiki.v7i1.680","url":null,"abstract":"Until now, there is no guarantee that every hospital is able to implement a Hospital Information System (SIRS) properly. Medan Adventist General Hospital has organized SIRS since 2018, but its use is still not optimal. This study aims to determine the factors that influence the use of SIRS with a technology acceptance model approach. The data used is primary data. The total respondents obtained in this study were 197 and the statistical tests used were chi-square and structural equation modeling.. The regression weight test showed that perceived usefulness was only significantly influenced by length of work experience (e = 0.173), and computer facilitation (e = 2.235). Meanwhile, perceived ease of use was only significantly influenced by length of work experience (e = -0.223), ability to operate computers (e = 0.439) and computer facilitation (e = 4.842).","PeriodicalId":261208,"journal":{"name":"Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115918698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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