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ANALISIS KELENGKAPAN PENGISIAN DOKUMEN REKAM MEDIS RAWAT INAP DI RUMAH SAKIT : LITERATURE REVIEW Endah Widaningtyas; Fadzli Melani Fitri; Roro Kushartanti; Andri Asmorowati
EMVIRO Jurnal Ilmiah Penelitian Kesehatan Vol 2 No 1 (2022): EMVIRO Jurnal Ilmiah Penelitian Kesehatan
Publisher : STIKES HAKLI Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64857/emviro.v2i1.11

Abstract

Abstract The completeness of filling out the medical record file must reach 100% for 1x24 hours after the patient leaves the hospital. The purpose of this study was to determine the completeness of filling in inpatient medical record documents.This research method is a literature review regarding the completeness analysis of filling out inpatient medical record documents in hospitals. Literature is obtained from searching through an online database, namely Google Scholar. Based on the results of the study, it was found that the completeness of filling out inpatient medical record documents at the hospital for patient identification there were still 3 articles with a percentage of 30%, the completeness of filling out important reports on the patient's DRM there were still 4 articles with a percentage of 40%, completeness of authentication on the patient's DRM was still there. Two articles with a percentage of 20%, and the completeness of the correct documentation is still 1 journal with a percentage of 10% which is said to be still not good, because the number of completeness of filling out medical record documents has not reached 100%. Suggestions for further research It is hoped that this documentation study will be developed and compared with other studies. And the method used is related to the limitations of researchers on data collection in the field due to Covid-19. Keywords : Analysis, Completeness, Medical Record Documents, Hospitalization Abstrak Kelengkapan pengisian berkas rekam medis harus mencapai 100% selama 1x24jam setelah pasien keluar rumah sakit. Tujuan Penelitian ini adalah untuk mengetahui kelengkapan pengisian dokumen rekam medis rawat inap. Metode penelitian ini adalah studi literature (Literature Review) mengenai analisis kelengkapan pengisian dokumen rekam medis rawat inap di rumah sakit. Literature diperoleh dari penelusuran melalui database online yaitu Google Scholar. Berdasarkan hasil penelitian diketahui bahwa Kelengkapan pengisian dokumen rekam medis rawat inap di rumah sakit pada identitifikasi pasien masih ada 3 jurnal dengan presentase 30%, kelengkapan pengisian laporan penting pada DRM pasien masih ada 4 artikel dengan presentase 40%, kelengkapan autentifikasi pada DRM pasien masih ada dua artikel dengan presentase 20%, dan kelengkapan pendokumentasian yang benar masih ada satu artikel dengan presentase 10% yang dikatakan masih kurang baik, karena angka kelengkapan pengisian dokumen rekam medis masih belum mencapai 100%. Diharapkan untuk dapat mengembangkan studi dokumentasi ini dan membandingkan dengan studi lainnya. Serta metode yang digunakan terkait keterbatasan peneliti terhadap pengambilan data dilapangan akibat Covid-19. Kata Kunci : Analisis, Kelengkapan, Dokumen Rekam Medis, Rawat Inap
FAKTOR SANITASI LINGKUNGAN KELUARGA YANG BERHUBUNGAN DENGAN KEJADIAN STUNTING PADA BALITA Roro Kushartanti; Sri Puji Rahayu
EMVIRO Jurnal Ilmiah Penelitian Kesehatan Vol 2 No 1 (2022): EMVIRO Jurnal Ilmiah Penelitian Kesehatan
Publisher : STIKES HAKLI Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64857/emviro.v2i1.15

Abstract

Abstract The low access of families to sanitation facilities is currently the main cause of death in infants and toddlers and contributes more than 80% of infectious diseases, appetite disorders, and digestive tract disorders. Some infectious diseases suffered by infants and toddlers if this condition occurs for a long time can cause weight loss, it will lead to stunting problems. The purpose of this study was to determine the relationship between several factors of family enviromentas sanitation and the incidence of stunting in Toodlers in the working area of Sekaran Health Centre Semarang City. This research method used descriptive research with a cross sectional approach. The sample used in this study amounted 80 responden. Processing and data analysis in this study using Chi Square and Fisher Exact statistical test.The results showed that there was a relationship between the the variable availability of clean water facilities and the incidence of stunting in toddlers (p-value = 0.027), there was a relationship between the variable availability of waste disposal facilities and the incidence of stunting in toddlers (p-value 0.048), there was no relationship between the variables availability of family latrine facilities with the incidence of stunting in toddlers (p-value 0.748), and there is a relationship between the variable availability of wastewater disposal facilities and the incidence of stunting in toddlers (p-value 0.022). Health education is needed to the community, especially mothers, about the importance of maintaining environmental health. Keywords: Stunting, Enviromental Sanitation, Family, Children under five Abstrak Rendahnya akses keluarga terhadap sarana sanitasi saat ini menjadi penyebab kematian utama pada bayi dan balita serta menyumbangkan lebih dari 80% penyakit infeksi, gangguan nafsu makan, dan gangguan saluran pencernaan. Beberapa penyakit infeksi yang diderita bayi dan balita dapat menyebabkan berat badan turun. Jika kondisi ini terjadi dalam waktu yang lama, maka akan dapat mengakibatkan masalah stunting. Tujuan penelitian ini adalah mengetahui hubungan beberapa faktor sanitasi lingkungan keluarga dengan kejadian stunting pada balita di wilayah kerja Puskesmas Sekaran Kota Semarang. Metode penelitian yang digunakan adalah jenis penelitian deskriptif dengan pendekatan Cross Sectional. Sampel yang digunakan dalam penelitian ini berjumlah 81 responden dan dianalisis dengan uji statistik Chi Square dan Fisher Exact. Hasil penelitian menunjukkan bahwa ada hubungan antara variabel ketersediaan sarana air bersih dengan kejadian Stunting pada balita (nilai-p = 0.027), ada hubungan antara variabel ketersediaan sarana pembuangan sampah dengan kejadian Stunting pada balita (nilai-p 0.048), tidak ada hubungan antara variabel ketersediaan sarana jamban keluarga dengan kejadian Stunting pada balita (nilai-p 0.748), dan ada hubungan antara variabel ketersediaan sarana pembuangan air limbah dengan kejadian Stunting pada balita (nilai-p 0.022). Perlu pendidikan kesehatan kepada masyarakat terutama ibu tentang pentingnya menjga kesehatan lingkungan. Kata kunci: Stunting, Sanitasi Lingkungan, Keluarga, Balita
FAKTOR LINGKUNGAN YANG BERHUBUNGAN DENGAN KEBERADAAN JENTIK NYAMUK Karolina Butu; Sri Tjahjowati; Roro Kushartanti
EMVIRO Jurnal Ilmiah Penelitian Kesehatan Vol 2 No 2 (2023): EMVIRO Jurnal Ilmiah Penelitian Kesehatan
Publisher : STIKES HAKLI Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64857/emviro.v2i2.33

Abstract

Perilaku pemberantasan jentik nyamuk dikenal dengan pemberantasan sarang nyamuk (PSN) yang dilakukan dengan cara fisik, biologi, maupun kimiawi. PSN yang dilaksanakan di RW 5 Kelurahan Bulusan terhadap 250 rumah, terdapat 4 rumah positif jentik, dan 2 diantaranya berada di RT IV Kelurahan Bulusan. Tujuan penelitian ini adalah mengetahui beberapa faktor lingkungan yang berhubungan dengan keberadaan jentik nyamuk di RW V Kelurahan Bulusan Kota Semarang. Metode penelitian yang digunakan adalah jenis penelitian observasional dengan pendekatan Cross Sectional. Sampel yang digunakan berjumlah 50 rumah dengan sampel jenuh, dimana semua anggota populasi dijadikan sebagai sampel. Pengolahan dan analisis data dalam penelitian ini menggunakan analisis univariat dan analisis bivariat dengan uji statistik Chi square menggunakan SPSS. Hasil penelitian menunjukkan bahwa ada hubungan antara variabel hubungan pelaksanaan PSN dengan variabel keberadaan jentik (nilai-p = 0,022), tidak ada hubungan antara variabel tempat perindukan dengan keberadaan jentik (nilai-p = 0,571), ada hubungan antara variabel jenis tempat perindukan buatan dengan keberadaan jentik (nilai-p = 0,001), dan ada hubungan antara variabel jenis sampah padat dengan keberadaan jentik (nilai-p = 0,006). Kesimpulan penelitian ini yaitu ada hubungan antara pelaksanaan PSN dengan keberadaan jentik, responden yang tidak melaksanakan PSN secara teratur berpeluang terdapat jentik di rumahnya; tidak ada hubungan antara keberadaan tempat perindukan dengan keberadaan jentik, karena ada atau tidak ada tempat perindukan tetap ditemukan jentik nyamuk di rumah responden; ada hubungan antara jenis tempat perindukan buatan dengan keberadaan jentik, rumah responden yang terdapat tempat perindukan berupa plastik berpeluang terdapat jentik nyamuk; dan ada hubungan antara jenis sampah padat dengan keberadaan jentik, responden yang memiliki sampah padat di rumahnya berpeluang ditemukan jentik nyamuk. Saran bagi masyarakat khususnya warga RT IV lebih memperhatikan kegiatan PSN DBD secara mandiri dan teratur agar dapat mengurangi keberadaan jentik nyamuk dan penularan penyakit akibat vektor dapat ditekan. Kata kunci : Keberadaan jentik nyamuk, Pemberantasan Sarang Nyamuk
Hubungan Higiene Sanitasi dengan Kejadian Kecacingan Siswa Kelas III, IV, V SDN Kecamatan Tuntang Kabupaten Semarang : (Tahun Ajaran 2021/ 2022) Pujiati Pujiati; Roro Kushartanti; Endah Widaningtyas
EMVIRO Jurnal Ilmiah Penelitian Kesehatan Vol 3 No 1 (2023): Oktober : EMVIRO Jurnal Ilmiah Penelitian Kesehatan
Publisher : STIKES HAKLI Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64857/emviro.v3i1.37

Abstract

Based on the 2020 worm survey in Semarang Regency, the prevalence of helminthiasis reached 65%–75% of the total examined samples. A preliminary survey in June 2021 involving 61 students of SDN  showed that 29 children (47.5%) tested positive for worm eggs. This study aimed to identify the relationship between helminthiasis incidence and several risk factors, including hand washing habits, nail hygiene, defecation facilities at home, drinking water habits, type of household flooring, and food hygiene among elementary school students. The research employed a cross-sectional study design, where each subject was observed once and measurements were conducted at the time of examination. The study was carried out in June 2021 at the Gedangan Health Center, Semarang Regency. The study population consisted of grade 3 to 5 students at SDN , totaling 61 individuals, and the research involved the entire population. The analysis revealed that certain variables had significant associations with worm infection incidence. These included hand washing habits before and after eating as well as after defecation, nail hygiene, type of defecation facilities at home, type of household flooring, and food hygiene. In contrast, the habit of drinking water did not show any significant relationship with helminthiasis incidence. To reduce the prevalence of worm infections among elementary school students, several preventive measures were recommended. These included administering treatment to infected children, conducting regular deworming programs, and intensifying health promotion activities related to clean and healthy living behavior (PHBS). In particular, encouraging hand washing with soap before and after defecation was emphasized as a critical preventive practice. Furthermore, the role of school health programs (UKS) should be optimized to enhance children’s awareness of personal hygiene and health. This study highlights the importance of integrated school-based and community interventions to reduce worm infections and promote better health outcomes among students.
Perbandingan Biaya Pelayanan Rawat Inap Peserta BPJS PNS terhadap Peserta PT. Askes PNS di RSUD Semarang Tahun 2022 Tien Anita Sari; Roro Kushartanti; Endah Widaningtyas
EMVIRO Jurnal Ilmiah Penelitian Kesehatan Vol 3 No 1 (2023): Oktober : EMVIRO Jurnal Ilmiah Penelitian Kesehatan
Publisher : STIKES HAKLI Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64857/emviro.v3i1.38

Abstract

The financing of PT ASKES PNS participants in health facilities uses a fee-for-service (FFS) system, where the service provider charges a fee for each action, then ASKES reimburses according to the provisions. However, participants often bear additional costs, especially for VIP treatments. Since January 1, 2014, the National Health Insurance (JKN) program has been implemented with BPJS as the organizer. This study aims to determine the difference in hospitalization rates between BPJS PNS participants and ASKES PNS after policy changes. The research method is in the form of an evaluation survey with a cross sectional approach, using the Independent T-test. The study population was inpatient with indications of typhoid fever. ASKES civil servant data was taken from January to March 2020 as many as 57 patients, while BPJS civil servants January-March 2022 were 72 patients. After the inclusion and exclusion criteria were applied, a final sample of 46 patients was obtained. The results showed that there was a significant difference (p = 0.001) in the average length of stay (ALOS), hospitalization rates, and costs. ALOS ASKES PNS is 4 days, while BPJS PNS is 5 days. The average hospitalization rate for ASKES civil servants is IDR 1,468,124, while BPJS civil servants is IDR 1,494,279. The cost of ASKES civil servant participants is higher (Rp 458,465) than BPJS PNS (Rp 287,889). The conclusion of this study is that there are significant differences in ALOS, tariffs, and fees between ASKES PNS and BPJS PNS. ALOS ASKES is shorter than hospital standards, while BPJS ALOS is according to standards. ASKES hospitalization rates are lower, but the cost is higher. It is recommended that hospitals in the JKN program improve the quality and quality of services.
Beberapa Faktor Risiko yang Berhubungan dengan Kejadian Tuberkulosis pada Anak di Puskesmas Kedungmundu Tahun 2025 Khofifah Indah Nur Khoiriyah; Roro Kushartanti; Nur Gilang F
EMVIRO Jurnal Ilmiah Penelitian Kesehatan Vol 4 No 2 (2025): April : EMVIRO Jurnal Ilmiah Penelitian Kesehatan
Publisher : STIKES HAKLI Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64857/emviro.v4i2.60

Abstract

Tuberculosis remains a global health problem. Based on WHO (World Health Organization) data, Indonesia is the country with the second highest number of TB sufferers in the world. Tuberculosis is transmitted rapidly through the air when an active Tuberculosis sufferer sneezes or coughs. Children are a vulnerable group, especially if there are risk factors around the child. The purpose of this study was to determine the risk factors associated with the incidence of tuberculosis in children at the Kedungmundu Community Health Center. The research method used was analytical observation with a Cross Sectional approach. The sample used in this study was 40 respondents. Data processing and analysis used univariate and bivariate analysis with Chi Square statistical tests using SPSS. The results showed that there was a relationship between contact history (p <0.001), residential density (p <0.001), parental knowledge (p = 0.025) and smoking history (p = 0.025) with the incidence of childhood tuberculosis. In addition, there was no relationship between age (p = 0.111), nutritional status (p = 1.000), immunization status, economic status (p = 0.361), and ventilation (p = 0.152) with the incidence of childhood tuberculosis. The conclusion of this study is that there is a significant relationship between contact history, residential density, parental knowledge and smoking history with the incidence of childhood tuberculosis at the Kedungmundu Community Health Center, Semarang City.
Tinjauan Penerapan Sistem Informasi Manajemen Puskesmas (Simpus) di UPT Puskesmas Medono Kota Pekalongan Tahun 2023 Mediati Mediati; Endah Widaningtyas; Roro Kushartanti; M. Nasrul Latif
EMVIRO Jurnal Ilmiah Penelitian Kesehatan Vol 4 No 2 (2025): April : EMVIRO Jurnal Ilmiah Penelitian Kesehatan
Publisher : STIKES HAKLI Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64857/emviro.v4i2.63

Abstract

The Puskesmas Management Information System (Simpus) is a tool that provides information to support the decision-making process in the implementation of puskesmas management. This study aims to determine the application of Simpus in the Medono Health Center in Pekalongan City based on five management elements, namely man, material, method, money, and machine. This study uses a qualitative descriptive approach with in-depth observation and interview methods, involving five main informants and one source triangulation. The results of the study show that the implementation of Simpus in the registration unit has gone well, but it is not optimal in the PPU poly, dental poly, KIA, and pharmaceutical units. Some of the obstacles found include the unavailability of the Simpus SOPs, limited facilities such as damaged computers at the dental polyclinic, incomplete Simpus application features according to the needs of the unit, and internet network disruptions that cause delays in data input. The conclusion of this study is that the implementation of Simpus at the Medono Health Center has not been optimal. Therefore, it is recommended that the health center provide training to officers related to the use of Simpus and strengthen the management function of the Head of the Puskesmas through periodic monitoring and evaluation so that Simpus can run optimally and support more effective health services.