Eni Siswanti
Akademi Pendidikan Kesehatan Talitakum

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Analisa Kelengkapan Berkas Rekam Medis Pada Bagian Koding Penyakit Di Puskesmas Tuntungan Pancur Batu Yudica Rosalina; Eni Siswanti
Journal of Innovative and Creativity (Joecy) Vol. 5 No. 3 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

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Abstract

Medical records can support improving the quality of health services and providing fast and accurate information, one of these methods and efforts is by implementing disease codes in medical record documents. The assignment of disease codes to medical record documents is guided by the International Classification of Diseases (ICD This type of research is qualitative research with a case study approach. The population in this study were all health workers at the Tuntungan Pancur Batu Community Health Center. The sample is part of the number and characteristics of the population. The research sample took several officers in the medical records unit at the Pancur Batu Community Health Center as research samples. The technique used in taking samples is the Simple Random Sampling technique which is included in Probability Sampling. In random sampling techniques, the population has the same chance of being sampled. The research subjects were the results of coding in medical record files and primary care applications. Research tools and materials used: stationery, notebook, primary care application on computer, ICD 10/Electronic ICD book, smartphone for documentation. The primary data collection method is to use interview techniques, observation, while the secondary data is obtained from reports, notes and analysis of medical record documents. Data processing techniques using observation. Based on the results of the research, there is not much difference between the disease codes given by the officers giving disease codes at the Tuntungan Pancur Batu Community Health Center and the codes contained in ICD 10. However, according to the author, the method of assigning codes at the Community Health Center is very prone to errors because it is not in accordance with WHO.
Analisis Kebutuhan Sumber Daya Manusia Di Tempat Pendaftaran Pasien Rawat Jalan Rumah Sakit Universitas Sumatera Utara Yudica Rosalina; Eni Siswanti
Journal of Innovative and Creativity (Joecy) Vol. 5 No. 3 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

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Abstract

Workload analysis is an effort to calculate the workload on a work unit by adding up all workloads and then dividing it by the individual work capacity per unit of time. The type of research used in this study is descriptive with a qualitative approach, the descriptive research method is a research method that aims to provide an objective picture of a situation. In this study, the researcher conducted a descriptive study of the process in the outpatient registration section of the University of North Sumatra Hospital. Qualitative research methods are research methods used to research natural object conditions where the researcher is the key instrument, data collection techniques are carried out triangulation (combination), data analysis is inductive, and the results of the study emphasize meaning rather than generalization. Qualitative research obtains data based on field conditions experienced by participants/data sources. The research design used in this study is phenomenology. With a phenomenological design, researchers try to find out the meaning of an event for people who experience or are in that situation. The subject of the study is an object, thing, or person who has information to be used as a research variable. Based on the results above, it can be seen that the obstacle from the method factor is that the existing SOP still does not cover all the service procedures for the method factor in registration. The number of outpatient registration officers available at the University of North Sumatra Hospital is 4 core outpatient registration officers. Based on the results of the registration officer estimates above, the appropriate number of registration officers is 6 people, so an additional 2 more people are needed