Claim Missing Document
Check
Articles

Found 8 Documents
Search

Tinjauan Faktor Penyebab Ketidaklengkapan Pengisian Formulir Informed Consent di RSUD Dr. H. Moch Ansari Saleh Banjarmasin Ningsih, Eka Rahma; S, Ravenalla; Lestiani, Novia; anhar, Aus; Imam, Mohammad
Jurnal Formil (Forum Ilmiah) Kesmas Respati Vol 6, No 1 (2021)
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/formil.v6i1.351

Abstract

ABSTRACTCompleteness of filling in the informed consent sheet in the medical record file is very important because it will affect the legal aspects of the medical record and the quality of the medical record so that in filling in the completeness of the data in the informed consent sheet it is necessary to carry out maximum implementation .. RSUD dr. H. Moch. Ansari Saleh Banjarmasin in 2012 showed that the level of incompleteness in the approval of medical treatment in the hospital room (surgery) was below 90% with the May period with a percentage of 46.7%. June with a percentage of 31.7% and 36.6%. The research objective was to determine the factors causing the incompleteness of filling out the informed consent form at RSUD DR. H. Moch Ansari Saleh Banjarmasin. Qualitative research method is descriptive survey. Respondents were 1 gynecologist, 1 head of medical records and 1 reporting officer for emdis records. Collecting data using interviews and observation of informed consent sheets. The results of the study identified the incomplete informed consent form by examining the patient identification component, the information content component, and the patient identification component. As well as identifying the availability of standard operating procedures (SOP) for approval of medical action. Based on the research results, it can be concluded that the informed consent form did not meet the national and standard filling standards in RSUDdr. H. Moch Ansari Saleh Banjarmasin because for the standard of completeness, the informed consent must be 100% complete. The filling of informed consent was not complete 100% in two components, namely the information content component (18.2% complete and 81.7% incomplete) and the patient's authentication component (90.7% completeness and 9.3% incomplete). The factor of incompleteness in filling out the informed consent based on the results of the research carried out was because the responsible doctor did not fill in the informed consent form again, both the content component and the patient authentication component) because he was busy providing services to other patients and there was no training related to filling the informed consent form. Keyword : informed consent, Factors Causing Incompleteness
A REDESAIN TRACER REKAM MEDIS DI PUSKESMAS BONTANG UTARA II KOTA BONTANG: REDESIGN TRACER MEDICAL RECORDS AT PUBLIC HEALTH CENTER BONTANG UTARA II BONTANG CITY) Husin, Husin; Ningsih, Eka Rahma; Syahrul, Syahrul; Bar, Abdul
Journal Health Information Management Indonesian (JHIMI) Vol. 2 No. 3 (2023): Desember (Journal Health Information Management Indonesian)
Publisher : Sekretariat Program Studi Sarjana Terapan Manajemen Informasi Kesehatan Politeknik Indonusa Surakarta.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46808/jhimi.v2i3.144

Abstract

Tracer is one of the important facilities in unit filling. A good tracer has strong materials, the size of the tracer is adjusted to the medical record map, the tracer has an attractive and practical shape when used and the tracer has a contrasting/striking color. The purpose of this study was to produce a new tracer design design at the North Bontang Health Center II Bontang City based on physical aspects, anatomical aspects and content aspects. Research used is Research and Development (R&D). This study has a single variable, namely the redesign of the new Medical Record tracer. The result of this study is the selection of alternative design I, the selection of alternative tracer designs based on feasibility, namely using the assessment rubric then the total respondent values are calculated using the median formula. Alternative tracer design material using PVC (poly vhynil chloride), size which is 29.7 cm long and 13.9 cm wide, combination of green and white colors, Tracer design has a complete anatomy, namely there is a title, logo and name of the institution/government, tracer content items include date, medical record number, patient name, destination poly and borrower.
Pelaksanaan Pendaftaran Pasien Lansia di UPT Puskesmas Belusuh ningsih, Eka rahma; Dedi Uskar; Muhammad Zaini
JOURNAL OF MEDICAL AND HEALTH SCIENCE Vol. 1 No. 2 (2023): December
Publisher : Universitas Muhammadiyah Sidaorjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/anamnetic.v1i2.1591

Abstract

section. Based on the observation results of the preliminary study, the number of patient registration officers is still lacking, the policy implementation of the elderly patient registration flow has not run well and the lack of facilities and infrastructure to support services for elderly patients. This study aims to find out the general overview of the implementation of the registration flow of elderly patients at the Belusuh Health Center. The design of this study uses a qualitative descriptive method, the approach used is a method through interviews and observation with checklist tools. The sampling technique was by the purposive sampling method, with a total of 5 respondents. The results of the research were obtained in the implementation of the service flow for elderly patients at the Velusuh Health Center from the aspect of Human Resources, namely the lack of the number of officers and there are no officers with a background in medical record education in the patient registration section, the Standard Operating Procedure (SOP) already exists but the flow implemented still requires evaluation and the lack of facilities and infrastructure to support services for elderly patients. The results of the study show that the implementation of the elderly patient registration flow is seen from Human Resources, policies and facilities and infrastructure that support elderly patient registration services are still lacking and need to be evaluated.
STUDI DESKRIPTIF PELAKSANAAN SENSUS HARIAN RAWAT INAP RUMAH SAKIT BHAYANGKARA TINGKAT III HOEGENG IMAN SANTOSO BANJARMASIN Yunita, Nirma; Anhar, Aus Al; Ningsih, Eka Rahma
Jurnal Kajian Ilmiah Kesehatan dan Teknologi Vol 7 No 1 (2025)
Publisher : Politeknik Unggulan Kalimantan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52674/jkikt.v7i1.240

Abstract

Inaccurate filling of the daily inpatient census impacts the discrepancy in the hospital's performance (statistics). This study aims to examine the daily inpatient census at Bhayangkara Level III Hospital Hoegeng Iman Santoso Banjarmasin. This research uses a qualitative study with a descriptive approach, collecting data through observation and interviews. The subjects of this study are 7 individuals, including the Head of the Medical Records Unit, the Head of the Care Room, and IT staff. The results show that the implementation of the daily inpatient census involves one person responsible for each care room, while the daily census recap is performed by one person from the medical records department. The quality of census officers has been enhanced through training and socialization on how to manually fill out the inpatient daily census. The last education of the medical record staff responsible for the daily inpatient census recap is a DIII in medical records. The daily manual census recap is done using Microsoft Excel. The machine used for the daily inpatient census meets the needs of the staff. Additionally, there is a Standard Operating Procedure (SOP) for the manual daily census, but none for the SIMRS daily census. The implementation of the manual inpatient daily census does not fully comply with the hospital's SOP, as some staff inconsistently record the census for more than 24 hours. Materials used include Microsoft Excel with a daily census format created by the head of the medical records unit.
Manajemen Kesiapan Rekam Medis Elektronik Di Rumah Sakit TK III DR. R. Soeharsono Banjarmasin Noor, Fatmawati Bakri; Yunita, Nirma; Ningsih, Eka Rahma
Jurnal Kajian Ilmiah Kesehatan dan Teknologi Vol 6 No 1 (2024)
Publisher : Politeknik Unggulan Kalimantan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52674/jkikt.v6i1.130

Abstract

Health facilities are currently required to implement electronic medical records. Minister of Health Regulation Number 24 of 2022 concerning medical records. Every health service facility is required to implement electronic medical records. Therefore, readiness is needed to see the success of implementing RME in hospitals, which is currently still in the process of including forms available at the hospital into SIMRS to be applied. This study aims to determine the readiness of electronic medical records at the TK III Dr.R.Soeharsono Banjarmasin Hospital. This research method uses qualitative research with a descriptive research design. This research instrument uses interview and observation guidelines. The research subjects were the head of medical records, IT officer, inpatient registration officer and outpatient registration officer. The results of this research are that readiness in terms of quantity is adequate and in terms of quality is not yet adequate, readiness in terms of methods, there are no standard operating procedures, readiness in materials, there are no facilities, hardware is not ready and software is not ready, readiness of materials in manual medical records is currently it is still in use and will be transferred in stages, while the electricity or generator and computer network are not yet ready because there are still frequent problems with power outages and network disruptions. Based on the research results, it can be concluded that the readiness to implement electronic medical records at TK III Dr Hospital. R. Soeharsono Banjarmasin is not yet fully ready.
IDENTIFIKASI FAKTOR FAKTOR YANG BERKONTRIBUSI DALAM PENGEMBALIAN REKAM MEDIS DI UPT PUSKESMAS MKG Husin, Husin; Mursid, Mursid; Ningsih, Eka Rahma
Jurnal Kajian Ilmiah Kesehatan dan Teknologi Vol 6 No 2 (2024)
Publisher : Politeknik Unggulan Kalimantan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52674/jkikt.v6i2.161

Abstract

The return of medical records is often not on time at the MK Health Center. The results of the observation showed that 55.45% of medical records were returned late in less than 2x24 hours and 44.55% of medical records were returned within 14x24 hours. This study aims to provide an overview of the factors that play a role in the return of medical records and to identify the occurrence of Incomplete Medical Records (IMR) and Delinquent Medical Records (DMR) at the MK Health Center during the Third Quarter of 2022. The design of this study is more qualitative with a case study design with 4 informants. The selection of research subjects used purposive, while the medical records analyzed were medical records in the third quarter of 2022. Data collection through observation and interviews. The results of the study identified human resource factors, namely lack of discipline, knowledge and motivation of officers and high workload factors in completing and returning medical records on time, as well as standard operating procedure (SOP) factors. The incidence of incomplete medical records (IMR) was 45.92% and delinquent medical records (DMR) was 100% based on medical records returned to the storage room being stored directly without any analysis of the completeness of the filling by the officer.
Optimalisasi Penerapan Rekam Medis Elektronik di Puskesmas Sungai Andai Ningsih, Eka Rahma
Jurnal Kajian Ilmiah Kesehatan dan Teknologi Vol 6 No 2 (2024)
Publisher : Politeknik Unggulan Kalimantan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52674/jkikt.v6i2.166

Abstract

ABSTRACT All health service facilities, including Community Health Centers, must implement Electronic Medical Records in accordance with the provisions no later than 31 December 2023. Optimizing the implementation of electronic medical records, there are still conditions that do not yet meet the aspects of RME implementation, Sungai Anda Public Health Center had implemented the implementation of electronic medical records already in progress in 2024, but it is still being held in a hybrid manner so there is a need to optimize the application of electronic medical records. This research uses descriptive qualitative research, data collection is carried out through interviews and observation. The subjects in this study were 4 people in the categories of Head of Community Health Center, Head of Administration, Head of medical records unit, and Registration Officer. The results of this research from the aspect of human resources in terms of quantity are still insufficient, in terms of quality, training has been provided for personnel who do not have a DIII Medical Records educational background. The hardware aspect is not sufficient for all service sub-units, the software already uses e-pukesmas. Standard operating procedures are not yet available so currently we only use guidelines from the training organizer. In this case, the implementation of electronic medical record services at the Sungai Andai Community Health Center still needs optimization to support the implementation of Electronic Medical Records. Keywords : Optimization, Implementation, Electronic Medical Records
Dengue Hemorrhagic Fever in Jepara Indonesia: Reporting Data From The Discrict Disease Surveillance Wijayanti, Nani Dwi; Ilmi, Laili Rahmatul; Nisak, Umi Khoirun; Widayati, Eka; Pramesti, Febryan Nidya; Ningsih, Eka Rahma
Procedia of Engineering and Life Science Vol. 6 (2024): The 3rd International Scientific Meeting on Health Information Management (3rd ISMoHI
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v6i0.1969

Abstract

Indonesia is a tropical country vulnerable to infectious diseases, including dengue fever caused by mosquito bites. Dengue fever cases are a burden on the world because they can cause death. WHO reported that in May 2024, there were a total of 465 cases in districts/cities in 34 provinces, the national death rate until May 2024 was 777 deaths. Recording a complete medical record can support good disease reporting. This study aims to determine the distribution of dengue fever cases in Jepara district, Central Java in 2023-2024. The method of this study is descriptive. The population is disease reports in 2023 and 2024, and the sample used is the dengue fever disease report for the period January - May 2024 with random sampling techniques. Data imported from Microsoft Access is processed with a stata application and narrated descriptivelyThe number of dengue fever sufferers spread across 16 sub-districts is 3,549 with 1,728 male and 1,821 female sufferers. Of the 16 sub-districts, the highest number is in Pecangaan District 543 cases, and the lowest cases are in Karimunjawa District. The category of patients based on the highest age group in category 1 (0-4 years old) was 2,136 (60.17%), with the highest mortality rate in category 2 (5-14 years old) as many as 12 people and the highest CFR at Kartini Hospital with a total of 19%, namely 12.9% in male patients and 7.24% in female patients. (dengue fever, cases, reporting). Dengue fever, Jepara District, Case Fatality Rate, Age group, Epidemiology