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Journal : Jurnal Kajian Ilmiah Kesehatan Dan Teknologi (JKIKT)

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