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All Journal JURNAL ETIKA KEDOKTERAN INDONESIA JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
Meilia, Putri Dianita Ika
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Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Nursing Public Health

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Buah Simalakama Rekam Medis Elektronik: Manfaat Versus Dilema Etik Meilia, Putri Dianita Ika; Christianto, Gilbert Mayer; Librianty, Nurfanida
Jurnal Etika Kedokteran Indonesia Vol 3, No 2 (2019)
Publisher : Majelis Kehormatan Etik Indonesia PBIDI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (241.269 KB) | DOI: 10.26880/jeki.v3i2.37

Abstract

Rekam medis elektronik (RME) merupakan terobosan teknologi informasi dan komunikasi yang mempermudah penyimpanan rekam medis dalam bentuk data elektronik, sehingga tenaga kesehatan dapat memperoleh informasi pasien dengan mudah, cepat, tanpa terbatas jarak dan waktu, disertai berbagai kemudahan dan manfaat lainnya. RME juga mempermudah pasien untuk mengakses data medisnya sendiri. Walau demikian, terobosan ini juga membuka kemungkinan dilema etik baru, antara lain konfidensialitas informasi, peretasan, potensi ancaman terhadap rapport dokter-pasien, dan gangguan sistem di tengah pelayanan. Suatu RME minimal memiliki dua bentuk pengaman yaitu otentikasi dan otorisasi, di samping enkripsi dan penggunaan penyimpanan cloud. Indonesia perlu membuat panduan keamanan dan standardisasi RME, baik pada fasilitas pelayanan tingkat pertama ataupun di rumah sakit, dan melakukan audit sistem keamanan RME secara rutin. Sebagai dokter dan tenaga kesehatan terdapat beberapa hal yang harus diperhatikan dalam penyelenggaraan RME sehingga manfaat yang diharapkan bagi peningkatan layanan terhadap pasien dapat terwujud.
Strategy to Improve Electronic Medical Certification of Cause of Death at Rumah Sakit Persahabatan, Jakarta, Indonesia Meilia, Putri Dianita Ika; Djasri, Hanevi; Sanjaya, Guardian Yoki
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 2 (2024): August 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i2.420

Abstract

Proper death certification has broad medical and public health benefits. Therefore, death certificates should be completed accurately according to the medical certification of cause of death (MCCD) scheme. To improve the data quality of MCCD, Rumah Sakit Persahabatan (RSP) has implemented an electronic form (e-SMPK) since 2023. Although equipped with a user manual and coordination support system, incomplete and inaccurate e-SMPKs are still found. This study aims to identify interventions that can improve the quality (completeness and accuracy) of e-SMPK in RSP using one action research cycle consisting of 4 stages, i.e., diagnosing, planning, taking, and evaluating action. Qualitative data was collected through focused group discussions and field observations. Quantitative data was collected by comparing the completeness and accuracy of e-SMPKs before and after the intervention agreed upon with the participants. Triangulation of the data was carried out to maintain the credibility of the research. This study found that obstacles to e-SMPK consist of system and regulatory factors, skills, practical tools, and processes. Interventions are implemented by adjusting regulations, providing guidance and training, revising electronic forms, improving coordination, and facilitating consultation and verification to overcome obstacles. An increase in the completeness and accuracy of filling in the e-SMPK elements was obtained, most of which were statistically significant.
Health Risk Assessment in Forensic and Mortuary Services at Persahabatan General Hospital: Identifying and Mitigating Occupational Hazards Ratman, Muhammad Faisal; Meilia, Putri Dianita Ika; Ariningsih, Ariningsih; Mubin, Ma’rifatul
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 1 (2025): April 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i1.540

Abstract

Forensic and mortuary personnel face significant occupational hazards, yet comprehensive health risk assessments in these settings remain limited. This study assessed workplace risks at the Forensic Medicine and Mortuary Unit of Persahabatan General Hospital using the Health Risk Assessment (HRA) framework to recommend effective control measures. Seventeen personnel participated, with data collected through interviews, questionnaires, walk-through surveys, and internal records. Environmental measurements included noise levels (sound level meters), lighting (lux meters), and air quality parameters such as PM2.5, PM10, formaldehyde, and total volatile organic compounds (TVOCs). Ergonomic risks were assessed using REBA and ROSA, while psychosocial risks were analyzed using the SV-NBJSQ. The key risks identified were low back pain, nasopharyngeal carcinoma, leukemia, computer vision syndrome, and irritant contact dermatitis. Contributing factors included manual handling, awkward postures, insufficient lighting, and exposure to formalin. Proposed solutions encompassed introducing ergonomic tools, implementing educational programs, and revising operational guidelines. These interventions aim to reduce workplace hazards, enhance worker safety, and improve overall productivity. This study provides a structured approach for implementing workplace safety interventions, offering a model that can be applied in forensic and mortuary settings globally.
Co-Authors Ariningsih, Ariningsih Christianto, Gilbert Mayer Guardian Yoki Sanjaya Hanevi Djasri Librianty, Nurfanida Mubin, Ma’rifatul Ratman, Muhammad Faisal