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All Journal SENTRI: Jurnal Riset Ilmiah Jurnal Pengabdian Masyarakat Bangsa
Amir, Nikmah Ayu Ramadhani
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Tinjauan Pelaksanaan Analisis Rekam Medis di Bangsal Anak Amir, Nikmah Ayu Ramadhani; Lestari, Sri
SENTRI: Jurnal Riset Ilmiah Vol. 4 No. 7 (2025): SENTRI : Jurnal Riset Ilmiah, Juli 2025
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v4i7.4240

Abstract

Medical records are important documents that contain patient identification, examination results, treatments, procedures, and services provided during care. The completeness and consistency of medical record documentation serve as a crucial source of information for hospital management in evaluating and improving the quality of healthcare services. This study aims to review the implementation of medical record analysis in the pediatric ward. A qualitative descriptive method was employed, utilizing data collection techniques that included interviews and observations. Interviews were conducted with medical record analysis staff and the deputy head of the pediatric ward. At the same time, observations were carried out using a checklist on 10 patient medical record files from the pediatric ward in December 2024. The results showed that the implementation of medical record analysis in the pediatric ward was conducted only quantitatively, while qualitative analysis had never been performed. The components of important report completeness and documentation showed a 100% completeness rate. However, in the patient identification section, specifically in gender, and in the authentication section for the nurse’s name, some forms were incomplete, resulting in an overall completeness rate of only 97.5%. The main obstacle in the implementation of the analysis was the transition process from manual medical records to electronic medical records, which required staff to conduct dual quantitative analyses in both formats.
Edukasi Aplikasi Sehat IndonesiaKu (ASIK) Sebagai Upaya Peningkatan Kapasitas Kader Posyandu Bina Bhakti, Kota Surakarta Nurkalis, Undari; Amir, Nikmah Ayu Ramadhani; Ismail, Aem; Veibiani, Nindita Arum
Jurnal Pengabdian Masyarakat Bangsa Vol. 3 No. 5 (2025): Juli
Publisher : Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/jpmba.v3i5.2660

Abstract

Era digital mendorong integrasi data kesehatan berkualitas, namun banyak tantangan yang dihadapi meskipun penting untuk pengambilan keputusan oleh pembuat kebijakan, analis, dan evaluator. Manajemen informasi krusial untuk meningkatkan kualitas layanan kesehatan, dengan sistem informasi kesehatan (SIK) yang mengintegrasikan data, informasi, prosedur, dan SDM untuk mendukung pembangunan kesehatan. Pemanfaatan SIK, seperti Aplikasi Sehat IndonesiaKu (ASIK), menghemat waktu dan meningkatkan akurasi data kesehatan. ASIK, aplikasi terpusat untuk pencatatan dan pemantauan pelayanan kesehatan luar gedung, digunakan oleh tenaga kesehatan primer, termasuk kader Posyandu, untuk mencatat imunisasi, kesehatan bayi dan balita, remaja, usia sekolah, ibu hamil, serta skrining PTM. Kegiatan pengabdiaan bertujuan meningkatkan kemampuan kader Posyandu Bina Bhakti dalam mengelola dan melaporkan data kesehatan melalui edukasi ASIK, mendukung integrasi data dan pelayanan kesehatan yang lebih baik. Metode yang digunakan adalah penyuluhan kepada 12 kader Posyandu Bina Bhakti di Kecamatan Banjarsari, Kota Surakarta, meliputi tahap persiapan (koordinasi, survei, perjanjian) dan pelaksanaan edukasi ASIK (pendaftaran, login, implementasi). Pengukuran pengetahuan dilakukan melalui pre-test dan post-test. Hasil menunjukkan peningkatan pengetahuan yang signifikan, dengan kategori "Baik Sekali" naik dari 50% menjadi 58% setelah edukasi, menegaskan efektivitas intervensi dalam meningkatkan pemahaman kader. Peningkatan pengetahuan ini berkorelasi langsung dengan potensi pemanfaatan ASIK yang optimal, meningkatkan kualitas data kesehatan komunitas.
Co-Authors Ismail, Aem Sri Lestari Undari Nurkalis, Undari Veibiani, Nindita Arum