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ANALISIS DESKRIPTIF KELENGKAPAN DOKUMEN REKAM MEDIS DI POLI RAWAT JALAN KIA RSUPN DR. CIPTO MANGUNKUSUMO Maimun, Maimun; Sari, Irda
Akrab Juara : Jurnal Ilmu-ilmu Sosial Vol. 6 No. 4 (2021)
Publisher : Yayasan Azam Kemajuan Rantau Anak Bengkalis

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Abstract

Rekam medis adalah berkas yang berisi catatan dan dokumen identitas pasien, hasil pemeriksaan, pengobatan, tindakan dan pelayanan yang telah diberikan. Kelengkapan pengisian berkas rekam medis dapat memudahkan tenaga kesehatan dalam memberikan tindakan atau pengobatan pasien dan dapat dijadikan sebagai sumber informasi yang berguna bagi manajemen rumah sakit dalam menentukan evaluasi serta pengembangan pelayanan kesehatan. Tujuan penelitian ini adalah untuk mengetahui gambaran kelengkapan rekam medis di RSUPN Dr. Cipto Mangunkusumo. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan cek list sesuai dengan Permenkes RI No. 269/Menkes/Per/III/2008 tentang rekam medis. Metode yang digunakan dalam penelitian ini adalah observasi dengan pendekatan cross-sectional dan pengambilan datanya secara retrospektif. Hasil dari penelitian ini menunjukkan bahwa indikator kelengkapan dokumen aspek identifikasi memiliki kelengkapan diatas 85%, kelengkapan dokumen rekam medis aspek laporan penting medis memiliki kelengkapan diatas 80%, sedangkan kelengkapan dokumen rekam medis aspek autentifikasi dokter memiliki kelengkapan sekitar 38%. Hasil penelitian ini diharapkan agar rumah sakit dapat mempertahankan kesadaran dan kedisiplinan petugas yang bertanggung jawab dalam pengisian rekam medis sehingga sesuai dengan prosedur yang telah ditetapkan.
Evaluation of the Effectiveness of the PANGESTU Application Strategy in Optimizing Online Outpatient Reservations at Hospital X Kurniawan, Moh Bagus; Sari, Irda
International Journal of Psychology and Health Science Vol. 3 No. 2 (2025): International Journal of Psychology and Health Science (April - June 2025)
Publisher : Greenation Publisher & Yayasan Global Research National

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/ijphs.v3i2.967

Abstract

The digitization of registration services is part of the modernization of healthcare services to speed up administrative processes and improve patient comfort. Hospital X developed the PANGESTU application as an online reservation system for outpatients. Assessing the effectiveness of the PANGESTU application strategy in optimizing the online reservation process and identifying supporting and inhibiting factors in its implementation. The research used a qualitative descriptive approach through observation, interviews with registration officers, security guards, and patients, as well as documentation over a period of six months. The application speeds up the registration process and makes it easier for patients who are familiar with technology. However, obstacles were encountered, such as digital literacy gaps, the illegibility of reservation data, and the lack of formal training for officers. The success rate of an application is highly dependent on the readiness of human resources and the adaptability of the system to user variations. Data integration and digital education are key factors for optimization. The PANGESTU application has successfully created service efficiency, but it is not yet fully inclusive. Technical optimization, improved digital literacy, and active involvement of human resources are necessary to ensure the sustainability of the system.
Analysis of the Impact of Electronic Medical Record Implementation on Improving the Effectiveness of Health Service at the West Java Provincial Occupational Health Hospital Sari, Irda; Saputra, Chandra
International Journal of Psychology and Health Science Vol. 3 No. 2 (2025): International Journal of Psychology and Health Science (April - June 2025)
Publisher : Greenation Publisher & Yayasan Global Research National

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/ijphs.v3i2.982

Abstract

This study aims to analyze the impact of the implementation of Electronic Medical Records (EMR) on the effectiveness of health services at the West Java Provincial Occupational Health Hospital. The issues raised relate to the effectiveness of the service system, information integration, and the readiness of human resources in facing digital transformation. The method used was a qualitative approach, with data collection techniques through in-depth interviews with health workers, administrative staff, and heads of medical record installations. The results of the study indicate that the implementation of EMR has had a significant impact on improving data access speed, integration between service units, and the accuracy of medical documentation. This system also accelerates administrative processes and clinical actions, reduces the risk of data loss, and strengthens coordination between professions within the hospital environment. However, the implementation of EMR still faces technical challenges such as network disruptions and limitations in supporting infrastructure. From a human resources perspective, adaptation to the new system has been relatively smooth, supported by ongoing training and guidance provided by the hospital. Overall, EMR has proven to be a strategic step toward achieving more efficient, integrated, and data-driven healthcare services in the digital age.
Analysis of the Use of JKN Mobile Applications on the Effectiveness of Registration Queues at RSUD Bandung Kiwari Agustin, Wulan Trie; Sari, Irda
International Journal of Applied and Scientific Research Vol. 2 No. 5 (2024): May 2024
Publisher : MultiTech Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59890/ijasr.v2i5.1967

Abstract

One of the technologies that is developing today is network technology and the internet. The rapid development of information technology has encouraged BPJS Kesehatan to carry out digital innovation by launching a digital application known as the "Mobile JKN" application. This application aims to overcome the problem of registration queues that are often complained about by participants. This study aims to determine the use of the JKN Mobile application on the effectiveness of the registration queue at Bandung Kiwari Hospital, The research method used is a qualitative method with a descriptive approach, with data collection techniques through interviews, observation, and documentation. The source of information in this study came from 1 head of Medical Records and JKN installation and 10 JKN Mobile application users and non-users. Effectiveness measurement through three indicators, namely: accuracy factor, time factor, and service provider style factor. The results showed that the effectiveness of services through the JKN Mobile application at Bandung Kiwari Hospital has not been fully effective because in its use there are still often obstacles or problems found in the application.
TATA KELOLA SISTEM INFORMASI REKAM MEDIS BERBASIS ELEKTRONIK PADA PELAPORAN MORBIDITAS PASIEN RAWAT INAP Alifa Nur Azizah; Azzizah, Wulandari Gustina; Syahidin, Yuda; Sari, Irda
ZONAsi: Jurnal Sistem Informasi Vol. 5 No. 3 (2023): Publikasi artikel ZONAsi: Jurnal Sistem Informasi Periode September 2023
Publisher : Universitas Lancang Kuning

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31849/zn.v5i3.15046

Abstract

Salah satu bentuk pelaporan di rumah sakit adalah pelaporan morbiditas pasien rawat inap (RL 4A), dalam proses pembuatan laporan morbiditas di Rumah sakit umum kebon jati masih mengalami kendala. Salah satu kendala dalam pembuatan laporan RL 4A adalah berkas rekam medis rawat inap yang belum terisi lengkap. Tujuan dari penelitian ini adalah untuk merancang sistem informasi berbasis elektronik untuk pelaporan morbiditas pasien rawat inap di rumah sakit. Dalam pembahasan ini, penelitian menggunakan metode kualitatif dengan pendekatan deskriptif. Untuk mengumpulkan sampel masalah, penulis menggunakan metode observasi dan wawancara. Petugas pelaporan menjadi subjek penelitian, sementara objek penelitian adalah data morbiditas pasien rawat inap. Berdasarkan hasil penelitian di rumah sakit umum kebon jati, menunjukan bahwa proses pembuatan laporan morbiditas rawat inap masih manual menggunakan kertas sensus sehingga pekerjaan menjadi lebih lama dan sering terjadinya keterlambatan penyerahan laporan.
Rancang Bangun Sistem Informasi Surat Keterangan Lahir Menggunakan Metode Waterfall di Rumah Sakit X Saputra, Riska Oktaviani; Syahidin, Yuda; Sari, Irda; Sukmawijaya, Jeri
Jurnal Teknologi Sistem Informasi dan Aplikasi Vol. 6 No. 2 (2023): Jurnal Teknologi Sistem Informasi dan Aplikasi
Publisher : Program Studi Teknik Informatika Universitas Pamulang

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Abstract

A birth certificate issued by the hospital is the letter needed to obtain a baby's birth certificate at the population and civil registry office. At Hospital X, which is currently in the stage of implementing electronic medical records, it was found that there were problems related to the preparation of birth certificates, where delays often occurred and there was a lack of data that had not been included in the birth certificate. The purpose of this study was to design an information system for making birth certificates based on Microsoft Visual Studio 2012 in order to overcome delays and streamline the work of medical staff in making birth certificates. This study uses a descriptive examination technique. The process of collecting data in research through observation and interviews. The technique used in this design is through the waterfall development method and using software design with Data Flow Diagrams (DFD). The results of this system design make medical record management more accurate, effective and efficient in the activities of making birth certificates and processing birth data reports more quickly and precisely.
Desain Tata Kelola Rekam Medis Elektronik Berbasis Teknologi Informasi Dalam Pelayanan Pasien IGD Dengan Metode Agile Anggriani, Mia; Syahidin, Yuda; Sari, Irda; Sukmawijaya, Jeri
Jurnal Teknologi Sistem Informasi dan Aplikasi Vol. 6 No. 3 (2023): Jurnal Teknologi Sistem Informasi dan Aplikasi
Publisher : Program Studi Teknik Informatika Universitas Pamulang

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Abstract

By seeing that there are still problems related to the governance of emergency room patient services at Al-Ihsan Hospital, the problems that occur are due to the registration system often experiencing errors so that when patients register through the emergency room they experience obstacles. This research focuses on the design of information technology-based electronic medical record governance in emergency room patient services. This research was conducted with the aim of improving the quality of emergency room patient services so that patient information is available quickly and easily accessible by medical personnel in need. Agile method with Extreme Programming type is used to design the system to be made by going through the stages of planning, design, coding and testing. Needs analysis is done by conducting interviews and making direct observations, then designing the system using the Unified Modeling Language (UML). After the design stage is complete, the system testing stage is carried out to ensure that all functions can run as expected. The results of the application of this method show that the information technology-based RME governance system in emergency room patient services with the Agile XP method can design information technology governance well able to speed up the data entry process, improve data accuracy and facilitate data access by personnel. The conclusion obtained with this information system can improve IT governance-based information function services that are useful for increasing flexibility and responsiveness in emergency room services and making it easier for medical personnel to process data.
Perancangan Sistem Informasi Ketersediaan Darah Guna Menunjang Tata Kelola Rekam Medis Elektronik dengan Menerapkan Metode Agile Isya, Ghen Maulana; Syahidin, Yuda; Sari, Irda; Sukmawijaya, Jeri
Jurnal Teknologi Sistem Informasi dan Aplikasi Vol. 6 No. 3 (2023): Jurnal Teknologi Sistem Informasi dan Aplikasi
Publisher : Program Studi Teknik Informatika Universitas Pamulang

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Abstract

Electronic medical records are recommended to be implemented in every hospital to facilitate fast data collection and the accuracy of the processed data is correct, but manual data collection still occurs in computerized systems such as entering data into Microsoft excel. The weaknesses in manual medical record data collection are quite a lot even though security is maintained by using a computer such as the length of time for data collection and tends to be incomplete data. The purpose of this research is a practical system in software that can facilitate medical record data collection because manual data entry occurs in the blood availability system at Limijati Mother and Child Hospital. The Agile method is used in this research as a method that involves users into the process of designing information systems that can be tailored to user needs without requiring a long time. Not only the system development method, the black box testing method is used as an application function test. The software used is Microsoft Visual Studio 2012 and Microsoft Access 2016 database. It is hoped that the resulting information system on blood availability can help easy data collection without any erroneous data so that data can be accepted.
Desain Tata Kelola Rekam Medis Elektronik Pelaporan Kasus Tuberculosis dengan Metode RAD (Rapid Application Development) Najmuddin, Muhammad Naufal; Syahidin, Yuda; Sari, Irda
Jurnal Teknologi Sistem Informasi dan Aplikasi Vol. 6 No. 3 (2023): Jurnal Teknologi Sistem Informasi dan Aplikasi
Publisher : Program Studi Teknik Informatika Universitas Pamulang

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Abstract

The current problem in the process of reporting Tuberculosis (TB) cases is the lack of effectiveness and efficiency in data collection and processing, which can hamper TB control efforts. In addition, poorly organized reporting also causes difficulties in monitoring the spread of TB disease and taking appropriate preventive action. The proposed method to address these issues is to apply the Rapid Application Development (RAD) method. This method allows customization and refinement of software according to the needs of users, including medical personnel and public health centers. Rapid and iterative software development, involving key stakeholders. Features that can be implemented in the software include electronic forms for patient data collection, real-time notification of TB disease spread, and structured report generation and data analysis. The results of applying the RAD method to the TB case reporting problem showed significant improvements in the efficiency and effectiveness of data collection, processing, and reporting. The system assists medical personnel in the management and monitoring of TB cases, and provides necessary information to public health centers and the Tuberculosis Disease Control Agency. With the use of RAD-based software, TB case reporting can be done more quickly, accurately, and structured, which in turn will help reduce the spread of TB disease and improve preventive measures.
Tata Kelola Rekam Medis Berbasis Elektronik Pada Kunjungan Harian Pasien Rawat Jalan Menggunakan Metode RAD Pradysta, Linggar Adjie; Syahidin, Yuda; Sari, Irda
Jurnal Teknologi Sistem Informasi dan Aplikasi Vol. 6 No. 4 (2023): Jurnal Teknologi Sistem Informasi dan Aplikasi
Publisher : Program Studi Teknik Informatika Universitas Pamulang

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Abstract

Problems faced in the governance of electronic-based medical records in outpatient daily visits include the lack of governance standards, inconsistencies in data collection, and low interoperability between existing systems. These problems can lead to errors in diagnosis, less efficient treatment, and increased patient safety risks. In order to solve these problems, the RAD (Rapid Application Development) method was proposed as a solution. This method involves a needs analysis phase conducted by listening to stakeholders, identifying existing problems, and designing a suitable solution. The use of the RAD method can provide significant results. After the implementation of the RAD method, the results showed significant improvement. Clear and measurable governance standards have been implemented to ensure consistency and accuracy in data collection. In addition, faster system development is also possible through the implementation of the RAD method, thus overcoming the technical challenges associated with electronic medical records. Overall, the results of applying the RAD method in the governance of electronic-based medical records on daily outpatient visits have successfully addressed the existing problems. This method can be widely applied in clinical practice to improve efficiency, quality of care and patient safety.
Co-Authors Aan Andarwati Abdul Qudus Abdussalaam, Falaah Ade Irma Suryani Adellia Permatasari Hartono Adinda Amalia Nurussyifa Adinda Febryllia Nanda Putri Bintari Aeni, Lafani Nur Agustin, Wulan Trie Ain Sodikin, Risma Nurul Akhmad Setiawan Al Fira Putriyanti Alfina Nur Aini Alifa Nur Azizah Althof, Dzaki Alvi Fahreza Amanda Putri Ghaisani Andara, Yudha Mulya Andini Kusdi Antini Anggriani, Mia Anisha, Selly Puji Annisa Syahwa Renjani Annisa Wijaya, Firgi Any Nurlatifah Ara Ariska Arfiandi ARIYANA ADY WIBAWA Aulia Fabia Aulya, Fajrina Avif Abdul Aziz Az-Zahra Rizky Aulia Azzaidi, Jihad Azzizah, Wulandari Gustina Bunga Efendi Candra Fatihah, Dian Candra Mecca Sufyana Chandra Saputra Cyntia Suci Resma Wati D.yani Dafiq Farhan Nurdias Dendi Setia Dewi Listiawati Astuti Dhiu, Yuliana Angelina Dhiva Sevia Dian Fitriani Diansyah Dilla Oktavitia Sjachrizal Dina Rismawati Divvy Dwi Ariani, Nurul Dwi Handoko Dyah Rizki Dwi Ariani Dzaki Althof Elicukia Elvira Handayani Elvira Handayani, Elvira Fabia, Aulia Fadhil Rifky Saefulloh Fadila, Tiwi Fahmi Ridwan Fahrudin, Hanif Fajrina Aulya Fauzan Mahar Dhika Rahmat Febrian Adiwijaya, Aditya Ferdiansyah, Muhammad Siraz Fika Nur Afifah Fika Nur Afifah Fikri Febriansyah Firgi Annisa Wijaya Franki Franki Ghina Farrah Fadhilah Gunawan, Erix Hafsah Ghina Ghaida Gunawan Hana Viranty Kahdini Hartono, Adellia Permatasari Hasna Latipah Sakinah Heni Kurnia Ningsih Herfiyanti, Leni Herlambang, Muhammad Bayu Hermawan, Putra Pangestu Hernawati, Euis Hidayat, M Taofik Ichsan, Revanza Maulana Ika Novita Sari Ika Rahman Indra Setia Budi Indri Ismawati Inka Rahmawati Iqbal Iskandar Zulkarnain Irfansah Irine Ramadhiane Iswaliyah, Rabialda Isya, Ghen Maulana Jeri Sukmawijaya Jeri Sukmawijaya Jihad Azzaidi Johni S Pasaribu Kesumawaty, Henny Khoirul Ihsan Khoirunnisa, Diana Kirana, Sri Ratu Dewi Kurniawan, Moh Bagus Laowo, Elisabeth Eunike Switenia Loren Dwi Okta Herbiana M Taofik Hidayat Maimun Maimun Maulana, Rifqi Maulidayanti, Rini Meilani, Silvi Milatun Khasanah Moh Rifky Moh. Rizky Adriansyah Muhamad Alfin Alamsyah Muhamad Rizki Muhammad Bayu Herlambang Muhammad Fajar Ramadhan Muhammad Rafiq Rafiuddin Muhammad Siraz Ferdiansyah Muhammad Yasin Mujahidah Kamil, Hanifah MUSYARROFAH, TAMI MUGHNIATUL Nabila Nur Raihanny Ali Nabilla Nur Hasna Nadia Rizki Pratami Najmuddin, Muhammad Naufal Nanda Novyadianti Narjati Soejoto, Nina Nasrulloh Imanudin Nela Noviyanti Neneng Yuniarty Nidaul khasanah Niken Dian Utami Nina Nursolihah Nisa Sri Penti Nisa, Zahira Novi Octaviani Novien Putri R Nunung Mardiah Nunung Mardiah Nur Wahidah, Zahrah Nur’ilmi, Wina Nursolihah, Nina Nurul Aulia Yulianti Nurul Dwi Ariyani Nurul Fadillah Nurul Janah, Suci Amalia Nurussyifa, Adinda Amalia Nur’ilmi, Wina Octaviana, Vina Oktaviana, Rizki Salma Pasaribu, Johni S Penti, Nisa Sri Poni Sapitri Pradysta, Linggar Adjie Pramudita, Cindy Surya Puseng Manik Qori Billqist Aina Yusuf Raden Rakasiwa Wijaya Rahayu, Fitri Mardiani Rahayu, Nisa Rahmat Rahmawati, Risa Luthfiani Raihanny Ali, Nabila Nur Raisa Salsabila Raisa Siti Khoirunnisa Ramadhan, Fadhlurrahman Dwi Ramadhan, Reno Ramdhani, Esa Maulana Ratih Purnama Sari Reno Ramadhan Reza Maulana, Lutfi Rian Rusmana Rima Rismawati Rina Hamidah Rina Kurniawati Rina Kurniawati Rina Marlina Nurjanah Rini Maulidayanti Rini Suwartika Kusumadiarti Rini Tisnawati Risma Nurul Ain Sodikin Rivan Tauvik Rizki Nurarif Faturrahman Rizky Tarenta Sari Rosdiana Lay Here Rukmini Minii Rustiawati, Senja Saefulloh, Fadhil Rifky Saepudin, Shofia Nurjannah Safira Nur Sabrina Safira Wulandari Sakinah Sania Fansilia Sapitri, Poni Saputra, Riska Oktaviani Septiana, Fanny Nur Setyawan, Adhita Arif Sheftyzuani Minur Shofia Nurjannah Saepudin Silvi Meilani Sintya Sisca Nurul Ratnaningrum Siti Insani Siti Silfia Sya'bani Siti Sofi Dzakia Alawiah Siti Wulandari Solihah, Yayu Siti Sri Dewi Wahyuni Sudrartono, Tiris Sukmawijaya, Jeri Supian Supriadi Supriadi, Redi Suyanti Suyanti Syahidin, Yada Syahputra, Ananta Khoirurrizal Syifa Ansori Tarenta Sari, Rizky TONI KURNIA SETIA BUDI Ulfah, Annisa Vahreza, Phahira Han Vina Octaviana Vitaloka, Rosida Wahid Sanjay Wahyu Permana Wina Nur’ilmi Wulan Anggela Yayu Siti Solihah Yuanita Alfa Oma Wele Yuda Syahidin Yudha Mulya Andara Yunengsih, Yuyun Zahra, Faridah Fathimatuz Zilvia, Leziza