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All Journal JAIS (Journal of Applied Intelligent System) Jurnal Kesehatan Vokasional Jurnal Teknik Informatika (JUTIF) Jurnal Kesehatan Tambusai Tedc Journal of Economics, Accounting, Tax and Management
Rahayu, Ayu Hendrati
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Journal : Tedc

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IMPLEMENTASI ALUR DIGITALISASI SCANNING DALAM KEGIATAN REKAM MEDIS ELEKTRONIK DI INSTALASI GAWAT DARURAT (IGD) RSUD AL-IHSAN PROVINSI JAWA BARAT Rahayu, Ayu Hendrati; Ginting, Gerinata; Pitriani, Kania
Jurnal TEDC Vol 17 No 3 (2023): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70428/tedc.v17i3.747

Abstract

Digitization of medical records is a process of switching converting medical record document media into digital documents using scanners. Digitization of medical records is one of the supports in implementing electronic medical records. RSUD Al-Ihsan West Java Province has digitized scanning of the medical record files for the Emergency Installation, which began in 2019. The purpose of this study was to determine the implementation of the digitalization scanning flow in electronic medical record activities at the Emergency Installation of RSUD Al-Ihsan, as well as the obstacles and effort in its process. The research method used is descriptive qualitative method with data collection techniques through observation, interviews and documentation. The subjects in this study were scanning department officers and the object used was the flow of digitizing scanning of medical record files. The results showed that 16% of activities were not in accordance with the digitization flow. There were obstacles, namely there were no fixed procedures, lack of human resources, it took more time to open the staples, dirty scanners, folded medical record files so the files are difficult to read, the scan results are not connected to the SIMRS and the computer's internal memory storage is limited. The efforts he has made are by making regular procedures, adding human resources, routine maintenance for equipment, and uploading scan results periodically to the SIMRS. Researchers suggest that it is increase research seen from the effectiveness of the workload in the digitalization flow process.
TINJAUAN KELENGKAPAN KODE DIAGNOSA PADA JURNAL PASIEN RAWAT INAP TAHUN 2020 GUNA MENUNJANG PELAPORAN RL 4A DI RUMAH SAKIT TK II DUSTIRA Monica, Rizqy Dimas; Pujilestari, Intan; Rahayu, Ayu Hendrati; Ginting, Gerinata
Jurnal TEDC Vol 17 No 2 (2023): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70428/tedc.v17i2.707

Abstract

Berdasarkan studi pendahuluan yang dilakukan oleh penulis pada bulan Februari 2021, diambil dari sampel bulan Januari 2020 sebanyak 3.729 pasien dirawat inap dengan ketidaklengkapan kode diagnosa sebanyak 67 berkas dengan persentase 1,8%, ketidakakuratan kode diagnosa sebanyak 10 berkas dengan persentase 0,3%, dan ketidaktepatan waktu pelaporan sebanyak 67 berkas dengan persentase 1,8%. Tujuan penelitian ini adalah untuk mengetahui kelengkapan kode diagnosa pada jurnal pasien rawat inap tahun 2020 guna menunjang pelaporan rl 4a di Rumah Sakit TK II Dustira. Metode penelitian yang digunakan penulis adalah metode deskriptif dengan pendekatan kuantitatif. Hasil penelitian penulis dari sampel bulan Januari s/d Desember 2020 dengan total 23.006 sampel pasien rawat inap dengan jumlah hari perawatan sebanyak 89.800 hari. Dengan kelengkapan kode diagnosa pasien rawat inap yang terisi lengkap sebanyak 98%, keakuratan kode diagnosa pasien rawat inap sebanyak 99,85%, dan ketepatan waktu pelaporan pasien rawat inap sebanyak 98%, sehingga ketidaklengkapan kode diagnosa mempengaruhi ketepatan waktu pelaporan rl 4a pasien rawat inap tahun 2020. Kesimpulan dari penulis yaitu ketidaklengkapan kode diagnosa, ketidakakuratan kode diagnosa mempengaruhi ketepatan waktu pelaporan rl 4a pasein rawat inap tahun 2020, dimana masih terdapat ketidaklengkapan kode diagnosa mencapai diangka 500 berkas rekam medis. Kata kunci : Kelengkapan, Pelaporan RL 4a, Rawat Inap, Kode Diagnosa
Co-Authors Apnena, Riri Damayanti Gerinata Ginting Haikal, Rafli Iqtait, Musab Marlina, Lusi Monica, Rizqy Dimas Pitriani, Kania Pujilestari, Intan Rochmawati Rochmawati Setiawan, Nadia Meythalia Shakila, Ramilla Sudrajat, Ari wibowo, teguh iman