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All Journal Window of Health : Jurnal Kesehatan Jurnal Keperawatan Muhammadiyah Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Jurnal Pengabdian Masyarakat Kesehatan JOURNAL OF SCIENCE AND SOCIAL RESEARCH Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika) Jurnal Kesehatan Tambusai Keraton: Journal of History Education and Culture Open Access Indonesian Journal of Medical Reviews Jurnal Ilmu Kesehatan Insan Sehat Jurnal Suara Pengabdian 45 Al-Hisbah Jurnal Ekonomi Syariah Jurnal Kesehatan Komunitas Indonesia Dedikasi Saintek Jurnal Pengabdian Masyarakat Indonesian Journal of Community Empowerment (IJCE) ABDIMASNU: Jurnal Pengabdian kepada Masyarakat Prosiding Seminar Nasional dan Call For Paper Kebidanan Universitas Ngudi Waluyo Jurnal Kesehatan DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat
Siswati
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Religion Agriculture, Biological Sciences & Forestry Humanities Computer Science & IT Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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Overview of the Implementation of Medical Record Maintenance at Tarakan Hospital Jakarta in 2021: A Qualitative Study Noviliana, Tiara; Siswati; Puteri Fannya; Wiwik Viatiningsih
Open Access Indonesian Journal of Medical Reviews Vol. 2 No. 2 (2022): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v2i2.181

Abstract

A medical record is a file that contains notes and documents about patient identity, examination, treatment, actions, and other services that have been provided to patients. Medical records in carrying out maintenance and protection so that medical records are protected from damage and can facilitate the service process. This study discusses the process or activities of maintaining medical records at the Tarakan Hospital, Jakarta. The purpose of this study was to find out what factors could trigger the occurrence of damage or dangers to the medical record unit and to find out the preventive actions taken by the hospital in protecting medical records. This type of research uses a qualitative descriptive method, which describes the implementation of the maintenance of medical record files in the filing room in 2021. The implementation of medical record maintenance by medical record unit officers, it does not follow the SOP that has been set by Tarakan Hospital Jakarta. Constraints in maintaining medical records are seen from biological, chemical, environmental, and security factors. These obstacles are often the factors that cause damage to medical records such as dust, fire/coal on cigarettes, pests/insects, and chemical liquids and maintenance of medical records at the Tarakan Hospital.
Overview of the Accuracy of Fracture Main Diagnostic Codes in Inpatients at Gatot Soebroto Army Hospital Carono; Siswati; Deasy Rosmala Dewi; Laela Indawati
Open Access Indonesian Journal of Medical Reviews Vol. 2 No. 3 (2022): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v2i3.194

Abstract

Coding activities include the coding of diagnosis and the coding of medical treatment. The important thing that must be considered by medical recorders is the accuracy in giving the diagnosis code. This study aims to determine the accuracy of the main diagnostic code for fractures in inpatients at Gatot Soebroto Army Hospital using ICD-10. This research is an observational study with a descriptive method. The study was conducted at the medical record unit of the Gatot Soebroto Army Central Hospital from October to December 2020. Sampling in this study was carried out using a systematic random sampling technique. The sample in this study was the medical record of patients with a fracture diagnosis at Gatot Soebroto Army Hospital. This study found that standard operating procedures (SOPs) for giving diagnosis codes in general according to ICD-10 at Gatot Soebroto Army Hospital already exist. However, the SOP code for fracture diagnosis is not yet available. Most of the documents (72.88%) had a diagnosis code that did not match the ICD-10. In conclusion, Gatot Soebroto Army Hospital does not yet have a special SOP regarding the diagnosis code for fracture cases. Most fracture diagnosis codes in medical record documents are incorrect. This is probably due to the lack of accuracy of the coder in coding the diagnosis, the absence of an evaluation or audit of the diagnosis coding for fracture cases, and the writing of the diagnosis by doctors being unclear and illegible.
Analysis of Medical Records Unit Employee Workload During the COVID-19 Pandemic at Mitra Masyarakat Hospital, Mimika, Indonesia Raru, Amida Morina; Siswati; Deasy Rosmala Dewi; Nanda Aula Rumana
Open Access Indonesian Journal of Medical Reviews Vol. 3 No. 4 (2023): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v3i4.325

Abstract

The workload of medical record unit staff at a hospital can vary depending on the size and type of hospital, the number of patients, and the internal policies implemented. Medical record unit employees are responsible for collecting, managing, and storing patient medical records. During the COVID-19 pandemic, the workload of employees in the medical records unit greatly increased because there was a surge in patients due to the pandemic. An increase in the number of patients occurred in all hospitals in Indonesia, including Mitra Masyarakat Hospital, Mimika. This study aimed to describe the workload profile of employees in the medical records unit at Mitra Masyarakat Hospital during the COVID-19 pandemic. This research is descriptive observational research. The location of this research is Mitra Masyarakat Hospital, Mimika, Indonesia. The research was conducted from March to August 2021. Data sources were obtained from interviewing informants, observing and measuring workload in the medical record unit before and during the pandemic. The variables measured in this study were available working time, workload standards, supporting task standards, and supporting task factors, as well as the need for human resources in the Mitra Masyarakat Hospital work unit. The results of the study show that the available working time for medical record unit personnel for each section is 1300 hours/year or 78,000 minutes/year. The need for health human resources for the medical record unit is as many as 20 people. There are 9 medical record officers currently owned by RSMM. Thus it can be concluded the number of employees is less when compared to the workload in the medical record unit at Mitra Masyarakat Hospital.
Hubungan Self Care Management Dengan Tekanan Darah Pada Lansia Dengan Hipertensi Siswati; Heni Maryati; Supriliyah Praningsih; Desy Siswi Anjar Sari; Fitri Firranda Nurmalisyah
Jurnal Ilmu Kesehatan Insan Sehat Vol. 13 No. 2 (2025): Jurnal Ilmu Kesehatan Insan Sehat
Publisher : STIKES Intan Martapura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54004/jikis.v13i2.412

Abstract

Pendahuluan: Penatalaksanaan hipertensi pada lansia merupakan tantangan bagi dunia kesehatan mengingat jumlah lansia dengan hipertensi semakin meningkat. Keterlibatan secara langsung dan kemampuan pasien dalam mengelola perawatan diri diharapkan dapat membantu mengendalikan tekanan darah tetap stabil. Tujuan: mengetahui hubungan self care management dengan tekanan darah pada lansia hipertensi, Metode: penelitian menggunakan desain analitik korelasi dengan pendekatan crossectional, populasi lansia dengan hipertensi sejumlah 98 dengan sampel yang memenuhi kriteria inklusi dan eksklusi sejumlah 44, pengumpulan data variabel independent self care management menggunakan kuesioner yang telah diuji validitas dan reliabilitas, variabel dependen tekanan darah diambil dari hasil pengukuran saat posyandu. Analisa data menggunakan spearman rank. Hasil: pengolahan data didapatkan self care management 56,8% responden tergolong kategori baik dan tekanan darah 68,2% tergolong dalam kategori hipertensi ringan, uji spearman rank p=0,067 > 0,05 yang artinya tidak ada hubungan self care management dengan tekanand arah pada lansia hipertensi. Kesimpulan: self care management yang telah dilakukan lansia membutuhkan validasi terkait kondisi kesehatan lansia, yang artinya banyak faktor yang dapat mempengaruhi tekanan darah pada lansia, dalam kondisi ketaatan yang ketat dapat membuat lansia stres yang tidak disadari.  Saran: Perlu mempertimbangkan variabel moderator yang dapat mempengaruhi hubungan antara self care management dengan tekanan darah.
Analysis of the Factors Influencing the Coding Quality in East Java Hospital of Indonesia: Diabetes Mellitus as A Case Study Markam, Hosizah; Ningsih, Kori Puspita; Widjaja, Lily; Nisak, Umi Khoirun; Marzo, Roy Rillera; Siswati
Window of Health : Jurnal Kesehatan Vol 8 No 2 (April 2025)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.v8i2.1702

Abstract

Code precision has received significant attention due to the increased utilization of encoded procedural data. Coding errors have been documented in multiple research investigations. This study aims to assess the variables that affect coding quality. The prevalence of diabetes has increased substantially in the past two decades and is a significant cause of morbidity and mortality. Method: This study was conducted in 2 hospitals in East Java, Indonesia, that were selected through simple random sampling from a population of hospitals meeting the predefined inclusion criteria. The bed capacities of these hospitals are 211, with details of 62 and 149, respectively, for the specialised ones. The sample in this study was 60 medical record files taken randomly in 2022 in the case of diabetes mellitus. The result showed coding quality testing uses six elements: reliability, accuracy, relevancy, timeliness, completeness, and legibility. Data analysis was carried out analytically using the Fisher Exact test. The results of the study from 60 samples showed that four elements were significant out of a total of 6 aspects of coding quality elements. The four essential elements consisted of Accuracy (p=0.001), Reliability (p=0.001), Completeness (p=0.046), and Legibility (p=0.046). Reliability elements also impact coding accuracy or vice versa (p=0.001); Completeness also affects Legibility and vice versa (p=0.046). The odds ratio value of each component shows that Reliability and Accuracy are 8.782, which means that Reliability can increase Accuracy 8 times and vice versa. Meanwhile, completeness and legibility are at 3.818, which means completeness also increases legibility by three times and vice versa. The Hospitals should consider four significant coding quality elements, including completeness, accuracy, reliability, and legibility, for use in coding audits. Timeliness and Relevance were insignificant.
Peran Keluarga dalam Merawat Pasien Lansia Penderita Hipertensi dengan Tekanan Darah Tinggi Maryati , Heni; Supriliyah Praningsih; Fitri Firranda Nurmalisyah; Siswati
Jurnal Keperawatan Muhammadiyah Vol 10 No 4 (2025): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v10i4.30272

Abstract

Objective: Hypertension is a condition of persistently elevated arterial blood pressure and continues to be a major global health problem. The WHO estimates that by 2025, 1.5 billion people will suffer from hypertension, and 10.44 million people are predicted to die from hypertension and its complications each year. The role of the family is crucial in managing hypertension. Families play a crucial role as caregivers in improving the health status of their sick family members, as they play a crucial role in maintaining the health of those with hypertension. This study aimed analyzing the role of family in caring for elderly hypertension on blood pressure Methods: This research is a correlational study with a cross-sectional design using purposive sampling. The subjects were 46 elderly people with hypertension in Puton Village, Diwek District, Jombang Regency, according to the inclusion criteria for the 2025 study. The instruments used were the role of the family in caring for elderly people with hypertension using questionnaires and interviews (food selection, physical activity, stress management, referral to health facilities), and blood pressure measurements. Data were analyzed using coding, editing, tabulation, and scoring, and statistical tests were performed using the Chi Square test. Results: Based on the research results, it was shown that out of 47 respondents, 26 (55.3%) respondents had a not good family role in caring for elderly people with hypertension. Classification of hypertension based on blood pressure values, namely the majority (63.84) in the grade 2 hypertension category. Chi Square test for using SPSS yielded a p value of 0.02 less than 0.05 indicating correlation between the role of family in caring for elderly hypertension on blood pressure Conclusion: The role of the family in motivating the elderly with hypertension through exercise, regulating diet, encouraging them to control their blood pressure and taking medication, and regularly visiting health services can control blood pressure. The greater the role of the family, the better the quality of life of the elderly, which can be seen from the number of elderly whose blood pressure is controlled.
PENGARUH SIKAP PETUGAS TERHADAP KEPATUHAN MENJAGA KEAMANAN DATA REKAM MEDIS ELEKTRONIK DI RSUD TARAKAN Nadri Aulia Fathia; Siswati; Hosizah; Nauri Anggita Temesvari
JOURNAL OF SCIENCE AND SOCIAL RESEARCH Vol. 9 No. 2 (2026): April 2026
Publisher : Smart Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54314/jssr.v9i2.6122

Abstract

One of the factors that plays an important role in maintaining the security of EMR data is the compliance of medical record officers with applicable security procedures. However, in using EMR there are several obstacles such as a lack of skills in using technology so that officers have a dependent attitude in carrying out their duties and limited training provided. This study aims to determine the influence of officer attitudes towards compliance with maintaining the security of electronic medical record data at Tarakan Regional Hospital. The type of research used is quantitative research with a cross-sectional design. The population in this study were all 44 medical record officers. Data collection used a questionnaire with a Likert scale. The univariate data analysis technique used the three box method and bivariate data analysis using the Chi Square test. The results showed that overall the average index of all officer attitude indicators fell into the high (positive) category. In the compliance variable, the average index of all indicators fell into the high (compliant) category. The results of the Chi Square statistical test showed a significant influence between officer attitudes towards compliance with maintaining the security of EMR data at Tarakan Regional Hospital (p-Value 0.000 <0.05).
Co-Authors Ade Herlina Adrestia Rifki Naharani Ahmad Khoiri Aneka TS, Rila Aprilyani, Dea Arum Noti Asep Saepudin Asteria Roswita Kue Basuki, Hyan Oktodia Carono Desy Siswi Anjar Sari Desy Siswi Anjar Sari Desy Siswi Anjar Sari Dewi, Deasy Rosmala Dianita, Eka Mei Dietha Meidia Puspitasari Dina Sonia Dita Nurfatila Erwinto , Fransiskus Fannya, Puteri Fitri Firranda Nurmalinsyah Harina Noviyanti Heni Maryati Heni Maryati Hosizah Hosizah Ike Putri Setyatama Indawati, Laela Irawati, Rika Irma Ismawati Isfaizah Jayawarsa, A.A. Ketut Kala Raani Chandra Guindan Kholis, Anja Hesnia Lalita Mafudiah Latri Lestari Leonita, Reri Setya Lestari, Latri M. Yogi Riyantama Isjoni Maryati , Heni Maryati, Heni Marzo, Roy Rillera Masturoh Mujib Choirul Huda Mumpuni Dwiningtyas Nadri Aulia Fathia Nauri Anggita Temesvari Noviliana, Tiara Novita Surya Putri Noviyanti, Harina Nurfadilah, Amina Nurmalinsyah, Fitri Firranda Nurmalisyah, Fitri Firranda Nurul Hidayah Nurul Hidayah Palar, Maria Catherina Priyanti, Ratna Puji Puspita, Kori Putri, Risma Aliviani Ramadhani, Mu'tyah Putri Raru, Amida Morina Ratna Puji Priyanti Rina Febri Wahyuningsih Riska Susanti Sandik Prayitna Magara Sari, Desy Siswi Anjar Sari, Imelda Yuniken Septiana, Ayun Rizqi septiana, Ayun Rizqi Septiana Setyatama, Ike Putri Setyowati Siti Marisa Sofiyanti, Ida Sonia, Dina Sonia Supriliyah Praningsih Sutrisni Umi Khoirun Nisak Veftisia, Vistra Viatiningsih, Wiwik Widjaja, Lily