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PENDEKATAN LEAN HOSPITAL UNTUK MENGIDENTIFIKASI WASTE KRITIS PELAYANAN OBAT DI INSTALASI FARMASI RAWAT JALAN RSUD X MANNA TAHUN 2020 Rahayu, Dinda Sri; Sunarni , Titik; Saptarini, Opstaria
MEDIA ILMU KESEHATAN Vol 9 No 3 (2020): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v9i3.509

Abstract

Background: Lean Hospital is needed in order to hospital can fulfill patient’s needs optimally, can give health service as much as possible to the patient. This research has a purpose for identifying medicine service, waste and the root cause of waste, so than we give reparation suggestion to medicine service that happens in Outpatient Pharmacy Installation of Regional Public Hospital. Objective: Respondent In this study, patients or their families and pharmacy Methods: This research is study case research with qualitative approach. The research stages are doing observation of service process’s flow which is made in value stream mapping, distributing questionnaires of patient’s value and waste, doing interview by 5 why method for knowing the root cause and waste critical. The proposed of improvements is obtained from Head of Hospital Pharmacy Installation. Results: The research result showed that the service medicine process of pharmacy installation has been lean. Waste critical that is obtained, is waste motion 21,1%. Conclusion: The root cause of waste motion is manually, there is a space that separates between rooms, Emergency Installation/ IGD’s service, Outpatient and Inpatient has not been done separately yet. Adding visual management, rearranging the layout of the room is a suggestion for improvements to eliminate waste.
Clarity of Diagnosis Writing and Accuracy of Coding in Heart Failure Based on ICD-10 at Hospital X: Kejelasan Penulisan Diagnosa dan Keakuratan Kodefikasi pada Heart Failure Berdasarkan ICD-10 di Rumah Sakit X Harmanto, Deno; Budiarti, Anggia; Rahayu, Dinda Sri
Procedia of Engineering and Life Science Vol. 7 (2025): Prosiding Seminar Nasional dan Rakernas PORMIKI X
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v7i0.2098

Abstract

It is very important to code the diagnosis of Heart Failure correctly and accurately, inaccuracies in codes are often found in medical record files such as unclear writing of the diagnosis or even incomplete supporting documents and the absence of a 4th character code in the diagnosis of Heart Failure. If coding is not carried out accurately, it will result in errors in disease recording indexes and actions, inaccurate report information data and inaccurate INA-CBG rates. The purpose of this study aims to determine the clarity of writing diagnoses and the accuracy of heart failure coding based on ICD-10 at Rafflesia Hospital, Bengkulu. The type of research is descriptive. The data used are primary data and secondary data which are processed univariately, data collection methods are through interviews and observation. The tool used is a checklist sheet with direct observation of 176 medical record files for the diagnosis of heart disease. Of the 176 medical record files for the diagnosis of Heart Failure, there is clarity in writing the diagnosis on the medical resume, a small number of 56 files (32%) are clear, but the majority of 120 files (68%) are unclear and the accuracy of codes based on ICD-10 is mostly 64 files (36% ) were accurate and as many as 112 files (64%) were inaccurate.
Factors Supporting the Accuracy of External Cause Codes Traffic Accident Injury Cases: Faktor Pendukung Keakuratan Kode External Cause Kasus Cedera Kecelakaan Lalu Lintas Budiarti, Anggia; Harmanto, Deno; Rahayu, Dinda Sri
Procedia of Engineering and Life Science Vol. 7 (2025): Prosiding Seminar Nasional dan Rakernas PORMIKI X
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v7i0.2102

Abstract

Injuries due to traffic accidents are one of the third largest causes of death in Indonesia after HIV/AIDS and TB. Based on WHO data (2015), injuries due to traffic accidents are the main cause of death and disability throughout the world, deaths due to traffic accidents worldwide amounted to 1.25 million in 2013. In Indonesia, injuries due to traffic accidents and deaths occurred has become a very serious problem (Djaja et al, 2016). Based on data from the Traffic Accident Unit of the Bengkulu Police Traffic Unit, in 2019 the number of traffic accidents recorded was 33 cases of serious injuries and 173 minor injuries (Munte et al, 2022). Implementation of external cause coding of traffic accident injury cases is very important to be done accurately, because the coding results external cause can be said to be accurate if it has the 4th and 5th characters. If coding is not carried out accurately it will have an impact on disease and action recording index errors, inaccurate report information data and inaccurate INA-CBG rates. all officers provide external cause coding and it is hoped that the head of the medical records unit will make a policy for filling in external cause codes.