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All Journal Journal of Health Promotion and Behavior Infokes : Jurnal Ilmiah Rekam Medis dan Informasi Kesehatan OVUM : Journal Of Midwifery and Health Sciences Jurnal Pelayanan dan Pengabdian Masyarakat Indonesia Proceeding of International Conference Health, Science And Technology (ICOHETECH) Prosiding Seminar Informasi Kesehatan Nasional Madani: Jurnal Pengabdian Masyarakat dan Kewirausahaan Journal of Economics and Public Health International Journal of Health and Medicine
Nur Rahmawati, Eni
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ANALISIS KARAKTERISTIK PASIEN RAWAT INAP DENGAN HYPERTENSION DI RUMAH SAKIT UMUM ISLAM YAKSSI GEMOLONG TAHUN 2013 Eni Nur Rahmawati
Jurnal Infokes Vol 6 No 1 (2016): INFOKES Volume 6 No 1 Juli 2016
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/infokes.v6i1.96

Abstract

Penelitian ini menggunakan jenis penelitian deskriptif, pengambilan data sampel dengan menggunakan metode observasi pada indeks penyakit dan dokumen rekam medis pasien rawat inap pada lembar masuk dan keluar dengan penyakit hypertension, serta menggunakan pendekatan retrospektif. Identifikasi variabel meliputi jenis kelamin, kelompok umur, cara masuk, cara keluar, lama dirawat, dokter yang merawat, ruang perawatan, status kepulangan dan wilayah. Obyek penelitian adalah indeks penyakit dan dokumen rekam medis pasien rawat inap pada lembar masuk dan keluar dengan diagnosa utama hypertension sebanyak 414 pasien, dengan obyek penelitian diambil secara acak sederhana (simple random sampling) dengan jumlah sampel 81 pasien. Prosentase karakteristik pasien rawat inap dengan penyakit hypertension untuk jenis kelamin perempuan 72%, kelompok umur > 65 tahun 31%, cara masuk dengan keterangan lain-lain 100%, cara keluar atas persetujuan 95%, rata-rata lama dirawat 3 hari, dokter yang merawat pasien dengan prosentase tertinggi dirawat oleh dr. Sigit W, Sp.Pd 39%, ruang perawatan kelas tiga 41%, status kepulangan dengan keterangan sembuh 95% dan wilayah pasien hypertension dari Sumber Lawang 21%. Penelitian ini dapat digunakan untuk meningkatkan wawasan tenaga medis dalam memberikan solusi tentang penanggulangan penyakit atau masalah kesehatanKata kunci : Karakteristik, Pasien Rawat Inap, Hypertensio
TINJAUAN KEAKURATAN KODE SEBAB DASAR KEMATIAN PADA SERTIFIKAT KEMATIAN DI RSUP dr. SOERADJI TIRTONEGORO KLATEN Eni Nur Rahmawati; Sri Lestari
Jurnal Infokes Vol 8 No 2 (2018): Volume 8 No 2 September 2018
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/infokes.v8i2.208

Abstract

AbstrakKeakuratan kode sebab dasar kematian digunakan sebagai pertimbangan dalam pengambilan keputusan di RSUP dr. Soeradji Tirtonegoro Klaten, tetapi belum melaksanakan penentuan kode sebab dasar kematian sesuai dengan ICD-10. Berdasarkan survei awal didapatkan hasil  sertifikat  kematian  pasien 100% lengkap terisi. Sedangkan keakuratan penentuan kode sebab dasar kematian pada sertifikat kematian berdasarkan tabel MMDS di RSUP dr. Soeradji Tirtonegoro Klaten sebesar 90 % tidak akurat dan 10% akurat. Penelitian ini bertujuan untuk mengetahui keakuratan kode sebab dasar kematian pada sertifikat kematian berdasarkan tabel MMDS di RSUP dr. Soeradji Tirtonegoro Klaten. Metode penelitian yang digunakan dalam penelitian ini adalah jenis penelitian deskriptif, dengan pendekatan retrospektif, pengumpulan data menggunakan observasi dan wawancara, teknik sampling yaitu systematic random sampling. Hasil dari pembahasan menunjukkan belum terdapatnya prosedur pencatatan pengisian diagnosis sebab kematian pada sertifikat kematian, belum terdapatnya prosedur pengkodean sebab dasar kematian, prosentase kelengkapan pengisian diagnosis 100% lengkap terisi, prosentase keakuratan kode sebab dasar kematian berdasarkan tabel MMDS 90.32% tidak akurat. Prosentase ketidakakuratan tertinggi yaitu 67.86% disebabkan kesalahan menentukan kode berdasarkan prinsip umum. Faktor yang mempengaruhi ketidaklengkapan pengisian diagnosis sebab kematian yaitu tidak adanya SPO pengisian diagnosis dan urutan penulisan yang belum sesuai ICD-10 oleh dokter. Faktor yang menyebabkan ketidakakuratan kode diagnosis yaitu tidak adanya SPO, penulisan diagnosis dan pengkodean yang belum sesuai aturan ICD-10, dan audit coding. Kesimpulan ketidakakuratan kode lebih tinggi dari kode yang akurat. Saran sebaiknya dibuat SPO pengisian diagnosis sebab kematian bagi dokter, SPO pengkodean sebab dasar kematian bagi staff coder, pelatihan pengkodean sebab dasar kematian, penyediaan MMDS bagi staff coder, dan dilaksanakan kegiatan audit coding.Kata Kunci:  Kelengkapan,   Keakuratan,   Kode  Sebab  Dasar  Kematian,  ICD  10,                      MMDS.AbstractThe accuracy of the basic cause of death code is used as a consideration in decision making at RSUP Dr. Soeradji Tirtonegoro Klaten, but has not yet implemented the determination of the basic cause of death code in accordance with ICD-10. Based on the initial survey, the patient's death certificate was 100% complete. While the accuracy of the determination of the basic cause of death code on the death certificate based on MMDS table at RSUP dr. Soeradji Tirtonegoro Klaten is 90% inaccurate and 10% accurate. This study aims to determine the accuracy of the basic cause of death codes on death certificates and above based on MMDS table at RSUP dr. Soeradji Tirtonegoro Klaten. The research method used in this study is a descriptive type of research, with a retrospective approach, data collection using observation and interviews, sampling technique is systematic random sampling. The results of the discussion showed that there was no procedure for recording the diagnosis of death cause on death certificates, the absence of the basic cause of death coding procedure, the percentage of complete 100% complete filling in the diagnosis, the percentage accuracy of the basic death code based on MMDS table 90.32% inaccurate. The highest inaccuracy percentage is 67.86% due to an error determining code based on general principles. Factors that influence the incompleteness of filling in the diagnosis of the cause of death are the absence of a filling-in SPO diagnosis and the writing order that is not in accordance with the ICD-10 by the doctor. Factors that cause the inaccuracy of the diagnosis code are the absence of SPO, the writing of diagnoses and coding that do not comply with ICD-10 rules, and coding audits. Conclusion code inaccuracies are higher than accurate codes. Suggestions should be made SPO filing in the cause of death diagnosis for doctors, SPO coding for basic cause of death for staff coders, basic cause coding coding training, provision of MMDS for staff coders, and coding coding activities carried out.Keywords: Completeness, Accuracy, Basic Death Cause Code, ICD 10, MMDS.
The Correlation between Writing Medical Terminology Accuracy with the Accuracy of Typhoid Fever Diagnosis Codes for Inpatients Rahmawati, Eni Nur; Yatim, Nurulshyha Md; Hasanah, Pangestuti ‘Ainun; Sari, Sella Yulia
Journal of Economics and Public Health Vol 3 No 2 (2024): Journal of Economics and Public Health: June 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jeph.v3i2.4017

Abstract

The accuracy of writing medical terminology can affect the accuracy of coding because if the code written by the doctor is not clear, the coder will have difficulty determining the diagnosis code and this can hamper the data processing process in the hospital. Based on the results of the initial survey, the level of accuracy in writing medical terminology was 40% and coding accuracy was 80%. This study aims to determine the relationship between the accuracy of writing medical terminology and the accuracy of typhoid fever diagnosis codes. Type of analytical research with a cross-sectional approach design. The total population is 312 documents with a sample of 175 medical record documents. Simple random sampling technique. Observation and interview data collection techniques. This research instrument is an observation guide, interview guide, checklist, and ICD-10. The results of the research on the accuracy of writing medical terminology were 78 documents (44.57%) and the inaccuracy of writing was 97 documents (54.43%). Inaccuracies are due to not being by the writing in ICD-10, namely 14 documents (14.43%), not complying with the list of abbreviations at the hospital 33 documents (34.02%), and inaccuracies due to the use of Indonesian, namely 50 documents (51.55%). The accuracy of typhoid fever case codes was 141 documents (80.57%) and code inaccuracies were 34 documents (19.43%). Inaccuracy due to incorrect assignment of the fourth character code. The results of the chi-square test showed that the p-value was 0.000<0.05, which means there is a relationship between the accuracy of writing medical terminology and the accuracy of the typhoid fever diagnosis code in inpatients at PKU Muhammadiyah Hospital, Surakarta. Suggestions for the head of medical records are to create an SOP or standing procedure regarding writing appropriate and consistent medical terminology by ICD-10 and a list of abbreviations, so that there is agreement between doctors and medical records officers.
Peningkatan Pengetahuan mengenai Analisis Kuantitatif pada Rekam Medis Elektronik di Rumah Sakit Umum Hidayah Boyolali nugraheni, sri wahyuningsih; Eni Nur Rahmawati
Jurnal Pelayanan dan Pengabdian Masyarakat Indonesia Vol. 2 No. 3 (2023): September : Jurnal Pelayanan dan Pengabdian Masyarakat Indonesia
Publisher : Sekolah Tinggi Ilmu Administrasi Yappi Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jppmi.v2i3.609

Abstract

Assessment of the quality of service in hospitals can be done by determining the completeness of filling in medical record documents through quantitative analysis. Quantitative analysis of medical record documents is the study or review of certain parts of the contents of medical records with the aim of finding specific deficiencies related to recording medical records. Quantitative analysis of medical records includes four review components, namely identification review, recording review, reporting review, and authentication review. Rumah Sakit Umum Hidayah Boyolali has implemented electronic medical records since January 2023 in accordance with the mandate of the Republic of Indonesia Minister of Health Regulation Number 24 of 2022 concerning medical records. The aim of PkM activities is to increase the knowledge and abilities of medical record officers regarding quantitative analysis of medical records and electronic medical records at Rumah Sakit Umum Hidayah Boyolali. The PkM implementation method includes material presentation, discussion, clinic and evaluation. The target of PkM consists of 13 medical record officers with the results of PkM being to increase the knowledge and ability of officers in analyzing the completeness of filling in medical records and electronic medical records.  
The Effectiveness of Electronic Health Uptake in Diabetes Mellitus Patients: A Meta-Analysis Rahmawati, Eni Nur; Tamtomo, Didik Gunawan; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Diabetes is a chronic disease in the form of a metabolic disorder characterized by blood sugar levels that exceed normal limits. The cause of the increase in blood sugar levels is the basis for grouping the type of Diabetes. This study aims to examine the effectiveness of the use of electronic health in patients with diabetes mellitus.Subjects and Method: Meta-analysis was carried out using PICO as follows: The population in this study were patients with diabetes mellitus. Intervention in the form of the use of electronic health. Comparison in the form of direct consultation. The outcome is a decrease in HbA1c levels. Meta-analytical studies were applied to this study with electronic data sources: Google Scholar, MEDLINE/PubMed, Science Direct and ProQuest. The article used is a full-text article with a Randomized Control Trial (RCT) study design. There are 9 articles used in this study with a total sample of 1.137 people who were divided into two groups (568 people in the electronic health group and 569 people in the direct consultation group). Articles were analyzed using the Review Manager 5.3 application. The results of this study aim to determine the Standardized Mean difference (SMD) and the heterogeneity of the research sample.Results: There was a high heterogeneity between one experiment and another (I2=91%; P<0.001) so the Random Effect Model (REM) was used. The use of Electronic Health help reduces HbA1c levels with Standardized Mean Different (SMD) by 0.39 compared to direct consultation (SMD= -0.39; 95% CI = -0.79 to -0.01; p=0.050).Conclusion: The use of electronic health help reduces HbA1c levels in diabetes mellitus patients with Standardized Mean Different (SMD) by 0.39 compared to direct consultation.Keywords: Electronic Health, Diabetes Mellitus, HbA1cCorrespondence:Eni Nur Rahmawati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: eninur_rahma@udb.ac.id. Mobile: +6285743748528.Journal of Health Promotion and Behavior (2021), 06(03): 176-187DOI: https://doi.org/10.26911/thejhpb.2021.06.03.02
ANALISIS PEMANFAATAN DATA SENSUS HARIAN RAWAT INAP UNTUK EVALUASI PELAPORAN INDIKATOR RAWAT INAP Rahmawati, Eni Nur; Cahyaningrum, Nopita; Febrianti, Fera; Sari, Sella Yulia
Jurnal Infokes Vol 15 No 1 (2025): Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/infokes.v15i1.4775

Abstract

Sensus Harian Rawat Inap dimanfaatkan untuk pembuatan laporan indikator rawat inap, pengambilan keputusan oleh manajemen rumah sakit, menilai tingkat keberhasilan atau memberikan gambaran tentang keadaan pelayanan di rumah sakit. Indiktor rawat inap merupakan parameter yang digunakan dalam mengetahui kinerja pelayanan rawat inap. Tujuan penelitian untuk mengetahui pemanfaatan data SHRI yang digunakan untuk evaluasi pelaporan indikator rawat inap. Jenis penelitian deskriptif dengan pendekatan retrospektif, metode pengumpulan data dengan observasi dan wawancara. Objek penelitiannya SHRI dan subjeknya petugas analising reporting dan perawat. Hasil penelitian alur dan prosedur pelaksanaan SHRI sudah sesuai SOP, tetapi belum ada SOP cara pengisian SHRI. Analisis data SHRI pada bulan September 2024 terdapat perbedaan data yang belum valid dan lengkap, karena ketidakdisiplinan perawat dalam pengisian SHRI diantaranya jumlah pasien yang tertulis dobel, belum tertulisnya jumlah pasien masuk dan pasien pindahan, tanggal keluar pasien banyak yang kosong sehingga membuat perbedaan data jumlah hari perawatan, lama dirawat dan jumlah pasien keluar hidup dan mati. Data SHRI yang belum valid dan lengkap dapat menyebabkan kesalahan dalam proses perhitungan indikator rawat inap (BOR, LOS, TOI, BTO, GDR, NDR) oleh analising reporting. Input data yang tidak lengkap menyebabkan proses perhitungan indikator rawat inap tidak valid, sehingga output yang dimanfaatkan oleh manajemen rumah sakit untuk evaluasi laporan penggunaan tempat tidur belum tepat dalam pengambilan keputusan kemajuan kualitas pelayanan dan sarana prasarana rumah sakit. Faktor-faktor pelaksanaan SHRI pada material masih menggunakan formulir kertas SHRI, machine belum ada aplikasi SHRI elektronik, methods belum ada SOP cara pengisian SHRI. Saran perlu adanya dukungan manajemen rumah sakit memberikan sosialisasi secara berkala tentang pentingnya kelengkapan pengisian SHRI, merencanakan pembuatan SHRI elektronik dan pembuatan SOP pengisian SHRI agar data lebih lengkap.
Analysis of Parental Assessment of the Usefulness of Expert Systems in Detecting Child Behavioral Disorders Nurhayati Nurhayati; Eni Nur Rahmawati; Imanuel Dwi Anand Sinar Putra; Dimas Rizky Maulana
International Journal of Health and Medicine Vol. 2 No. 2 (2025): April : International Journal of Health and Medicine
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhm.v2i2.369

Abstract

This study discusses the analysis of parental assessment and the usefulness of expert systems in detecting child behavioral disorders using the system usability method scales (SUS). This system is designed to help parents identify behavioral disorders in children efficiently and accurately. The research method includes compiling a questionnaire, collecting data, processing SUS scores, interpreting results, and recommending improvements. The results of this study indicate that this system gets an average SUS score of 82.84, which is included in the Grade A category. This shows a high level of acceptance and good user experience, where users do not experience difficulty in operating the system. In addition, this system managed to maintain its search performance, but improvements are needed in some of its services according to suggestions from respondents.
Designing a Child Behavior Disorder Expert System Database Using the Database Life Cycle Method Nurhayati, Nurhayati; Nur Rahmawati, Eni; Dwi Anand Sinar Putra, Imanuel; Rizky Maulana, Dimas
Proceeding of the International Conference Health, Science And Technology (ICOHETECH) 2024: Proceeding of the 5th International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/icohetech.v5i1.4223

Abstract

Behavioral disorders in children are complex issues that require careful handling in order to avoid affecting their future development. An expert system has been developed to assist parents, teachers, and health professionals in diagnosing and treating various types of behavioral disorders in children. A well-designed database is essential for an effective expert system, ensuring integrity, availability, and optimal performance. This research aims to design a database for an expert system for behavioral disorders in children using the database life cycle method. The study employs relational database design, including conceptual, logical, and physical design and implementation in MySQL DBMS. The results of the study indicate that the database design approach, including conceptual, logical, and physical databases, can produce an efficient database that adheres to the principles of a relational database.
Prediksi Gross Death Rate dan Net Death Rate di Rumah Sakit PKU Muhammadiyah Sukoharjo Tahun 2024-2028 Sri Rahayuningsih, Lilik Anggar; Rahmawati, Eni Nur; Fauziah, Fadhilah Jihan Nur
OVUM : Journal of Midwifery and Health Sciences Vol. 4 No. 2 (2024): OVUM : Journal of Midwifery and Health Sciences
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/ovum.v4i2.4143

Abstract

Prediksi menggambarkan kondisi dimasa yang akan datang sejumlah kegiatan yang terjadi dalam setiap aspek kehidupan. Trend merupakan data yang disusun berdasarkan urutan waktu atau data yang dikumpulkan dari waktu ke waktu. Berdasarkan hasil survey belum pernah dilakukan penelitian tentang trend indikator mortalitas. Penelitian ini bertujuan untuk mengetahui trend indikator Gross Death Rate (GDR) dan Net Death Rate (NDR) tahun 2019-2023. Serta mengetahui prediksi indikator GDR dan NDR tahun 2024-2028. Jenis penelitian deskriptif dengan Pendekatan retrospektif. Metode pengambilan data observasi dan wawancara. Populasi dari data rekapitulasi sensus harian rawat inap tahun 2019-2023. Teknik pengambilan sampel menggunakan teknik sampel jenuh. Instrument penelitian menggunakan pedoman observasi, pedoman wawancara, alat hitung, tabel kerja, alat tulis. Hasil penelitian diperoleh angka GDR pada tahun 2019-2023 tertinggi tahun 2021 dengan hasil 52,65 ‰ tidak ideal, terendah tahun 2022 dengan hasil 15,19 ‰ ideal. Serta angka NDR pada tahun 2019-2023 tertinggi tahun 2021 dengan hasil 48,34 ‰ tidak ideal, terendah tahun 2022 dengan hasil 11,93 ‰ ideal. Hasil trend dan prediksi angka GDR penurunan sebesar (-1,742) setiap tahunnya, hasil trend dan prediksi angka NDR penurunan sebesar (-0,48) setiap tahunnya. Kesimpulan bahwa trend statistik kematian Tahun 2019-2023 terjadi penurunan trend GDR sebesar (-1,742) dan trend NDR sebesar (-0,48). Prediksi statistik kematian tahun 2024-2028 terjadi penurunan pada prediksi GDR dan prediksi NDR. Sebaiknya rumah sakit mempertahankan dan menjaga mutu pelayanan dengan baik karena nilai GDR dan NDR ada yang belum ideal yang ditetapkan oleh Depkes.
ANALISIS KELENGKAPAN KODE DIAGNOSIS CARCINOMA MAMMAE PASIEN RAWAT INAP Rahayuningsih, Lilik Anggar Sri; Utami, Yeni Tri; Rahmawati, Eni Nur; Sari, Sella Yulia
Prosiding Seminar Informasi Kesehatan Nasional 2025: SIKesNas 2025
Publisher : Fakultas Ilmu Kesehatan Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/wjvhw226

Abstract

Penelitian ini bertujuan untuk menganalisis kelengkapan dan keakuratan kode diagnosis kanker payudara (carcinoma mammae) pasien rawat inap di Rumah Sakit, berdasarkan International Statistical Classification of Diseases and Related Health Problems edisi ke-10 (ICD-10) dan International Classification of Diseases for Oncology (ICD-O). Metode yang digunakan adalah deskriptif dengan pendekatan retrospektif terhadap 109 dokumen rekam medis menggunakan teknik total sampling. Data dikumpulkan melalui observasi dan wawancara, kemudian dianalisis secara deskriptif. Hasil penelitian menunjukkan kelengkapan informasi medis topografi mencapai 100%, sedangkan kode morfologi hanya 72%. Namun, tingkat keakuratan menunjukkan 64% kode topografi akurat dan 0% kode morfologi yang akurat. Ketidaklengkapan dan ketidakakuratan disebabkan oleh keterbatasan data pemeriksaan penunjang, kebijakan internal rumah sakit, serta kurangnya pelatihan petugas koding. Kesimpulan dari penelitian ini adalah bahwa sistem pengkodean perlu ditingkatkan melalui pembaruan standar operasional, pelatihan petugas, serta integrasi data penunjang untuk meningkatkan mutu pengelolaan data diagnosis pasien kanker payudara
Co-Authors Bhisma Murti Didik Gunawan Tamtomo Dimas Rizky Maulana Dwi Anand Sinar Putra, Imanuel Fatwa, Sagita Wasilatul Fauziah, Fadhilah Jihan Nur Febrianti, Fera Hasanah, Pangestuti ‘Ainun Imanuel Dwi Anand Sinar Putra Lilik Anggar Sri Rahayuningsih Nopita Cahyaningrum Nugraheni, Sri Wahyuningsih Nurdiyansyah, Andi Karisma Nurhayati Nurhayati Nurhayati Rizky Maulana, Dimas Sari, Sella Yulia SRI LESTARI Utami, Yeni Tri Yatim, Nurulshyha Md