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Journal : Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)

Tinjauan Faktor Yang Mempengaruhi Waktu Tunggu Pelayanan Pendaftaran Pasien Rawat Jalan Di RS DKT Sidoarjo Zein, Eiska Rohmania; Mujizah, Ahfil
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 9 No. 1 (2024): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v9i1.1599

Abstract

One form of administrative service at the hospital is the medical record service. The problem in the medical record installation at DKT Sidoarjo Hospital is the waiting time for outpatient medical record services. Based on Permenkes RI No.129/Menkes/SK/II/2008 for patient medical record services at outpatient registration, namely > 10 minutes. This study aims to determine the factors that influence the waiting time for medical record services at outpatient registration at DKT Sidoarjo Hospital. The research method is descriptive with instruments in the form of observations and interviews conducted with the head of medical records and medical records officers in the registration section. The results of this study indicate that the factor that greatly influences the waiting time for medical record services at TPPRJ DKT Sidoarjo Hospital is medical record activities, namely the provision of medical records in the storage section. On the Man Factor, namely the number of officers and educational qualifications of officers who are not from medical records. On the Money Factor there are no funds for the education and training of registration officers and no rewards for officers who are disciplined and friendly in service. In the Methode Factor the use of Registration SOP is not optimal. In Material Factors there is no use of tracers on storage racks. On the Machine Factor, namely frequent errors on SIMRS when performing services.
Hubungan Kelengkapan Informasi Medis Dengan Keakuratan Kode Diagnosis Penyakit Pada Dokumen Rekam Medis Rawat Inap di RSU Universitas Muhammadiyah Malang Tahun 2024 Suryandari, Endang Sri Dewi Hastuti; Syajidah, Almira Maryam; Zein, Eiska Rohmania
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 10 No. 2 (2025): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Agustus
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v10i2.1956

Abstract

The completeness of medical information such as the medical assessment sheet, examination results sheet, and medical resume sheet greatly influences the accuracy of the diagnosis code. This study aims was to determine the relationship between the completeness of medical information and the accuracy of disease diagnosis codes at the Muhammadiyah University of Malang Hospital. The research’s design was a quantitative analytical research with a Cross Sectional Study approach. The research population were 1134 inpatient medical records (MR). The sample used were 92 MRs using the systematic sampling technique. The independent variable was the completeness of medical information and the dependent variable was the accuracy of the disease diagnosis code. Data were collected through observation in the coding section and used checklist sheets. The outcome showed the completeness of medical information was 67% and the accuracy of disease diagnosis codes was 72%. The Chi Square test showed a relationship between the completeness of medical information and the accuracy of disease diagnosis codes in the inpatient MR at the University of Muhammadiyah Malang Hospital (p-value < 0.05). It is necessary to evaluate the completeness of filling in medical information in MR continuously to improve the accuracy of disease diagnosis codes.