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All Journal Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Cermin Dunia Kedokteran
Albar, Imamul Aziz
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Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Public Health

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Faktor-Faktor Penyebab Pengembalian Berkas Resume Medis IGD RSCM oleh Verifikator BPJS Kesehatan Habib, Hadiki; Mulyana, Radi Muharris; Albar, Imamul Aziz; Sulistio, Septo
Cermin Dunia Kedokteran Vol 45, No 4 (2018): Cidera Kepala
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (578.818 KB) | DOI: 10.55175/cdk.v45i4.198

Abstract

Pendahuluan: Sejak  dijalankan  tahun  2014,  program  Jaminan  Kesehatan  Nasional  (JKN)  yang  diselenggarakan  oleh  Badan  Penyelenggara Jaminan Sosial (BPJS) Kesehatan terus mengalami perbaikan. Penyebab klaim tidak dapat diproses perlu dianalisis, diidentifikasi, dan diperbaiki, oleh karena itu perlu didentifikasi. Penelitian dilaksanakan di RSCM bulan Januari sampai November 2017, atas data rekam medis, berupa resume medis, hasil koding, dan rincian biaya. Dari 855 resume medis yang gagal verifikasi, diambil sampel 270 berkas secara acak. Sebanyak 215 (79,6%) resume medis dapat dibaca dengan baik, sehingga memudahkan proses telaah. Sebanyak 206 (76,3%) resume medis lengkap. Hampir separuh (49%) kasus tidak gawat darurat. Dari resume medis yang memang melaporkan pengelolaan kasus gawat darurat, hanya 58% diagnosis yang menggambarkan kegawatdaruratan. Masih ada 22,6% koding yang tidak sesuai dengan diagnosis yang tertulis di resume medis.
Rekomendasi Sistem Stroke Pendekatan 8D dalam Penanganan Stroke Iskemik Akut Permana, Affan Priyambodo; Nafisah, Zharifah Fauziyyah; Mesiano, Taufik; Yunus, Reyhan Eddy; Sulistio, Septo; Habib, Hadiki; Mulyana, Radi Muharris; Albar, Imamul Aziz
Majalah Kedokteran Indonesia Vol 71 No 1 (2021): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.71.1-2021-162

Abstract

Stroke is the leading cause of death in Indonesia and leading cause of long-termdisability in the world. Ischemic stroke include 85% of all stroke cases. Ischemic stroke is caused by thromboembolic blockage or arterial stenotic by atherosclerotic plaque. Current practice shows that ischemic stroke can be treated. Treatment using intravenous thrombolytic (IV-tPA) and mechanical thrombectomy will provide better outcomes for the patient. It can be achieved when treated kurang dari 4.5 hours since onset for IV-tPA and kurang dari 6-24 hours for large vessel occlusions using mechanical thrombectomy. However, only a small number of patients can achieve this treatment due to lack of society knowledge about the sign and symptoms, transportation problems, and the stroke management system that has not been well established. Every one minute stroke patient is left untreated, 1.9 millions neurons in the brain are dead. An integrated management of the stroke system can provide better outcomes, lower the length-of-stay of the patients in hospital and reduce the cost spent for treatment. One system that is recommended for managing stroke cases is 8D that consist of detection, dispatch, delivery, door, data, decision, drug/device, and disposition. This system will help health care providers to collaborate through a multidisciplinary system for managing acute ischemic stroke cases comprehensively so that stroke patients can get proper handling and better outcomes.
Co-Authors Hadiki Habib, Hadiki Mesiano, Taufik Mulyana, Radi Muharris Nafisah, Zharifah Fauziyyah Permana, Affan Priyambodo Sulistio, Septo Yunus, Reyhan Eddy