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FAKTOR PENGHAMBAT IMPLEMENTASI REKAM MEDIS ELEKTRONIK DI RSUD TOTO KABILA BONE BOLANGO Pakaya, nur Anisa; Ahmad, Riska; Katili, Rismunandar
Jurnal Kesehatan Tambusai Vol. 6 No. 3 (2025): SEPTEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i3.49161

Abstract

Peraturan Menteri Kesehatan Nomor 24 Tahun 2022 mewajibkan fasilitas kesehatan menerapkan Rekam Medis Elektronik (RME) sebelum 31 Desember 2023. Namun, di RSUD Toto Kabila Kabupaten Bone Bolango, implementasinya belum optimal karena keterbatasan kompetensi tenaga kesehatan, sarana prasarana yang kurang memadai, ketiadaan Standar Operasional Prosedur (SOP) khusus, serta formulir rekam medis yang belum lengkap. Penelitian ini bertujuan mengidentifikasi faktor penghambat implementasi RME di RSUD Toto Kabila. Metode penelitian menggunakan pendekatan kualitatif deskriptif dengan teknik purposive sampling. Data dikumpulkan melalui wawancara mendalam, observasi, dan dokumentasi terhadap enam informan yang terdiri dari kepala rekam medis, petugas rekam medis, dokter, dan staf IT, kemudian dianalisis secara naratif. Hasil penelitian menunjukkan empat hambatan utama: keterbatasan Sumber Daya Manusia (SDM) dalam penggunaan RME, kurangnya perangkat dan jaringan internet yang stabil, belum tersusunnya SOP, dan ketidaklengkapan formulir rekam medis. Kesimpulan keberhasilan implementasi RME memerlukan peningkatan kompetensi SDM, pemenuhan sarana prasarana, penyusunan SOP, dan standarisasi formulir agar pelayanan digital berjalan optimal.
OPTIMALISASI PEMUSNAHAN BERKAS REKAM MEDIS DALAM MENGHADAPI ERA DIGITALISASI DATA RUMAH SAKIT DI RSIA SITTI KHADIJAH GORONTALO Olii, Yogi Triadmo; Antu, Moh. Ichsan A.; Ahmad, Riska
Jurnal Kesehatan Tambusai Vol. 6 No. 3 (2025): SEPTEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i3.49162

Abstract

Perkembangan era digital mendorong rumah sakit untuk beralih dari pengelolaan arsip rekam medis fisik ke sistem Rekam Medis Elektronik (RME). Namun, di RSIA Sitti Khadijah Gorontalo, penumpukan berkas rekam medis yang sudah tidak aktif masih terjadi akibat belum optimalnya pelaksanaan pemusnahan. Kondisi ini menimbulkan keterbatasan ruang penyimpanan, inefisiensi kerja, serta potensi gangguan keamanan dan kerahasiaan data pasien. Penelitian ini bertujuan untuk menganalisis prosedur pelaksanaan, kendala, dan kesiapan rumah sakit dalam optimalisasi pemusnahan berkas rekam medis pada era digitalisasi. Penelitian menggunakan metode deskriptif kualitatif dengan teknik purposive sampling terhadap lima informan, yang terdiri dari kepala instalasi rekam medis, petugas rekam medis, staf IT, dan manajemen. Data diperoleh melalui wawancara mendalam, observasi, dan dokumentasi, lalu dianalisis secara tematik. Hasil penelitian menunjukkan bahwa meskipun prosedur pemusnahan telah diatur melalui SOP, pelaksanaan belum maksimal karena keterbatasan sarana seperti mesin penghancur dokumen, kurangnya SDM khusus, dan minimnya pemahaman petugas terhadap regulasi retensi dan pemusnahan. Kesiapan digitalisasi sudah cukup baik dengan 90% data beralih ke RME, namun masih terdapat formulir manual yang digunakan. Disimpulkan bahwa optimalisasi pemusnahan memerlukan peningkatan fasilitas, penguatan kompetensi SDM, dan penegakan SOP secara konsisten untuk mendukung transformasi digital rumah sakit.
IMPLEMENTASI REKAM MEDIS ELEKTRONIK (RME) RAWAT JALAN DI RSUD TOTO KABILA BONE BOLANGO Fassyalina Khayla Badu; Moh Ichsan Arifin Antu; Riska Ahmad
MOTORIK Jurnal Ilmu Kesehatan Vol 20 No 2 (2025): September
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/motorik.v20i2.1743

Abstract

The implementation of electronic medical records (EMR) as a computerized health information system has become a strategic focus in modernizing hospitals in Indonesia. RSUD Toto Kabila Bone Bolango has adopted this system for outpatient services since early 2025. However, the implementation process still faces several challenges, including limited network infrastructure, uneven staff training, high dependence on IT teams, data input errors, and suboptimal system utilization by medical personnel. This study aims to explore the implementation of EMR at RSUD Toto Kabila and analyze its impact on service efficiency and healthcare worker readiness. The research used a qualitative approach with phenomenological methods and triangulation techniques, including interviews, observation, and documentation. Conducted from April to June 2025, the study involved seven informants: the head of the medical record unit, IT staff, and outpatient medical personnel. The findings show that EMR implementation has had a positive impact on service efficiency, workflow acceleration, and reduced reliance on paper-based records. Nevertheless, structural issues such as unstable connectivity and competency gaps among professions hinder optimal system use. Strategic improvements in cross-professional training and digital culture reinforcement are needed to ensure the sustainability of electronic health information systems in healthcare facilities.
IMPLEMENTASI SISTEM RUJUKAN TERINTEGRASI (SISRUTE) INSTALASI GAWAT DARURAT DI RSUD TOTO KABILA Trilaila Kadir; Riska Ahmad; Moh Ichsan Arifin Antu
MOTORIK Jurnal Ilmu Kesehatan Vol 20 No 2 (2025): September
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/motorik.v20i2.1744

Abstract

The Integrated Referral System (SISRUTE) is a technological innovation in health services designed to accelerate, simplify, and clarify the patient referral process between healthcare facilities electronically. This system plays a crucial role, especially in emergency services that demand rapid and accurate coordination. However, its implementation at RSUD Toto Kabila remains suboptimal. Key issues include the absence of written Standard Operating Procedures (SOP), limited technical training for health personnel, and unstable internet connectivity. This study aims to describe the implementation of SISRUTE at the Emergency Department of RSUD Toto Kabila Bone Bolango and identify obstacles encountered during the process. This is a qualitative study using a phenomenological approach and source triangulation technique. The research was conducted from May to June 2025 involving five informants from medical and administrative personnel. The findings reveal that SISRUTE implementation is still partial and heavily reliant on admission staff, with minimal involvement from doctors and nurses. The application tends to be slow in emergency situations, and the referral flow is not yet standardized. The study concludes that managerial improvements, cross-professional training, and reinforcement of a technology-oriented work culture are essential to ensure effective and sustainable implementation of SISRUTE.
HUBUNGAN KONTROL DIRI DENGAN PERILAKU MENYONTEK SISWA Yovita, Desi; Ahmad, Riska
e-Jurnal Inovasi Pembelajaran Sekolah Dasar Vol 6, No 1 (2018): (Januari-April) e-JIPSD
Publisher : Universitas Negeri Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (705.966 KB) | DOI: 10.24036/e-jipsd.v7i9.5146

Abstract

Cheating behavior is fraud committed by students when doing school assignments, homework and examinations. This study aims to: (1) describe the self-control of students, (2) describe the behavior of cheating students, and (3) test the significance of the relationship of self-control to cheating behavior on students. This study uses quantitative methods with descriptive correlational types. The research subjects were 267 students from SMKN 1 Batusangkar. The instrument used is a self-control questionnaire and cheating behavior questionnaire that has been tested for validity and reliability. Data were analyzed by descriptive statistical techniques and Pearson Product Moment techniques with the help of SPSS for Windows 20. Based on the results of the study showed that: (1) self control in students was in the sufficient category with a percentage of 62.47%, (2) student cheating behavior was in the medium category with a percentage of 77.08%, (3) and there is a significant negative relationship between self-control and cheating behavior on students with a correlation coefficient of -0.336 and a significance level of 0.000.
ANALISIS KELENGKAPAN PENGISIAN INFORMED CONSENT TINDAKAN DEBRIDEMENT PADA PASIEN DIABETES MELLITUS DI RSUD OTANAHA KOTA GORONTALO Mailakay, Viliyanti; Ahmad, Riska; Katili, Rismunandar
Jurnal Kesehatan Tambusai Vol. 6 No. 4 (2025): DESEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i4.50723

Abstract

Rekam medis merupakan salah satu komponen penting dalam mutu pelayanan rumah sakit, termasuk dokumen informed consent sebagai bukti persetujuan tindakan medis. Namun, di RSUD Otanaha Gorontalo masih ditemukan ketidaklengkapan pengisian, khususnya pada pasien Diabetes Mellitus yang menjalani tindakan debridement. Kondisi ini berisiko menurunkan mutu pelayanan, menimbulkan masalah hukum, serta memengaruhi akreditasi rumah sakit. Penelitian ini bertujuan menganalisis tingkat kelengkapan pengisian formulir informed consent tindakan debridement pada pasien Diabetes Mellitus di RSUD Otanaha. Jenis penelitian yaitu mixed method dengan sampel total seluruh formulir informed consent pasien DM debridement pada periode Januari hingga April tahun 2025 sebanyak 71. Data dikumpulkan melalui observasi dokumen menggunakan checklist standar serta wawancara, lalu dianalisis dalam bentuk persentase. Hasil penelitian menunjukkan bahwa komponen identifikasi memiliki kelengkapan tertinggi pada kolom nama pasien sebesar 81,69%, dan ketidaklengkapan tertinggi pada nomor rekam medis sebesar 23,94%; komponen laporan penting memiliki kelengkapan tertinggi pada kolom tindakan kedokteran sebesar 70,42%, dan ketidaklengkapan tertinggi pada kolom alternatif & risiko sebesar 73,24%; komponen autentikasi menunjukkan kelengkapan tertinggi pada tanda tangan penerima informasi sebesar 100%, dan ketidaklengkapan tertinggi pada kolom nama pemberi informasi/dokter sebesar 84,51%; komponen pencatatan yang baik memiliki kelengkapan tertinggi pada kolom tidak ada coretan/tip-ex sebesar 100%, dan ketidaklengkapan tertinggi pada kolom waktu & tanggal sebesar 23,94%. Kesimpulannya, pengisian informed consent tindakan debridement pasien DM di RSUD Otanaha belum memenuhi standar kelengkapan sehingga perlu pembaruan SOP, pelatihan, dan monitoring rutin.
HUBUNGAN KOMUNIKASI EFEKTIF PEREKAM MEDIS DAN INFORMASI KESEHATAN TERHADAP KEPUASAN PASIEN RAWAT JALAN DI RSUD TANI DAN NELAYAN KABUPATEN BOALEMO mohi, anisrawati; Katili, Rismunandar; Ahmad, Riska
Jurnal Kesehatan Tambusai Vol. 6 No. 4 (2025): DESEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i4.50724

Abstract

Komunikasi efektif menjadi salah satu aspek penting dalam pelayanan rumah sakit, khususnya dalam menunjang kepuasan pasien. Penelitian ini bertujuan untuk mengetahui hubungan komunikasi efektif perekam medis dan informasi kesehatan terhadap kepuasan pasien rawat jalan di RSUD Tani dan Nelayan Kabupaten Boalemo. Metode yang digunakan adalah kuantitatif dengan pendekatan cross-sectional. Populasi dalam penelitian ini adalah seluruh pasien rawat jalan yang berjumlah 1.600 orang pada bulan Mei 2025, dengan sampel sebanyak 94 responden yang diambil menggunakan teknik accidental sampling. Teknik pengumpulan data dilakukan melalui kuesioner, observasi, wawancara, dan dokumentasi. Analisis data meliputi analisis univariat dan bivariat menggunakan uji korelasi Spearman. Hasil penelitian menunjukkan bahwa seluruh indicator komunikasi efektif berdasarkan prinsip REACH (Respect, Emphaty, Audible, Clarty, dan Humble) memiliki distribusi kepuasan yang tinggi. Sebanyak 62,8% responden menyatakan sangat puas dan 37,2% puas terhadap penerapan masing-masing prinsip tersebut. Tidak terdapat responden yang merasa kurang puas, tidak puas, atau sangat tidak puas. Uji korelasi Spearman menghasilkan nilai r = 0,977 dan p-value = 0,000 pada seluruh variabel, yang menunjukkan adanya hubungan yang sangat kuat dan signifikan antara komunikasi efektif PMIK dan kepuasan pasien rawat jalan. Kesimpulan dari penelitian ini adalah terdapat hubungan yang sangat kuat dan signifikan antara komunikasi efektif perekam medis dan informasi kesehatan terhadap kepuasan pasien. Diharapkan rumah sakit dapat mempertahankan dan meningkatkan kualitas komunikasi PMIK dengan pasien, terutama melalui penguatan prinsip REACH dalam setiap interaksi pelayanan.
DIGITAL TRANSFORMATION AND TEACHER'S SHIFTING ROLE THE IMPACT ON THE LEARNING ATTITUDE OF STUDENTS (CASE STUDY IN HIGH SCHOOL Bahar, Yolanda; Ahmad, Riska; Nurfarhanah, Nurfarhanah; Ardi, Zadrian
International Journal of Educational Review, Law And Social Sciences (IJERLAS) Vol. 2 No. 6 (2022): November
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/ijerlas.v2i6.449

Abstract

Students with positive learning attitudes have an effect on better learning outcomes than students with negative learning attitudes. The formation of negative learning attitudes in students due to digital transformation and shifts in the role of teachers, causing moral and personality degradation of students, lazy to learn and do assignments, passive or inactive in learning, unable to use technology wisely and there is an imbalance or disconnection of the process. learn how to teach. The purpose of this study was to analyze the learning attitudes of students due to digital transformation and shifts in the role of teachers, by focusing on three main components of attitudes, namely cognitive, affective and conative.The method used in this study is a qualitative method with a case study research model that examines students' learning attitudes. The data collection technique used is by observing students, interviewing three students, homeroom teacher, BK teacher and school principal, as well as analyzing documents obtained from schools. The data were analyzed through three stages, namely data reduction, data presentation and conclusions or verification.The results of this study indicate that digital transformation and shifting the role of teachers have an impact on students' learning attitudes, namely the formation of positive learning attitudes and negative learning attitudes. Positive learning attitudes are formed from understanding, feelings and tendencies to behave positively towards digital transformation and shifts in the teacher's role, while negative learning attitudes are formed from understanding, feelings and tendencies to behave negatively towards digital transformation and shifting teacher roles. So, it can be concluded that the learning attitude of students is a collection of cognitions that connect with knowledge, affection that connects with feelings or emotions so that it gives rise to a tendency, and connotations that show a behavior or learning habits of students.
SELF EFFICACY, OPTIMISM FOR ADOLESCENT RESILIENCE Dhiza Dian Harly; Riska Ahmad; Nurfarhanah; Rezki Hariko
International Journal of Educational Review, Law And Social Sciences (IJERLAS) Vol. 3 No. 6 (2023): November
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/ijerlas.v3i6.1172

Abstract

This study aims to empirically prove the relationship between self-efficacy, optimism and the resilience of adolescents living in orphanages. This study uses a correlational descriptive quantitative method. The research sample consisted of 98 orphanage youths, the sampling technique used was total side technique. The data collection instruments were self-efficacy questionnaires, optimism questionnaires, and resilience questionnaires and the collected data were then analyzed using multiple regression techniques. The results of multiple regression analysis showed (R) of 0.703 (F=46.318; p<0.05), which means that self-efficacy and optimism simultaneously play a role in resilience. The coefficient of determination is 0.494, meaning that the effective contribution of self-efficacy and optimism in explaining the resilience variance is 49.4%, and from the standardized beta value it is found that self-efficacy has a greater role in resilience with a value of 0.506 than optimism of 0.278. The conclusion of this study is that there is a significant role of self-efficacy and optimism for the resilience of adolescents living in the Shine Alfalah orphanage.
Urgency of management and supervision guidance and counseling in an effort to create responsive and quality services Rahmi, Alfi; Suhaili, Neviyarni; Ahmad, Riska
Indonesian Journal of Counseling and Development Vol. 6 No. 1 (2024): July 2024
Publisher : Institut Agama Islam Negeri Kerinci, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32939/ijcd.v6i1.2752

Abstract

This study investigates the importance of management and supervision in ensuring the quality and success of school counseling programs. Effective management practices involve planning, organizing, and overseeing counseling services to ensure they align with students' needs and deliver effective, efficient, and high-quality support. Supervision provides counselors with essential guidance, monitors service delivery quality, and promotes professional development through skill improvement and problem-solving. This collaborative approach fosters communication, accountability, and continuous program improvement. Ultimately, strong management and supervision empower counselors to deliver high-quality services that benefit students, parents, and school staff