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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.
The role of parents in overcoming emotional disorders in adolescents Zahri, Triave Nuzila; Firman, Firman; Ahmad, Riska
Journal of Counseling, Education and Society Vol. 3 No. 2 (2022): Journal of Counseling, Education and Society
Publisher : Indonesian Institute for Counseling, Education and Theraphy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29210/08jces146300

Abstract

Masa remaja merupakan fase transisi penting antara masa kanak-kanak dan dewasa yang ditandai dengan perubahan signifikan pada aspek fisik, kognitif, sosial, dan emosional. Pada masa ini, perilaku remaja dipengaruhi oleh banyak faktor, salah satunya adalah emosi. Emosi remaja cenderung belum stabil, sehingga mereka kerap mengalami kesulitan dalam mengatur perilaku sesuai dengan harapan lingkungan sosial maupun norma orang dewasa. Ketidakstabilan emosi ini dapat berujung pada munculnya gangguan emosional seperti kecemasan, depresi, dan ledakan amarah. Dalam konteks ini, peran orang tua menjadi sangat vital. Orang tua memiliki tanggung jawab besar dalam membantu remaja mengembangkan regulasi emosi yang sehat dan membentuk perilaku adaptif. Dukungan emosional, modeling regulasi emosi, pendekatan emotional coaching, serta penciptaan lingkungan keluarga yang aman menjadi strategi penting yang dapat dilakukan oleh orang tua. Artikel ini bertujuan untuk mengkaji secara mendalam peran orang tua dalam mengatasi gangguan emosional pada remaja melalui metode studi literatur. Kajian ini diharapkan dapat menjadi rujukan bagi orang tua, pendidik, dan praktisi bimbingan konseling dalam memahami pendekatan efektif yang dapat diterapkan untuk mendukung kesehatan mental remaja secara optimal.
How social capital become energy strengthening social cohesion in a plural society? Zola, Nilma; Firman, Firman; Ahmad, Riska
Journal of Counseling, Education and Society Vol. 3 No. 1 (2022): Journal of Counseling, Education and Society
Publisher : Indonesian Institute for Counseling, Education and Theraphy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29210/08jces147600

Abstract

Differentiation and diversity are highly valued in a plural society. Despite this, a plural society need a binder to reinforce interpersonal relationships, often known as social cohesiveness. Social cohesion is a social process aimed at eliminating disparities, socioeconomic inequalities, and societal rifts in order to consolidate plurality of citizenships. To survive, social cohesion requires reinforcing energy, one of which comes from social capital. This paper will explain how social capital is a source of energy that helps to strengthen social cohesion in multiple societies.
Guidance and counseling interventions for bullying prevention in adolescents Latupasjana, Zikry; Firman, Firman; Ahmad, Riska
Journal of Counseling, Education and Society Vol. 4 No. 2 (2023): Journal of Counseling, Education and Society
Publisher : Indonesian Institute for Counseling, Education and Theraphy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29210/08jces147700

Abstract

Adult bullying problems are increasingly prevalent in Indonesia. Bullying that often occurs in schools disrupts students from achieving optimal development. This is important to be addressed immediately so that bullying does not develop in schools. Guidance and counseling is a unit that is able to help in alleviating this problem. This research uses a literature study approach regarding the impact and ways of dealing with bullying in Minangkabau youth. Bullying refers to a form of bullying or violence that is intentionally carried out by one person or group of people who are stronger or more powerful against another person, with the aim of hurting and is carried out continuously. The development of technology, makes it easier for people to do bullying, not only occurs directly, but also occurs on social media. Guidance and counseling is one of the units in the school that is considered capable of preventing bullying behavior with various services.
How do the supervisors of guidance and counseling fare in terms of accountability and performance? Fadli, Rima Pratiwi; Neviyarni, Neviyarni; Ahmad, Riska
Journal of Counseling, Education and Society Vol. 3 No. 2 (2022): Journal of Counseling, Education and Society
Publisher : Indonesian Institute for Counseling, Education and Theraphy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29210/08jces187900

Abstract

Counselors, who are trained professionals, guide counselees through the process of guidance. School counselors conduct assessments as part of their services. Without an assessment, it would be impossible for us to determine whether the intended guidance program had been implemented successfully. The evaluation of the guidance program is to determine the degree to which the program's implementation has met its stated objectives. In other words, the outcome of the assessment activities will determine whether the program is successful in reaching its objectives. It cannot be isolated from the supervision actions, according to the assessment that was done. Counseling and direction School supervisors are school supervisors with complete rights, powers, and responsibilities for evaluating, promoting, and implementing education in various schools through guidance and counseling activities. Additionally, the adequacy of the services rendered by the BK teacher/counselor is determined by the factors mentioned above. This indicates that the school counselor can account for the services rendered.
Planning of the needs assessment program for the college in guidance and counseling in junior high school Ersya, Zikry Latupasjana; S, Neviyarni; Ahmad, Riska
Journal of Counseling, Education and Society Vol. 3 No. 2 (2022): Journal of Counseling, Education and Society
Publisher : Indonesian Institute for Counseling, Education and Theraphy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29210/08jces188600

Abstract

Guidance and counseling programs in junior high schools are arranged based on the needs of students/counselees and school needs. Needs assessment is an activity that aims to find out the real conditions of students that will be used as a basis in planning guidance and counseling programs. A good guidance and counseling program at an educational institution is a well- done plan. The research method used is a literature study. Researchers dig up information through the google scholar search page and DOAJ (Directory Open Access Journal) to find traces of past research related to literacy skills. Through this research, it is expected to know the development of research that has been done about the need assessment in the planning of counseling and counseling programs in junior high schools.
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.