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TINJAUAN KESESUAIAN STANDAR PROSEDUR OPERASIONAL (SPO) DALAM KEGIATAN ASSEMBLING RAWAT INAP DI RS AS-SYIFA BENGKULU SELATAN Zalipa Wittri; Laela Indawati; Nanda Aula Rumana; Daniel Happy Putra
Jurnal Kesehatan Tambusai Vol. 3 No. 1 (2022): Maret 2022
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v3i1.3636

Abstract

RS As-Syifa Bengkulu Selatan merupakan rumah sakit tipe D, yang memiliki jumlah tenaga perekam medis 9 orang, dengan jumlah tenaga assembling sebanyak 2 orang. Petugas assembling ini menjalankan pekerjaan yang merangkap, sehingga berdampak pada penumpukan rekam medis yang belum di assembling. Oleh karena itu harus disesuaikan antara beban kerja dan petugas yang tersedia, serta untuk meminimalisir kendala yang dihadapi oleh petugas assembling. Penelitian ini bertujuan untuk mengetahui jumlah kebutuhan tenaga assembling agar sesuai dengan beban kerja dan untuk mengidentifikasi kendala yang terjadi pada bagian assembling. Metode penelitian yang digunakan dalam penelitian ini adalah metode deskriptif dengan pendekatan kualitatif. Perhitungan kebutuhan tenaga assembling pada penelitian ini mengacu pada Permenpan RB Nomor 1 Tahun 2020 Tentang Pedoman Analisis Jabatan Dan Analisis Beban Kerja. Berdasarkan hasil penelitian dapat diketahui bahwa petugas assembling membutuhkan waktu 10,12 menit dalam melakukan kegiatan assembling 1 (satu) rekam medis rawat inap. Dengan jumlah beban kerja pada periode Januari-Desember 2020 sebanyak 7.198 rekam medis rawat inap. Sehingga didapatkan kebutuhan tenaga bagian assembling rekam medis sebanyak 1 (satu) orang. Saat ini jumlah tenaga assembling sebanyak 2 (dua) orang yang artinya berlebih 1 (orang), namun dikarenakan tenaga assembling memiliki tugas yang merangkap sehingga hal tersebut berdampak pada menumpuknya rekam medis rawat inap yang belum di assembling. Kata kunci : Beban kerja, assembling, rekam medis.
TINJAUAN KEPUASAN PASIEN TERHADAP PELAYANAN PETUGAS PENDAFTARAN RAWAT JALAN DI RUMAH SAKIT BHAKTI KARTINI TAHUN 2021 Anisa Dyah Irawati; Puteri Fannya; Laela Indawati; Nanda Aula Rumana
Jurnal Ilmiah Kedokteran dan Kesehatan Vol 1 No 1 (2022): Januari: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3992.809 KB) | DOI: 10.55606/klinik.v1i1.163

Abstract

Patient satisfaction is the same as the results of the assessment in the form of emotional responses ranging from feelings of pleasure or satisfaction obtained by patients because of the fulfillment of expectations or desires in using or receiving services. The impact of low patient satisfaction on services at outpatient registration is that it can cause a decrease in the quality of hospital services and result in a decrease in patient visits at the hospital. The purpose of this study was to determine the level of patient satisfaction with the services of outpatient registration officers at Bhakti Kartini Hospital. The method used is descriptive quantitative by distributing questionnaires to 106 respondents measured on 5 dimensions of service quality. From these studies it is known that the percentage of satisfaction to the dimensions of reliability 81.1%, responsiveness 84.9%, assurance 84%, empathy 79.2%, and the physical tangibles 82.1%. Thus, it is known that the level of patient satisfaction with the services of outpatient registration officers at Bhakti Kartini Hospital is 83% and those who are dissatisfied are 17%. Based on the results, the level of satisfaction obtained has not yet reached the minimum hospital service standard that has been set by Kepmenkes 129 in 2008 which is at least 90%.
Tinjauan Lama Waktu Tunggu Penyediaan Rekam Medis Pasien Rawat Jalan Berdasarkan Standar Pelayanan Minimal (SPM) Di RSAL dr. Mintohardjo Azhar Muttaqin; Lily Lily Widjaja; Laela Indawati; Noor Yulia
Jurnal Manajemen Informasi dan Administrasi Kesehatan Vol. 6 No. 2 (2023)
Publisher : Program Studi D3 Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jmiak.v6i2.4497

Abstract

Penyediaan rekam medis rawat jalan yang tepat waktu menghasilkan pelayanan rekam medis yang berkualitas. Waktu penyediaan rekam rawat jalan sesuai standar pelayanan minimal adalah ? 10 menit. Tujuan dari penelitian ini adalah untuk mengetahui lama waktu tunggu rekam medis pasien rawat jalan di RSAL dr. Mintohardjo. Metode dalam penelitian ini menggunakan metode deskriptif dengan pendekatan kuantitatif. Teknik pengambilan sampel menggunakan accidental sampling dengan besaran sampel berdasarkan estimasi proposi sebanyak 106 rekam medis. Hasil penelitian 14 rekam medis (13,2%) tepat waktu dan 92 rekam medis (86,8%) tidak tepat waktu, yang terbanyak tidak tepat waktu yaitu > 31-40 menit sebanyak 31 rekam medis (29,2%). Dalam mengidentifikasi penyebab keterlambatan penyediaan rekam medis rawat jalan, peneliti menggunakan faktor 5M. Faktor Man terjadinya missfile, terdapat rekam medis belum kembali dari poliklinik maupun ruang rawat inap, kurangnya pengetahuan dan pendidikan. Faktor Money belum adanya anggaran dalam perbaikan Roll O Pack. Faktor Material cetak bon pinjam rekam medis tidak otomatis pada aplikasi SIMRS dan hanya tersedia 1 mesin printer dari 7 komputer, jadi perlu ditambah jumlah printer. Faktor Machine terjadi kerusakan Roll O Pack dan gangguan pada software berupa downtime (waktu ketika suatu sistem, aplikasi dan layanan tidak dapat diakses/tidak berfungsi) pada aplikasi SIMRS. Faktor Method belum adanya SPO penyediaan rekam medis rawat jalan.
Tingkat Kepuasan Pasien Terhadap SIANTER (Sistem Informasi Antrian Terintegrasi) di UPTD Puskesmas Kresek Kabupaten Tangerang Fiqih Nurhidayah; Puteri Fannya; Laela Indawati; Dina Sonia
Journal of Educational Innovation and Public Health Vol. 2 No. 1 (2024): Januari : Journal of Educational Innovation and Public Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v2i1.2094

Abstract

Patient satisfaction is an assessment of whether or not the quality of health services for patients is good. One of the influences on the level of patient satisfaction is the queue, to prevent chaos in the waiting room caused by queues, a queue system is created in a health service. This study aims to determine the level of patient satisfaction with SIANTER (Integrated Queuing Information System) at the Kresek Health Center. The sample in this study amounted to 106 respondents using the Non Probability Sampling technique with the consecutive sampling method. To measure the level of patient satisfaction with the queuing system, the End User Computing Statistics (EUCS) method is used which consists of five dimensions of content, accuracy, format, ease of use, and timeline. The data collection technique used in the study was by filling in the patients themselves with the instrument used was a questionnaire. The results showed that (81.1%) were dissatisfied, and 20 respondents (18.9%) were satisfied. This study concluded that there are still many patients who are dissatisfied with the use of the SIANTER machine (Integrated Queuing Information System) at the Kresek Health Center.
Tinjauan Pelaksanaan Penyusutan Rekam Medis Di Rumah Sakit Umum Daerah Kembangan Intan Rusdiana Dewi; Lily Widjaja; Laela Indawati; Noor Yulia
Jurnal Rumpun Ilmu Kesehatan Vol. 3 No. 3 (2023): November: Jurnal Rumpun Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v3i3.2680

Abstract

Shrinkage is the reduction of medical records on storage shelves by moving inactive medical records to a different room from the active shelf seen from the last patient visit. The purpose of this study was to determine the implementation of shrinkage at the Kembangan Regional General Hospital. This research method uses a qualitative descriptive method by means of interviews and observations in the medical records unit. So it can be concluded from the results of the study that the Kembangan Regional General Hospital already has SOP related to shrinkage which is divided into SOP sorting, media transfer and destruction. In the implementation of shrinkage, officers carry out the process of sorting, transferring and transferring media every day. But officers do not conduct an assessment based on use value. The destruction process is carried out when the number of medical records has reached 2 tons by using a third party to make medical records in the form of pulp. The main obstacles to the implementation of shrinkage are officers who do not have a decree on duties and teams so that officers often delay the implementation of shrinkage, paper quality that makes it difficult for officers to see medical record sheets in the past year and scan machines that heat up quickly due to continuous use. Therefore, the Kembangan Regional General Hospital should complete the SOP related to shrinkage, make a decree of duties and conduct an assessment stage so that the implementation of shrinkage is carried out properly, and add a scan machine so that the implementation of media transfer is not delayed.
Pemanfaatan Personal Health Record Dalam Mengontrol Kesehatan Individu (Literature Riview) Regina Yulianti T. S; Laela Indawati; Lily Widjaja; Daniel Happy Putra
Jurnal Medika Nusantara Vol. 2 No. 2 (2024): Mei : Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v2i2.1126

Abstract

Individuals are authorized to access, maintain, and share their Personal Health Record (PHR), which is an electronic application, in a private, secure, and confidential setting. Using PHR will facilitate patient-provider communication. PHR has two-way communication that allows patients and providers to communicate with each other. The main effect of using PHR is that patients will be involved and take an active role in their health and disease prevention. The act of recording health information in PHR will increase patient awareness, such as weight, diet and glucose, and other health checks. Through PHR which stores health information, and consultations, patients feel safe knowing their health. The purpose of this writing is to determine the Utilization of Personal Health Record in controlling individual health. This study uses the Literature Review method. The results of this study are seen from the utilization and features of the Personal Health Record. Utilization of the Personal Health Record in controlling individual health can assist patients in accessing patient personal health information such as knowing blood sugar, blood pressure, laboratory results, and so on. The features used in the PHR have a main menu including health records, medical records, test results, medication reminders, health contacts, and education.
Gambaran Ketepatan Pengembalian Rekam Medis Rawat Jalan di Klinik Kebidanan dan Kandungan Rumah Sakit Permata Hati Tangerang Ayu Hardianti; Laela Indawati; Nanda Aula Rumana; Puteri Fannya
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 1 No. 4 (2022): Oktober 2022
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v1i4.877

Abstract

In order to obtain a quality medical record unit performance, the administration of medical records must be carried out properly, including the return of medical records. The standard for returning medical records at Permata Hati Hospital is 1x24 hours. Delays in returning medical records can disrupt the quality of medical services and hinder further activities such as coding. The purpose of this study was to obtain an overview of the return of outpatient medical records at Permata Hati Hospital, Tangerang. The method used is descriptive method. The type of research used is quantitative research. Data collection techniques in the form of interviews, observations and checklists. The results of the study on timely return of medical records were 64% and those that were not on time were 36%. Based on the results of this study, it is known that the return of outpatient medical records has not gone well. The delay in returning outpatient medical records was due to the lack of labor at the obstetrics and gynecology clinic so that there was no checking of borrowed medical records with those returned by clinic officers and medical record officers. Delays in medical records because clinic staff still do not understand and lack of socialization of SOPs related to returning outpatient medical records. One of the efforts made is to provide special training for clinic staff regarding the time limit for returning outpatient medical records.
Tinjauan Ketepatan Kode Diagnosa dan External Cause Kecelakaan Lalu Lintas di IGD RSIJ Pondok Kopi Aneu Rosliana; Laela Indawati; Puteri Fannya; Noor Yulia
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 2 No. 3 (2023): Juli 2023
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v2i3.1854

Abstract

Codification is the activity of classifying diseases based on certain criteria. Coding of disease diagnoses according to ICD-10 rules. One form of classification coding is using External Cause, which is a code used to classify the external cause of a disease caused by accidents, injuries, poisoning, burns, or side effects of drugs. This study was conducted at the Emergency Department of the Jakarta Islamic Hospital Pondok Kopi with the aim of the study to determine the percentage of accuracy of diagnosis and external cause codes and identify SPO related to classification coding. This study uses a quantitative descriptive method, with the technique of taking total sampling or saturated samples on 66 medical records for the period July 2022. The results of the research obtained with 66 samples related to traffic accident patients. Obtained the results of the accuracy of 66 appropriate injury diagnosis codes (100%) and 0 inappropriate (0%). The results of the accuracy of the external cause code obtained 66 (0%) external cause codes cannot be assessed because external cause coding activities have not been carried out. Only have SPO specifically for coding diagnoses in general, SPO specifically for external causes is not yet available. Of the 5 inhibiting factors studied, 3 inhibiting factors were obtained that caused the inaccuracy of external cause coding, namely Man, Money, and Material.
Prototipe Rekam Kesehatan Personal pada Pasien Diabetes Mellitus (Literature Review) Risma Ayu Fitriyani; Noor Yulia; Puteri Fannya; Laela Indawati
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 2 No. 4 (2023): Oktober 2023
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v2i4.2509

Abstract

Personal Health Record (PHR) is a collection of health-related data that is archived and managed by an individual or parties associated with the PHR. Its purpose is to provide a comprehensive and accurate summary of a person's health history that can be accessed online. This research is a Literature Review study which aims to determine the features and implementation of Personal Health Records in Patients with Diabetes Mellitus. The method used is the Literature Review method from 7 journals which uses several methods including the prototype method, qualitative methods, heuristic evaluation methods, applied development methods, participatory action research methods, and randomized controlled trial methods with data collection techniques through google scholar, direct science and pubmed. The results of the research are seen in the features and implementation of the Personal Health Record. The Personal Health Record feature for diabetes mellitus with dialysis measures has 25 features on the main page, the PHR feature for diabetes mellitus has 7 main features. PHR implementation allows users to access their personal health records anytime and anywhere. Thus, the PHR system can increase accessibility and allow users to access PHR without time restrictions and also the Personal Health Record can assist in monitoring the health condition of Diabetes Mellitus patients. Research conclusion According to the journals analyzed, PHR is effective because it can encourage patient participation in individual health controls, and can access information about diabetes mellitus through monitoring physical activity, diet, weight, and glucose levels.
Literatur Review : Pengelolaan Assembling Rekam Medis Rawat Inap di Rumah Sakit Noor Yulia; Erviana, Erviana; Laela Indawati; Muniroh, Muniroh
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 3 No. 1 (2024): Januari 2024
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v3i1.3157

Abstract

Assembling is an important part of medical records to examine the correctness of recording, control the use of medical record numbers and control the use of medical record forms. In order for assembling to be carried out well, the medical records unit creates Standard Operating Procedures (SOP) for the assembling section and medical records officers managing assembling must follow the SOP. The aim of the research is to find out the management of assembling inpatient medical records in hospitals using the Literature Review method or also called Narrative Review by collecting several journals using the Bolean System from the Google Scholar Database, to identify and conclude the analysis of the management of assembling inpatient medical records in hospitals From these journals, researchers obtained a sample of 16 journals. The results of the research showed that there were several factors in managing assembly in hospitals, namely: 40% of hospitals did not use medical record SOPs according to established regulations, 73% of medical record files were still incomplete in hospitals, 73% of medical record files were returned to the medical records room. in hospitals it is still not on time 100%, and the factor that causes Assembling not to be in accordance with SOPs using Fishbone theory which has the most influence is the Man factor which is related to the lack of discipline of Medical Records officers in hospitals as much as 100%.