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Tinjauan Keakuratan Data pada Sensus Harian Rawat Inap Di Rumah Sakit Khusus Bedah Banjarmasin Siaga Deasy Rosmala Dewi; Gussa Azizah; Retno Juwita; STIKES Husada Borneo
Jurnal Kesehatan Indonesia Vol 4 No 3 (2014): Juli
Publisher : HB PRESS

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Inpatient daily census is the number of inpatient at a health care facility at any given time starting at 00:01 until 24.00 each day. In practice involving nurses and medical record officer. However, there were limited data accuracy daily inpatient census at the Hospital for Special Surgery Siaga Banjarmasin such differences initial data on patients with the remaining patients the day before. Inaccuracies in charging daily census affects the quality of information produced hospital. The purpose of this study was to determine the accuracy of the data on the daily inpatient census at the Hospital for Special Surgery Siaga Banjarmasin. This research is descriptive. As a research population is daily inpatient census VIP classes, I, II, and III in January 2013 as many as 124 sheets. The samples used in this study is saturated sampling as many as 124 sheets. Data was collected through interviews and observation. The results of 124 samples of known Standard Operating Procedures (SPO) daily inpatient census at the Hospital for Special Surgery Standby Banjarmasin still using the old procedures and there has been no revision in 2013, the implementation of the inpatient daily census there are many inaccuracies in filling the remaining number of patients a day prior to the initial patients by nurses, and the rest of the room there are many inaccuracies in the rest of the patients and 53,5% of patients beginning with the criteria quite well. Recapitulation of the inpatient daily census is 46.46% with the criteria quite well.

Tinjauan Keakuratan Kode Diagnosis Gastroenteritis Pada Pasien Rawat Inap Berdasarkan ICD-10 Dan Hasil Pemeriksaan Laboratorium Di RSUD Banjarbaru Pada Triwulan III Tahun 2013 Dion Angger Priyatama; Deasy Rosmala Dewi; Ratna Auliyana; STIKES Husada Borneo; Alumni STIKES Husada Borneo
Jurnal Kesehatan Indonesia Vol 5 No 3 (2015): Juli
Publisher : HB PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (159.699 KB)

Coding is a key of health treatment organization. The accurate coding is a very important thing in data organizing, reimbursement, and another problems. Inaccuracy of Gastroenteritis diagnosis code found in Banjarbaru hospital which caused by there is no recheck toward additional information such as laboratory report in coding process. This research has purpose to confirm the accuracy of Gastroenteritis diagnosis code of inpatient based on ICD-10. This research use descriptive analysis with 106 medical records of inpatient of Gastroenteritis diagnosis case as the sample. Data collection methods which used in this research are observation and interview. This research use univariate analysis and the result presented in tabulation and text explanation. The result of research shows that only 2,83% Gastroenteritis code is accurate and 97,17% is not. The output of Gastroenteritis diagnosis code use as RL 4a report, disease index, top 10 of common disease list, and hospital activity/service data. Human resouces who involved in Gastroenteritis diagnosis coding process are manager of medical record department, inpatient coder, and doctor.

Gambaran Pengetahuan Perawat Tentang Kelengkapan Pengisian Asuhan Keperawatan di Ruang Penyakit Dalam RSUD H. Damanhuri Barabai Tahun 2015 Deasy Rosmala Dewi; Armiati Armiati; Anjar Retno Astrini; STIKES Husada Borneo; Alumni STIKES Husada Borneo
Jurnal Kesehatan Indonesia Vol 6 No 1 (2015): November
Publisher : HB PRESS

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One of the factors that affect the completeness of nursing care is knowledge. Knowledge is influenced by several factors: education, experience, and age. Namely the identity of the patients 82%, 84% evaluation, planning 80%, and 80% of nurses initials. The research aim to determine the knowledge of nurses about completeness of nursing care in internist room H. Damanhuri Barabai Hospital. The method used is descriptive with the sample were 20 nurses in internist room. Knowledge of nurses towards completeness of nursing care in internist room H. Damanhuri Barabai Hospital who have a good knowledge as many as 6 respondents (30%),9 respondents (45%) have enough knowledge and 5 respondents (25%) have less knowledge.

Tinjauan Proses Pengisian Persetujuan Tindakan Kedokteran Di Ruang Bedah RSUD H. Damanhuri Barabai Tahun 2014 Deasy Rosmala Dewi; Ani Kipatul Hidayah; Anisa Batunnajariah; STIKES Husada Borneo; Alumni STIKES Husada Borneo
Jurnal Kesehatan Indonesia Vol 5 No 2 (2015): Maret
Publisher : HB PRESS

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Research the process of filling the medical action approval in Yakud Room (Surgical Room) RSUD H. Damanhuri Barabai has been done, but 14 medical record were analyzed in March, 9 of them incomplete documentation on the part of the explanation. The purpose of the study is to describe the filling process of medical action approval in Yakud Room (Surgical Room) RSUD H. Damanhuri Barabai. This research uses descriptive method. Sample in this research is the filling process of the medical action approval and the provision of information in Yakud Room (Surgical Room) RSUD H. Damanhuri Barabai period 12 May 2014 to 24 May 2014 amounted 7 process . The result of this study are medical action approval in Yakud Room (Surgical Room) RSUD H. Damanhuri Barabai using 2 different forms. The first form used medical form of informed consent to inpatient consent while the second form used for explanation and consent documentation of patients requiring medical on surgical measures. Approval or consent was given after the patient or family received explanation for the measures. Parties are allowed to fill out informed consent is patient, the wife or husband, children, parents, and other relative of patients. Patient’s rights in informed consent fill out is the right to receive an expalantion, the right to approve and reject the recommended medicalaction, and the right to discuss the disease and the patient required actions. Obligations patient in fill out informed consent is listening to an explanation of the disease and the patient required actions. Signed a letter of approval or denial of surgical measures and believe in the ability of physicians.

Tinjauan Keakuratan Data pada Sensus Harian Rawat Inap Di Rumah Sakit Khusus Bedah Banjarmasin Siaga Deasy Rosmala Dewi; Gussa Azizah; Retno Juwita; STIKES Husada Borneo
Jurnal Kesehatan Indonesia Vol 4 No 3 (2014): Juli
Publisher : HB PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar

Inpatient daily census is the number of inpatient at a health care facility at any given time starting at 00:01 until 24.00 each day. In practice involving nurses and medical record officer. However, there were limited data accuracy daily inpatient census at the Hospital for Special Surgery Siaga Banjarmasin such differences initial data on patients with the remaining patients the day before. Inaccuracies in charging daily census affects the quality of information produced hospital. The purpose of this study was to determine the accuracy of the data on the daily inpatient census at the Hospital for Special Surgery Siaga Banjarmasin. This research is descriptive. As a research population is daily inpatient census VIP classes, I, II, and III in January 2013 as many as 124 sheets. The samples used in this study is saturated sampling as many as 124 sheets. Data was collected through interviews and observation. The results of 124 samples of known Standard Operating Procedures (SPO) daily inpatient census at the Hospital for Special Surgery Standby Banjarmasin still using the old procedures and there has been no revision in 2013, the implementation of the inpatient daily census there are many inaccuracies in filling the remaining number of patients a day prior to the initial patients by nurses, and the rest of the room there are many inaccuracies in the rest of the patients and 53,5% of patients beginning with the criteria quite well. Recapitulation of the inpatient daily census is 46.46% with the criteria quite well.

Tinjauan Keakuratan Kode Diagnosis Gastroenteritis Pada Pasien Rawat Inap Berdasarkan ICD-10 Dan Hasil Pemeriksaan Laboratorium Di RSUD Banjarbaru Pada Triwulan III Tahun 2013 Dion Angger Priyatama; Deasy Rosmala Dewi; Ratna Auliyana; STIKES Husada Borneo; Alumni STIKES Husada Borneo
Jurnal Kesehatan Indonesia Vol 5 No 3 (2015): Juli
Publisher : HB PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar

Coding is a key of health treatment organization. The accurate coding is a very important thing in data organizing, reimbursement, and another problems. Inaccuracy of Gastroenteritis diagnosis code found in Banjarbaru hospital which caused by there is no recheck toward additional information such as laboratory report in coding process. This research has purpose to confirm the accuracy of Gastroenteritis diagnosis code of inpatient based on ICD-10. This research use descriptive analysis with 106 medical records of inpatient of Gastroenteritis diagnosis case as the sample. Data collection methods which used in this research are observation and interview. This research use univariate analysis and the result presented in tabulation and text explanation. The result of research shows that only 2,83% Gastroenteritis code is accurate and 97,17% is not. The output of Gastroenteritis diagnosis code use as RL 4a report, disease index, top 10 of common disease list, and hospital activity/service data. Human resouces who involved in Gastroenteritis diagnosis coding process are manager of medical record department, inpatient coder, and doctor.

Gambaran Pengetahuan Perawat Tentang Kelengkapan Pengisian Asuhan Keperawatan di Ruang Penyakit Dalam RSUD H. Damanhuri Barabai Tahun 2015 Deasy Rosmala Dewi; Armiati Armiati; Anjar Retno Astrini; STIKES Husada Borneo; Alumni STIKES Husada Borneo
Jurnal Kesehatan Indonesia Vol 6 No 1 (2015): November
Publisher : HB PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar

One of the factors that affect the completeness of nursing care is knowledge. Knowledge is influenced by several factors: education, experience, and age. Namely the identity of the patients 82%, 84% evaluation, planning 80%, and 80% of nurses initials. The research aim to determine the knowledge of nurses about completeness of nursing care in internist room H. Damanhuri Barabai Hospital. The method used is descriptive with the sample were 20 nurses in internist room. Knowledge of nurses towards completeness of nursing care in internist room H. Damanhuri Barabai Hospital who have a good knowledge as many as 6 respondents (30%),9 respondents (45%) have enough knowledge and 5 respondents (25%) have less knowledge.

Ketepatan Kodifikasi Penyebab Dasa Kematian pada Resume Medis di RSKD Duren Sawit Tahun 2022 Rosa Patricia; Deasy Rosmala Dewi; Puteri Fannya; Daniel Happy Putra
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.v2i4.2545

Coding accuracy, namely the process of conformity of the diagnosis code that has been set by the coding officer based on ICD-10 which greatly affects data reporting and administration. The basic cause of death is the course of any disease, sick condition, or injury that causes or causes the accident that causes death. The purpose of this study was to determine the accuracy of the underlying cause of death code based on the selection rule and the MMDS table in patients who died at the Duren Sawit Hospital in 2022. This study used a descriptive method with a quantitative approach which took 88 samples using a saturated sample technique by means of observation and interviews. The results of the study were obtained from 88 samples of the accuracy of the basic causeof death codes based on the general principle selection rule and rule 1 at the Duren Sawit RSKD found that 49 (56%) and 39 (44%) were incorrect. There are factors that affect the inaccuracy of using the 5M elements (Man, Money, Material, method, Machine), namely the man element because the coding officer's profession is not appropriate and less thorough and the elements of the general coding SPO method which are still being revised, do not use selection rules and MMDS tables. Suggestions that officers should be given socializationabout the selection rules and MMDS tables.

Perencanaan Kegiatan Retensi Rekam Medis di Rumah Sakit Islam Jakarta Pondok Kopi Diva Angelita; Puteri Fannya; Deasy Rosmala Dewi; Daniel Happy Putra
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 3 No. 3 (2024): Juli 2024
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v3i3.3931

Medical record retention (shrinkage) is the reduction of archives through the process of sorting documents 5 years after the patient dies or the last date of treatment. This study aims to plan medical record retention activities at RSIJ Pondok Kopi to overcome the problem of file accumulation, improve the efficiency of medical record management, and support better health services. This study uses a qualitative descriptive method and is sourced from 4 informants consisting of the head of medical records and medical record officers, in attracting informants using purposive sampling techniques. In the initial observation, the Jakarta Islamic Hospital Pondok Kopi has not resumed retention of medical records for the last 4 years due to hospital policies regarding service priorities. The results of this study indicate that RSIJ Pondok Kopi already has adequate retention SOPs, but has not retained medical records since 2020. This has resulted in the accumulation of medical record files in the storage room. Based on the results of the study, it can be concluded that RSIJ Pondok Kopi needs to immediately implement medical record retention to overcome the problem of file accumulation. The retention activity plan was made as input for retention so that it can overcome the problems in the medical record unit due to not having medical record retention.

Tinjauan Lama Waktu Tunggu Pelayanan Pasien Rawat Jalan Poli Jantung di Rumah Sakit Angkatan Laut Marinir Cilandak Tahun 2022 Fingky Rizki Wulandari; Puteri Fannya; Deasy Rosmala Dewi; Daniel Happy Putra
Student Scientific Creativity Journal Vol. 1 No. 4 (2023): Juli : Student Scientific Creativity Journal
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/sscj-amik.v1i4.1548

Patient is a person who, directly or indirectly, consults a doctor or medical service about a health problem in order to receive the medical care the patient needs. After registering, patients need to wait until they get health services from the intended poly. The waiting time is understood as the time required from the arrival of the patient to the moment when the specialist performs the service. This study aims to review the length of waiting time for cardiac outpatient services at the Cilandak Marine Marine Hospital in 2022 using a quantitative approach with descriptive research methods, namely conducting direct interviews with outpatients and directly reviewing the length of waiting time for patients. 74 patient samples, there were 23 patients (31.08%) whose waiting time was appropriate or below the minimum service standard of waiting time (≤60 minutes), while for 51 patients (68.92%) the waiting time did not meet the minimum service standard of time. waiting time (>60 minutes), with an average patient waiting time of 96 minutes. The fastest waiting time for patients is 41 minutes, while the longest waiting time for patients is 173 minutes. Factors that cause long waiting times for outpatients are the inadequate number of medical record officers and medical personnel, the number of patients who come at the same time, causing queues at the registration counter and queues at the poly, doctors' practice hours are quite at odds with registration hours at the counter, negligence of the patient when registering, not carrying a medical card, not carrying the necessary documents, and not the patient concerned who registers, and the number of medical personnel and officers is not sufficient.

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