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REKAM MEDIS ELEKTRONIK: TELAAH MANFAAT DALAM KONTEKS PELAYANAN KESEHATAN DASAR Feby Erawantini
979-26-0263-1
Publisher : FIKI 2013

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (284.613 KB)

Abstract

Latar Belakang : Manfaat penggunaan rekam medis elektronik tidak hanya manfaat administratif.Manfaat yang dirasakan dokter dan petugas kesehatan adalah kemudahan dalam mengaksesinformasi pasien yang pada akhirnya membantu dalam pengambilan keputusan klinis. Tujuanpenelitian adalah menilai manfaat penggunaan rekam medis elektronik dari aspek waktu dankelengkapan catatan medis pasien pada fasilitas pelayanan kesehatan dasar. Evaluasi kepuasanpengguna untuk mengetahui tanggapan pengguna terhadap cara baru dokumentasi medis pasien.serta menilai aspek sosio-teknis yang mendukung penerapan rekam medis elektronik.Metode : Evaluasi dengan membandingkan waktu pelayanan dan kelengkapan catatan medispasien sebelum dan sesudah penerapan rekam medis elektronik dengan analisis statistik deskriptif.Kepuasan pengguna dan aspek sosio-teknis diperoleh dengan observasi dan wawancara kemudiandianalisis secara kualitatif.Hasil dan Pembahasan : Nilai median waktu pelayanan dengan rekam medis elektronik adalah12 menit sedangkan pada saat menggunakan rekam medis kertas, adalah 10 menit. Namundemikian kelengkapan pengisian rekam medis elektronik lebih baik dibandingkan saatmenggunakan rekam medis kertas. Nilai median kelengkapan rekam medis elektronik adalah85,71% sedangkan nilai median kelengkapan rekam medis kertas hanya 75%. Kelengkapanpengisian dokumentasi klinis rekam medis elektronik yaitu 67,84% dan kelengkapan pengisiandokumentasi rekam medis kertas yaitu 66,84%. Pengguna merasa puas terhadap isi, akurasi,format, relevansi dan kemudahan dalam menggunakan rekam medis elektronik. Faktor sosio-teknis, menjadi kunci suksesnya migrasi rekam medis kertas menuju rekam medis elektronik.Manfaat yang diperoleh adalah terintegrasinya data dalam satu repository yang memungkinkanuntuk dilakukan analisis secara mudah dan cepat dalam pengambilan keputusan. Fungsi peringatandini terhadap pemberian obat memiliki dampak positif terhadap keselamatan pasien.Kesimpulan : Aspek sosio-teknis sangat mendukung suksesnya migrasi menuju rekam mediselektronik. Manfaat rekam medis elektronik yang utama adalah kelengkapan catatan medis pasienyang baik sehingga sangat mendukung penegakan keputusan klinis serta dapat meningkatkankeamanan pasien.
Implementasi Rekam Medis Elektronik dengan Sistem Pendukung Keputusan Klinis Feby Erawantini; Nugroho Setyo Wibowo
Jurnal Teknologi Informasi dan Terapan Vol 6 No 2 (2019)
Publisher : Jurusan Teknologi Informasi Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/jtit.v6i2.115

Abstract

Abstract— the community has the right to get quality and affordable health services. One effort to realize quality health services is the electronic medical record. The RME application is expected to be integrated between health services and has a function as a clinical decision support system. The purpose of this study is to implement the RME application in the educational clinic and evaluate the user's satisfaction about the RME application has been implemented. The method used for RME implementation was parallel implementation and evaluation of user satisfaction by the end user computing satisfaction method. Implementation of the RME application was carried out for 2 months in the educational clinic, from September to October 2019. The study involved 2 doctors, 1 registration officer, 2 nurses and 1 pharmacy officer. The results of RME application research can be implemented in educational clinic, RME applications with clinical decision support system in the form of blood pressure, risk of Diabetes Mellitus, risk of stroke, interaction of drug content with a history of allergies, as well as abnormal warnings of laboratory and radiological examination results.
Level of Knowledge of Menstruation in Supporting Elementary Students Preparation For Menarche Ida Nurmawati; Feby Erawantini
Jurnal Kesehatan Masyarakat Andalas Vol 12, No 1 (2017): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v12i1.270

Abstract

Nowadays, the first menstrual period in adolescent occurs faster with a lack of their preparation for menarche. This condition make them respond negatively to the menarche by experiencing mixed emotions; fears, shocked, sad, disappointed, embarrassed, worried, and confused. The result of SDKI in 2012 suggested that adolescents need to be provided with sufficient information before their first menstruation. Thus, this research purposes to determine the relationship of knowledge level of elementary school adolescent girls about menstruation and their preparation for menarche. It is an observational study using cross sectional approach. The population of this research is 37 female students of the six graders in SDN Tegalgede 01 Jember Regency who also as the research sample taken by saturated sampling technique. The data is analyzed using Rank Spearman test. The bivariate analysis is done by applying crosstabulation that students with good preparation are found more on students with good knowledge (82,4%) than students with less knowledge (30%). There is a relationship between the students’ level of knowledge about menstruation and their preparation for menarche (p value = 0,026). Based on r = 0,367, there is a passive relationship between the level of knowledge with menarche.
Evaluasi Kariadi Information System pada Petugas Koding Rawat Jalan di RSUP dr. Kariadi Semarang Nabilah Khoirun Nissa'; Feby Erawantini; Mochammad Choirur Roziqin
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 3 (2020): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i3.1973

Abstract

Based on a preliminary survey that I had done during the Field Work Practice at RSUP Dr. Kariadi Semarang.The output that was there produced the KIS system on the RME menu that was not yet in accordance with thewishes of the outpatient coding officer. In the KIS system, the SIMRS menu entry grouping encoding externalcauses or external causes only have 3 digits of 4 characters. The use of the KIS menu RME systemsometimes occurs errors that are not equipped with guidelines or guidelines if an error occurs. This studyaims to evaluate KIS (Kariadi Information System) users in outpatient coding officers. Use the methoddiscussed, namely the EUCS method to measure the level of satisfaction from using a system. The resultsthat have been obtained from this research in terms of the content (content) of the information obtained isquite helpful for coding officers. The lack of entry grouping coding on the external cause, if complete willbenefit the patient. In terms of accuracy (accuracy) still requires an accuracy process, for example, if the inputerror registers, the data that appears will be different and occasional errors also occur. In terms of format(display) the interface is quite attractive based on user needs. In terms of timeliness, the system is able toprovide up to date information. In terms of ease of use (ease of use) the system is easy to learn only the lackof guidance if there has been an error. This research resulted in several recommendations that IT staff officerscan receive input related to the constraints of the use of the coder officer system, the head of the medicalrecord conducts further evaluation and supervision of the use of the system.
Faktor Keterlambatan Berkas Rekam Medis Rawat Inap di RSUP Kariadi Semarang Riza Umami Agustin; Feby Erawantini; Mochammad Choirur Roziqin
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 3 (2020): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i3.1985

Abstract

That delay file medical record in-patient could impede the service event assembling, medical record filling,koding, cause to be lost or damaged and probably file. medical recordThat file medical record in-patient rsup.drAre still experiencing keterlabatan. kariadi semarangBased on the observations and the interviewsconducted by researchers implementation has been delayed at pjrm. assembling orThe purpose of thisresearch is conducting apasaja analyzing the factors that cause the repayment record. in-patient medicalfileThe kind of research used the qualitative.This study using theory lawreens green variable, predisposingfactors enabling, factors reinforcing factors and the repayment of file medical record by, throughinterviews. The research results show delays in the repayment of file medical record in-patient caused byindividual competence the attitude the repayment of knowledge and the officer to file medical record , thesecond caused by of facilities and infrastructure who are supporting yet there still implementation has beendelayed return and the lack of a motivation that granted to officers .In reaction to this, should be created aroutine meeting that special committee to discuss about delays in the repayment of medical record file so thatthey do not file medical record delays there was a problem .
ANALISIS FAKTOR PENYEBAB KETERLAMBATAN PENGEMBALIAN BERKAS REKAM MEDIS RAWAT INAP RUMAH SAKIT PUSAT PERTAMINA Anggia Lutfi Rohmawati; Feby Erawantini; Mochammad Choirur Roziqin
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 2 No 2 (2021): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v2i2.2013

Abstract

The process of medical record organizing through a series of activities including registration, processingmedical record data, auditing the contents of medical records, archiving, and presenting the information.One factor that supports the processing of medical record files is returning the medical record of patientswho have finished receiving health services from the inpatient unit. There were 323 (25%) files from 1276which were delayed when they returned. The purpose of this study was to analyze the factors which iscausing the delay in returning the inpatient medical record file at Pertamina Central Hospital with a behavioraltheory consisting of predisposing factors, enabling factors, and reinforcing factors. This type of research wasqualitative with data collection methods, namely interviews and observations. The subjects of this researchwere nurses, distributor officers and file monitoring officers inpatient. The results show that the lack of selfmotivation among officers both doctors and nurses as medical record filler and also distributor officers couldbe the cause of delay in returning the medical records of inpatients unit, the number of distributors who wereless and the distance of the inpatient room to the medical record room could cause a long delay in returningthe inpatient medical record file, the attitude and behavior of the inpatient file monitoring officer who doesnot request the medical record file that has not been returned for immediate return could cause a delay inreturn. The solution obtained from the problem is to increase self-motivation by increasing awareness of theresponsibilities from the doctor, distributor officers, and file monitoring officers when they are performing thetasks, as well as doing recalculation for distributor officers number.
EVALUASI FUNGSI KERJA PETUGAS ASSEMBLING DI RUMAH SAKIT PUSAT PERTAMINA TAHUN 2020 Elsa Mayori; Feby Erawantini; M. Choirur Roziqin; Djasmanto Djasmanto
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 2 No 2 (2021): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v2i2.2017

Abstract

Based on a preliminary study, the implementation of the medical record assembling at Pertamina CentralHospital was still inappropriate. The return of the medical record file from the inpatient has been delayed,more than 2x24 hours, the medical record file was not 100% complete. The purpose of this study was toevaluate the function of assembling work at Pertamina Central Hospital with 5M management elementsconsisting of man, money, method, machine, material. This type of research was qualitative research withdata collection methods were interview, observation, and documentation. The subject of this research wasthe assembling officer. The results showed that there were problems with man, method, and materialvariables. Man variable, the lack of staff's knowledge about understanding the importance of medicalrecords. Method variables, assembling SOP in Pertamina Central Hospital was not in accordance with thetheory because quantitative analysis of medical record file still not exist. Material variable, medical recordfile wais not 100% complete in the authentication aspect. The solution is to include medical records officersin training activities about medical records, assembling workload evaluation, assembling Standard OperatingProcedures shall be added to control medical records incompleteness (quantitative analysis) and create theKLPCM form to find any deficiency or incomplete medical record file, that will have an impact for improvingthe quality of the medical record.
Desain Tata Ruang Filing Poliklinik JKN Berdasarkan Lingkungan Fisik yang Ergonomis Mochammad Arief Darmawan; Mochammad Choirur Roziqin; Feby Erawantini
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 3 (2020): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i3.2021

Abstract

The physical environment is all that exists around the workplace that can affect employees both directly andindirectly. Several problems exist in the JKN Polyclinic filing room at Pertamina Central Hospital, amongothers, the room is not large, some documents RM are not stored in the available shelves, there is one light sothe filing room is not bright enough. The purpose of this study is to design a JKN polyclinic filing layout basedon an ergonomic physical environment at Pertamina Central Hospital. This research is qualitative, with datacollection techniques carried out by observation, interviews, and documentation. The results of this study areto produce a new JKN Polyclinic spatial filing design at Pertamina Jakarta Central Hospital following anergonomic physical environment. Spacious room for new filing room measuring 35 m² with the addition ofsupporting facilities such as 57 medical record shelves for the needs of the next 5 years, 1 piece of AC (AirConditioning) measuring 1PK, 3 lamps measuring 20 watts, and additional ventilation of 5.25 m². It isrecommended to Pertamina Central Hospital to add facilities such as medical record shelves, repairs ofrefrigeration equipment such as AC (Air Conditioning), lights, and indoor air ventilation. These facilities arevery important because they affect the comfort and health of officers working in the filing room.
Evaluasi Kinerja Petugas Distribusi Berkas Rekam Medis Rawat Jalan di RSUD dr. Saiful Anwar Malang Najla Kamil; Dony Setiawan Hendyca Putra; Feby Erawantini; Niyalatul Muna
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 2 No 1 (2020): December
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v2i1.2077

Abstract

Patrang Health Center has implemented medical records management, but there are problems in the implementation of medical record management. when duplicating medical record numbers at Patrang Health Center. Duplication in the Patrang Community Health Center results in a decrease in the quality of medical records. The purpose of this study was to analyze the causal factors and determine the priority causes of duplicate medical record numbers at Patrang Health Center. This type of research is qualitative. The technique of collecting data in this study is observation of data duplication of medical records and interviews with respondents based on 7M indicators. Data processing with CARL criteria. The results of this study were found in studies that found the main priority of less useful duplication of the medical record number on the medical record data map with a score of 144. Further problems were officers, filing space was less extensive, filing shelves were inadequate and patients did not carry KIB with a score 108. With the discovery of priorities leading to duplication, the study provides the main solution that discusses the medical record number written on the front and sides of the file as well as other solutions to overcome the problem and made a draft policy to reduce the incidence of duplicate medical record numbers that have been approved.
Analisis Risiko Kerja pada Petugas Koding Rawat Jalan di RSUP Dr. Kariadi Semarang Irda Nazia Safitri; Feby Erawantini; Mochammad Choirur Roziqin
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 2 No 1 (2020): December
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v2i1.2106

Abstract

Outpatient coding of RSUP Dr. Kariadi has an average of 240 file targets to be coded for each officer, coding activity can trigger work risks such as stress, loss of concentration and illness due to work fatigue. The purpose of this study was to Analyze the occupational risks of outpatient coding officers in RSUP Dr. Kariadi Semarang. This type of research is a descriptive study with an interview and observation approach. The object of this study was outpatient coding officer in RSUP Dr. Kariadi. The results showed that the risks in outpatient coding officers there are 5 risks that can occur. Risks regarding workplace accidents as well as work system risks can be found in outpatient coding. The solution is to create an SOP on the safety of outpatient coding officers.