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ANALISIS EFISIENSI PELAYANAN RAWAT INAP DI TINJAU DARI INDIKATOR PELAYANAN RAWAT INAP PADA BLUD RSUD dr. H. SOEMARNO SOSROATMODJO KAPUAS TAHUN 2017 Galih Persadha; Aus Al Anhar; Fakhrurrasyid Anshari
Jurnal Kajian Ilmiah Kesehatan dan Teknologi Vol 1 No 1 (2019)
Publisher : Politeknik Unggulan Kalimantan

Activity that is routinely carried out al BLUD RSUD dr. H. Soemarno Sosroatmodjo Kapuas which calculate the efficiency of bed occupancy. Inpatient service indicators for the last 3 years have fluctuated but have not met the standards. The purpose of this research was to determine the efficiency of inpatient service based on indicators of inpatient service at BLUD RSUD dr. H. Soemarno Sosroatmodjo Kapuas in 2017. This type of research use descriptive quantitative cross sectional approach with observation method, namely observing and calculating directly in the field. Daily inpatient census from 00.00 to 24.00 at 08.00 is handed over to the medical record. In 2017 the BOR result 52,51%, AvLOS 2,30 days, TOI 2,99 days, and BTO 58 times. Based on the measurement of Barber Johnson Chart the BOR value in the efficient area is the Cempaka room, while VIP, Isolation, ICU, VK, Teratai, Mawar, Perinatology, Kenanga, Dahlia, and Anggrek are outside the area efficiently. BOR values under the Health Department standards and Barber Johnson need to be made efforts to improve the quality of services including by completing facilities and infrastructure and improving service quality and human resource skills to restore public confidence in the hospital.

GAMBARAN SEBARAN TENAGA ELEKTROMEDIK DI RUMAH SAKIT WILAYAH PROVINSI KALIMANTAN SELATAN MEGGUNAKAN SISTEM INFORMASI GEOGRAFIS Galih Persadha; Rusdiansyah Rusdiansyah; Muhammad Akbar Hariyono
Jurnal Kajian Ilmiah Kesehatan dan Teknologi Vol 1 No 1 (2019)
Publisher : Politeknik Unggulan Kalimantan

Propinsi Kalimantan Selatan sebagai propinsi tertua di kalimantan, pada kenyataannya berbagai data dan informasi terkait tenaga kesehatan, terutama yang berkaitan dengan sarana/prasarana serta tenaga kesehatan tertentu pada sebuah rumah sakit atau pusat kesehatan masyarakat masih sangat minim untuk diperoleh sehingga masyarakat umum sulit untuk mengetahui dimana ia bisa mendapatkan kesehatan yang terbaik berdasarkan ketersediaan sarana/prasarana yang memadai maupun tenaga kesehatan berdasarkan jangkauan lokasi tempat tinggalnya. Pengambilan data dilakukan dengan cara survey, yaitu penyelidikan yang dilakukan untuk memperoleh data tenaga elektromedik serta pemetaan kebutuhan tenaga elektromedik di Provinsi Kalimantan Selatan. Waktu pelaksanaan penelitian dilaksanakan selama 4 (empat) bulan yaitu mulai bulan November 2016 hingga Maret 2017. Hampir semua rumah sakit di wilayah Provinsi Kalimantan Selatan mempunyai kekurangan tenaga elektromedis dan estimasi pemenuhan kebutuhan tenaga elektromedis di Kalimantan Selatan diperkiran berkisar 10 sampai dengan 15 tahun kedepan. Dengan adanya sistem informasi geografis, informasi tenaga elektromedis di Kalimantan selatan dapat lebih mudah diakses oleh masyarakat.

Calculation Of Radiation Dosage Value In Patients Based On Android Application Japeri Japeri; Saifi Saifi; Galih Persadha; Muhammad Zaini
Jurnal Kajian Ilmiah Kesehatan dan Teknologi Vol 2 No 2 (2020)
Publisher : Politeknik Unggulan Kalimantan

Salah satu sifat sinar-x yang paling merugikan adalah sinar-x tidak dapat dilihat dengan mata, sinar-x merupakan radiasi pengion dan sinar-x dapat merubah jaringan tubuh. Radiasi sinar-x, disamping memberikan manfaat yang sangat besar juga berpotensi memberikan efek merugikan, proteksi radiasi merupakan aspek yang sangat penting dalam pengendalian efek merugikan oleh sebab itu setiap instalasi nuklir dan unit radiologi harus memperhatikan proteksi radiasi untuk melindungi pekerja radiasi dan masyarakat umum. Tetapi untuk saat ini uji pemantauan dosis perorangan dengan rencana TLD hanya dilakukan untuk pekerja radiasi dengan rentang waktu pertiga bulan sedangkan untuk pasien belum adanya pemantauan dosis padahal proteksi tidak hanya menyangkut pada pekerja tetapi juga pasien oleh sebab peneliti tertarik melakukan penelitian terkait “Perhitungan Nilai Batas Dosis Radiasi Pada Pasien Berbasis Aplikasi Android. Penelitian ini bertujuan untuk mengetahui pemantauan dosis radiasi pada pasien sehingga dikemudian hari tidak terjadi nilai batas yang tidak melebihi nilai ambang. Jenis penelitian ini Kuantitatif dengan pendekatan Research And Development

Layout of the Medical Record Unit of Dr. Hospital. H. Moch Ansari Saleh Banjarmasin Husin Husin; Galih Persadha; Firda Aurelia Nurhaliza
Jurnal Kajian Ilmiah Kesehatan dan Teknologi Vol 3 No 2 (2021)
Publisher : Politeknik Unggulan Kalimantan

Spatial planning is the arrangement of tools in the right location and workplace arrangements that create satisfaction for employees. The arrangement of the workspace in the medical record unit affects the service activities provided to patients, so that the workspace arrangement in the medical record unit needs to be considered so that the services provided by the medical record unit can run smoothly. Based on a preliminary study at RSUD dr. H. Moch Ansari Saleh through observation, researchers found the fact that the medical record management room was narrow, this made the officers jostling and when they passed each other they had to take turns, and the placement of facilities or facilities that were less needed made the room narrower. . And the results of interviews with medical records officers that he said officers work by walking back and forth from one table to another at a distance apart because the layout does not match the medical record workflow, this has an impact on the smoothness of service and reduces work speed. The purpose of this study Describes the layout of the medical record work unit at RSUD dr.H.Moch Ansari Saleh. This type of research method used is descriptive qualitative. Methods of data collection using interviews and observation. Based on the results of the research, the medical record unit room was not neatly arranged, the work desk was not in accordance with the medical record data processing flow, there were several work desks between officers who did not have distance, and for the filing room the layout was appropriate and did not hinder access. The area of the medical record work unit is narrow, it is necessary to expand the room which has an impact on the comfort of the officer in working and for the filing room, it is sufficient in terms of the area of the room. The facilities in data processing are still not suitable, it is necessary to add a work desk because there are officers who do not have a work desk

Risk Factor Analysis Of The Severity Chronic Kidney Failure Undergoing Hemodialysis At State Hospital Galih Persadha; Rosihan Adhani; Syamsul Arifin; Husaini Husaini; Meitria Syahadatina Noor
Healthy-Mu Journal Vol. 4 No. 2 (2021)
Publisher : MBUnivPress

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35747/hmj.v4i2.10

Chronic kidney disease (CKD) is ranked 27th cause of death in the world in 1990 and increased 18th in 2010. The results of Riskesdas in 2013 showed the prevalence of CKD in Indonesia by 0.2% or 2 per 1000 population. A long history of hypertension and kidney stones can cause a decrease in kidney function, patients with chronic renal failure who are still working have a level of fatigue that can trigger stress. Working conditions outdoors in hot temperatures can result in dehydration. The severity of patients with chronic kidney failure can be influenced by hypertension, kidney stones and work. Objective: To analyze risk factors for the severity of chronic kidney failure that undergo hemodialysis at Ulin Regional Hospital in South Kalimantan. Method: An observational analytic study with a cross sectional study design. A sample of 65 patients using simple random sampling. The research instrument used patient medical record data. Data analysis with descriptive and statistical namely chi square and multiple logistic regression. Results: Patients who also suffered from hypertension had a greater risk for end-stage CKD (p = 0.010). Patients who also suffered from kidney stones had a greater risk for end-stage CKD (p = 0.034). Kidney failure patients who are still working have a risk of CRF (p = 0.011). Analysis using multiple logistic regression showed hypertension variables (p = 0.010; Exp.B = 7.236), kidney stones (p = 0.034; Exp.B = 5.221), and occupation (p = 0.011; Exp.B = 5.424) with a level of confidence 95%. Conclusion: There is a relationship between hypertension, kidney stones, and occupation with the severity of chronic kidney failure, with the most dominant variable hypertension among the three variables.

Quantitative Analysis Of Completeness Of Medical Record Document Filling At Public Health Center Galih Persadha
Healthy-Mu Journal Vol. 5 No. 2 (2022)
Publisher : MBUnivPress

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35747/hmj.v5i2.222

Completeness of filling out medical record documents is a must that must be fulfilled to improve the quality of service quality in health care institutions. The community health center is a first-level individual health service facility, by prioritizing promotive and preventive efforts in its working area. Improvement efforts are carried out by conducting regular reviews, both qualitative and quantitative. The quality of the medical record document is reflected in the completeness status if it meets the criteria: completeness of content, accuracy, timeliness and compliance with legal aspects. In the preliminary study, it was found incompleteness in filling out medical record documents. In the Authentication Review found incompleteness that can reduce or even eliminate the value of medical record documents both financially, therapy continuity and law. This study aims to assess the completeness of filling out medical record documents by using quantitative analysis methods on the completeness of filling out medical record documents. The research method used is descriptive with a quantitative approach. The sample in this study was 20 medical record documents from public health centers which were taken randomly using random sampling method from two different public health centers. The results showed that the Patient Identification Review, the Important Reporting Review, the anamneses were 100% complete, the Authentication Review was 87.5% complete and the Correct Documentation Review was 82% complete. The conclusion obtained is that the Authentication Review section of the doctor's name is 79%, the signature of the doctor or nurse is 96% and in the Correct Documentation Review in the section there are scribbles of 12.5%, the use of type-x is 4% and there is an empty section of 37.5 %. Efforts made to improve the quality of the completeness of medical record documents can be carried out by evaluating the implementation of the established SOP and reviewing the provision of rewards and punishments

Risk Factor Analysis Of The Severity Chronic Kidney Failure Undergoing Hemodialysis At State Hospital Galih Persadha; Rosihan Adhani; Syamsul Arifin; Husaini Husaini; Meitria Syahadatina Noor
Healthy-Mu Journal Vol. 4 No. 2 (2021)
Publisher : MBUnivPress

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35747/hmj.v4i2.10

Chronic kidney disease (CKD) is ranked 27th cause of death in the world in 1990 and increased 18th in 2010. The results of Riskesdas in 2013 showed the prevalence of CKD in Indonesia by 0.2% or 2 per 1000 population. A long history of hypertension and kidney stones can cause a decrease in kidney function, patients with chronic renal failure who are still working have a level of fatigue that can trigger stress. Working conditions outdoors in hot temperatures can result in dehydration. The severity of patients with chronic kidney failure can be influenced by hypertension, kidney stones and work. Objective: To analyze risk factors for the severity of chronic kidney failure that undergo hemodialysis at Ulin Regional Hospital in South Kalimantan. Method: An observational analytic study with a cross sectional study design. A sample of 65 patients using simple random sampling. The research instrument used patient medical record data. Data analysis with descriptive and statistical namely chi square and multiple logistic regression. Results: Patients who also suffered from hypertension had a greater risk for end-stage CKD (p = 0.010). Patients who also suffered from kidney stones had a greater risk for end-stage CKD (p = 0.034). Kidney failure patients who are still working have a risk of CRF (p = 0.011). Analysis using multiple logistic regression showed hypertension variables (p = 0.010; Exp.B = 7.236), kidney stones (p = 0.034; Exp.B = 5.221), and occupation (p = 0.011; Exp.B = 5.424) with a level of confidence 95%. Conclusion: There is a relationship between hypertension, kidney stones, and occupation with the severity of chronic kidney failure, with the most dominant variable hypertension among the three variables.

Quantitative Analysis Of Completeness Of Medical Record Document Filling At Public Health Center Galih Persadha
Healthy-Mu Journal Vol. 5 No. 2 (2022)
Publisher : MBUnivPress

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35747/hmj.v5i2.222

Completeness of filling out medical record documents is a must that must be fulfilled to improve the quality of service quality in health care institutions. The community health center is a first-level individual health service facility, by prioritizing promotive and preventive efforts in its working area. Improvement efforts are carried out by conducting regular reviews, both qualitative and quantitative. The quality of the medical record document is reflected in the completeness status if it meets the criteria: completeness of content, accuracy, timeliness and compliance with legal aspects. In the preliminary study, it was found incompleteness in filling out medical record documents. In the Authentication Review found incompleteness that can reduce or even eliminate the value of medical record documents both financially, therapy continuity and law. This study aims to assess the completeness of filling out medical record documents by using quantitative analysis methods on the completeness of filling out medical record documents. The research method used is descriptive with a quantitative approach. The sample in this study was 20 medical record documents from public health centers which were taken randomly using random sampling method from two different public health centers. The results showed that the Patient Identification Review, the Important Reporting Review, the anamneses were 100% complete, the Authentication Review was 87.5% complete and the Correct Documentation Review was 82% complete. The conclusion obtained is that the Authentication Review section of the doctor's name is 79%, the signature of the doctor or nurse is 96% and in the Correct Documentation Review in the section there are scribbles of 12.5%, the use of type-x is 4% and there is an empty section of 37.5 %. Efforts made to improve the quality of the completeness of medical record documents can be carried out by evaluating the implementation of the established SOP and reviewing the provision of rewards and punishments

Pelayanan Kesehatan Melalui Standarisasi Peralatan Kesehatan Di Puskesmas Barabai Kabupaten Hulu Sungai Tengah Muhammad Akbar Hariyono; Upik Ari Erlita; Bayu Setyo Wibowo; Galih Persadha; Japeri Japeri; Syukur Yakub; Fatimah Fatimah; Donny Martha; Muhammad Alpian Hadi
Lumbung Inovasi: Jurnal Pengabdian kepada Masyarakat Vol. 8 No. 2 (2023): Juni
Publisher : Lembaga Penelitian dan Pemberdayaan Masyarakat (LITPAM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/linov.v8i2.1122

Pemeliharaan dan kalibrasi alat kesehatan kecenderungannya hanya dilakukan saat akan menghadapi akreditasi puskesmas saja. Kegiatan ini belum dilakukan secara terencana dan kontinu. Minimnya sosialisasi, terbatasnya sebaran personil dan jumlah laboratorium kalibrasi yang memenuhi syarat, ditambah lagi dengan tidak terpenuhinya anggaran pemeliharaan dan kalibrasi alat kesehatan, membuat upaya kegiatan pemeliharaan dan kalibrasi pada sejumlah alat kesehatan yang ada di sarana pelayanan kesehatan baik pemerintah maupun swasta. Sasaran pengabdian adalah Puskesmas Barabai yang merupakan instansi pelayanan kesehatan masyarakat yang terdampak bencana banjir pada tahun 2021 dimana membutuhkan tindakan berupa perbaikan, perawatan dan kalibrasi internal peralatan kesehatan. Metode kegiatan pengabdian masyarakat dilaksanakan dengan melakukan kegiatan maintenance berupa perbaikan serta kalibrasi peralatan kesehatan dan sosialisasi serta penyuluhan tentang manajemen perawatan dan pemakaian alat kesehatan. Kegiatan merupakan kolaborasi dari berbagai pihak diantaranya adalah Puskemas Barabai, Program Studi DIII Teknik Elektromedik Politeknik Unggulan Kalimantan, Balai Pengujian Fasilitas Kesehatan (BPFK) Banjarbaru, HIMA Teknik Elektromedik Politeknik Unggulan Kalimantan, Ikatan Alumni Teknik Elektromedik Politeknik Unggulan Kalimantan dan pihak DPD Ikatemi Kalimantan Selatan. Setelah dilakukan kegiatan pengabdian masyarakat ditemukan banyak peralatan kesehatan yang perlu dilakukan maintenance karena berbagai kerusakan dan kurangnya pemeriharaan serta pemakaian alat yang tidak sesuai prosedur penggunaan. Berdasarkan hasil kegiatan pengabdian masyarakat ditemukan masih banyaknya puskesmas di daerah Provinsi Kalimantan Selatan dengan kategori wilayah terdampak bencana dan wilayah terpencil yang membutuhkan standarisasi peralatan kesehatan serta edukasi tentang pemeliharaan dan kalibrasi alat kesehatan. Health Services Through Health Equipment Standardization at the Barabai Community Health Center, Hulu Sungai Tengah District Medical equipment is typically only calibrated and maintained when applying for puskesmas accreditation. This action was not conducted in a deliberate and continuous manner. In order to maintain and calibrate a variety of medical devices in healthcare facilities, both public and private, efforts have been made. However, these efforts have been hampered by a lack of outreach, a limited distribution of personnel, and a lack of calibration laboratories that meet the requirements.The dedication is intended for Puskesmas Barabai, a public health care organization that will need to take action to repair, maintain, and internally calibrate its medical equipment as a result of the flood disaster in 2021. The approach of performing community service activities entails engaging in maintenance tasks including repairing and calibrating medical equipment as well as outreach and counseling regarding maintenance administration and the use of medical devices. Puskemas Barabai, Diploma III Electromedical Engineering Study Program at Polytechnic Unggulan Kalimantan, Balai Pengujian Fasilitas Kesehatan Banjarbaru (BPFK), HIMA of Electromedical Engineering at Polytechnic Unggulan Kalimantan, Alumni Association of Electromedical Engineering of the Polytechnic Unggulan Kalimantan, and the DPD IKATEMI South Kalimantan were among the organizations that collaborated on the activity.Following the completion of the community service projects, it was discovered that a significant amount of medical equipment required maintenance due to various damages, lack of maintenance, and the use of instruments that were not in compliance with the recommended process. Based on the outcomes of community service projects, it was discovered that there were still a lot of puskesmas in the province of South Kalimantan that fell into the category of remote areas and disaster-affected areas that needed medical equipment standardization as well as education about the upkeep and calibration of medical devices.

PERSIAPAN IMPLEMENTASI TANDA TANGAN DIGITAL UNTUK AUTENTIKASI DOKUMEN REKAM MEDIS ELEKTRONIK DI RSUD dr. H. MOCH ANSARI SALEH BANJARMASIN Muhammad Rashif Anshari; Himalia Putri; Galih Persadha
Jurnal Kajian Ilmiah Kesehatan dan Teknologi Vol 5 No 2 (2023)
Publisher : Politeknik Unggulan Kalimantan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52674/jkikt.v5i2.112

Penggunaan tanda tangan digital dalam rekam medis elektronik berfungsi sebagai alat untuk autentikasi dan verifikasi atas identitas penandatanganan serta keutuhan dan keautentikan informasi elektronik. Tujuan penelitian ini untuk mengetahui kesiapan implementasi tanda tangan digital di RSUD dr. H. Moch Ansari Saleh Banjarmasin berdasarkan aspek 5M dan aspek legal. Penelitian ini menggunakan metode kualitatif deskriptif dengan teknik pengambilan data menggunakan metode wawancara dengan 4 informan yaitu kepala unit rekam medis, pihak humas, dokter PPA dan pihak IT. Hasil penelitian untuk aspek man diketahui untuk SDM sudah sesuai dari struktur maupun latar belakangnya. Money, rumah sakit sudah siap dalam masalah anggaran. Material, sudah tersedianya penunjang untuk kegiatan tanda tangan elektronik. Method, belum adanya SOP terkait tanda tangan elektronik pada RME. Machine, sarana dan prasarana sudah cukup mendukung. Legal, masih belum adanya regulasi yang jelas terkait penerapan tanda tangan elektronik pada RME. Berdasarkan hasil penelitian dapat disimpulkan bahwa kesiapan RSUD dr. H. Moch. Ansari Saleh Banjarmasin dalam aspek 5M dan aspek legal, yaitu belum siap dalam aspek sarana fingerprint untuk pasien, aspek SOP dan Legal untuk menerapkan tanda tangan digital pada dokumen rekam medis elektronik.

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