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All Journal JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Jurnal Penelitian Kesehatan Suara Forikes Jurnal Wiyata : Penelitian Sains dan Kesehatan J-Dinamika: Jurnal Pengabdian Kepada Masyarakat Jurnal Kesehatan ARTERI : Jurnal Ilmu Kesehatan Jurnal Aisyah : Jurnal Ilmu Kesehatan J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Jurnal Rekam Medik & Manajemen Informasi Kesehatan (RAMMIK) PEKAT : Jurnal Pengabdian Kepada Masyarakat International Journal of Health and Information System (IJHIS) DIANKES : Jurnal Pengabdian Teknologi Informasi dan Kesehatan JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
Gamasiano Alfiansyah
Politeknik Negeri Jember
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Tinjauan Pelaksanaan General Consent pada Pasien Baru Rawat Jalan RSUP dr. Sardjito Bhre Diansyah; Gamasiano Alfiansyah; Sustin Farlinda
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.v1i3.2084

Abstract

One of the accreditation instruments is Patient and Family Rights (HPK) 6.3 which states that patients andtheir families were provided with an explanation of the scope of the general consent. Based on preliminaryresearch at the outpatient registration unit at RSUP dr. Sardjito Yogyakarta, the average new registeredpatients reached 43.25 patients per day and 89% of them did not receive an explanation about thecontents of the general consent form. This research aims to identify the current general consent form foroutpatients in 2020, identify the procedure applied in delivering information of the general consent foroutpatients, and identify factors obstructing the application of the general consent. This research wasqualitative. The data were collected through interviews and observations. The subjects of the researchinvolved officers of the inpatient registration unit at RSUP dr. Sardjito Yogyakarta and the head of themedical record and health information department. The results of this research show that the registrationofficers do not inform the general consent information for new patients because they have more concernon the speed of registration process without telling the content of general consent and unavailability ofSOP in providing general consent information that cause less proper work implementation.
Analisis Faktor Penyebab Keterlambatan Pengembalian Berkas Rekam Medis Rawat Jalan di RSUPN Dr. Cipto Mangunkusumo Rizky Farah Dilla; Demiawan Rachmatta Putro Mudiono; Gamasiano Alfiansyah
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 4 (2020): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i4.2085

Abstract

Keterlambatan pengembalian berkas rekam medis dapat mempengaruhi pelayanan rekam medis dan akan menghambat kegiatan selanjutnya, seperti kegiatan assembling, koding, analisis, indeks. Pengembalian berkas rekam medis rawat jalan di RSUPN Dr. Cipto Mangunkusumo masih mengalami keterlambatan. Pada bulan januari sampai dengan februari total berkas rekam medis rawat jalan yang terlambat sebanyak 282 berkas (0,016%) dari 17.616 berkas. Tujuan dari penelitian adalah menganalisis faktor  penyebab keterlambatan pengembalian berkas rekam medis rawat jalan di RSUPN Dr. Cipto Mangunkusumo. Jenis penelitian yang digunakan adalah kualitatif. Teknik pengumpulan data berupa wawancara dan observasi. Subjek penelitian ini adalah Kepala Rekam Medis, Petugas Penanggung Jawab Operasional Unit Rekam Medis, Petugas Filling, Petugas Pengembalian Berkas. Penelitian  dilakukan pada bulan februari sampai bulan maret 2020. Hasil dari penelitian yang didapatkan yaitu pengetahuan dan sikap beberapa petugas masih belum paham dengan SOP pengembalian berkas rekam medis dan kepatuhan sikap petugas pengembalian masih kurang baik. Sarana dan prasarana sudah mendukung, hanya kurangnya ketelitian pada sumber daya petugas pengembalian. Sudah diberikan motivasi oleh koordinator pelayanan Unit Rekam Medis, dan sudah terdapat (SOP) pengembalian berkas rekam medis. Upaya yang dilakukan adalah memberi tahu perawat tentang batas waktu pengembalian berkas rekam medis rawat jalan, kepala rekam medis memberi teguran kepada perawat yang terlambat mengembalikan berkas rekam medis, memberikan motivasi kerja dan sering melakukan sosialisasi SOP terkait pengembalian berkas rekam medis rawat jalan.
Analisis Lama Waktu Penyediaan Berkas Rekam Medis Rawat Jalan untuk Pasien Lama Poli Bedah Onkologi di RSAL dr. Ramelan Surabaya Tahun 2020 Bastin Nur Aliefia; Gamasiano Alfiansyah; Indah Muflihatin
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.v2i1.2142

Abstract

Polyclinic at RSAL dr. Ramelan Surabaya which has the most number of patient visits every day is poly surgical oncology than other poly surgery which is ± 55 - 60 patients, here researchers see that with the many requests for medical record files, the supply of medical record files must be as fast as possible and must still meet existing standards. But in reality the supply of medical record files still exceeds the standard. The results of the observations I made to search for 1 file took 5 minutes until the file was recorded in the register of each poly, aiming that the file with no. The RM has been sent and then barcoded or sent via SIMRS, it should be marked that the medical record file must already be in the clinic but here the file is still placed on the table very long which is about 15 minutes and can also be more than it should be sent to the polyclinic. That way the file does not get to the clinic according to the Hospital Minimum Service Standards (SPM). The aim is to find out how long it takes to provide medical records in outpatients for poly surgical oncology patients at RUMKITAL Dr. Ramelan Surabaya. This type of research is qualitative. Data collection techniques in the form of interviews and observations. The population in this study were all outpatient medical record files for oncology surgery patients in March 2020. The results obtained from the study were the length of time the provision of outpatient medical record files for old poly surgical oncology patients exceeded the established standard that required an average time 11 minutes for each file arrived at the polyclinic.
ANALISIS FAKTOR KINERJA PENGISIAN DOKUMEN REKAM MEDIS RAWAT INAP KLINIK dr. M. SUHERMAN JEMBER Aditya Dwi Arimbi; Selvia Juwita Swari; Novita Nuraini; Indah Muflihatin; Gamasiano Alfiansyah
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 2 (2020): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i2.2238

Abstract

Percentage of incompleteness of filling in the medical records of the Clinic Dr. M. Suherman shows thatthe Minimum Service Standards in the Hospital are not yet 100%. Incomplete data has shown that thecompleteness of filling medical record documents is still not in accordance with the specified standards.The incompleteness of filling out the medical record document may be caused by the performance factorof the officer in completing the inpatient medical record document. The purpose of this study is to analyzethe performance factors in filling out the record documents. The purpose of this study was to analyze theperformance factors in filling out medical records of inpatients at the Clinic dr. M. Suherman Jember. Thisstudy uses qualitative research that aims to identify and analyze performance factors in filling inpatientmedical record documents at the Clinic dr. M. Suherman Jember, who will be associated with performancetheory with personal factors, leadership factors, team factors, system factors, and situational factors, andusing the USG (Urgency, Seriousness, Growth) method to determine the main factors of the 5 factors thataffect performance as well as efforts to correct problems using brainstorming. The results of this studyobtained priority causes of the incompleteness of filling medical records documents for inpatients at theClinic dr. M. Suherman Jember is the lack of awareness of each individual related to filling medical recorddocuments, lack of evaluation and monitoring, lack of socialization, lack of understanding related to SOPfor filling medical record documents because there is no SOP for filling medical record documents, so theClinic, Dr. M. Suherman asked researchers to make SOPs for filling in the records of inpatients. As asuggestion, do a commitment to complete the completeness of filling medical record documents, conductsocialization, evaluation and routine monitoring, as well as making SOP for filling medical recorddocuments.
ANALISIS FAKTOR PENYEBAB TERJADINYA MISSFILE DI BAGIAN FILING PUSKESMAS DRINGU KABUPATEN PROBOLINGGO Nofitalia Sawondari; Efri Tri Ardianto; Atma Deharja; Gamasiano Alfiansyah
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 2 No 3 (2021): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v2i3.2247

Abstract

Kegiatan penyelenggaraan rekam medis di Puskesmas Dringu masih belum optimal. Hal ini dapat dilihat dari belum adanya ruang filing, kurangnya rak rekam medis, serta proses penyimpanan yang belum sesuai dengan SOP sehingga dapat menyebakan terjadinya missfile. Tingkat kejadian missfile di Puskesmas Dringu sebesar 11% pada bulan Juni 2019. Missfile dokumen rekam medis dapat menyebabkan data rekam medis tidak berkesinambungan. Penelitian ini bertujuan untuk menganalisis faktor penyebab terjadinya missfile di Puskesmas Dringu Kabupaten Probolinggo. Jenis penelitian adalah penelitian kualitatif. Pengumpulan data menggunakan wawancara, observasi, dokumentasi dan kuesioner. Subyek penelitian berjumlah 4 orang yang terdiri dari 2 petugas rekam medis, kepala rekam medis serta kepala Puskesmas Dringu. Penentuan prioritas penyebab masalah terjadinya missfile menggunakan USG (Urgency, Seriousness, Growth) dan penentuan solusi menggunakan brainstorming. Hasil penelitian menunjukan bahwa faktor penyebab missfile yaitu ketidakpatuhan petugas dalam menjalankan SOP, kurangnya pengetahuan, tidak adanya tracer dan buku ekspedisi, pendidikan petugas belum sesuai kualifikasi, petugas tidak melakukan penyortiran DRM yang akan disimpan dan petugas tidak melakukan audit penyimpanan secara periodik. Hasil prioritas utama penyebab missfile menggunakan USG yaitu petugas yang tidak patuh terhadap SOP (Standart Operasional Procedure). Upaya penyelesaian masalah tersebut yaitu adanya sosialisasi SOP, pengawasan kinerja petugas, mengadakan evaluasi kinerja dan  adanya punishment dan reward.
PERANCANGAN DAN PEMBUATAN WEBSITE PUSKESMAS NOGOSARI DENGAN MENGGUNAKAN METODE WATERFALL Haris Hammaminata; Feby Erawantini; Novita Nuraini; Gamasiano Alfiansyah
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.v2i2.2260

Abstract

Submission of information at Nogosari Public Health Center was done by sticking announcements in the cornerof the wall and bulletin board. Nogosari Public Health Center’s queue registration system was still offline-based.People could only get this information and take the queue if they came to the public health center. This researchaimed to design and create Nogosari Public Health Center’s website using waterfall method. The approach ofthis research was Research and Development (R & D). Data collection techniques used interviews andobservations. The analysis unit of this research were the head of the Nogosari Public Health Center Jember, ahealth promotion officer, an environmental health officer, a surveillance officer, a KIA-KB-Nutrition serviceofficer, a medical record officer, and 2 patients in Nogosari Public Health Center Jember. The results showedNogosari Public Health Center’s website accompanied by additional features include online queuing features,suggestion box facilities, and question and answer pages. Suggestions from researchers are the system shouldbe developed into an integrated service system by adding customize features to existing services. NogosariPublic Health Center Jember need a domain host so that this website can be accessed by the internet.
Strategi Percepatan Waktu Distribusi Dokumen Rekam Medis di RSU dr. H. Koesnadi Bondowoso Isye Isyanti Dewi; Feby Erawantini; dr. Novita Nuraini; Gamasiano Alfiansyah
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 2 No 4 (2021): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v2i4.2456

Abstract

Pendistribusian dokumen rekam medis adalah suatu kegiatan mendistribusikan dokumen rekam medis ke poliklinik setelah pasien registrasi. Keterlambatan pendistribusian dokumen rekam medis rawat jalan sering dijumpai pada kegiatan penyelenggaraan rekam medis. Batas waktu pendistribusian dokumen rekam medis rawat jalan di RSU dr. H. Koesnadi Bondowoso yaitu ≤ 10 menit setelah pasien mendaftar. Data keterlambatan yang dilakukan pada survey awal bulan November 2019 mencapai 53,5%. Tujuan dari penelitian ini adalah menyusun strategi untuk melakukan perbaikan keterlambatan pendistribusian dokumen rekam medis rawat jalan di RSU dr. H. Koesnadi Bondowoso. Penelitian ini merupakan penelitian kualitatif dengan metode Action Research. Teknik pengumpulan data menggunakan wawancara mendalam, observasi dan brainstorming. Hasil penelitian ini diketahui bahwa faktor penyebab keterlambatan pendistribusian dokumen rekam medis rawat jalan yaitu pengetahuan petugas tentang SOP kurang, kedisiplinan petugas yang masih kurang disiplin, tidak terdapat petugas khusus pendistribusian dokumen rekam medis, tidak terdapat tracer pada rak penyimpanan, petugas filing tidak pernah mendapatkan reward dari pimpinan dan belum pernah diadakan sosialisasi SOP. Berdasarkan hal tersebut upaya penyelesaian masalah yang peneliti sarankan pada pihak RSU dr. H. Koesnadi Bondowoso dengan merevisi SOP dan sosialisasi SOP secara berkala.
Efektivitas Pelatihan Pijat Bayi Terhadap Pengetahuan Pengasuh Bayi di TPA Yaa Bunayya Jember Ervina Rachmawati; Gamasiano Alfiansyah; Faiqatul Hikmah
Jurnal Kesehatan Vol 7 No 1 (2019): April
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-kes.v7i1.19

Abstract

SPA (pijat) bayi adalah suatu metode yang dilakukan untuk meningkatkan kebugaran bayi melalui peningkatan berat badan dan perkembangan motorik bayi. Pengetahuan tentang pijat bayi ini masih belum diketahui oleh masyarakat, dikarenakan masyarakat masih mempercayakan pijat bayi kepada dukun bayi dan kurangnya pengetahuan masyarakat untuk melakukan pijat bayi kepada tenaga kesehatan. Penelitian ini bertujuan untuk meningkatkan pengetahuan dan ketrampilan para pengasuh bayi dan balita di TPA Yaa Bunayya Jember. Jenis penelitian menggunakan analitik komparatif dengan desain quasi eksperimental. Pengambilan data menggunakan alat ukur kuesioner pre dan post test. Teknik analisis data menggunakan uji statistik paired T test. Hasil penelitian menunjukkan ada perbedaan yang signifikan antara pengetahuan sebelum dan sesudah pelatihan pijat bayi (p= 0,001; t hitung= -4,614; CI 95%= -3,077s/d-1,089; mean difference= -2,083). Pelatihan pijat bayi terbukti efektif untuk meningkatkan pengetahuan pengasuh bayi dalam melakukan praktik pijat bayi di TPA Yaa Bunayya Jember.
Analisis Kelengkapan Pengisian Berkas Rekam Medis Pasien Rawat Inap RSUP Dr. Kariadi Semarang Selvia Juwita Swari; Gamasiano Alfiansyah; Rossalina Adi Wijayanti; Rowinda Dwi Kurniawati
ARTERI : Jurnal Ilmu Kesehatan Vol 1 No 1 (2019): November
Publisher : Puslitbang Sinergis Asa Professional

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (839.834 KB) | DOI: 10.37148/arteri.v1i1.20

Abstract

The completeness of medical record file in December 2018, January 2019 and February 2019 is not complete, so it does not Fulfill the Minimum Standards of Hospital Services. The incomplete filling of medical record files will cause the records to be out of sync and the patient's previous health information difficult to identify. The purpose of the study was to identify the completeness of filling medical record files and the factors causing incompleteness of filling medical record files for inpatients at RSUP Dr. Kariadi Semarang. This research was a qualitative research. The research subjects consisted of 2 officers in charge of medical records. The object of the study was 86 samples of inpatient medical record files from 25-28 February 2019 based on the Slovin formula. The results of the research that the completeness of the patient's identity, the completeness of important reports, the completeness of inpatient medical record file authentication and the completeness of correct recording, indicated that the completeness of filling the medical record was quite high. The incompleteness of filling in the inpatient medical record file was caused by several factors, specifically the officer factor (man), procedural factor (method), tool factor (material), machine factor and motivation factor.
Analisis Prioritas Penyebab Masalah dalam Pemenuhan Standar Akreditasi 8.4 di Puskesmas Kraksaan Selvia Juwita Swari; Gamasiano Alfiansyah; Wahyu Hidayati
Jurnal Rekam Medik & Manajemen Informasi Kesehatan Vol. 1 No. 1 (2022): April
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (117.321 KB) | DOI: 10.47134/rmik.v1i1.11

Abstract

Kraksaan Public Health Center got basic accreditation in 2017. The results of the accreditation standard 8.4 regarding MIRM have not been reached and must be improved for the next accreditation assessment. The purpose of this study is to analyze the priority causes of problems in the 8.4 accreditation standards at the Kraksaan Public Health Center. The method used is the MCUA (Multiple Criteria Utility Assessment). The results of identification of the organization of medical records in fulfillment of the 8.4 accreditation standard were 53.85% (partially fulfilled) with the lowest results in criterion 8.4.4 related to the completeness and confidentiality of medical records (16.67%) while based on the results of priority analysis of the causes of the problem related to the implementation of medical records in compliance with accreditation standards shows that there is no SOP on the implementation of assessments of the completeness and accuracy of the contents of medical records to be a top priority. The results of the study are efforts to improve the organization of medical records in fulfillment of the 8.4 accreditation standards in the form of making SOP assessing the completeness and accuracy of the contents of the medical records.
Co-Authors Aditya Dwi Arimbi Afrizal Himawan Alvira Nafisah Eky Mulia Andar Sifa’il Fajeri Angga Rahagiyanto Ani Nuraini Anisa Istiqomah Arinda Lironika Suryana Atma Deharja Azza Ferista Delvia NB Bastin Nur Aliefia Bhre Diansyah Dahlia Indah Amareta, Dahlia Indah Demiawan Rachmatta Putro Mudiono Desy Rachmawati Dinda Darmawati Efri Tri Ardianto Faizatun Nikmah Feby Erawantini Haris Hammaminata Hikmah, Faiqatul Indah Muflihatin Iqbal Ramadhan Suryawiyanto Iqbal Rhamadhan Suryawiyanto Irene Ratri Andia Sasmita Isye Isyanti Dewi Maya Weka Santi Mudafiq Riyan Pratama Niyalatul Muna Nofitalia Sawondari Novita Nuraini nurmawati, ida Prawidya Destarianto Rachmawati, Ervina Ria Chandra Kartika Risma Dwi Ambarwati Rizky Farah Dilla Rossalina Adi Wijayanti Rossalina Wijayanti Rowinda Dwi Kurniawati Sabran Sabran Sakinah Salsabila Selvia Juwita Swari Selvia Juwita Swari Septin Diah Triwardhani Siti Wafiroh Sugeng Sugeng Sugeng Sugeng Sugeng Sugeng Sustin Farlinda Tias Agustin Ayuningrum Wahyu Hidayati Widiyanto Widiyanto Yusfa Ike Rustiana Zora Olivia