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All Journal JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Jurnal Penelitian Kesehatan Suara Forikes J-Dinamika: Jurnal Pengabdian Kepada Masyarakat Jurnal Teknologi Informasi dan Multimedia ARTERI : Jurnal Ilmu Kesehatan J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Jurnal Rekam Medik & Manajemen Informasi Kesehatan (RAMMIK) PEKAT : Jurnal Pengabdian Kepada Masyarakat DIANKES : Jurnal Pengabdian Teknologi Informasi dan Kesehatan JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
Selvia Juwita Swari
Politeknik Negeri Jember
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Evaluasi Kepuasan Pengguna Electronic Health Record (EHR) Menggunakan Metode EUCS (End User Computing Satisfaction) di Unit Rekam Medis Pusat RSUPN Dr. Cipto Mangunkusumo Gamasiano Alfiansyah; Andar Sifa’il Fajeri; Maya Weka Santi; Selvia Juwita Swari
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 11, No 3 (2020): Juli 2020
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf11307

Abstract

RSUPN Dr. Cipto Mangunkusumo is one of the hospitals whose services have used Electronic Health Record (EHR). The implementation of EHR is frequent loading and errors during service and lacking for several menus. The research purpose was to evaluate user satisfaction related to reporting on the Electronic Health Record (EHR) in the central medical records unit Dr. RSUPN. Cipto Mangunkusumo. This research was quantitative descriptive with population of all Electronic Health Record users in the central medical record unit, with 50 sample of respondents. The sampling technique was conducted by sistematic random sampling. Data was analyzed through scoring and presented in table form. The results showed that the dimension of accuracy was 73.28%, format was 71.6%, ease of use was 69.2%, content was 69.2 %, and timelines was 65.66%. These dimension scores indicated good criteria or the user was satisfied with the current Electronic Health Record (EHR) condition, but it requires the development of information systems by adding and adjusting modules contained in the EHR so that user satisfaction continues to increase. Keywords: evaluation; electronic health record (HER); end user computing satisfaction (EUCS) ABSTRAK Rumah Sakit Umum Pusat Nasional (RSUPN) Dr. Cipto Mangunkusumo merupakan salah satu rumah sakit yang pelayanannya sudah menggunakan SIMRS yang disebut Electronic Health Record (EHR). Penggunaan EHR sering loading dan error pada saat pelayanan dan ada beberapa menu yang masih kurang. Tujuan penelitian ini adalah untuk mengevaluasi kepuasan pengguna terkait pelaporan pada Electronic Health Record (EHR) di unit rekam medis pusat RSUPN Dr. Cipto Mangunkusumo. Penelitian ini adalah kuantitatif deskriptif dengan populasi seluruh pengguna Electronic Health Record di unit rekam medis pusat, dan sampel berjumlah 50 responden. Teknik pengambilan sampel dilakukan dengan sistematic random sampling. Analisa data dilakukan melalui skoring dan disajika ndalam bentuk tabel. Hasil penelitian menunjukkan bahwa dimensi keakuratan memiliki nilai tertinggi, yaitu 73,28%, tampilan 71,6%, kemudahan pengguna 69,2%, isi 69,2%, dan waktu 65,66%. Skor dalam dimensi tersebut termasuk dalam kriteria baik atau pengguna puas terhadap konsisi Electronic Health Record (EHR) saat ini, namun masih diperlukan pengembangan sistem informasi serta menambahkan dan menyesuaikan modul yang ada di dalam EHR sehingga kepuasan pengguna terus meningkat. Kata kunci: evaluasi; electronic health record (HER); end user computing satisfaction (EUCS)
DETERMINAN KEAMANAN DAN KERAHASIAAN DOKUMEN REKAM MEDIS DI RUANG FILING RS X Gamasiano Alfiansyah; Rossalina Adi Wijayanti; Novita Nuraini; Selvia Juwita Swari; Siti Wafiroh
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.v1i2.1961

Abstract

Rumah Sakit X menerapkan pengelolaan rekam medis sebagai penunjang medis. Dokumen rekam medis belum terjaga keamanan dan kerahasiaannya, dimana banyak petugas medis lain keluar masuk ruang filing, terdapat petugas makan dan minum diruang filing, penyimpanan masih di rak terbuka, dan petugas atau mahasiswa penelitian membocorkan isi rekam medis pasien.  Tujuan dari penelitian ini adalah mengetahui determinan keamanan dan kerahasiaan dokumen rekam medis di Rumah Sakit X. Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian kualitatif menggunakan metode brainstorming dengan teknik wawancara, observasi dan dokumentasi. Hasil yang didapatkan dalam penelitian ini adalah faktor karakteristik petugas terdiri dari tingkat pendidikan terakhir petugas SMA, umur petugas 32-38 tahun, dan jenis kelamin laki-laki. Faktor psikologi meliputi attitude seperti petugas masih makan dan minum, petugas medis lain keluar masuk, membuka dokumen rekam medis tanpa izin dan terdapat pembocoran isi dokumen rekam medis. Faktor motivasi meliputi petugas merasa puas dan kompetitif dalam bekerja. Faktor organisasi meliputi penghargaan berupa pujian dan kepemimpinan belum dilakukan pemberian petunjuk pergantian dokumen rekam medis yang hilang. Hasil brainstorming yang menjadi penyebab utama yaitu tingkat pendidikan petugas yang masih rendah yaitu SMA. Saran yang diberikan meliputi pendidikan lanjutan atau pelatihan, memberi evaluasi secara rutin dan piagam kepada petugas. Kata kunci : keamanan, kerahasiaan, penyimpanan
Analisis Faktor Penyebab Terjadinya Duplikasi Nomor Rekam Medis Rawat Jalan di Puskesmas Kencong Kabupaten Jember Esa Amanda Setiawan; Rossalina Adi Wijayanti; Atma Deharja; Selvia Juwita Swari
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.v1i3.2005

Abstract

Duplication that occurred in the Kencong Public Health Center was 46 files on February 2019, this could beextremely powerful on legality aspect of medical record file interrupted if it happens the legal case. The aimof this research was to analyze and decide the priority causes of the happening duplication by using USG.The variety of this research is qualitative one by using the collection of interviewing data, observation,documentation and brainstorming. The result of this research stated that the case causing priority is by usingUSG method namely, the education of officer whose education qualification is Diploma D3 degree of MedicalRecord had been appropriated. The trial solving that trouble is recruiting the officers whose educationDiploma D3 degree of Medical Record and they need to have the recommendation about more educationespecially for the officers who still have the minimal education or knowledge about medical record side.
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 PENYEBAB KETERLAMBATAN PENGEMBALIAN BERKAS REKAM MEDIS RAWAT JALAN DI RUMAH SAKIT TINGKAT III BALADHIKA HUSADA JEMBER Mila Imamatul Lutfiah; Efri tri ardianto; Atma Deharja; Selvia Juwita Swari
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.v2i3.2244

Abstract

Pengembalian berkas rekam medis rawat jalan di Rumah Sakit Tingkat III Baladhika Husada Jember masih mengalami keterlambatan. Pada triwulan pertama tahun 2019 total berkas rekam medis rawat jalan yang terlambat sebanyak  25,32% berkas dari  25,32% berkas. Keterlambatan pengembalian berkas rekam medis dapat mempengaruhi pelayanan rekam medis dan akan menghambat kegiatan selanjutnya, seperti kegiatan assembling, koding, analisis, indeks. Penelitian ini bertujuan untuk menganalisis penyebab keterlambatan pengembalian berkas rekam medis rawat jalan di Rumah Sakit Tingkat III Baladhika Husada Jember. Jenis penelitian ini menggunakan kualitatif dan pengumpulan data dengan wawancara, observasi, dokumentasi dan brainstorming. Hasil penelitian yang didapatkan oleh peneliti pengetahuan dan sikap yang masih kurang baik, prasarana atau fasilitas yang kurang memadai. Tidak ada motivasi yang diberikan oleh kepala rekam medis, serta belum pernah dilakukannya sosialisasi SOP tentang pengembalian berkas rekam medis rawat jalan. Upaya yang dilakukan adalah, Menginformasikan tentang buku ekspedisi dan kegunaannya dan petugas juga harus mengikuti pelatihan atau seminar agar pengetahuan dan keterampilan petugas mengenai pengelolaan rekam medis, kepala rekam medis memberi teguran kepada pertugas yang terlambat mengembalikan berkas rekam medis, Melakukan perancangan buku ekspedisi, memberikan motivasi kerja dan melakukan sosialisasi SOP terkait pengembalian berkas rekam medis rawat jalan.
Sistem Informasi Peminjaman dan Pengembalian Rekam Medis Rawat Inap Berbasis Web di RSUD Haji Surabaya Ervina Rachmawati; Sitti Fa’Isil Karomah; Selvia Juwita Swari; Donny Adhasari Hasan
JTIM : Jurnal Teknologi Informasi dan Multimedia Vol 4 No 1 (2022): May
Publisher : Puslitbang Sekawan Institute Nusa Tenggara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35746/jtim.v4i1.214

Abstract

The recording, borrowing and returning of medical record documents at the Haji Hospital in Surabaya still uses a manual borrowing expedition book in the filing section. The medical record documents returned are not in accordance with the SOP (Standard Operating Procedure) and SPM (Minimum Service Standard) of the hospital. The purpose of this study was to design and create a web-based information system for borrowing and returning medical records at the Haji Hospital in Surabaya. The method used in this research is waterfall. The stages of the waterfall method are requirements analysis, system design, system creation and system testing. Data collection was done by interview, observation, and documentation. The result of this research is a web-based information system for borrowing and returning medical records. Suggestions for the Haji Hospital of Surabaya are expected to be able to use a web-based information system for borrowing and returning medical records to facilitate the electronic recording process, speed up reporting and reduce the incidence of delays.
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.
Pelatihan Pembuatan Hand Sanitizer di Desa Kemuning Lor, Jember Mudafiq Riyan Pratama; Gamasiano Alfiansyah; Selvia Juwita Swari
J-Dinamika : Jurnal Pengabdian Masyarakat Vol 7 No 2 (2022): Agustus
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-dinamika.v7i2.2732

Abstract

Sars-Cov-2 atau Coronavirus adalah virus yang dapat menyebabkan terjadinya penyakit Covid-19 yang menular. Covid-19 berasal dari Cina dan memiliki gejala seperti batuk, sesak nafas, demam, dengan masa inkubasi 5-14 hari. Jember adalah salah satu kabupaten di Jawa Timur dengan jumlah kasus Covid-19 yang cukup tinggi dengan 753 kasus positif, 53 kematian per tanggal 21 September 2020. Kemuning Lor merupakan desa binaan POLIJE yang ada di kecamatan Arjasa. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan keterampilan masyarakat dalam membuat hand sanitizer sesuai standar WHO. Metode yang digunakan dalam pengabdian masyarakat adalah penyuluhan dan simulasi. Peserta kegiatan ini adalah tim satgas Covid-19 Kemuning Lor. Hasil yang diperoleh dari pengabdian masyarakat ini adalah masyarakat mengetahui dan telah mampu membuat hand sanitizer sesuai standar WHO. Hal ini diharapkan dapat meningkatkan personal hygiene masyarakat dan menurunkan penularan Covid-19.
Faktor Penyebab Ketidaklengkapan Pengisian Rekam Medis Pasien Rawat Inap Di Rumah Sakit Selvia Juwita Swari; Maria Verawati
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 3 No 4 (2022): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v3i4.3256

Abstract

The completeness of medical records with 100% standard plays a role in improving health services in hospitals. The purpose of this study was to analyze the factors causing the incomplete filling of inpatient medical records at the hospital using 5M management elements, namely man, money, method, material, and machine, with literature study research methods. The literature selection was based on inclusion and exclusion criteria from databases such as Google Scholar, Crossref, Jember State Polytechnic e-Library, and Portal Garuda. The literature used is 16 articles. The result obtained are the man element due to indiscipline, high workload, inappropriate educational background, knowledge of the benefits, usefulness and impact of incompleteness, training, age, tenure of officers, element of money due to limited budgets, the method element is due to the implementation not being in accordance with the SOP, no reward and punishment system, less effective monitoring and evaluation, monitoring and evaluation have not been carried out, material elements due to less systematic form arrangement, and machine elements due to inadequate facilities and infrastructure. To solve the problem, providing training, preparing exclusively budgets, conduct socialization of SOP, improve form design structure, monitoring and evaluating SOP’s, impose reward and punishment, complete the facilities and infrastructure.
Co-Authors Aditya Dwi Arimbi Afrizal Himawan Afrizal Noor Abidin alifia tirta ramadhanti Andar Sifa’il Fajeri Anisa Istiqomah Atma Deharja Demiawan Rachmatta Putro Mudiono Dinda Darmawati Donny Adhasari Hasan Efri Tri Ardianto Esa Amanda Setiawan Faizatun Nikmah Gamasiano Alfiansyah Indah Muflihatin Iqbal Ramadhan Suryawiyanto Iqbal Rhamadhan Suryawiyanto Irene Ratri Andia Sasmita Maria Verawati Maya Weka Santi Mila Imamatul Lutfiah Mudafiq Riyan Pratama Novita Nuraini Rachmawati, Ervina Ria Chandra Kartika Rossalina Adi Wijayanti Rowinda Dwi Kurniawati Siti Wafiroh Sitti Fa’Isil Karomah Wahyu Hidayati