Garuda - Garba Rujukan Digital

p-Index From 2020 - 2025

4.248

P-Index

This Author published in this journals

All Journal PROCEEDING IC-ITECHS 2014 Journal of Information Technology and Computer Science (JOINTECS) Jurnal Kesehatan Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Jurnal Pengabdian Masyarakat IPTEKS Infokes : Jurnal Ilmiah Rekam Medis dan Informasi Kesehatan J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Jurnal Rekam Medik & Manajemen Informasi Kesehatan (RAMMIK)

Sustin Farlinda

Politeknik Negeri Jember

Author-ID : 2556326

Religion Humanities Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Education Electrical & Electronics Engineering Engineering Health Professions Languange, Linguistic, Communication & Media Library & Information Science Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

Published : 33 Documents Claim Missing Document

Claim Missing Document

Articles

Title

Determinan Ketepatan Kode Diagnosis Utama di RS Pusat Pertamina Jakarta Selatan Nada Savira Nurjannah; Demiawan Rachmatta Putro Mudiono; Sustin Farlinda; Djasmanto Djasmanto
Jurnal Rekam Medik & Manajemen Informasi Kesehatan Vol. 1 No. 1 (2022): April
Publisher : Indonesian Journal Publisher

The inaccuracy of the main diagnosis code will have an impact on the hospital in terms of financing and the quality of the information produced. This can also be influenced by the accuracy of writing the main diagnosis. The purpose of this study was to determinants of the accuracy of the main diagnosis code in the discharged summary of inpatient in February 2022 at Pertamina Central Hospital by paying attention to several components, namely the clarity of writing the main diagnosis and the accuracy of the main diagnosis code. The method used is descriptive qualitative. The total sample is 130 of inpatient discharged summary sheets from a total of 463 medical record files in February 2022. The results showed that 42% discharge summary sheets were not clear in writing the main diagnosis and 86% the main diagnosis code did not correct. It is suggested that the hospital can improve the evaluation of the accuracy of filling in the code and writing the main diagnosis in the summary of discharge, holding training and seminars related to doctor's compliance with the ICD-10 code, and socializing how to enforce the code and write a diagnosis according to the ICD-10 rules.

Analisis Singkatan Dan Simbol Terhadap Formulir Discharge Summary Rawat Inap Untuk Penilaian Akreditasi Snars Mirm (12) Periode Februari Di Rumah Sakit Pusat Pertamina Jakarta Selatan Livia Nuri Syafitri; Demiawan Rachmatta Putro Mudiono; Sustin Farlinda; Djasmanto Djasmanto
Jurnal Rekam Medik & Manajemen Informasi Kesehatan Vol. 1 No. 1 (2022): April
Publisher : Indonesian Journal Publisher

Recording in SNARS Edition 1 is included in the Hospital Management Standards group on Information and Record Management (MIRM), one of the medical standards in MIRM, namely the standardization of diagnosis codes, procedure/action codes, symbols, abbreviations, and their meanings contained in the MIRM 12 standard. Where in the assessment element, the hospital must have regulations on standardizing diagnosis codes, procedure/action codes, definitions, symbols used and which should not be used, abbreviations used and which should not be used, and monitored their implementation. Pertamina Central Hospital is a referral hospital and accredited B. Where this hospital becomes the Presidential Hospital. Medical Records used in the form of Electronic and Manual Medical Records. On the Medical Record Form in the application there are abbreviations and symbols. In the use of abbreviations and symbols, socialization has been carried out which contains a guideline entitled "The RSPP abbreviation list book" but in its implementation no evaluation has been carried out. And also there are SOPs that state the existence of abbreviations, symbols, actions and diagnostic codes. In the period of February, there were 463 hospitalized patients. And researchers took samples of medical record number 132 medical records from 30% of the number of inpatients using the formula of slovin. This is a qualitative research using direct observation and documentation methods. The results of observation and study documentation show that the abbreviations that are not appropriate are 45%, 67% for symbols and 55% appropriate for summary form releases, The book of abbreviations and symbols belonging to Pertamina Central Hospital has not yet been legalized and socialized legally. And there is no SOP in accordance with SNARS MIRM 12 for abbreviations and symbols at Pertamina Central Hospital. There is also no evaluation in the implementation of the use of abbreviations and symbols as well as the books used, there are still not several symbols and abbreviations listed in the abbreviation and symbol guidelines in the Rspp.

Analisis Kelengkapan Pengisian Formulir Informed Consent Pada Pasien Rawat Inap Di RS Pusat Pertamina Jonathan Wicaksono; Sustin Farlinda; Thomas M. Purba Purba
Jurnal Rekam Medik & Manajemen Informasi Kesehatan Vol. 1 No. 1 (2022): April
Publisher : Indonesian Journal Publisher

The completeness of filling out the informed consent form at Pertamina Central Hospital Jakarta is still less than the Hospital Minimum Service Standard, which is 100%. This is based on the researcher's preliminary study that the completeness of filling out the informed consent form at Pertamina Central Hospital Jakarta was recorded at 73%, while the remaining 27% were incomplete. The purpose of this study was to review the completeness of filling out the informed consent form at Pertamina Central Hospital. This research uses quantitative research with descriptive approach method. Data collection was carried out by observing and documenting the informed consent form as well as interviews with medical record officers. The results showed that the analysis component with the highest completeness was 98%, namely the patient's/guardian's name and patient's signature, while the analysis component with the lowest completeness was 38%, namely the signatures and names of witnesses I and II. The cause of the incomplete informed consent form is the lack of explanation and emphasis by PPA officers on the patient or patient's family to fill out and complete the data that is part of it to be filled and completed.

Co-Authors Agus Setiawan Abdurachman Andri Permana Wicaksono Asri Dheajeng Imani Atma Deharja Bachtiar Hadi Prakoso Bachtiyar Wahab Bakhtiyar Hadi Prakoso Bhre Diansyah Chusnaini Nur Aprilyanti Demiawan Rachmatta Putro Mudiono Desy Rachmawati Detty Artin Meirina Djasmanto Djasmanto Doni Setiawan Hendyca Putra dony setiawan hendyca putra Efri Tri Ardianto Eltigeka Devi Apriliani Erna Selviyanti Errica Rostia Loren Feby Erawantini Firman Shalihin Gamasiano Alfiansyah Hayu Ning Widyastuti Ilham Aditya Aji Ines Meiyola Pradanthi Inggil De Crystal Jamil, Nur Malika Jonathan Wicaksono Liana Ulfa Livia Nuri Syafitri Lutfiatun Nadibah Herman Maya Weka Santi Mochammad Choirur Roziqin Mochammad Choirur Roziqin Mudafiq Riyan Pratama Muhammad Yunus Muzaffatul Hasan Nada Savira Nurjannah Niyalatul Muna Novita Nuraini Nugroho Setyo Wibowo Nur Amaliyatul Fadlilah Nur Fadilatul Fitriyah Rachmawati, Ervina Raisa Putri Ramadhani Resti Aprilia Tri Hendaryanti Risma Dwi Ambarwati Rossalina Adi Wijayanti Salma Firyal Nabila Sugeng Sugeng Sugeng Sugeng Sugeng Sugeng Suhartatik Suhartatik Suhartini Nur Afifah Thomas M. Purba Purba Tias Agustin Ayuningrum Try Ganjar Wati Ussisa Alattaqwa

Title Search

Found 3 Documents Search Journal : Jurnal Rekam Medik

Abstract

Abstract

Abstract

Title

Found 3 Documents
Search
Journal : Jurnal Rekam Medik