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Fannya, Puteri
Univeritas Esa Unggul
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Tinjauan Ketepatan Kode Diagnosa dan External Cause Kecelakaan Lalu Lintas di IGD RSIJ Pondok Kopi Aneu Rosliana; Laela Indawati; Puteri Fannya; Noor Yulia
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 2 No. 3 (2023): Juli 2023
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v2i3.1854

Abstract

Codification is the activity of classifying diseases based on certain criteria. Coding of disease diagnoses according to ICD-10 rules. One form of classification coding is using External Cause, which is a code used to classify the external cause of a disease caused by accidents, injuries, poisoning, burns, or side effects of drugs. This study was conducted at the Emergency Department of the Jakarta Islamic Hospital Pondok Kopi with the aim of the study to determine the percentage of accuracy of diagnosis and external cause codes and identify SPO related to classification coding. This study uses a quantitative descriptive method, with the technique of taking total sampling or saturated samples on 66 medical records for the period July 2022. The results of the research obtained with 66 samples related to traffic accident patients. Obtained the results of the accuracy of 66 appropriate injury diagnosis codes (100%) and 0 inappropriate (0%). The results of the accuracy of the external cause code obtained 66 (0%) external cause codes cannot be assessed because external cause coding activities have not been carried out. Only have SPO specifically for coding diagnoses in general, SPO specifically for external causes is not yet available. Of the 5 inhibiting factors studied, 3 inhibiting factors were obtained that caused the inaccuracy of external cause coding, namely Man, Money, and Material.
Tinjauan Kelengkapan Rekam Medis Rawat Inap di Rumah Sakit Umum Daerah Kembangan Nabilah Khairunisa; Dina Sonia; Puteri Fannya; Noor Yulia
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 2 No. 4 (2023): Oktober 2023
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v2i4.2403

Abstract

The completeness of filling in the medical record can be checked using a documentation audit, one of which is quantitative analysis by reviewing certain parts of the contents of the medical record with the intention of finding deficiencies, especially those related to medical record documentation. The purpose of this study was to get an overview of the completeness of filling out inpatient medical records at the Kembangan Regional General Hospital. This research method uses a descriptive method with a quantitative approach. The population in this study were inpatient medical records at the Kembangan Regional General Hospital with a sample of 89 medical records. Based on the results of calculations using quantitative analysis obtained an average completeness of 82%, the highest completeness is the patient identification component of 87% and the lowest completeness is the important reporting component of 76%. Based on the research that has been done, it can be concluded that filling in the medical record at the Kembangan Regional General Hospital is not complete, this is due to the lack of awareness of health workers to complete filling in the medical record so that it has an impact on incomplete filling in medical record files
Prototipe Rekam Kesehatan Personal pada Pasien Diabetes Mellitus (Literature Review) Risma Ayu Fitriyani; Noor Yulia; Puteri Fannya; Laela Indawati
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 2 No. 4 (2023): Oktober 2023
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v2i4.2509

Abstract

Personal Health Record (PHR) is a collection of health-related data that is archived and managed by an individual or parties associated with the PHR. Its purpose is to provide a comprehensive and accurate summary of a person's health history that can be accessed online. This research is a Literature Review study which aims to determine the features and implementation of Personal Health Records in Patients with Diabetes Mellitus. The method used is the Literature Review method from 7 journals which uses several methods including the prototype method, qualitative methods, heuristic evaluation methods, applied development methods, participatory action research methods, and randomized controlled trial methods with data collection techniques through google scholar, direct science and pubmed. The results of the research are seen in the features and implementation of the Personal Health Record. The Personal Health Record feature for diabetes mellitus with dialysis measures has 25 features on the main page, the PHR feature for diabetes mellitus has 7 main features. PHR implementation allows users to access their personal health records anytime and anywhere. Thus, the PHR system can increase accessibility and allow users to access PHR without time restrictions and also the Personal Health Record can assist in monitoring the health condition of Diabetes Mellitus patients. Research conclusion According to the journals analyzed, PHR is effective because it can encourage patient participation in individual health controls, and can access information about diabetes mellitus through monitoring physical activity, diet, weight, and glucose levels.
Ketepatan Kodifikasi Penyebab Dasa Kematian pada Resume Medis di RSKD Duren Sawit Tahun 2022 Rosa Patricia; Deasy Rosmala Dewi; Puteri Fannya; Daniel Happy Putra
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 2 No. 4 (2023): Oktober 2023
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v2i4.2545

Abstract

Coding accuracy, namely the process of conformity of the diagnosis code that has been set by the coding officer based on ICD-10 which greatly affects data reporting and administration. The basic cause of death is the course of any disease, sick condition, or injury that causes or causes the accident that causes death. The purpose of this study was to determine the accuracy of the underlying cause of death code based on the selection rule and the MMDS table in patients who died at the Duren Sawit Hospital in 2022. This study used a descriptive method with a quantitative approach which took 88 samples using a saturated sample technique by means of observation and interviews. The results of the study were obtained from 88 samples of the accuracy of the basic causeof death codes based on the general principle selection rule and rule 1 at the Duren Sawit RSKD found that 49 (56%) and 39 (44%) were incorrect. There are factors that affect the inaccuracy of using the 5M elements (Man, Money, Material, method, Machine), namely the man element because the coding officer's profession is not appropriate and less thorough and the elements of the general coding SPO method which are still being revised, do not use selection rules and MMDS tables. Suggestions that officers should be given socializationabout the selection rules and MMDS tables.
Perencanaan Kegiatan Retensi Rekam Medis di Rumah Sakit Islam Jakarta Pondok Kopi Diva Angelita; Puteri Fannya; Deasy Rosmala Dewi; Daniel Happy Putra
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 3 No. 3 (2024): Juli 2024
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v3i3.3931

Abstract

Medical record retention (shrinkage) is the reduction of archives through the process of sorting documents 5 years after the patient dies or the last date of treatment. This study aims to plan medical record retention activities at RSIJ Pondok Kopi to overcome the problem of file accumulation, improve the efficiency of medical record management, and support better health services. This study uses a qualitative descriptive method and is sourced from 4 informants consisting of the head of medical records and medical record officers, in attracting informants using purposive sampling techniques. In the initial observation, the Jakarta Islamic Hospital Pondok Kopi has not resumed retention of medical records for the last 4 years due to hospital policies regarding service priorities. The results of this study indicate that RSIJ Pondok Kopi already has adequate retention SOPs, but has not retained medical records since 2020. This has resulted in the accumulation of medical record files in the storage room. Based on the results of the study, it can be concluded that RSIJ Pondok Kopi needs to immediately implement medical record retention to overcome the problem of file accumulation. The retention activity plan was made as input for retention so that it can overcome the problems in the medical record unit due to not having medical record retention.
Tinjauan Kelengkapan Pengisian Formulir Ringkasan Pasien Pulang Rawat Inap Pada Kasus Covid-19 di Rsud Tarakan Jakarta Tahun 2022 Izmi Novianita; Wiwik Viatiningsih; Nanda Aula Rumana; Puteri Fannya
Student Scientific Creativity Journal Vol. 1 No. 4 (2023): Juli : Student Scientific Creativity Journal
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/sscj-amik.v1i4.1547

Abstract

Medical records are an important part of reporting and recording as well as assisting the implementation of service delivery to patients, one of which is a summary form for discharge patients, which includes all services that have been provided to patients. It was found that there were still medical records that were not 100% complete according to service quality standards at the Tarakan Hospital, Jakarta. Researchers analyzed the medical records of inpatients for COVID-19 cases, especially the summary form for discharge patients. This study uses a descriptive method with a quantitative analysis approach. The purpose of this study was to determine standard operating procedures and calculate the percentage of completeness of inpatient medical records on the summary form of inpatient discharge patients in the case of covid-19 in March 2022, and to find out the obstacles in filling out the summary form of inpatient discharge in cases of covid-19 . Based on the results of a study of 152 medical records of hospitalized patients with COVID-19 cases, the average completeness rate was 92% complete and 8% incomplete. The need to resocialize standard operating procedures for filling out medical records and the need for hospital director decisions regarding the discipline of filling out medical records should be able to be carried out properly and on time .
Tinjauan Lama Waktu Tunggu Pelayanan Pasien Rawat Jalan Poli Jantung di Rumah Sakit Angkatan Laut Marinir Cilandak Tahun 2022 Fingky Rizki Wulandari; Puteri Fannya; Deasy Rosmala Dewi; Daniel Happy Putra
Student Scientific Creativity Journal Vol. 1 No. 4 (2023): Juli : Student Scientific Creativity Journal
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/sscj-amik.v1i4.1548

Abstract

Patient is a person who, directly or indirectly, consults a doctor or medical service about a health problem in order to receive the medical care the patient needs. After registering, patients need to wait until they get health services from the intended poly. The waiting time is understood as the time required from the arrival of the patient to the moment when the specialist performs the service. This study aims to review the length of waiting time for cardiac outpatient services at the Cilandak Marine Marine Hospital in 2022 using a quantitative approach with descriptive research methods, namely conducting direct interviews with outpatients and directly reviewing the length of waiting time for patients. 74 patient samples, there were 23 patients (31.08%) whose waiting time was appropriate or below the minimum service standard of waiting time (≤60 minutes), while for 51 patients (68.92%) the waiting time did not meet the minimum service standard of time. waiting time (>60 minutes), with an average patient waiting time of 96 minutes. The fastest waiting time for patients is 41 minutes, while the longest waiting time for patients is 173 minutes. Factors that cause long waiting times for outpatients are the inadequate number of medical record officers and medical personnel, the number of patients who come at the same time, causing queues at the registration counter and queues at the poly, doctors' practice hours are quite at odds with registration hours at the counter, negligence of the patient when registering, not carrying a medical card, not carrying the necessary documents, and not the patient concerned who registers, and the number of medical personnel and officers is not sufficient.
Analisis Faktor Keterlambatan Pengembalian Rekam Medis Rawat Inap Di Rumah Sakit (Literature Review) Risma Sisni Fadilla; Puteri Fannya; Noor Yulia; Lily Widjaja
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 1 No. 3 (2024): Juli : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v1i3.556

Abstract

Prompt return of patient medical records is an important step in the health records processing workflow. Speed is the key to meeting quality processing standards. The hospital sets a deadline for returning medical records within 2x24 hours after the patient is discharged. Delays can be caused by various factors, which are classified under the 5M management elements: man, materials, machines, methods, and money. The aim of this research is to identify aspects that are the root of the problem in delays in the process of returning medical records to the hospital. The methodology used is a literature review, with analysis of 17 journal articles from the Google Scholar database. The study results showed that human factors such as staff shortages, incomplete doctor signatures, and inadequate staff educational qualifications were the main causes of delays. Material factors often result in incomplete documents. The machine factor is related to the significant distance between the inpatient department and the medical records department. Meanwhile, the method factor, namely SPO socialization has not been carried out and the implementation of job descriptions has not been maximized.
Hubungan Kualitas Layanan Elektronik dan Kualitas Informasi Aplikasi Halodoc Terhadap Kepuasan pada Pengguna Fadia Eka Septiawati; Puteri Fannya; M. Fuad Iqbal; Lily Widjaja
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 1 No. 4 (2024): Oktober : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v1i4.803

Abstract

User satisfaction with the Halodoc application is measured by meeting user needs. The halodoc application is a health application which has many features and uses, one of which is that patients can chat and communicate with specialist doctors who are experienced in their respective fields. This research aims to determine the relationship between the quality of electronic services and the quality of the Halodoc application information on user satisfaction. Researchers also use the DeLone and McLean information system success model by taking several necessary variables. The samples used by researchers were users of the halodoc application or had used the halodoc application. The data collection instrument uses a questionnaire where the questionnaire is distributed digitally. The questionnaire is distributed in December 2023 - January 2024. Hypothesis testing is carried out by examining the relationship between electronic service quality and information quality on user satisfaction using the Chi-Square test, the research results show that service quality electronics and information quality have a relationship with user satisfaction.
Identifikasi Penyelenggaraan Rekam Medis Elektronik pada Klinik Penyakit Dalam di RSUD Kembangan Syahrul Dwi Ramadhani; Noor Yulia; Puteri Fannya; Dina Sonia
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 1 No. 2 (2024): Juni: Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v1i2.251

Abstract

The rapid development of information technology has penetrated into various sectors of life, including in the health sector, which has also had an impact on the development of computer-based medical record systems. The purpose of this study was to determine the implementation of Electronic Medical Records at the Internal Medicine Clinic at Kembangan Hospital. The research method uses descriptive methods with qualitative analysis on 10 informants by means of observation and interviews which will provide an overview and see directly a situation when the use of electronic medical records is carried out. The results showed that the hospital already had an SOP for filling in electronic medical records, which was not implemented according to what the officers did. The use of Electronic Medical Records, especially in the Internal Medicine Polyclinic, has gone well. Constraints from 5M Factor, namely Man, there are still registration officers who are incomplete or incorrect in filling in patient identity data, PPA (Professional Caring Provider) is incomplete in filling in patient diagnoses, Internet network material is sometimes slow, and the server is sometimes down, user complaints include display is less efficient, when filling. It is suggested to the Medical Record Unit, IT team and hospital management to evaluate the SOP, revise and socialize it in order to reduce the human error factor. Kembangan Hospital needs to improve the appearance of SIMRS Khanza to make it more attractive so as to increase the enthusiasm of the officers in inputting medical record data at SIMRS. Kembangan Hospital should improve network quality in the hospital environment to improve the performance of SIMRS.
Co-Authors -, Muniroh Adham, Yunan Adil Hidayat Afra, Rara Ahmad Rizky Aliyani Aliyani Alvina Amalia Amalia, Isnaini Amirah Syafiqah Zahra Anas Fajry Rhomadon Aneu Rosliana Angela Marsiana Siki Angelina Angelina Anggita Nurul Fadlilah Anisa Dyah Irawati Anisa Nur Safitri Anisa Nur Zulkarina Annida Ariyani Annisa Azzahra, Annisa Aqshal Hidayatullah Ariyani, Annida Armila Astiyana Triadi Athiyyah, Hanifatul Aulia, Ni Wayan Riskita Ayu Hardianti Bagas Saputra Bangga Agung Satrya Betji Nadiana Bissilisin Brigita Natalia Br Surbakti Budi Sunaryo Budiana Gustiara Chresia Ericha Cindi Trisa Olivia Daniel Happy Putra Debbie Friscilla Carolina Manalu Dede Lisda Nurjanah Dede Lisda Nurjanah Delmi Sulastri Dessy Safutri Deta Nurfena Nurfena Dewi Kisaputri Dewi Sartika Dewi, Deasy Rosmala Diah Aryani, Diah Dila Yuliandini Dina Munadiatu Dina Sonia Dinda Melani Safitri Diva Angelita Diva Sabina Dwi Chandrarika Putri Aulia Dwi Nurul Fadila Edi Kurnianto Endika Rachmad Fadia Eka Septiawati Faiha, Hana Fandhika, Lilin Tata Fani Nur Azizah Fathul Baari Fingky Rizki Wulandari Fiqih Nurhidayah Fretycia Laurenty Gina Sonia Hairun Nisa Hana Faiha Hardi Arissaputra Ilham Abdurohman Indawati, Laela Iqbal Tri Putra Iqbal, Muhammad Fuad Isnaini Amalia Izmi Novianita Jack Febrian Rusdi Jefry Sunupurwa Asri Kevin Handynata Khoirunnisa Sabiladina Lasmaria Simorangkir Lilin Tata Fandhika Lily Widjaya Lily Widjaya Lily Widjaya Listania Aisyah Putri Luthfiah Aulia Rachman M. Fuad Iqbal Maeimunah, Siti Magdalena, Selvy Manalu, Debbie Friscilla Carolina Mei Nur Khasanah Melani Aulia Mufida Mordekhai Immanuel Sitorus Muammar Dzachwani Muammar Dzachwani Muhamad Al Imran Rangga Putra Muhammad Arif Sutrasno Muhammad Hafiz Zuhri Munazhifah Munazhifah Muniroh Muniroh - Muniroh Muniroh Muniroh, Muniroh Nabila Zahara Ramadan Nabilah Khairunisa Nadiya Nurul Afifah Nanda Aula Rumana Navry Nanda Aprilian Nazira Nur Amalia Nicki Nugrahaningtyas Noviliana, Tiara Nur Fadilah Nur Mawaddah, Nur Nurfena, Deta Nurfena Nurhaliza Putrikama Nurmayantih Nusamina Pulungan P. S., Raihan Fakhri Piter Serhalawan, Roi Putri Rafikasani Putri Syaikhu Putri, Listania Aisyah R Gumilar Hadiningrat Rahmah, Rizqia Rahmawati, Rena Maulina Ramadhana, Nur Fatihah Adlia Ratna Dewi Ratna Sari Rifda Ulfa Andini Rifqi Fauzan Risma Ayu Fitriyani Risma Sisni Fadilla Rizky Alfiansyah Rizky Khaerunnisa Roi Piter Serhalawan Rosa Patricia Rosfita Rasyid Rosita, Annida Ulfiar Rumana, Nanda Sabiladina, Khoirunnisa Sabina, Diva Safitri, Dinda Melani Safitri, Yolan Adis Salsabella, Pradita Salsabila, Aulia Salsabillah Zahrah Hayati Sarah Khonsa Sarah Khonsa Seastama, Komang Cyntia Noviari Selvi Damayanti Shafa Aulia Ananda Hermanto Simorangkir, Lasmaria Siswati Siswati Sonaria Tambunan Suciyanti Suciyanti Surlialy, Dewi Sutrasno, Muhammad Arif Syafitri, Yenni Syahrul Dwi Ramadhani Tantri Wilananda Tedja Gurat Baktina Tri Putra, Iqbal Trideswira Tryandi Rohmadoni Usman, Nadia Salim Bin Vania Rachma Putri Vardhani, Afifah Kusuma Viatiningsih, Wiwik Vitianingsih, Wiwik W., Mochamad Fauzan Wahyudi Prasetyo Widjaja, Lily Widjaya, Lily Winda Febriarini Windiana Mega Sukmawati Wiwik Vitianingsih Yati Maryati Yenni Syafitri Yulia, Noor