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ANALISIS FAKTOR YANG BERPENGARUH TERHADAP ANGKA KEMATIAN IBU (AKI) DI KABUPATEN JEMBER TAHUN 2018 Rossalina Adi Wijayanti; Dahlia Indah Amareta; Gamasiano Alfiansyah; Novita Nuraini; Atma Deharja; Maya Weka Santi
Jurnal Wiyata Penelitian Sains dan Kesehatan Vol 7, No 2 (2020)
Publisher : LP2M IIK (Lembaga Penelitian dan Pengabdian Masyarakat Institut Ilmu Kesehatan) Bhakti Wiy

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Abstract

Latar belakang: Kabupaten Jember merupakan salah satu kabupaten yang terdapat di Propinsi Jawa Timur yang pada tahun 2016 menempati peringkat dua untuk Angka Kematian Ibu tertinggi. Jumlah kematian ibu di Kabupaten Jember dari tahun 2014 sampai dengan tahun 2017 mengalami peningkatan dimana pada tahun 2017 sebanyak 43 kematian. Puskesmas memiliki peranan utama dan sangat vital dalam upaya penurunan AKI di Indonesia. Program-program kesehatan di Puskesmas yang difokuskan pada kegiatan preventif dan promotif dalam program Kesehatan Ibu dan Anak masih belum berjalan dengan maksimal. Tujuan: menyusun upaya untuk menurunkan AKI melalui pelaksanaan manajemen program kesehatan ibu di Puskesmas yang meliputi planning, organizing, actuating dan controlling. Penelitian ini menggunakan metode observasional analitik dengan sampel berjumlah 34 Puskesmas. Hasil: Hasil penelitian menunjukkan planning dan organizing telah dilakukan namun dalam kategori cukup, actuating dan controlling dalam kategori baik. Terdapat pengaruh yang signifikan pada faktor organizing, actuating dan controlling terhadap AKI. Saran: Rekomendasi yang diberikan adalah mempertahankan kegiatan peningkatan cakupan ibu hamil dan ibu bersalin, melengkapai job description masing masing pekerjaan, meningkatkan keterlibatan lintas sektor pada kegiatan promosi, mempertahankan kegiatan controlling. Perlu keterlibatan seluruh pihak dalam menurunkan AKI.Kata kunci: manajemen, AKI, Jember
Analisis Manajemen Risiko Kesehatan dan Keselamatan Kerja di Bagian Filing RSUP dr. Soeradji Tirtonegoro Klaten Novia Zahroh; Andri Permana Wicaksono; Atma Deharja
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.v1i3.1989

Abstract

Medical records storage is an activity to protect the medical records from the physical damage and the contentof the medical records. Medical records storage process has risks that can threatening the occupational safetyand health of medical records staff. One of the efforts in occupational safety and health is by giving protectionfor the medical records staff by using personal protective equipment. At filing RSUP dr. Soeradji TirtonegoroKlaten found a problem that employees do not use personal protective equipment such as masks andhandscoon, the roll o’pack high is not ergonomic and it does not have Standart Prosedure Operational. Thenurse has risk to experience musculosveletal disorders, hands are itchy, sneeze, scraped paper or sharpmedical record map, and has strangulated the roll o’pack when they do the job. The purpose of this researchwas to analyzed the Health Management risk and Occupational Safety in ifiling RSUP dr. Soeradji TirtonegoroKlaten. Type of qualitative research. Some employees in filing used as Respondents. The results of thisresearch were 16,6% low risk, 50 % moderat risk, and 33,4% in high risk. Based on this results the controlefforts was redesign the map folders material, regulated the high of roll o pack, provided the vacuum cleaner,had encouraged the officers to always washed their hands after touched the medical records, made theStandart Prosedure Operational for occupational safety and health in filing, and gave a punishment ifemployees did not used personal protective equipment.
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 Penyebab Lama Penyediaan Berkas Rekam Medis Rawat Jalan di Puskesmas Mangaran Lutfiatun Nadibah Herman; Rossalina Adi Wijayanti; Atma Deharja; Mochammad Choirur Roziqin
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.v2i1.2031

Abstract

The provision of long-term patient outpatient medical record files in Mangaran Public Health Center is one type of service provided to patients. Based on pre-research survey, it known that the time for providing the medical record files that exceed the established standards is 17.70%. This researched aim is to analyze the caused factors of the long duration for supplying medical file records of long-term patient based on individual and situational factors which will the priority causes of the main problems using the Reinke method. This research is qualitative research. The results showed that long waited for supplying medical record files of long-term patient is the searching process of the medical file records that takes a long time due to the attitude of the officer while handling misfile is not optimal, there is no training related to the medical records, less detailed SOP registration does not contain the standard time to provide the medical file records and the absence of SOP to return the medical records, and also the computers that often error and unavailability of tracers in the storage room. In response to those factors, it is necessary to make an improvement and socialization about the registration SOP’s, requesting propose of the medical record file map/folders and the use of tracers, and also held a training specifically about the medical file records at least 2 or 3 times a year and also doing the computer maintenance at least once a month.
Perancangan dan Pembuatan Sistem Informasi Peminjaman dan Pengembalian Dokumen Rekam Medis Rawat Jalan di RSF Mangusada Badung Nur Malika Jamil; Sustin Farlinda; Atma Deharja
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.v1i4.2045

Abstract

Registration of loans and refunds of medical records at RSD Mangusda Badung still there is an obstacle that is the loan and refunds data of medical records in the period of 1x24 hours hours is not complete and, there is no description of loan and return time  of medical record documents in the expedition. This research aims to design and create information system for loans and refunds the  medical records by using waterfall method at RSD Mangusada Badung. This research was conducted in RSD Mangusada Badung. The method of this research used is a qualitative method with the waterfall system development method. The data collection methods used are interviews, observations and documentation. The result of this research is the design and creation of a loan information system for the return of medical record documents using waterfall method is expected to facilitate the officer filing at Puskesmas Banjarsengon to do their duties.
Evaluasi Electronic Health Record (EHR) dengan Metode PIECES di Unit Rekam Medis Pusat RSUPN dr. Cipto Mangunkusumo Ines Meiyola Pradanthi; Maya Weka Santi; Atma Deharja
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.v1i3.2047

Abstract

National Center General Hospital Dr. Cipto Mangunkusumo is one of the hospitals whose services haveused Hospital Management Information System (SIMRS). The SIMRS used in RSCM is called the ElectronicHealth Record (EHR). In its application, there were still obstacles that made the staff less satisfied with theEHR, one of which was the loading of the EHR. The purpose of this study is to evaluate the EHR in termsof user satisfaction using the PIECES method (performance, information, economic, control, efficiency,service). This type of research is qualitative research, by describing the results of interviews andobservations that have been conducted by researchers and assessed by the PIECES method. Respondentsin this study were 1 filling officer, 1 reporting officer, 1 warehouse officer, and 1 expedition officer. The resultsobtained in this study are that the EHR performance has produced data according to user needs and thereis still a fairly long loading. EHR is able to provide quality information that is easily understood and has beenintegrated with BPJS. that the EHR can produce data according to user needs and the EHR still needs timeif the officer inputs or loads. The EHR has a use value because it is integrated with BPJS Health and alsohas an EHR officer or improvement team. EHR users feel that having an EHR makes it easy for EHR userswhen performing health services such as searching for patient files and making reports. The conclusion isthat the EHR makes it easy for users to do their work. Suggestions given by researchers are to the UMSI toupdate the EHR and perform maintenance on the system and hardware.
Analisis Faktor Penyebab Keterlambatan Penyediaan Berkas Rekam Medis RJ di RSUP dr. Soeradji Tirtonegoro Klaten Diyana Wulandari; Andri Permana Wicaksono; Atma Deharja
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.v1i3.2051

Abstract

The number of outpatient medical records at RSUP dr. Soeradji Tirtonegoro has the highest late provisionthat occurred in June 2019 by 44.66%. The purpose of this report was to analyze the factors causing lateprovision of outpatient medical record files at RSUP dr. Soeradji Tirtonegoro Klaten. This type of researchwas qualitative. Data collection techniques used in this report were interviews and observation. The resultsshowed that the factors causing late provision of outpatient medical record files was man factors, whichare the indiscipline of filing staff in retrieving medical record files and the poly / ward officers' indiscipline inreturning medical records in a timely manner. Material factors were damage to the medical record file onthe map, missfile, emergency patient form without a folder, and the form has not been assembled. Themachine factor were the sudden power failure and the lack of borrowing and returning medical records onSINERGIS. The method factor was the unavailability of regular outpatients in the registration room. Themoney factor is that there is no financial support to give awards to officers. Improvement efforts that can bedone are filing officers not waiting for some tracers to pile up when retrieving files, evaluating the processof returning outpatient or inpatient medical record files to the filing room, always sweeping againstdamaged or non-bound documents. IT added features or menus for borrowing and returning medicalrecord files to SINERGIS. The registration officer installs a regular outpatient registration flow in theregistration room.
Analisis Perhitungan Kebutuhan Tenaga Kerja Petugas Rekam Medis Kiara Berdasarkan Teori WISN di RSUPN Dr. Cipto Mangunkusumo Adlien Fadillah; Atma Deharja; Jalahan Pandiangan
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.v2i1.2071

Abstract

The increasing number of patients required higher of medical record services. It can affect on workload officers. It is known that every day there are 350-400 patients with 20 new patients who come for treatment at RSCM Kiara. One service achievement of 32% in January 2020 with priority KPI (Key Performance Indicator) is the provision of medical record files withput patient agreement up to poluclinic < 30 minutes, of the percentage should be 100%. Based on the pre survey at RSCM showed towards 6 Kiara RSUPN Dr. Cipto Mangunkusumo medical record officers, it can be inferred that the officers having a double job at the same time. The high workload that the officers experienced is a side effect from not having enough numbers of officers. It implies that the officers could have several problems, including physical fatigue. The purpose of this study was to determine the number of labor requirements based on WISN theory for the assembling and filling officer of Kiara RSUPN Dr. Cipto Mangunkusumo. This research using a qualitative method with 6 respondents. Based on the workload calculation using the WISN method, it is known that the number of workers needed in the assembling unit is 2 people and in the filing unit is 15 people. With the results of the calculations of labor needs based on WISN theory, it can be used as an effort to plan the addition of officers numbers in order to improve the quality of hospital services according to the existing workload.
Analisis Kebutuhan Electronic Medical Record (EMR) Pasien Rawat Jalan Dewasa Menggunakan Metode UCD di RSCM Evi Novitasari; Maya Weka Santi; Atma Deharja
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.v1i3.2079

Abstract

RSUPN Dr. Cipto Mangunkusumo is a government hospital in Central Jakarta, Indonesia. The hospital hasnot used an electronic medical record with a land area of 12,1409 hectares and is still using manualmedical records, causing the length of documents to be distributed to each unit that needs it. Besides thedistance traveled causes the loss of files in it. The target achievement of medical record response time isstill very far from what has been set, which is equal to 90% of medical records reaching poly at <25minutes. Implementation of electronic medical records at RSUPN Dr. Cipto Mangunkusumo has not beenimplemented yet because the needs of the implementation of electronic medical records have not beenmet, so it is necessary to analyze the electronic medical records needs of adult outpatients. The researchmethod used is the user centered design method which is a design method that puts the user at the centerof a system design process. The process in the UCD method is to understand and determine the user'scontext, determine the needs of users and organizations, design solutions produced, and designevaluation of user needs. The results of the study are end-users of electronic medical records of adultoutpatients, namely doctors, nurses, medical recorders, and pharmacists. There are 3 needs for users andorganizations namely information needs, functional needs and non-functional needs. There are 13interface designs and interface design evaluation results, namely the design produced according to userneeds
Analisis Kepuasan Pengguna Electronic Health Record (EHR) dengan Menggunakan Metode Delone and Mclean di Unit Rekam Medis RSUPN dr. Cipto Mangunkusumo Resti Aprilia Tri Hendaryanti; Atma Deharja
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.v1i3.2102

Abstract

The rapid development of technology requires humans to move forward to compensate for this. Ease thatis obtained along with technological advancements in carrying out all activities so that the time spentbecomes efficient and can reach wider society. RSUPN Dr. Cipto Mangunkusumo has followedtechnological developments by using EHR which is used to facilitate the process of service in the medicalrecord unit from the patient coming to the patient coming out. EHR at RSUPN Dr. Cipto Mangunkusumostill has shortcomings that is loading long enough 5 minutes for 1 file search that inhibits storage officersand agreement officers in providing patient medical records, other conditions are some menus related toreports are not appropriate and still cannot be accessed so officers must process data in advance to beused as a report and the unavailability of EHR learning modules specifically for new users. The study aimsto analyze the satisfaction of users of EHR at RSUPN Dr. Cipto Mangunkusumo using DeLone andMcLean methods with 6 indicators namely system quality, information quality, use, user satisfaction,individual impact and organizational impact. This type of research used qualitative research with 20respondents. Based on the analysis of user satisfaction it is known that the EHR facilitates the work ofofficers, the information provided is of high quality, the functions provided help the work of officers. It isexpected that the analysis of user satisfaction with EHR can be used as an effort to improve electronicmedical records by adding report print menus, updating servers and creating EHR learning modules.