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All Journal Jurnal Buana Informatika Jurnal Penelitian Kesehatan Suara Forikes Jurnal Kesehatan Jurnal Aisyah : Jurnal Ilmu Kesehatan J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Jurnal Rekam Medik & Manajemen Informasi Kesehatan (RAMMIK) JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
Demiawan Rachmatta Putro Mudiono
Jurusan Kesehatan, Politeknik Negeri Jember
Computer Science & IT Dentistry Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Journal : J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan

 1 
Analisis Penyebab tidak Ditemukannya Dokumen Rekam Medik Bagian Riset RSUPN dr. Cipto Mangunkusumo Jakarta Widiyanto Widiyanto; Gamasiano Alfiansyah; Demiawan Rachmatta Putro Mudiono
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.v1i3.2046

Abstract

Provision of medical record documents in the medical record research center Dr. Hospital CiptoMangunkusumo is still not in accordance with the number of requests needed, in October there were 4,836requests, 3,953 documents were available, in November there were 3,823 requests and 2,977 documentswere available, in December there were 4,151 requests and 3,143 documents were available. The purpose ofthis study was to analyze the absence of medical record documents in the research section. This type ofresearch is a qualitative study using interview, observation and documentation data collection techniquesinvolving 3 respondents. The results of the study showed that the cause of the absence of medical recorddocuments was that the officers' knowledge was still low, the attitude of the officers who were still lacking indiscipline, supporting facilities and infrastructure were lacking and there was no motivation. Improvementefforts to overcome these problems are providing training, disciplinary officers need to be improved, do systemdesign, provide awards and conduct monitoring and evaluation.
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 KUALITATIF DOKUMEN REKAM MEDIS RAWAT INAP PADA PASIEN TUBERKULOSIS PARU Novita Nuraini; Demiawan Rachmatta Putro Mudiono; Mitha Audia Rachma
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.v1i2.2240

Abstract

Qualitative analysis is a review of filling medical records relating to the consistency of the contents of the medicalrecord. A good medical record must contain complete medical records. This study aims to analyze qualitativeinpatient Medical Record Documents (DRM) in pulmonary tuberculosis patients in Tongas Probolinggo RegionalHospital in the first quarter of 2017. This research type is descriptive with a qualitative approach with datacollection techniques of observation and interviews. The results of this study are that there are still documentson pulmonary tuberculosis medical records at Tongas Probolinggo Regional Hospital which are still incompleteand inaccurate. One of them is in the administrative qualitative analysis, which is the incomplete patient addresswriting100%, because nurses pay less attention and remind patients / guardians in filling out informed consentsheets. In addition, medical staff did not apply 100% of the writing of the tuberculosis standard abbreviationcontained in the SOP of the Tongas Hospital Standard Standard, because there was still a lack of socializationfrom the RM unit to medical personnel related to the use of the tuberculosis standard abbreviation. In aqualitative medical analysis, there were no X-ray examination results on patients who had X-ray examinationsas many as 19 documents, because in Tongas Regional Hospital did not have an examination result sheet, sothe results of the examination were not written in the DRM. So the quality of DRM in patients with pulmonarytuberculosis both administratively and medically is still not good. It is better if the accuracy and discipline ofmedical staff are needed in filling DRM
Perancangan dan Pembuatan Sistem Informasi Apotek di Puskesmas Banjarsengon Mahardika Nugraha; Niyatul Muna; Andri Permana Wicaksono; Demiawan Rachmatta Putro Mudiono
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.v2i4.2447

Abstract

Banjarsengon public health center is one of the health agencies that deal with patient care and treatment. The pharmacy section of the Banjarsengon Health Center in carrying out registration, recording medical records, drug data collection and managing reports is still done manually. In addition, data collection errors are often encountered which can lead to inaccurate reporting data. The purpose of this research is to solve problems in drug data collection by designing a pharmacy information system at the Banjarsengon health center. The making of pharmacy information system application was using Microsoft Visual Studio 2019. System development was using waterfall method. Data collections consist of observation, interviews and documentation. The result of black box testing showed that this pharmacy information system can operate properly. The advantages are the pharmacy information system been integrated with the operation of pharmacists and management that can reduce the possibility of errors that affect the service to patients, improve the efficiency of the drug recording system quickly and accurately, facilitate pharmacists in recording, reduce and add drug stock automatically and also print reports in pdf form.
Analisis Faktor Penyebab Keterlambatan Pengembalian Rekam Medis Rawat Inap di Rumah Sakit Baladhika Husada Jember Insani Dzakirah; Demiawan Rachmatta Putro Mudiono; Maya Weka Santi; Erna Selviyanti
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 3 (2023): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v4i3.3804

Abstract

The standard for returning outpatient medical records was 1 hour after providing polyclinic services and 1 x 24 hours after the patient was discharged. Delay in returning outpatient medical records occurs if it exceeds the predetermined standard limit. The implementation of medical records at Baladhika Husada Jember Hospital still has delays in returning inpatient medical records. Therefore, it impacts patient waiting time to get services and the accumulation of files due to the procurement of new medical record documents for visiting patients because the previous medical records were not in the filing room. This research aimed to analyze the factors causing delays in returning inpatient medical records. This type of research uses qualitative research, the subject is 1 head of a medical record unit, 1 medical record officer, 3 nurses, and 2 heads of inpatient rooms. The object of this research is inpatient medical records. The results found in this study are that the first priority has not been socialization related to SOP (Standard Operational Procedure) regarding the return of inpatient medical records so it is determined that efforts to hold routine SOP socialization, providing SOP are posted in each inpatient room by involving all nurses and record officers related to the activity of returning medical records.
Co-Authors alifia tirta ramadhanti Andri Permana Wicaksono Atma Deharja Bakhtiyar Hadi Prakoso Cindy Kurnia Ressa Fransiska Djasmanto Djasmanto Erna Selviyanti Erna Selviyanti Erna Selviyanti Fajria Nur Rahmah Feby Erawantini Gamasiano Alfiansyah Gamasiano Alfiansyah Gandu Eko Julianto Suyoso Indah Muflihatin Insani Dzakirah Livia Nuri Syafitri Mahardika Nugraha Maya Weka Santi Maya Weka Santi Maya Weka Santi Mitha Audia Rachma Moch. Choirur Roziqin Nada Savira Nurjannah Niyatul Muna Novita Nuraini Nungki Annisa Pratiwi Rachmawati, Ervina Rizky Farah Dilla Rossalina Adi Wijayanti Selvia Juwita Swari Selvia Juwita Swari Siti Alifa Lufianti Sustin Farlinda Tamami Alifia Annisa Veronika Vestine Widha Alamanda Widiyanto Widiyanto