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All Journal Jurnal Simantec Jurnal Kesehatan Hesti Wira Sakti Multidiciplinary Journal Jurnal Manajemen Informasi dan Administrasi Kesehatan JURNAL PENDIDIKAN TAMBUSAI Hearty : Jurnal Kesehatan Masyarakat Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Indonesian of Health Information Management Journal (INOHIM) Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal KESMAS UWIGAMA: Jurnal Kesehatan Masyarakat Jurnal Peduli Masyarakat jurnal syntax admiration Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences Jurnal Kesehatan Tambusai J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan PELS (Procedia of Engineering and Life Science) Journal of Training and Community Service Adpertisi Jurnal Kesehatan Amanah Jotika Journal in Management and Entrepreneurship Promotor: Jurnal Mahasiswa Kesehatan Masyarakat Journal of International Multidisciplinary Research ASSYIFA: Jurnal Ilmu Kesehatan Jurnal ARSI : Administrasi Rumah Sakit Indonesia Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Ulil Albab Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health
ACHMAD JAELANI RUSDI
Institut Teknologi, Sains Dan Kesehatan RS Dr. Soepraoen Malang, Indonesia
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Manajemen Kelengkapan Catatan Medis (KLPCM) di Rekam Medis Elektronik Rumah Sakit Tk. II Udayana Rusdi, Achmad Jaelani; Mahyuni, Ni Putu Reni; Cininta, Sabila Nada Ayunani
ULIL ALBAB : Jurnal Ilmiah Multidisiplin Vol. 3 No. 8: Juli 2024
Publisher : CV. Ulil Albab Corp

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56799/jim.v3i8.4516

Abstract

Manajemen Kelengkapan Catatan Medis (KLPCM) memiliki peran penting dalam menentukan keakuratan data rekam medis, baik yang manual maupun elektronik. Rekam medis berbasis elektronik memudahkan pencarian data, khususnya data identitas pasien, dengan memastikan kelengkapan pengisiannya. Penelitian ini bertujuan untuk mengidentifikasi manajemen KLPCM dalam rekam medis elektronik di Rumah Sakit Tk. II Udayana, dengan fokus pada permasalahan duplikasi data pasien. Jenis metode penelitian yang digunakan adalah deskriptif kualitatif dengan subjek petugas rekam medis bagian pendaftaran serta objek manajemen KLPCM RME, meliputi teknologi dan informasi yang digunakan, pemahaman petugas tentang RME, dan faktor penyebab duplikasi data pasien. Penelitian ini dilakukan mulai bulan Maret hingga Juni 2024 menggunakan teknik observasi, wawancara, serta dokumentasi. Hasil observasi dan dokumentasi menunjukkan adanya fitur aplikasi berupa notifikasi pencegahan duplikasi data, ditandai dengan tulisan merah yang menyatakan bahwa data pasien sudah tersimpan dalam sistem. Meskipun demikian, rekam medis elektronik dengan berbagai pengaturan sistem masih memungkinkan terjadinya duplikasi data akibat kesalahan sistem, seperti kendala jaringan dan identitas pasien yang tidak terbaca, serta kesalahan pengguna, seperti penulisan ejaan yang kurang tepat dan kurangnya pemahaman petugas tentang fitur aplikasi. Oleh karena itu, disarankan untuk melakukan pengembangan teknologi, menerapkan peraturan terbaru, dan meningkatkan pelatihan petugas terkait RME untuk meminimalisasi terjadinya duplikasi data pasien.
Implementasi Sistem Pelaporan Demografi Pasien di RSUD Ngudi Waluyo Wlingi Dengan Looker Studio Achmad Jaelani Rusdi; Moch.Noer Hoedan Ma’roef; Ayu Indah Oktavia
ULIL ALBAB : Jurnal Ilmiah Multidisiplin Vol. 3 No. 8: Juli 2024
Publisher : CV. Ulil Albab Corp

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56799/jim.v3i8.4523

Abstract

Dalam era digital, pengelolaan data kesehatan yang efektif sangat penting untuk meningkatkan kualitas pelayanan medis. RSUD Ngudi Waluyo Wlingi berusaha mengoptimalkan pelaporan karakteristik demografi pasien untuk mendukung pengambilan keputusan yang lebih baik. Looker studio dipilih sebagai platform untuk mengembangkan sistem pelaporan yang interaktif dan mudah digunakan, dengan tujuan meningkatkan efisiensi dan akurasi dalam manajemen data demografi pasien. Metode penelitian yang digunakan yaitu metode penelitian perancangan sistem sederhana dengan menggunakan use case diagram. Data dikumpulkan memalui observasi langsung dan wawancara dengan staf rumah sakit. Implementasi sistem dilakukan melalui beberapa tahap, termasuk kebutuhan sistem, desain sistem, dan evaluasi sistem. Hasil dari implementasi ini menunjukkan bahwa sistem pelaporan demografi pasien dengan Looker Studio berhasil meningkatkan efisiensi input dan pengelolaan data. User dapat dengan mudah memasukkan data pasien, sementara admin dapat mengelola dan mengekspor data dengan lebih cepat. Sistem juga menyediakan fitur validasi data yang mengurangi kesalahan input. Meskipun sistem ini telah sangat meningkatkan efisiensi dan keakuratan pengelolaan data, beberapa tantangan tetap ada, seperti kebutuhan pelatihan berkelanjutan bagi user untuk mengoptimalkan penggunaan sistem. Selain itu, keamanan data menjadi perhatian utama yang harus terus dipantau dan ditingkatkan
Optimalisasi Penerapan Rekam Medis Elektronik di RSUD Karel Sadsitubun Langgur Maluku Tenggara Rusdi, Achmad Jaelani; Rusfadir, Agustina; Raharusun, Khofiza Ardhani Ali
ULIL ALBAB : Jurnal Ilmiah Multidisiplin Vol. 3 No. 8: Juli 2024
Publisher : CV. Ulil Albab Corp

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56799/jim.v3i8.4660

Abstract

Perkembangan sistem informasi dan teknologi yang semakin pesat kini di rumah sakit dalam aktivitasnya berupa peralihan dari manual ke digital (elektronik). Di RSUD Karel Sadsuitubun Langgur Maluku Tenggara sudah menerapkan rekam medis elektronik yang sudah berjalan selama 1 tahun, namun hanya berjalan 30%. Dengan ini peneliti bertujuan untuk pengoptimalisasian penerapan rekam medis elektronik agar dapat mempermudah proses pelayanan kepada pasien. Metode yang digunakan yaitu kualitatif deskriptif dengan diagram fishbone (tulang ikan) terkait faktor penghambat 5M: (Sumber Daya Manusia, Mesin, Metode, Material, Lingkungan). Penelitian ini mengidentifikasi permasalahan yang terjadi pada sumber daya manusia bahwa kurangnya sosialisasi dan pelatihan sehingga beberapa petugas belum bisa menggunakan rekam medis elektronik, pada mesin yaitu perangkat komputer kurang memadai dan sekali gangguan pada komputer maka akan berkelanjutan Kemudian, metode yaitu SOP dan kebijakan belum terlalu kuat dan material yaitu berkas rekam medis masih berbentuk kertas. Lingkungan yaitu sebagian besar pasien masih menggunakan pengisian rekam medis secara manual dan hak akses masih diperuntukkan untuk semua pengguna. Penerapan rekam medis elektronik pada RSUD Karel Sadsuitubun Langgur Maluku Tenggara sudah sesuai dengan Permenkes No. 24 Tahun 2022, namun faktor 5M tersebut yang menjadi penghambat dalam optimalisasi penerapan rekam medis elektronik.
The Effect Of Training And Compensation On Health Workers Performance At dr. Soepraoen Hospital Malang Achmad Jaelani Rusdi; Fita Rusdian Ikawati; Anis Ansyori; Rengganis Ularan; Dewi Anggraeni
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 1 No. 1 (2021): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v1i1.10

Abstract

This study aims to examine the effect of independent variables (training and compensation) on health performance in Kindergarten Hospitals. II dr. Soepraoen Malang. Data obtained from questionnaires and interviews. The sample in this study were 90 respondents who were taken using the saturated sample method. The data collectiontechnique used was the questionnaire technique which was distributed directly to the respondents, in this case the healthperformance of the Kindergarten II Dr. Soepraoen Hospital,Malang. The data analysis technique used multiple linear regression analysis. Thisresearch uses reliability test techniques, validation and classical assumptions. The resultsof this study indicate that the independent variables (trainingand compensation) have a positive and significant effect on employee performance.
Quantitative Study of the Factors That Influence the Incidence of Low Birth Weight Retno Dewi Prisusanti; Achmad Jaelani Rusdi; Rahma Putri Kasimbara; Suwito Suwito; Dewi Anggraeni
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 3 No. 1 (2023): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v3i1.60

Abstract

Background: Adolescents undergo changes where In Indonesia, the incidence of LBW is still relatively high, this is evidenced by the presence of data which shows that the birth rate of babies with normal weight is still below the expected rate. The global prevalence of LBW is 15.5%. A total of around 20 million LBW are born every year and 95.5% of them come from developing countries. The infant mortality rate (IMR) in Indonesia increased in 2012 from 19 per 1,000 live births to 22.23% per 1,000 live births (SUPAS, 2015). Based on the results of the East Java National Socio- Economic Survey (Susenas) 2011–2013, the infant mortality rate (IMR) in East Java in 2013 was 27.23% per 1,000 live births (East Java Province Health Profile, 2014). Purpose: This study aims to determine the factors that influence the incidence of low birth weight babies. Method: This type of research is analytic observational. With the analytical design of the case study study (case study) and using a retrospective approach. The sample used in this study was an accidental sample of all babies born at Bangil Hospital, Pasuruan Regency with birth weight less than 2,500 grams, as many as 34 babies. Result: From the results of research conducted at Bangil Hospital, Pasuruan Regency, the results of the factors that influence the occurrence of low birth weight in Bangil Hospital, Pasuruan Regency, namely, the nutritional factors of pregnant women with a result of 58.8%, Parity of a mother who experiences pregnancy> 4 times tends to experiencing low birth weight with a percentage of 29.4%, followed by maternal age as much as 14.7%. Conclusion: It is expected that pregnant women with high risk factors for pregnancy in the categories of pregnant women <20 years, parity of pregnant women> 4x, and nutritional status (LILA <23.5cm) can reduce the incidence of low birth weight at Bangil Hospital, Pasuruan Regency.
Health Service Innovation: Integration Of Outpatient Online Registration At RSAU Dr. M. Munir Malang Nadhya Arie Twungga Dewi Murcahayaning Wulan; Achmad Jaelani Rusdi; Febrisari Putri
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 4 No. 2 (2024): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v4i2.89

Abstract

Dr. M. Munir Abdulrachman Saleh Air Force Hospital is a Class D Hospital owned by the Indonesian Air Force located in Pakis, Malang Regency. Electronic Medical Records are currently used as a form of transformation of the health care system in Indonesia. Based on the Minister of Health Regulation No. 24 of 2022, it states that all Health Facilities in Indonesia must organize Electronic Medical Records no later than December 2023. However, the use of Electronic Medical Records has not been widespread in health facilities in Indonesia. So, the purpose of this research is to develop an online Dr. M. Munir Abdulrachman Saleh Air Force Hospital outpatient registration application. This research uses a qualitative descriptive method and data collection using observation and interview methods with one of the medical record officers at Dr. M. Munir Abdulrachman Saleh Air Force Hospital. From the results of the study, the design of online registration of outpatients at Dr. M. Munir Abdulrachman Saleh Air Force Hospital to reduce the risk of errors in entering patient data to be registered. The test results show success in use as expected
Implementasi Resum Medis Pelaporan Register Khohort Kesehatan Ibu dan Anak (KIA) di Puskesmas Ardimulyo Kabupaten Malang Prisusanti, Retno Dewi; Rusdi, Achmad Jaelani; Suhariyono, Untung Slamet; Ikawati, Fita Rusdian; Afifah, Lilik; Ningsih, Dovi Dwi Mardiyah; Putri, Santy Irene
Jurnal Pendidikan Tambusai Vol. 8 No. 1 (2024): April 2024
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jptam.v8i1.14137

Abstract

Angka Kematian Ibu (AKI) mencerminkan situasi kesehatan negara. MDGs menargetkan peningkatan kesehatan ibu. SDKI mencatat peningkatan AKI dari 228 menjadi 359 per 100.000 kelahiran hidup antara tahun 2007 dan 2012 (Kemenkes RI, 2014). Peran bidan dalam menurunkan angka kematian ibu termasuk meningkatkan cakupan kunjungan K1 dan K4 serta memastikan persalinan ditolong oleh tenaga kesehatan terlatih dan merujuk kasus komplikasi obstetrik. Pencatatan dan pelaporan yang akurat diperlukan untuk menjangkau seluruh populasi yang membutuhkan. Kesalahan sering terjadi dalam pengisian buku register kohort di Puskesmas, oleh karena itu pelaporan resume medis di Register Kohort KIA penting untuk memudahkan petugas dalam screening pasien. Tujuan pengabdian masyarakat adalah memberikan penyuluhan tentang pencatatan dan pelaporan resume medis di Puskesmas Ardimulyo. Fokus penelitian adalah pada Buku Kohort Data, yang mencakup data pencapaian target KIA dan tanggung jawab bidan dalam pencatatan PWS KIA. Data utama berasal dari wawancara dan observasi di Puskesmas, sedangkan data sekunder dari buku pedoman dan artikel terkait.
Mortality Reporting Modeling in Healthcare Facilities in Indonesia Rusdi, Achmad Jaelani; Suhariyono, Untung Slamet
Procedia of Engineering and Life Science Vol. 6 (2024): The 3rd International Scientific Meeting on Health Information Management (3rd ISMoHI
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v6i1.1922

Abstract

Healthcare facilities in Indonesia, such as hospitals and public health centers, play a crucial role in recording and reporting mortality data necessary for health policy development and quality assessment. Although various reporting methods are available, ranging from manual to electronic systems, the primary focus has often been on morbidity rather than mortality. External reporting processes typically involve basic coding for morbidity and mortality, and the application of the International Classification of Diseases (ICD) for cause-of-death determination in electronic medical records is still underdeveloped. This study employs a qualitative descriptive approach with a system modeling framework to design a comprehensive mortality reporting model that incorporates data mining techniques. By analyzing secondary data from integrated mortality reporting systems in Indonesian healthcare facilities, the study proposes a model that enhances data processing and presentation, offering a structured approach for utilizing mortality data for policy development and future forecasting. The results demonstrate that this model significantly improves data management processes and provides a valuable framework for advancing health policy. Future research should explore the implementation of this model and assess its impact on health policy outcomes in Indonesia.
Implementation of Patient Mortality Reporting System at Ngudi Waluyo Wlingi Regional General Hospital with Interactive Dashboard Using Looker Studio Rusdi, Achmad Jaelani; Suhariyono, Untung Slamet; Ma'roef, Moch. Noer Hoedan; Putri, Alya Nurryta
PROMOTOR Vol. 8 No. 6 (2025): DESEMBER
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v8i6.1648

Abstract

Patient mortality reporting is an important component of hospital management because it reflects the quality of services and is the basis for evaluating health policies. Ngudi Waluyo Wlingi Regional General Hospital faces challenges in presenting mortality reports in an informative, fast, and accurate manner. This study aims to design and implement an interactive dashboard-based mortality reporting system using Looker Studio. Mortality data is collected through the Hospital Management Information System (SIMRS), exported to Google Sheets and then visualized in the Looker Studio dashboard. The main stages include data collection and pre-processing, simple system design (use cases and activity diagrams), and visualization creation. The result is an interactive dashboard display that presents mortality information in real-time, accurate, and easy-to-understand manners. This system is expected to improve the efficiency of monitoring, decision-making, and the quality of hospital services.
Design of a Digital Electronic Tool for Evaluating the Quality of Inpatient Medical Records Widasari, Immaculata Vettha Sarasvati; Rusdi, Achmad Jaelani; Suhariyono, Untung Slamet; Choiriyah, Ana
PROMOTOR Vol. 8 No. 6 (2025): DESEMBER
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v8i6.1658

Abstract

This study aims to develop a digital-based qualitative analysis form to assist in the evaluation process of inpatient medical records at Mardi Waluyo Regional General Hospital in Blitar City. Current documentation practices are still done manually, resulting in medical records that are often incomplete and inconsistent. This study uses a qualitative descriptive method with a simple Research and Development (R&D) approach. Qualitative analysis was conducted to assess the completeness and consistency of medical records, while the R&D approach was used in designing the electronic-based qualitative analysis form. Based on 30 medical record samples, several inconsistencies were identified, particularly in the completeness and consistency of nursing care notes. This digital form was developed to simplify the assessment process, improve accuracy, and reduce documentation errors. Equipped with automatic notifications and an Excel export feature, this form facilitates a more structured and efficient qualitative analysis process. This innovation is expected to support service quality improvement and be further developed into a more complex electronic qualitative analysis system in the future.
Co-Authors Abdur Rauf, Abdur Agung, Arnoldus Anugerah Agustina Rusfadir Akbar, Prima Soultoni Amalia Nur Kamila Ana Fitriani Ancah Caesarina Novi Marchianti Anggraini, Retno Dwi Anis Ansyori Annastasia, Shinta Aprilia, Sendi Fantrri Arimbi Ulfa Nazira Aris Setyawan Ayu Indah Oktavia Ayu Indah Oktavia Ayuni, Amelia Septi Bulgis, Malikal Choiriyah, Ana Cininta, Sabila Nada Ayunani Dewi Anggraeni Diva Nur Asmianova Eka Agustina, Eka Faid, Roifatul Farma Duana Febrisari Putri Febrisari Putri Ramadani Fita Rusdian Ikawati Fita Rusdian Ikawati Fitriyani, Endang Hammam Abror Asminoto Ikawati, Fita Rusdian Khofiza Ardhani Ali Raharusun Khuriyana Patty Kirana, Erinia Rahayu Okta Kurniawan, Fendi Kusumaningrum, Tyas Lilik Afifah Lilik Afifah Ma'roef, Moch. Noer Hoedan Ma'ruf, Agus Sukron Maharani, Devi Maharani, Happy Eprilia Mahyuni, Ni Putu Reni Margareta, Ananda Agustin Marselina, Elystia Vidia Mawadda, Widdy Ma’ruf, Agus Syukron Melody Muna Anggraeni Moch.Noer Hoedan Ma’roef Moch.Noer Hoedan Ma’roef Mochamad Anshori Muslim, Saepul Nabila, Assiva Putri Nadhya Arie Twungga Dewi Murcahayaning Wulan Nayada Ilfania Arokhta Yunifa Nazira, Arimbi Ulfa Ni Putu Reni Mahyuni Ninda, Rahmaninda Putri Gading Ningsih, Dovi Dwi Mardiyah Nugraheni, Shevia Dwi Nuril Khabibatul Jamilah Oktariyono, Wisnu Rafi Oktoriani, Ervita Nindy Prabowo, Rahmadyo Yudhi Putri, Alya Nurryta Putri, Fenanda Berliana Putri Putri, Meuthia Berliana Qodar, Mita Lailatul R. A. Rengganis Ularan R.A. Rengganis Ularan Raharusun, Khofiza Ardhani Ali Rahma Putri Kasimbara Rengganis Ularan Retno Dewi Prisusanti Rifqi, Amir Muhammad Rizka Andika Sari Rusfadir, Agustina Sabila Nada Ayunani Cininta salsabila, Tsabita Amadea Santy Irene Putri Saputri, Giovany Okvia Septya Anggari Salsa Hari Sukma Shoim, Achmad Slamet Suhariyono, Untung Slamet, Untung Suhairi, Ariski Yantika Suhariyono, Untung Slamet SUWITO SUWITO Syahira, Nurfathina Trisnanto, Puguh Yudho Umar Yasin, rana zakaria Untung Slamet Suhariyono Untung Slamet Suhariyono Veninda, Nabella Wahandika, Akbar Novando Putra Widasari, Immaculata Vettha Sarasvati Y A Triana Ohoiwutun Yosin, Kresensia Dasilva