Claim Missing Document
Check
Articles

Found 39 Documents
Search

DESAIN FORMULIR PEMERIKSAAN FISIK BERBASIS WEB DI POLI ORTOPEDI RSPAL DR.RAMELAN SURABAYA: WEB-BASED PHYSICAL EXAMINATION FORM DESIGN AT THE ORTHOPEDIC CLINIC OF RSPAL RAMELAN SURABAYA Dhafin Dhia Ulhaq, Muhammad; Nisak, Umi Khoirun
Jurnal Ilmiah Pamenang Vol. 7 No. 1 (2025): Jurnal Imiah Pamenang (JIP)
Publisher : Stikes Pamenang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53599/jip.v7i1.321

Abstract

Abstrak Penerapan formulir pemeriksaan dokter secara elektronik dalam ortopedi sangat penting untuk meningkatkan efisiensi dan akurasi pelayanan. Dengan menggunakan rekam medis elektronik (RME), dokter dapat mengakses riwayat kesehatan pasien dengan cepat dan akurat, yang membantu dalam pengambilan keputusan klinis dan koordinasi perawatan. untuk mendesain ulang formulir pemeriksaan fisik  sistem RME untuk meningkatkan fungsionalitasnya dan memenuhi kebutuhan klinis. Metode penelitian ini adalah research and development (R&D) dimulai dengan analisis kebutuhan melalui wawancara dan kuesioner kepada tenaga medis yaitu dokter dan perawat di poli ortopedi sebanyak 5 orang. Data dikumpulkan melalui observasi dan wawancara mendalam terhadap responden di poli ortopedi, termasuk petugas klinis seperti dokter spesialis ortopedi dan perawat, yang diambil secara purposive sampling, untuk menilai desain aplikasi berdasarkan teori Delone and McLean. Penelitian akan dilakukan mulai November 2024 hingga Januari 2025. Mayoritas responden menyatakan bahwa redesain aplikasi berhasil mengurangi kegagalan atau downtime sistem. 85% responden menyatakan bahwa redesain aplikasi meningkatkan kelancaran input data. 75% responden menyatakan redesain membuat sistem lebih sesuai dengan kebutuhan teknis dan fungsional. 80% responden menyatakan bahwa  merasa puas dan cenderung akan menggunakan hasil redesain aplikasi. 80% responden menyatakan bahwa redesain meningkatkan kinerja sistem secara keseluruhan serta redesain meningkatkan akurasi dan keandalan informasi yang diberikan oleh sistem. Secara keseluruhan redesain aplikasi memiliki dampak positif dan signifikan pada aspek teknis, kelancaran sistem, akurasi informasi, dan kinerja keseluruhan sistem. Abstract The implementation of electronic doctor examination forms in orthopedics is crucial for enhancing service efficiency and accuracy. By utilizing Electronic Medical Records (EMR), physicians can quickly and accurately access patient medical histories, which aids in clinical decision-making and care coordination. This study aims to redesign the physical examination form within the EMR system to enhance its functionality and meet clinical needs. The research method employed is research and development (R&D), which begins with a needs analysis through interviews and questionnaires with medical staff, including doctors and nurses in the orthopedic clinic, totaling five participants. Data are collected through observation and in-depth interviews with respondents in the orthopedic clinic, including clinical staff such as orthopedic specialists and nurses, selected via purposive sampling, to assess the application design based on the Delone and McLean model. The study will be conducted from November 2024 to January 2025. The majority of respondents stated that the application redesign successfully reduced system failures or downtime. 85% of respondents reported that the redesign improved data input efficiency. 75% of respondents stated that the redesign made the system more aligned with technical and functional requirements. 80% of respondents stated that they are satisfied and are likely to use the results of the app redesign. 80% of respondents indicated that the redesign improved overall system performance, as well as enhanced the accuracy and reliability of the information provided by the system. Overall, the application redesign had a positive and significant impact on the technical aspects, system smoothness, information accuracy, and overall system performance.
PENERIMAAN DESAIN APLIKASI ALIH MEDIA FORMULIR RINGKASAN PULANG RAWAT INAP DI RUMAH SAKIT AISYIYAH SITI FATIMAH TULANGAN: ACCEPTANCE OF MEDIA TRANSFER APPLICATION DESIGN OF INPATIENT DISCHARGE SUMMARY FORM AT AISYIYAH SITI FATIMAH TULANGAN Ghazalah, Nurul Alya; Nisak, Umi Khoirun
Jurnal Ilmiah Pamenang Vol. 7 No. 1 (2025): Jurnal Imiah Pamenang (JIP)
Publisher : Stikes Pamenang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53599/jip.v7i1.352

Abstract

Abstrak   Perkembangan teknologi informasi di era digital telah memberikan pengaruh besar terhadap Rumah Sakit. Transformasi Rekam medis menuju elektronik membutuhkan pengalihan media dari manual menjadi elektronik terutama pada pengelolaan formulir ringkasan pulang, yang berdampak pada lambatnya proses retensi, risiko kehilangan data, dan rendahnya efisiensi kerja. Tujuan penelitian ini untuk merancang aplikasi alih media formulir ringkasan pulang rawat inap di Rumah Sakit Aisyiyah Siti Fatimah Tulangan. Penelitian menggunakan metode Research and Development (R&D) dengan pendekatan prototyping, diawali dengan analisis kebutuhan melalui wawancara dan observasi, dilanjutkan dengan desain aplikasi menggunakan perangkat lunak. Pengambilan data menggunakan kuesioner secara purposive sampling delapan responden pada tenaga kesehatan sebanyak delapan responden. Kuesioner disusun berdasarkan enam variabel utama: System Quality, Information Quality, Service Quality, Perceived Ease of Use, Perceived Usefulness, dan Behavioral Intention & Actual Use. Hasil menunjukkan bahwa 100% responden menilai aplikasi bermanfaat, 95,87% menyatakan mudah digunakan, dan 91,7% menilai sistem berjalan stabil. Secara keseluruhan, aplikasi memperoleh rata-rata skor 4,12 dari skala 5 atau tingkat kepuasan sebesar 82%. Aplikasi ini tidak hanya mempercepat proses dokumentasi dan pencarian formulir, tetapi juga mempermudah akses data, meningkatkan akurasi, serta mengurangi beban administratif petugas rekam medis. Fitur seperti auto-fill, validasi data, dan penyimpanan digital (PDF/JPG) juga mendukung efektivitas kerja dan keamanan data. Dengan antarmuka yang sederhana dan responsif, aplikasi ini dapat dioperasikan oleh pengguna dengan berbagai latar belakang tanpa pelatihan khusus. Abstract The development of information technology in the digital era has had a significant influence on hospitals. Transferring medical records to electronic formats, especially home summary forms, impacts retention, data loss, and efficiency.. The purpose of this study is to design a media transfer application for a summary form of discharge at Aisyiyah Siti Fatimah Tulangan Hospital. The research employs the Research and Development (R&D) method, incorporating a prototyping approach. This involves a needs analysis conducted through interviews and observations, followed by the design of applications using software. Data collection was performed using a questionnaire by purposive sampling of eight health workers. The questionnaire was organized based on six main variables: System Quality, Information Quality, Service Quality, Perceived Ease of Use, Perceived Usefulness, and Behavioral Intention & Actual Use. The results showed that 100% of respondents rated the app as applicable, 95.87% stated that it was easy to use, and 91.7% rated the system as running stably. Overall, the app received an average score of 4.12 out of 5, corresponding to a satisfaction rate of 82%. The application not only speeds up the documentation and form search process but also makes it easier to access data, improve accuracy, and reduce the administrative burden on medical record officers. Features such as auto-fill, data validation, and digital storage (PDF/JPG) also support work effectiveness and data security. With a responsive and straightforward interface, the app can be operated by users of various backgrounds without any special training.
Penilaian Kualitas Data Individu Rekam Medis Elektronik: Assessment of Individual Data Quality in Electronic Medical Records Resta Dwi Yuliani; Umi Khoirun Nisak
Jurnal Pengabdian Kepada Masyarakat: Kesehatan Vol. 5 No. 1 (2025): Maret
Publisher : Sekolah Tinggi Ilmu Kesehatan Notokusumo Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Abstrak: Rekam medis elektronik diharapkan mampu meningkatkan efektivitas dan efisiensi dalam pelayanan pasien. Efektifitas dan efisiensi implementasi sistem informasi dapat dilihat melalui kualitas data dan informasi yang dihasilkan oleh sistem tersebut. Tujuan pengabdian kepada masyarakat ini adalah untuk memberikan sosialisasi kepada staff Rekam Medis dan IT Rumah Sakit mengenai cara penilaian kualitas data rekam medis elektronik berdasarakan dimensi completeness, uniqueness, validity dan accuracy. Metode yang dugunakan dalam kegiatan ini adalah ceramah, diskusi dan penilaian data pada rekam medis elektronik. Berdasarkan hasil pemaparan materi dan diskusi dengan staf rekam medis dan IT RS NU Tuban dimensi kelengkapan sudah sesuai karena dalam melakukan input data sudah dipastikan lengkap. Dimensi keunikan/ unique telah dipastikan bahwa untuk input data pasien dengan variabel data yang unique adalah NIK sudah sesuai, yaitu setiap 1 NIK hanya dimiliki oleh 1 orang pasien saja (tidak terjadi duplikasi) NIK. Dimensi validity dipastikan bahwa tanggal masuk rumah sakit, tanggal perawatan dan keluar rumah sakit sudah sesuai. Dimensi akurasi/ accuracy sudah sesuai dengan type/ format data. Kesimpulan dari kegiatan ini bahwa di Rumah Sakit NU Tuban kualitas data pada rekam medis elektronik sesuai dengan dimensi completeness, uniqueness, validity dan accuracy.   Abstract: Electronic medical records are expected to improve the effectiveness and efficiency of patient care. The effectiveness and efficiency of information system implementation can be seen through the quality of data and information produced by the system. The purpose of this community service is to provide socialization to the Medical Records and Hospital IT staff regarding how to assess the quality of electronic medical record data based on the dimensions of completeness, uniqueness, validity and accuracy. The methods used in this activity are lectures, discussions and data assessments on electronic medical records. Based on the results of the presentation of materials and discussions with the medical records and IT staff of NU Tuban Hospital, the completeness dimension is appropriate because in inputting data it is ensured to be complete. The uniqueness dimension has been ensured that for patient data input with unique data variables, namely NIK, it is appropriate, namely that each 1 NIK is only owned by 1 patient (no duplication) NIK. The validity dimension ensures that the date of hospital admission, date of treatment and discharge from the hospital are appropriate. The accuracy dimension is in accordance with the data type/format. The conclusion of this activity is that at NU Tuban Hospital the quality of data in electronic medical records is in accordance with the dimensions of completeness, uniqueness, validity and accuracy.
Aplikasi SABARSON (Si Penjaga Kualitas Rumah Sakit) Sebagai Early Warning System: SABARSON Application: The Guardian Of Hospital Quality As An Early Warning System Maghfiroh, Alfina Lailatul; Nisak, Umi Khoirun
Jurnal Penelitian Vol 5 No 1 (2023): JURNAL PENELITIAN
Publisher : Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47710/jp.v5i1.189

Abstract

Determining the quality of hospital service is about the efficiency of bed management. In some hospitals, Barber Johnson graphs are still described in Microsoft Excel, but the BOR indicator has not been displayed. SABARSON:  The Guardian of Hospital Quality as an Early Warning System is a creative innovation in system design that can be used to determine the quality of a hospital by displaying a graph of the four indicators BOR, LOS, BTO, and TOI. This type of design uses the system development method with the development life cycle (SDLC) approach with the stage of problem identification, reference search, dataflow and concept preparation, color palette preparation, system design, and system implementation. The purpose of this study is to help and facilitate medical record workers in describing or displaying a Barber Johnson graph quickly and precisely. This study resulted in several interface design results such as login, BOR, TOI, LOS, BTO, report recapitulation, and Barber Johnson graphic. 
Web-Based Inpatient Reporting System at AFIFA Clinic: Sistem Pelaporan Pasien Rawat Inap Berbasis Web di Klinik AFIFA Akrom, Mohammad Faizinal; Nisak, Umi Khoirun
Indonesian Journal on Health Science and Medicine Vol. 2 No. 2 (2025): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/ijhsm.v2i2.218

Abstract

General Background: Efficient medical record management is essential for quality healthcare services. Specific Background: At AFIFA inpatient and maternity clinics, reporting is still conducted manually through registers, leading to inefficiency and errors. Knowledge Gap: Few local clinics have implemented structured web-based inpatient reporting systems despite national policies on electronic medical records. Aims: This study aimed to design and implement a web-based inpatient reporting application to improve reporting accuracy and efficiency. Results: Using interviews, direct observations, and the Rapid Application Development (RAD) method, a web-based system was developed with modules for patient registration, diagnosis, inpatient monitoring, and reporting. The system minimized errors, reduced reporting time, and provided more accurate outputs compared with manual processes. Novelty: Unlike traditional reporting, the application integrates multiple reporting processes into a single system accessible in real-time. Implications: The system facilitates efficient clinical reporting, supports regulatory compliance, and can be adopted by similar healthcare facilities. Highlight: Web-based reporting reduces errors and delays in clinical data. RAD method enables fast and reliable system development. Supports compliance with electronic medical record standards. Keywords: Web-Based System, Inpatient Reporting, Medical Records, RAD Method, Health Information
Medical Record Audit of Patients with Diabetes Mellitus, Gastroenteritis, and Pneumonia: Audit Rekam Medis Pasien Diabetes Mellitus, Gastroenteritis, dan Pneumonia Safitri, Eka Nur; Tajuddin, Mohammad; Nisak, Umi Khoirun
Indonesian Journal on Health Science and Medicine Vol. 2 No. 2 (2025): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/ijhsm.v2i2.220

Abstract

General Background: Hospitals provide comprehensive health services and require complete medical record documentation to ensure quality care and accreditation. Specific Background: Incomplete medical records reduce the reliability of health data and hinder administrative and insurance processes. Knowledge Gap: Limited studies have analyzed the completeness of inpatient medical records for specific diseases in Indonesian hospitals. Aims: This study aims to analyze the completeness of medical record audits for patients with Diabetes Mellitus, Gastroenteritis, and Pneumonia at Bhayangkara Pusdik Shabara Porong Hospital. Results: Quantitative analysis of 76 inpatient records (34 Diabetes Mellitus, 25 Gastroenteritis, and 17 Pneumonia) from October 2021–October 2022 revealed that the completeness of social data review was 23.7%, record evidence 30.3%, record validity 67.1%, and recording procedure 56.6%. Novelty: The study provides a disease-specific evaluation of medical record completeness using standardized criteria. Implications: Findings highlight the need for continuous audits to improve documentation accuracy, ensure compliance with accreditation standards, and support hospital administration. Highlights: Medical record audits revealed low completeness in social data and record evidence. Record validity was relatively higher but still below standard requirements. Continuous audits are essential for accreditation and service quality improvement. Keywords: Hospital, Medical Record Audit, Diabetes Mellitus, Gastroenteritis, Pneumonia
Dengue Hemorrhagic Fever in Jepara Indonesia: Reporting Data From The Discrict Disease Surveillance Wijayanti, Nani Dwi; Ilmi, Laili Rahmatul; Nisak, Umi Khoirun; Widayati, Eka; Pramesti, Febryan Nidya; Ningsih, Eka Rahma
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.v6i0.1969

Abstract

Indonesia is a tropical country vulnerable to infectious diseases, including dengue fever caused by mosquito bites. Dengue fever cases are a burden on the world because they can cause death. WHO reported that in May 2024, there were a total of 465 cases in districts/cities in 34 provinces, the national death rate until May 2024 was 777 deaths. Recording a complete medical record can support good disease reporting. This study aims to determine the distribution of dengue fever cases in Jepara district, Central Java in 2023-2024. The method of this study is descriptive. The population is disease reports in 2023 and 2024, and the sample used is the dengue fever disease report for the period January - May 2024 with random sampling techniques. Data imported from Microsoft Access is processed with a stata application and narrated descriptivelyThe number of dengue fever sufferers spread across 16 sub-districts is 3,549 with 1,728 male and 1,821 female sufferers. Of the 16 sub-districts, the highest number is in Pecangaan District 543 cases, and the lowest cases are in Karimunjawa District. The category of patients based on the highest age group in category 1 (0-4 years old) was 2,136 (60.17%), with the highest mortality rate in category 2 (5-14 years old) as many as 12 people and the highest CFR at Kartini Hospital with a total of 19%, namely 12.9% in male patients and 7.24% in female patients. (dengue fever, cases, reporting). Dengue fever, Jepara District, Case Fatality Rate, Age group, Epidemiology
Social Policy Implications: Comparative Analysis of Diabetes Mellitus Coding Accuracy in Public and Private Hospitals: Implikasi Kebijakan Sosial: Analisis Perbandingan Akurasi Kode Diabetes Mellitus di Rumah Sakit Swasta dan Pemerintah Prayuda, Muhammad Galih; Nisak, Umi Khoirun
Indonesian Journal of Public Policy Review Vol. 23 (2023): July
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/ijppr.v23i0.1323

Abstract

This study investigates the critical role of coding accuracy in managing medical records, focusing on data completeness in healthcare services. Utilizing 30 medical records from two distinct hospitals, the research evaluates the completeness of diagnostic information. Results reveal significant differences between Hospital Bhayangkara Pusdik Porong, with 46.7% complete records, and Hospital 'Aisyiyah Siti Fatimah Tulangan, presenting 73.3% completeness. The Non-Parametric Independent-Samples Mann-Whitney Test yields a significant value of p=0.037, indicating a noteworthy disparity between the two institutions. These findings emphasize the necessity of standardized coding practices to enhance data accuracy and consistency in healthcare, highlighting implications for improved record-keeping and information management strategies. Highlights: Coding Accuracy: Highlighting the crucial role of precise coding in healthcare data management. Institutional Disparities: Signifying notable differences in data completeness between distinct hospitals. Standardization Need: Emphasizing the necessity for standardized coding practices to ensure consistent and accurate healthcare records. Keywords: Healthcare, Data Coding, Medical Records, Completeness, Comparative Analysis
Edukasi dan Pemeriksaan Kesehatan Remaja di Pondok An-Nur Tanggulangin Sidoarjo Cholifah, Cholifah; Aulina, Choirun Nisak; Nisak, Umi Khoirun
Jurnal Pengabdian Masyarakat dan aplikasi Teknologi Vol. 05 No. 01: March 2026 (In Progress)
Publisher : Institut Teknologi Adhi Tama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31284/j.adipati.2026.v5i1.8152

Abstract

Remaja merupakan kelompok rentan yang menghadapi berbagai risiko kesehatan akibat kurangnya akses terhadap pendidikan dan layanan deteksi dini. Program pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan kesadaran remaja mengenai kesehatan umum, kesehatan reproduksi, dan kesehatan mental. Kegiatan ini dilaksanakan di Pondok An-Nur Tanggulangin, Sidoarjo, melalui serangkaian pelatihan dan pemeriksaan kesehatan yang terstruktur. Metode yang digunakan meliputi survei awal untuk mengidentifikasi kebutuhan kesehatan remaja, diikuti dengan persiapan metode, perekrutan peserta, edukasi teoretis, dan praktik langsung. Materi kesehatan yang disampaikan meliputi topik kesehatan umum, kesehatan reproduksi, dan kesejahteraan mental. Peserta juga dilatih untuk melakukan penilaian kesehatan dasar seperti tekanan darah, kadar hemoglobin, dan kadar glukosa. Hasil pemeriksaan menunjukkan bahwa 47,62% peserta memiliki tekanan darah normal, 23,81% berada pada rentang pre-hipertensi, dan 28,57% menunjukkan tanda-tanda hipertensi tahap 1. Pemeriksaan hemoglobin menunjukkan bahwa 36,84% remaja memiliki kadar di bawah normal, sementara pemeriksaan glukosa menunjukkan semua hasil dalam batas normal. Hal ini menunjukkan pentingnya skrining dan edukasi dini untuk remaja. Program ini juga berhasil menghasilkan kader kesehatan remaja terlatih, mengembangkan media edukasi digital dan cetak, serta menghasilkan artikel ilmiah untuk publikasi. Partisipasi aktif dari institusi mitra dan remaja sangat berkontribusi pada keberhasilan program ini. Kegiatan ini tidak hanya meningkatkan literasi kesehatan tetapi juga memberdayakan remaja untuk menjadi agen perubahan di komunitas mereka. Program ini diharapkan dapat memberikan dampak yang berkelanjutan dan dapat menjadi model untuk intervensi edukasi kesehatan serupa di komunitas remaja lainnya. Kata kunci: kesehatan remaja, pemberdayaan masyarakat, edukasi kesehatan, kesehatan reproduksi, deteksi dini