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Journal : Tedc

TINJAUAN KETIDAKLENGKAPAN PENGISIAN AUTENTIFIKASI DOKTER PADA FORMULIR RINGKASAN PASIEN PULANG DI INSTALASI REKAM MEDIS PASIEN RAWAT INAP RUMAH SAKIT UMUM PINDAD BANDUNG Intan Pujilestari; Neni Rohaeni
Jurnal TEDC Vol 13 No 3 (2019): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

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Abstract

Incomplete medical resume is a problem because medical resumes can provide detailed information about what has happened while the patient was hospitalized so that it has an impact on the quality of medical records and services provided by the hospital. Based on a preliminary study from February 8 to March 8, 2021, the authors found that the number of medical records on the summary form of discharged patients at the inpatient medical record installation were incomplete, such as the signature and full name of the doctor that were not filled out, out of 225 medical record files in the form summary of patients returning home, only 155 forms were completed and 70 forms were incomplete. This study aims to determine the incomplete description of filling in the doctor's authentication on the summary form of discharge patients at the medical record installation of inpatients at the Pindad General Hospital, Bandung.The research method used is descriptive research method. Data collection techniques in research include: observation, interviews, documentation and literature study.Based on research at the Pindad General Hospital, Bandung already has a Standard Operating Procedure, but in its implementation it has not been in accordance with the standards set by the hospital. The results showed that the incomplete completion of authentication on the discharge patient summary form carried out by the author obtained a percentage of the completeness of the discharge patient summary form filling of 73.2% and the incomplete filling of 26.8% from October and November with a total sample of 87 discharge patient summary forms.
ANALISIS KEPATUHAN PENGISIAN RESUME MEDIS ELEKTRONIK RAWAT INAP KSM KESEHATAN ANAK GUNA MENUNJANG KUALITAS REKAM MEDIS DI RSUP Dr. HASAN SADIKIN BANDUNG Wowo Trianto; Neni Rohaeni
Jurnal TEDC Vol 15 No 2 (2021): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

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Abstract

Based on preliminary studies conducted by the author at Dr. Hasan Sadikin General Hospital Bandung with an average of 760 of KSM Child Health patients per month while the number of completions filling electronic medical resumes is only 87%. The author is interested in examining the completeness of filling out an electronic medical resume to support the quality of medical record files at RSUP Dr. Hasan Sadikin Bandung.The research method used is a quantitative research method. Population is the total number of patients going home KSM Child Health in December 2019 and the sampling used by the author with the Slovin formula method obtained a sample of 90 files of Medical Records. Data collection techniques are with Documentation, Interview, and Literature Study. The results showed that as many as 22.62% of electronic medical resume files were not completely filled. The procedure for filling out an electronic medical resume has not been carried out well due to the doctor's busyness, the large number of KSM Child Health patients, there is still a medical resume written manually, There are still inadequate infrastructure.The author recommends conducting socialization to the patients in charge of patients to always complete electronic medical resume filling, provide adequate infrastructure, and provide rewards and punishments for doctors who do not complete electronic medical resumes completely.
TINJAUAN SISTEM RUJUKAN BPJS DI PUSKESMAS CIMAHI UTARA DALAM MENDUKUNG CAKUPAN PELAYANAN BPJS DI KOTA CIMAHI Encep Hada; Suharto Suharto; Neni Rohaeni; Ayu Hendrati Rahayu
Jurnal TEDC Vol 14 No 2 (2020): Jurnal TEDC
Publisher : UPPM Politeknik TEDC Bandung

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Abstract

Based on the results of a preliminary study, the authors found several factors that hindered referrals in the Cimahi Utara Public Health Center. The referral system procedure at Cimahi Utara Public Health Center did not work as it should because there were obstacles.The research method used in this study is a descriptive research method with a qualitative approach.Research results obtained by the author namelyfactors that hinder the BPJS referral system include lack of communication between referrals and referral purposes, socio-cultural conditions of the community that can slow down the referral process are: culture of negotiation, fear of being referred and treated and the process carried out with the help of a shaman, most people tend to access the nearest health care or perhaps the cheapest without regard to the competence of institutions or operators that provide services, the problem experienced by the puskesmas in serving public health inside the building or outside the building is the lack of energy, distance constraints are geographical factors. Suggestions to overcome the problem of the referral system procedure is that it is better for the referral officer to communicate more with the patient so that the patient knows the importance of the referral and the officer should also tell the referral flow to the patient so that the patient is not confused.
ANALISIS KELENGKAPAN PENGISIAN LEMBARAN RINGKASAN MASUK DAN KELUAR REKAM MEDIS RAWAT INAP KSM ILMU KESEHATAN ANAK GUNA MENUNJANG MUTU REKAM MEDIS DI RSUP DR HASAN SADIKIN BANDUNG Encep Hada; Neni Rohaeni; Luqmanul Hakim; Wowo Trianto; Ayu Hendrati Rahayu
Jurnal TEDC Vol 13 No 2 (2019): Jurnal TEDC
Publisher : UPPM Politeknik TEDC Bandung

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Abstract

Completeness of filling medical record summary sheets primarily in and out is one of the indicators of medical record quality. This research aims to know the description of the completeness of the summary sheet in and outpatient medical record inpatient internal medicine to support the quality of the medical record in a general hospital area RSUP Dr. Hasan Sadikin Bandung. The research method used is descriptive research method. Research on data collection techniques: observation, interviews, documentation and library studies. The results showed that the completeness of the summary sheet in and out conducted by the authors obtained the percentage of completeness of charging for the months of January and February Year 2019 with a total 228 medical record file is 175 (77%) and for the incompleteness of filling of 53 (23%). The authors suggest to the hospital that: (1) Carry out the completion of the incoming and outgoing hospital outpatient submission sheets must be in accordance with the operational standards of the established procedure. (2) Increased coordination to all room officers of physicians and nurses or personnel concerned about the importance of completeness and filling in medical records. (3) Creating incomplete data on filling in incoming and outgoing summary sheets to be presented to the relevant physician.
TINJAUAN PELAYANAN PELEPASAN INFORMASI MEDIS DAN PENGISIAN BERKAS KLAIM JASA RAHARJA PADA KORBAN KECELAKAAN LALU LINTAS DI RSUD AL-IHSAN KABUPATEN BANDUNG PROVINSI JAWA BARAT Monica, Rizqy Dimas; Vinandiani, Vina; Hakim, Luqmanul; Hada, Encep; Gunawan, Edih; Rohaeni, Neni
Jurnal TEDC Vol 18 No 3 (2024): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70428/tedc.v18i3.873

Abstract

This study is entitled Review of Medical Information Release Services and Filling in Raharja Service Claim Files for Traffic Accident Victims at Al Ihsan Hospital, Bandung Regency, West Java Province. The purpose of this study is to determine the Medical Information Release Service and Filling in Jasa Raharja Claim Files for Traffic Accident Victims at Al Ihsan Hospital, Bandung Regency, West Java Province. The method used in this study is: using a descriptive method with a qualitative approach. The subject of this study is the Medical Information Release Service and Filling in the Raharja Service Claim File at Al-Ihsan Hospital, Bandung Regency, West Java Province. The object of this study is the standard operating procedure for releasing medical information and Jasa Raharja claim forms for traffic accident victims who claim Jasa Raharja insurance at RSUD AlIhsan Bandung Regency. Data collection techniques by observation, interview and documentation. Research results: medical information release services at Al-Ihsan Hospital are in accordance with SOPs. There is no written procedure for filling Jasa Raharja's claim file but the implementation is in accordance with the SOP.
TINJAUAN PENGARUH KELENGKAPAN DOKUMEN REKAM MEDIS PASIEN BPJS RAWAT INAP GUNA MENUNJANG KELANCARAN KLAIM INA-CBG’S DI RUMAH SAKIT BHAYANGKARA TK. II SARTIKA ASIH BANDUNG Rohaeni, Neni; Maulida, Meyta
Jurnal TEDC Vol 19 No 1 (2025): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70428/tedc.v19i1.1169

Abstract

Based on the preliminary strudy conducted in February 2024 at RS Bhayangkara TK.II Sartika Asih Bandung, out of 58 patient files of BPJS inpatient care in December 2023, there were 13 (22,4%) incomplete files. This study aims to determine the Influence of completeness of BPJS Inpatient Medical Record Documents to Support the Smoothness of INA-CBG’S Claims at Bhayangkara TK. II Sartika Asih Hospital in Bandung. The research method used in descriptive with a quantitative approach. The population in this study is the medical record summary forms of BPJS patients in the Fajar ward during the 2023 period at RS Bhayangkara TK.II Sartika Asih Bandung, totaling 100 forms. The samples taken from the population consist of all 100 samples. Data collection techniques employed include observation, interviews, and literature study. Research instruments include interview guidelines, sheets, checklists, writing instruments, and recording tools. Data processing techniques involve editing and tabulation. The research result indicate that the implementation of filling out BPJS Patient Medical Record Summaries at RS Bhayangkara TK. II Sartika Asih Bandung has not been carried out according to regulations by the relevant officers due to the absence of Operational Standard Procedure (SPO) governing the filling and flow of medical summaries. Consequently, BPJS patient medical record summaries are not 100% complete. Out of 100 samples of inpatient medicar records in the Fajar ward in 2023, only 83 (82,7%) summaries were complete. The author suggests creating SOP for filling out medical record summaries, conducting awareness campaigns for attending physicians to fill out diagnoses and procedures in BPJS Patient Medical Record Summaries.
ANALISIS KELENGKAPAN FORMULIR INFORMED CONSENT PADA KASUS BEDAH UMUM GUNA MENUNJANG KUALITAS PELAYANAN DI RS BHAYANGKARA TK.II SARTIKA ASIH BANDUNG Pujilestari, Intan; Nabila, Sri; Monica, Rizqi Dimas; Hada, Encep; Rohaeni, Neni
Jurnal TEDC Vol 18 No 2 (2024): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70428/tedc.v18i2.833

Abstract

Health is a very important basic need for everyone. The results of the preliminary study carried out, took a sample of 10 files of informed consent forms from general surgery patients in January. Of the 10 files, there were 7 incomplete informed consent forms (70%). This study aims to determine the completeness of the informed consent form in general surgery cases to support service quality. The research method used is a descriptive method with a quantitative approach. The population in this study was the informed consent form for surgical operations in November-January 2023, namely 351. The samples taken from the population were 78 samples. The sampling technique is incidental sampling. The data collection techniques used were observation, interviews and documentation. The results of the research carried out show that of the 78 samples of informed consent sheets in November-January 2023, namely for completeness in filling out informed consent on patient identification variables, 77 files (98%). Important reporting variables amounted to 64 files (43%). The authentication and identification variables of the person in charge amounted to 66 files (85%). Meanwhile, the good and correct recording variable was 76 files (98%). The completeness results of filling out the informed consent form in the patient's medical record file for surgical operations in November-January 2023 are not 100% complete
HUBUNGAN KEPUASAN KERJA DAN KINERJA KARYAWAN DI BAGIAN PENDAFTARAN RAWAT JALAN RUMAH SAKIT UMUM DAERAH BANDUNG KIWARI Rohaeni, Neni; Monica, Rizqy Dimas; Rachmawati, Gina Siti; Pujilestari, Intan
Jurnal TEDC Vol 18 No 1 (2024): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70428/tedc.v18i1.781

Abstract

Hasil observasi di bagian pendaftaran RSUD Bandung Kiwari, terdapat petugas merangkap pekerjaan di luar tugas pendaftaran, dan karyawan pada shift siang tidak cukup melakukan tugas pendaftaran ketika volume pekerjaan banyak kondisi tersebut menyebabkan masalah ketidakpuasan kerja yang berefek kepada kinerja karyawan. Tujuan penelitian ini untuk mengetahui Hubungan Kepuasan Kerja dengan Kinerja Karyawan Pendaftaran di Bagian Pendaftaran Rawat Jalan RSUD Bandung Kiwari. Metode penelitian yang digunakan adalah metode mixed methods dengan pendekatan kuantitatif dan kualitatif. Teknik pengumpulan data dengan observasi, wawancara, kuesioner, studi kepustakaan. Teknik pengolahan data yaitu editing, coding, prosessing, cleaning. Sampel dalam penelitian ini berjumlah 19 orang responden petugas rekam medis di bagian pendaftaran rawat jalan. Data dianalisis secara univariat dan bivariat menggunakan analisis chi square. Proses perhitungan menggunakan program IBM SPSS Statistics 29. Hasil penelitian berdasarkan uji chi square menunjukkan bahwa terdapat hubungan yang signifikan antara kepuasan kerja dengan kinerja karyawan pendaftaran rawat jalan. Berdasarkan hasil uji chi square di peroleh nilai p=0,000 (p value <0,05). Ini termasuk hubungan yang memadai dengan arah positif yang bahwasanya semakin banyak kebahagiaan kerja, semakin tinggi kinerjanya. Penulis menyarankan pihak Rumah Sakit bisa mempertahankan kepuasan kerja serta kinerja petugas rekam medis, melengkapi sarana dan prasarana seperti menambahkan loket dan petugas pendaftaran rawat jalan pada shift pagi. Kata kunci : Kepuasan Kerja, Kinerja, Petugas Rekam Medis
Co-Authors , Rusdiansyah Abas, Tati Aditya, Irvan Afifah Azzahra Aisah, Diana Rahmi Ana Ana Ana Ana Anah, Anah Andini, Maharani Dewi Andriansyah Andriansyah Apriani, Fitri Apriani, Fitri Aprilia, Lu'luwatin Rosdiana Arif Ariagus Dwi Fajar Arlianty, Lia Shafira Aulia, Tiara Faza Ayu Hendrati Rahayu Dewi Suryani Dewi, Nadya Cantika Dinar Nur Inten Elly Lasmanawati Elvira Elvira Encep Hada Fahliani, Ihfa Siti Farish, Muhammad Gulam Fitri Jamilah, Anis Fujiastuti, Cici Gilang Pratama Putra Gunawan, Edih Hada, Encep Intan Pujilestari Isma Widiaty Jati, Indra Sukma Jihaan Aulia Syhira Kadarwati, Liani Juliana Khaerani, Meiliya Dini Kusumawati, Puspasari Lestari, Ajeng Krisma Luqmanul Hakim Malinda, Rismi Mally Maeliah Maman Suherman Mardiyah, Nikmatul Kamilah Marlia, Della Marlitiana, Alieta Nadia Mauldy, Sabni Maulida, Meyta Mirna Purnama Ningsih Mirna Purnama Ningsih Mirna Purnama Ningsih, Mirna Purnama Monica, Rizqi Dimas Monica, Rizqy Dimas Mubarakah, Mardliyah Mutiara, Nur Endah Nabila, Sri Nasution, Hidayah Armanda Sari Nenden Rani Rinekasari Nurhamiddiyanti, Siti Indah Nurunnisa, Rita Pujilestari, Intan Putra, Gilang Pratama Putri, Nurul Amalia Zudhianti Rachmawati, Gina Siti Rahmadyani, Desti Fauzia Rahmah, Audina Adila Rezkia Anjani Firstian Rinekasari, Nenden R. Rohmah, Iis Rosyid, Feby Khoerur Rijal Salsabila, Salsabila Sertiana D, Feny Shofa Fithriturrohmi Yusuf Suharto Suharto Sumiati, Nelis Sunarsih ; Tati Tati Trikoesoemaningtyas Umusyaadah, Liska Vinandiani, Vina Wahyudi, Ira Winona Khoerunnisa Wowo Trianto Wowo Trianto Yani Achdiani Yoyoh Jubaedah Yusuf, Shofa Fithriturrohmi Zamzami, Amalia