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Analisis Prioritas Penyebab Belum Terlaksananya Retensi dan Pemusnahan Dokumen Rekam Medis Rawat Inap di RS Mitra Medika Bondowoso Tahun 2019 Futari Ayu Istikomah; Novita Nuraini; Feby Erawantini; Efri Tri Ardianto
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.v1i4.2212

Abstract

Regulation of health ministry 2018 number 269 on Medical Record stated that the records of medical patient care inpatient in hospital must be kept at least five (5) years on a period since the date of the last patient treated or discharged. Since the Mitra Medika Bondowoso Hospital was found in 2011 the implementation of retention and destruction of medical record documents has never been carried out. This research was aimed to analyze and know the priority cause unimplementation retention and destruction of documents recording the medical -patient hospitalization by USG (Urgency, Seriousness, and Growth) and brainstorming in Mitra Medika Bondowoso Hospital. Type of this research is that qualitative and the technique collection of data by interviews, observation, documentation, and brainstorming. The results were obtained that the priority of the cause unimplementation of retention and destruction of documents medical record that is the double job of the medical record employees, Retention archive schedule in SOPs, and a lack of understanding of the medical record employees with SOP retention and extermination. The improvement efforts for the problems are to add more medical record employees and to build more teamwork between the employees. Another solutions are to make new SOP recently with the addition of the retention archive schedule as well as involving the employees in the preparation of SOPs.
TINGKAT PENERIMAAN DAN PENGGUNAAN SISTEM INFORMASI MANAJEMEN PUSKESMAS KABUPATEN JEMBER Sedyo Pinerdi; Efri Tri Ardianto; Novita Nuraini; Ida Nurmawati
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.v1i2.2242

Abstract

The district health office of Jember conducted a trial of operating SIMPUS in 20 puskesmas, but only 16puskesmas operated the SIMPUS. The district health office of Jember will be announced at the end of 2019SIMPUS will be fully operated in 50 puskesmas throughout the Jember district. This study is aimed to describethe level of acceptance and use of the Puskesmas management information system using the Theory ofAcceptance and Use of Technology (UTAUT) method. This study discusses the variables of performanceexpectancy, effort expectancy, sosial influence, facilitating conditions, behavioral intention, and the usebehavioral of SIMPUS users that are spread across 16 public health platforms in the District Health Office ofJember. This type of research is observational descriptive. The data analysis technique used is descriptive.The results of this study were that the officers were quite confident that they would get ease while workingusing SIMPUS (55.9%), the work became easy when the officers used SIMPUS (69.5%), the head of thepuskesmas and health offices supported the use of SIMPUS (73,7%), the facilities and infrastructure providedcan support the use of SIMPUS (58.5%), officers wish to use SIMPUS in the near future (70.3%), and officersuse SIMPUS when working (65.3%). The district health office of Jember needs to operate SIMPUS again andincrease server capacity so that the acceptance and use of SIMPUS increases.
ANALISIS PENYEBAB KETERLAMBATAN PENGEMBALIAN BERKAS REKAM MEDIS RAWAT JALAN DI RUMAH SAKIT TINGKAT III BALADHIKA HUSADA JEMBER Mila Imamatul Lutfiah; Efri tri ardianto; Atma Deharja; Selvia Juwita Swari
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 2 No 3 (2021): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v2i3.2244

Abstract

Pengembalian berkas rekam medis rawat jalan di Rumah Sakit Tingkat III Baladhika Husada Jember masih mengalami keterlambatan. Pada triwulan pertama tahun 2019 total berkas rekam medis rawat jalan yang terlambat sebanyak  25,32% berkas dari  25,32% berkas. Keterlambatan pengembalian berkas rekam medis dapat mempengaruhi pelayanan rekam medis dan akan menghambat kegiatan selanjutnya, seperti kegiatan assembling, koding, analisis, indeks. Penelitian ini bertujuan untuk menganalisis penyebab keterlambatan pengembalian berkas rekam medis rawat jalan di Rumah Sakit Tingkat III Baladhika Husada Jember. Jenis penelitian ini menggunakan kualitatif dan pengumpulan data dengan wawancara, observasi, dokumentasi dan brainstorming. Hasil penelitian yang didapatkan oleh peneliti pengetahuan dan sikap yang masih kurang baik, prasarana atau fasilitas yang kurang memadai. Tidak ada motivasi yang diberikan oleh kepala rekam medis, serta belum pernah dilakukannya sosialisasi SOP tentang pengembalian berkas rekam medis rawat jalan. Upaya yang dilakukan adalah, Menginformasikan tentang buku ekspedisi dan kegunaannya dan petugas juga harus mengikuti pelatihan atau seminar agar pengetahuan dan keterampilan petugas mengenai pengelolaan rekam medis, kepala rekam medis memberi teguran kepada pertugas yang terlambat mengembalikan berkas rekam medis, Melakukan perancangan buku ekspedisi, memberikan motivasi kerja dan melakukan sosialisasi SOP terkait pengembalian berkas rekam medis rawat jalan.
ANALISIS FAKTOR PENYEBAB TERJADINYA MISSFILE DI BAGIAN FILING PUSKESMAS DRINGU KABUPATEN PROBOLINGGO Nofitalia Sawondari; Efri Tri Ardianto; Atma Deharja; Gamasiano Alfiansyah
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 2 No 3 (2021): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v2i3.2247

Abstract

Kegiatan penyelenggaraan rekam medis di Puskesmas Dringu masih belum optimal. Hal ini dapat dilihat dari belum adanya ruang filing, kurangnya rak rekam medis, serta proses penyimpanan yang belum sesuai dengan SOP sehingga dapat menyebakan terjadinya missfile. Tingkat kejadian missfile di Puskesmas Dringu sebesar 11% pada bulan Juni 2019. Missfile dokumen rekam medis dapat menyebabkan data rekam medis tidak berkesinambungan. Penelitian ini bertujuan untuk menganalisis faktor penyebab terjadinya missfile di Puskesmas Dringu Kabupaten Probolinggo. Jenis penelitian adalah penelitian kualitatif. Pengumpulan data menggunakan wawancara, observasi, dokumentasi dan kuesioner. Subyek penelitian berjumlah 4 orang yang terdiri dari 2 petugas rekam medis, kepala rekam medis serta kepala Puskesmas Dringu. Penentuan prioritas penyebab masalah terjadinya missfile menggunakan USG (Urgency, Seriousness, Growth) dan penentuan solusi menggunakan brainstorming. Hasil penelitian menunjukan bahwa faktor penyebab missfile yaitu ketidakpatuhan petugas dalam menjalankan SOP, kurangnya pengetahuan, tidak adanya tracer dan buku ekspedisi, pendidikan petugas belum sesuai kualifikasi, petugas tidak melakukan penyortiran DRM yang akan disimpan dan petugas tidak melakukan audit penyimpanan secara periodik. Hasil prioritas utama penyebab missfile menggunakan USG yaitu petugas yang tidak patuh terhadap SOP (Standart Operasional Procedure). Upaya penyelesaian masalah tersebut yaitu adanya sosialisasi SOP, pengawasan kinerja petugas, mengadakan evaluasi kinerja dan  adanya punishment dan reward.
Faktor Penyebab Ketidaklengkapan Pengisian Resume Medis Guna Penunjang Akreditasi di RS Bhayangkara Lumajang Melati Ayu Pratiwi; Rossalina Adi Wijayanti; Efri Tri Ardianto; Ervina Rachmawati
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.v2i4.2328

Abstract

Completeness of medical record 24 hours after completion of service in accordance with the minimum standard of hospital service is 100%, including on the completeness of filling the medical resume form. Based on preliminary studies at Bhayangkara Lumajang Hospital, it was found that one of the unfulfilled standards of MIRM was MIRM 13.4 regarding the completeness of. The researcher checked the completeness of medical resume by taking 265 samples in the quarter I 2019 at Bhayangkara Hospital Lumajang obtained that the overall average medical resume form of completeness was 39%. Average for incompleteness of 54.3%. The purpose of this study is to determine the factors that cause the incompleteness of medical resume replenishment to support accreditation at Bhayangkara Hospital in Lumajang by identifying personnel behavior based on individual, organizational and psychological factors. This type of research is qualitative research. The data collection techniques used are interviews, questionnaires, checklists and documentation. Research results using NGT (Nominal Group Technique) technique obtained priority cause main problem is the limitation of time of the officer in filling the completeness of medical resume from the problem is obtained solution from the result of NGT (Nominal Group Technique) that it needs, monitoring of follow up (specialized areas evaluate completeness).
ANALISIS PENYEBAB KETIDAKLENGKAPAN PENGISIAN INFORMED CONSENT DI RSUD dr. ABDOER RAHEM SITUBONDO Irene Anjar Pratiwi; Efri Tri Ardianto; Atma Deharja; Indah Muflihatin
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 3 No 3 (2022): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v3i3.2601

Abstract

The incompleteness of informed consent in general surgery cases inpatients at dr. Abdoer Rahem Situbondo hospital has an increase every month in the first trimester of 2019. The highest increase occurred in March, which was 74% from the previous 64% in February. Based on the Minister of Health of the Republic of Indonesia No. 129 of 2008, the minimum standard for filling out informed consent is 100%. The purpose of this research was to analyze the factors causing the incomplete filling of informed consent in inpatient general surgery cases at Dr. Abdoer Rahem Situbondo using Simamora's performance theory. The type of this research is qualitative analysis. The research design used is action research. Data collection techniques used were interviews, questionnaires, documentation, CARL (Capability, Accessibility, Readiness, Leverage), and brainstorming. The preliminary study was carried out from January to February 2020. Data collected were an inpatient general surgical case informed consent form, which had been returned to the medical record unit. The results obtained from this research are that there has never been an evaluation of informed consent’s incompleteness. No award was given for the performance of completeness informed consent. There has never been any learning such as a seminar or training on filling out the informed consent.
Analisis Sistem Informasi Pencatatan Ibu Hamil Di Kabupaten Jember Ilham Aditya Aji; Atma Deharja; Sustin Farlinda; Efri Tri Ardianto; Maya Weka Santi
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 3 No 2 (2022): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v3i2.2693

Abstract

The maternal mortality rate in East Java has increased over the last two years due to restrictions on antenatal care visits. In 2020 Jember Regency was ranked first in the maternal mortality rate (MMR) in East Java as many as 61 people out of 175.53 per 100,000 live births. The Jember Regency Government in 2017 has implemented an information system for recording pregnant women to suppress MMR in Jember Regency but currently, its use is not maximized because there are still obstacles such as users finding it difficult to use it. The purpose of this study was to analyze the information system for recording pregnant women in Jember Regency. This research is a quantitative study with a cross-sectional approach, this approach is used to see the relationship between one variable and another with the Technology Acceptance Model (TAM) method and the research subject is a midwife who uses information systems. The results of the study show that there is a significant relationship between the usability variable and perceived benefits (sig = 0.001, r = 0.483), privacy and confidentiality variables and perceived benefits (sig = 0.023, r = 0.879), and the perceived benefit variable on user intentions. (sig = 0.001, r = 0.468). The suggestion in this study is that the Health Service should make an SOP that requires users to use an information system for recording pregnant women for services to be more intensive and maximal in their use.
Formulasi Biskuit Buah Naga dan Daun Kelor untuk Mencegah Anemia Efri Tri Ardianto; Yani Subaktilah; Alinea Dwi Elisanti
Jurnal Kesehatan Vol 8 No 1 (2020): April
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-kes.v8i1.124

Abstract

Angka kejadian anemia pada remaja putri pada tahun 2018 mencapai angka yang sangat fantastis yaitu 48,9%. Tingginya prevalensi anemia adalah karena kehilangan darah kronis, asupan zat besi yang tidak memadai, penyerapan yang tidak memadai, ataupun peningkatan kebutuhan zat besi. Dampak anemia dapat menyebabkan penurunan pada daya tahan tubuh, aktivitas, produktivitas, prestasi belajar, kebugaran dan tidak mencapai tinggi badan yang optimal. Suplementasi tablet tambahan darah (TTD) yang mengandung 60 mg zat besi dan 400 ug asam folat merupakan program yang kurang efektif, TTD tidak dikonsumsi karena rasanya tidak enak dan bau amis. Inovasi yang dapat dilakukan untuk memberikan pengganti produk suplementasi TTD adalah formula biskuit besi tinggi berbasis buah dan sayuran. Tujuan dari penelitian ini adalah membuat formula biskuit menggunakan bahan nabati yaitu buah naga dan daun kelor. Metode yang digunakan adalah action research dengan pendekatan deskriptif. Pembuatan formula biskuit buah naga dan daun kelor pada penelitian ini adalah bubur buah naga 10% dan tepung daun kelor 2.5%, 5%, 7.5% dengan komposisi tambahan tepung terigu, tepung daun kelor, bubur buah naga, gula halus, margarin, tepung maizena, susu bubuk, baking powder garam, kuning telur dan air. Pengeringan menggunakan oven dengan suhu 18 °C selama 20 menit. Penelitian ini masih harus dilakukan pada tahapan selanjutnya yaitu uji organoleptik, uji mutu, uji proksimat, uji daya simpan dan uji SSA (Spektrofotometri Serapan Atom).
Faktor-Faktor Yang Mempengaruhi Keberhasilan Implementasi Sistem Informasi Manajemen Rumah Sakit Literature Review Denisistya Krisworo; Efri Tri Ardianto; Feby Erawantini; Mochammad Choirur Roziqin
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 13, No 3 (2022): Juli 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v13i3.2178

Abstract

According to the Regulation of Health Minister of the Republic Indonesia Number 82 of 2013 concerning Hospital Management Information, it is that every hospital is required to implement a Hospital Management Information System (SIMRS). However, according to a literature study conducted by researchers in the implementation of SIMRS, there are still many obstacles. With the implementation of SIMRS that is not good, it will have an impact on service to patients so that influences the success of the Hospital Management Information System Implementation. This research method is a literature review using 20 articles published in 2011-2021 on Google Scholar and Pubmed. The result of the factor that affected the success of the implementation of the hospital system, 30% stated that hardware, 55% state that software, 25% stated that procedures, 45% stated that basis data, 25% stated that networks and 75% stated that people component affected the success of system implementation. The very important influence of the successful implementation of the hospital Management information system is the people’s factors. So that in implementing SIMRS, we must pay attention to these factors, especially people factors in order to achieve the success of SIMRS implementation.
Peningkatan Praktik Cuci Tangan Pakai Sabun pada Anak Usia Sekolah dengan Metoda Emo Demo Dahlia Indah Amareta; Efri Tri Ardianto
Sanitasi: Jurnal Kesehatan Lingkungan Vol. 9 No. 2 (2017): November
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (228.308 KB)

Abstract

Indonesian people's habits, including children in hand washing with soap, are still low, despite of it is one of the most effective ways to prevent diarrhea and ARI, which are the leading cause of child death. Emotional Demonstration (Emo Demo) is one of the imaginative and provocative educational methods to achieve healthy behavior. The purpose of this study was to analyze the effect of hand washing with soap counseling with Emo Demo method on school-age children in Islamic Elementary School Al-Badri, in Kalisat, Jember District. This research was a quantitative one that used pre experiment with one group pre-test post-test design, and consisted of 47 stu-dents as research subject. The variables under study were the knowledge and practice of hand washing with soap. The data collection was conducted in September-October 2017. Prior to the intervention, most of the students were lack of knowledge and practice (78,8 % and 85,1 %). Af-ter the intervention was done by providing counseling, small group demonstration, and provision of handwashing facilities, most students had moderate knowledge (76,6 %), while students with good knowledge were as much as 8,5 %. The practice of hand washing with soap among study subjects were mostly in good category (76,6%). To conclude, there is a significant knowledge dif-ferent between before and after intervention (p<0,001), and so is the practice (p< 0,001).