Zakharias Kurnia Purbobinuko
Prodi RMIK D-3 Fakultas Kesehatan Universitas Jenderal Achmad Yani Yogyakarta

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Analisis Kepuasan Dengan Metode CSI dan IPA Terhadap Pelayanan Penyediaan Rekam Medis Rawat Jalan Di RS. Dr Soetarto Yogyakarta Zakharias Kurnia Purbobinuko; Riska Wurianing
Indonesian of Health Information Management Journal (INOHIM) Vol 8, No 2 (2020): INOHIM
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/inohim.v8i2.220

Abstract

AbstractBased on the hospital minimum service standards, the time limit for distributing outpatient medical record is ≤10 minutes. In fact, it is often time for outpatient medical record distribution to exceed this time limit. This study seeks to assess the satisfaction level of doctors and nurses for the provision of outpatient medical record at dr Soetarto Hospital Yogyakarta. A descriptive method used with a quantitative approach; the research design used was cross sectional. The sampling technique was saturated samples. The independent variables, namely five quality dimensions, including reliability, responsiveness, certainty, empathy and appearance. The dependent variable is the level of satisfaction of doctors and nurses. Furthermore, CSI (Customer Satisfaction Index) and IPA (Importance Performance Analysis) were carried out. The study results indicate the CSI in of the five dimensions of quality; reliability:75.53%, responsiveness: 77.03%, assurance: 78.25%, empathy: 80.68%, tangible: 77.83%. Based on the CSI score, the five dimensions are included in the criteria: satisfaction with service. The highest level of satisfaction in the empathy dimension (80.68%) was the attention or concern of medical record officers to doctors and nurses regarding the outpatient medical record provision. The lowest level of satisfaction on the reliability dimension (75.53%) namely the ability of medical record officers to provide reliable and accurate outpatient medical record. Quadrant I (top priority for improvement) include speed of medical record officers in providing medical record files, mastery of medical record management, and responsiveness or ability of officers to respond to complaints from doctors and nurses.Keywords: satisfaction level, provision of medical rcord, CSI, IPAAbstrakBerdasarkan standar pelayanan minimal rumah sakit, mengacu Kepmenkes RI tahun 2008, batas minimal waktu  pendistribusian rekam medis rawat jalan adalah ≤10 menit. Kenyataannya sering kali lamanya pendistribusian rekam medis rawat jalan lebih dari batas minimal ini. Tujuan penelitian ini adalah mengkaji  tingkat kepuasan dokter dan  perawat terkait pelayanan penyediaan rekam medis rawat jalan di RS dr Soetarto Yogyakarta. Metode deskriptif digunakan dengan pendekatan kuantitatif, cross sectional sebagai rancangan penelitian yang digunakan. Pengambilan sampel menggunakan total populasi.  Variabel bebas yaitu 5 dimensi kualitas meliputi; keandalan, ketanggapan, kepastian, empati dan penampilan. Tingkat kepuasan dokter dan perawat merupakan variabel terikat dari penelitian ini. Selanjutnya dilakukan analisis CSI (Customer Satisfaction Index) dan IPA (Importance Performance Analysis). Hasil penelitian ini menunjukkan Customer Satisfaction Index ditinjau dari kelima dimensi kulaitas; realibility: 75,53%, responsiveness: 77,03%, assurance: 78,25%, empathy: 80,68%, tangible: 77,83%. Berdasar nilai CSI kelima dimensi masuk dalam kriteria: kepuasan terhadap pelayanan. Kesimpulannya adalah tingkat kepuasan tertinggi pada dimensi empathy (80,68%) meliputi; perhatian atau kepedulian petugas rekam medis kepada dokter dan perawat terkait penyediaan rekam medis rawat jalan. Tingkat kepuasan terendah pada dimensi reliability (75,53%) meliputi kemampuan petugas rekam medis untuk menyediakan rekam medis rawat jalan secara terpercaya dan akurat. Hal-hal yang menjadi prioritas utama untuk diperbaiki terletak di kuadran I meliputi; kecepatan petugas rekam medis untuk menyediakan rekam medis rawat jalan, penguasaan manajemen rekam medis rawat jalan, serta sikap tanggap atau kemampuan petugas dalam merespon  keluhan dari dokter dan perawat.Kata Kunci: tingkat kepuasan, penyediaan rekam medis, CSI, IPA
Upaya Meningkatkan Kepatuhan Profesional Pemberi Asuhan Pasien Dalam Dokumentasi Rekam Medis Zakharias Kurnia Purbobinuko; Ratna Prahesti; Kori Puspita Ningsih
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 6 No. 2 (2021): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Agustus
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v6i2.607

Abstract

Adanya tuntutan rumah sakit untuk menjamin kelengkapan rekam medis, perlu didukung dengan upaya rumah sakit melalui suatu regulasi dan edukasi kepada para PPA dalam proses pendokumentasian rekam medis. Lebih lanjut bahwa paradigma faktor manusia, dalam hal ini adalah PPA dalam menjaga kualitas rekam medis cukup berpengaruh langsung dalam keselamatan pasien. Tujuan dari penelitian ini adalah mengeksplorasi upaya rumah sakit dalam meningkatkan kepatuhan PPA pada dokumentasi rekam medis Penelitian ini merupakan penelitian deskriptif dengan pendekatan kualitatif. Rancangan penelitian menggunakan metode cross sectional. Penelitian ini dilaksanakan di RSUD Panembahan Senopati Bantul. Hasil penelitian menunjuukan RSUD Panembahan Senopati Bantul telah berupaya meningkatkan kepatuhan PPA dengan menetapkan regulasi berupa Pedoman Pelayanan Rekam Medis dan SPO Pengisian Rekam Medis. Upaya dari aspek material dilakukan dengan menyediakan formulir rekam medis berbahan kertas ukuran A4 berat 80 gram berbentuk persegi panjang dengan beberapa warna sesuai kebutuhan pengguna dan diberikan nomor formulir rekam medis. RSUD Panembahan Senopati Bantul telah melakukan penilaian kinerja setiap tahun sekali di akhir tahun, akan tetapi penilai kinerja berkaitan dengan kepatuhan PPA dalam dokumentasi rekam medis belum tertuang dalam SKP. Dalam upaya meningkatkan kepatuhan PPA dalam dokumentasi rekam medis, maka Tim KMKP menetapkan angka ketidaklengkapan assesmen awal medis dalam 24 jam pada pasien rawat inap melalui Instalasi Gawat Darurat (IGD) sebagai indikator mutu prioritas di RSUD Panembahan Senopati Bantul. Sebaiknya dalam upaya meningkatkan motivasi, budaya kerja dan kepatuhan PPA dalam dokumentasi medis, maka RSUD Panembahan Senopati Bantul dapat menerapkan reward dan punishment, sehingga tercapai kepuasan kerja karyawan
Tinjauan Pelaksanaan Informed Concent Pemeriksaan Kontras Colon in Loop di Instalasi Radiologi RSUD Kota Yogyakarta Zhazha Sulistya Nengrum; Eniyati Eniyati; Zakharias KP; Ika Fitria A
Jurnal Indonesia Sehat Vol. 1 No. 03 (2022): JURINSE, Desember 2022
Publisher : SAMODRA ILMU: Lembaga Penelitian, Penerbitan, dan Jurnal Ilmiah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (338.896 KB)

Abstract

Background: Medical records play a major role in improving the quality of medical services in hospitals. In the patient’s medical record section, there are several sheets, one of which is the Informed Consent sheet. Informed consent plays a major role for service providing medical facilities, because on the sheet it can create an agreement on health actions. Meanwhile, in the implementation of informed consent there are still discrepancies in its implementation. Purpose: To determine the implementation of informed consent for colon in loop contrast examination at the radiology installation of the Yogyakarta City Hospital. Method: This research was used the descriptive research methods using a qualitatif approach that is in depth interviews. Result: The results showed that the implementation of informed consent at the Yogyakarta City Hospital was not in accordance with the rules, namely in the implementation of informed consent there were still some that were carried out orally. Items in the delivery of informed consent include, at least include the patient’s diagnosis, the action to be given, the procedur for action, action, and actions and alternative actions. Overall, the completeness of the informed consent was not comprehensive and precise. Conclusion: The implementation of informed consent has not been carried out properly and there are still incomplete and correct sheets. It is recommended to the officer who is responsible for filing out the sheet.
Analisis Kuantitatif dan Kualitatif Dokumen Rekam Medis Pasien Bersalin di Klinik Pratama Aisyiyah Siti Khotijah Salam Magelang Eniyati Eniyati; Zakharias KP; Lily Yulaikhah; Ratna Prahesti
Jurnal Indonesia Sehat Vol. 2 No. 1 (2023): JURINSE, April 2023
Publisher : SAMODRA ILMU: Lembaga Penelitian, Penerbitan, dan Jurnal Ilmiah

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

Abstract

Background:  The implementation of health services cannot be carried out properly without good medical record documentation as well. The medical record unit is one of the units that plays an important role from registration to recording the patient's disease history. Medical records are the most important aspect in the hospital management process in medical services. Quality assurance is an effort to periodically review various conditions that affect services, monitor services, and trace the output produced, so that various deficiencies and causes of deficiencies can be known and improvement efforts can be made to further improve the level of health and welfare. Quantitative and qualitative analysis is part of this effort. Purpose:  quantitatively and qualitatively analyze medical record documents of maternity patients at the Aisyiyah Siti Khatijah Salam Magelang primary clinic. Result:  Based on the results of quantitative observation/analysis, the average total completeness of maternity patient medical records was 93.01%, and did not meet the standards that should be 100%, the Delinguent Medical Record (DMR) had the highest incompleteness, which was in January 2021 at 50%. there were no incompleteness (0%) in April, May and September 2021. The results of the qualitative analysis are completeness of 90%. Conclusion:  The average completeness in the medical record of maternity patients is 93.01%, and has not met the standard that should be 100%, the Delinguent Medical Record (DMR) has the highest incompleteness, which is in January 2021 at 50%. The results of the qualitative analysis are completeness of 90%.