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All Journal Infokes : Jurnal Ilmiah Rekam Medis dan Informasi Kesehatan Nusantara Hasana Journal Proceedings of the International Conference on Nursing and Health Sciences Indonesian Journal on Medical Science (IJMS) Jurnal Keperawatan Duta Medika Proceeding of International Conference Health, Science And Technology (ICOHETECH)
Sri Wahyuningsih Nugraheni
Universitas Duta Bangsa Surakarta
Agriculture, Biological Sciences & Forestry Humanities Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Health Professions Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Veterinary

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Efektivitas Prenatal Yoga Untuk Mencegah Rupture Perineum Di Bpm Dewi Chandra Ningrum Karanganyar Siti Farida; Sri Wahyuningsih Nugraheni
Jurnal Infokes Vol 11 No 1 (2021): Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan
Publisher : Universitas Duta Bangsa Surakarta

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Abstract

Perineal rupture often occurs during normal labor. Perineal rupture is a tear in the perineum that occurs as a result of the process of leaving the fetus from the uterus. Perineal rupture can harm both the mother and the fetus if not treated properly, and can cause complications, including bleeding, hematoma, fistula, and infection. Bleeding that comes out of the birth canal shortly after the newborn is born, the source and amount of bleeding must be ascertained so that it can be treated according to the cause. One of the causes of postpartum hemorrhage is due to perineal tears. There are several factors that can cause perinium tears, one of which is a stiff perineum. A stiff perineal condition can affect the second stage of labor so that it can increase the risk of death for the fetus and can cause extensive birth canal damage during labor. A stiff perineum can be anticipated from the time of pregnancy through various efforts, one of which is by doing prenatal yoga exercises. Prenatal yoga can provide benefits in training the perineal muscles to be stronger and stretchier during labor, so that making labor easier. The purpose of this study was to determine the effectiveness of prenatal yoga in preventing perineal rupture using a case control survey research design / design, retrospective approach. The sampling technique used was quota sampling. Based on the results of the Chi Square statistical test, it can be seen that p value = 0.017, where the p value is <α (0.05), so it can be concluded that prenatal yoga has a significant relationship with the incidence of perineal rupture in labor mothers.
Efektivitas Penggunaan Birthball Untuk Mengurangi Intensitas Nyeri Persalinan Kala I Siti Farida; Sri Wahyuningsih Nugraheni
Indonesian Journal on Medical Science Vol 9 No 1 (2022): IJMS 2022
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Kesehatan Bhakti Mulial

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (348.84 KB) | DOI: 10.55181/ijms.v9i1.359

Abstract

Visceral pain experienced by women in labor in the first stage of labor is caused by cervical changes and uterine ischemia. In the first stage of the latent phase, cervical effacement occurs, while in the first stage of active and transitional phases, cervical dilatation occurs and the lowest area of ​​the fetus descends. Birthball (birth ball) is a physical therapy or simple exercise using a ball which, if performed on first-stage inpartum mothers, can help progress in labor and reduce pain. The purpose of this study was to determine the effectiveness of the use of birthballs in reducing the intensity of labor pain in the first stage. This type of research was a quasi-experimental design with a pretest-posttest group design, namely by comparing 1 group with 2 treatments, namely pretest and posttest in the form of measuring effectiveness before and after use. birthball on the intensity of labor pain in the first stage in the group. The sample in this study was the first stage of physiological maternity women who met the inclusion criteria as many as 28 people. The results of statistical tests obtained a p value of 0.00 so it can be concluded that there is a significant difference in the intensity of labor pain in the first stage before and after the use of a birthball with an average value of the intensity of labor pain in the first stage before the use of a birthball, which is 5.54 and after the use of a birthball. of 3.32
DETEKSI PENYAKIT DEMAM BERDARAH MELALUI PERANGKAT LUNAK BERBASIS TEKNOLOGI INFORMASI agung suryadi; Sri Wahyuningsih Nugraheni
Jurnal Infokes Vol 12 No 2 (2022): Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan
Publisher : Universitas Duta Bangsa Surakarta

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Abstract

According to the World Health Organitation (WHO), Dengue Hemorrhagic Fever (DHF) around the world has always increased drastically over the last 20 years. DHF is an infectious disease caused by the dengue virus which is transmitted through the bite of the Aedes Aegypti mosquito, characterized by a sudden high fever accompanied by bleeding manifestations and tends to cause shock and death. This disease is one of the most important public health problems in the world in general. The accuracy of decision making from an identification of data in the world of health is very important for patients, because this will affect the patient's treatment services, then this will have an impact on the quality of service in the hospital. This technology has now become a fundamental requirement for the continuity of an organization. By applying information technology to assist clinicians in detecting dengue fever, it will provide convenience and speed in making the diagnosis of dengue fever effectively and efficiently. Based on the information above, the hospital needs a system that can assist clinicians in making a diagnosis. Namely by implementing dengue fever detection software using an information technology-based system. By using a computerized dengue fever detection software that is developed, it will make it easier for a doctor to process and detect patient dengue fever disease data. In addition, with the developed application, it can be easily cooled down that all data will be stored in a database so that a doctor only needs to provide data input according to the needs of the analysis in the application, then the application will provide information in a timely manner so that it will have an impact on improving the quality of service to patients.
Analisis Kualitatif Dokumen Rekam Medis Penyakit Unstable Angina Pectoris di Rumah Sakit : Unstable Angina Pektoris sri wahyuningsih nugraheni; Nawang Sari Putri Widiastuti; A. Eka Wardaya
Jurnal Infokes Vol 12 No 2 (2022): Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan
Publisher : Universitas Duta Bangsa Surakarta

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Abstract

Rumah Sakit PKU Muhammadiyah selogiri memiliki 13 poli salah satunya yaitu poli jantung. Diagnosa urutan ke 1 dari 10 besar penyakit di poli jantung yaitu penyakit unstable angina pectoris. Hasil studi pendahuluan terhadap 10 dokumen rekam medis pasien penyakit unstable angina pectoris masih terdapat 56% dokumen yang tidak lengkap dan tidak konsisten. Tujuan penelitian ini adalah mengetahui kelengkapan, kekonsistenan dan faktor ketidaklengkapan pengisian dokumen rekam medis penyakit unstable angina pectoris di Rumah Sakit PKU Muhammadiyah Selogiri. Jenis penelitian menggunakan metode deskriptif dengan pendekatan retrospektif. Metode pengambilan data dilakukan observasi dan wawancara. Teknik pengambilan sampel menggunakan sampel jenuh. pengolahan data dengan cara collecting, editing, klasifikasi dan penyajian data. Penelitian dilakukan terhadap 84 dokumen dengan analisis kualitatif berdasarkan 6 review. Hasil penelitian pada review kelengkapan dan kekonsistensian diagnosa yaitu 92% Dokumen konsisten, 8% tidak konsisten. Review konsistensi pencatatan diagnosa 82%dokumen konsisten, 18% tidak konsisten. Review pencatatan hal hal yang dilakukan saat perawatan dan pengobatan 44% Dokumen 56% tidak konsisten. Review adanya informed consent tidak di review karena tidak terdapat formulir informed consent pada DRM penyakit yang di teliti. Review cara atau praktik pencatatan 73% dokumen konsisten, 27% tidak konsisten. Review hal – hal yang berpotensi menyebabkan tuntutan ganti rugi 50% dokumen konsisten, 50% tidak konsisten. Faktor yang mempengaruhi ketidaklengkapan dalam analisis kualitatif pada Rumah Sakit PKU Muhammadiyah Selogiri adalah faktor MAN atau manusia.Kata kunci : kelengkapan, kekonsistenan, pengobatan, perawatan, unstable angina pectoris
Medical Record Storage System Based on Accreditation Criteria 3.8.4 in Public Health Centers Sri Wahyuningsih Nugraheni; Muhammad Amin bin Sahari; Beta Setiawati; Kufita Alya Salsabila
Proceedings of the International Conference on Nursing and Health Sciences Vol 3 No 1 (2022): January-June 2022
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v3i1.1146

Abstract

The Sawit Boyolali Community Health Center was accredited in 2017. Retention of medical record documents has been carried out in the last three years, namely 2020, 2021 and 2022. The obstacle in implementing retention is that there are no standard operating procedures regarding retention, storage systems and identification of medical records. This type of research is descriptive qualitative with a cross sectional research design. The research variable consists of three assessment elements on criteria 3.8.4. Collecting research data using interviews, observation and documentation. Processing, analysis and presentation of data is done descriptively. The results of the study are: the decree of the head of the public health center becomes the basis for the policy of implementing medical record retention without standard operating procedures, namely the decree of the head of the community health center Sawit Boyolali number 440 of 2017 concerning the storage of medical records. The implementation of medical record identification is regulated through standard operating procedures number 005/SOP/VII/UKP/2017 regarding patient registration. Medical record coding provides a medical record number code of eight digits, the first two digits are the village/kelurahan code, the second two digits are the medical record number, and the third two digits are the family card code/family status. The medical record storage system is centralized, that is, outpatient and inpatient medical records are stored in one folder/folder. Documentation of the results of examinations, treatment, actions, and other services that have been provided to patients by doctors, dentists and or health workers made immediately and after the patient receives services. The conclusions of the research based on accreditation criteria 3.8.4 are: (1) there is a retention policy in the form of a decree from the head of the public health center without standard operating procedures. Patient identification in medical records is regulated in standard operating procedures regarding patient registration. Medical record coding uses eight digits with a centralized storage system. Recording and documentation of medical records is carried out by the doctor in charge of the patient.
TINJAUAN KELENGKAPAN FORMULIR RINGKASAN MASUK DAN KELUAR PASIEN RAWAT INAP BERDASARKAN ANALISIS KUANTITATIF PENYAKIT CATARACK, UNSPECIFIED DI RUMAH SAKIT ISLAM AMAL SEHAT SRAGEN Liss Dyah Dewi Arini; Marisca Windi Absari; Sri Wahyuningsih Nugraheni
Jurnal Keperawatan Duta Medika Vol. 2 No. 1 (2022): Jurnal Keperawatan Duta Medika
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1057.5 KB) | DOI: 10.47701/dutamedika.v2i1.1916

Abstract

Introduction: Efforts to improve hospital quality need to be carried out to assess hospital services, namely by conducting quantitative analysis. Objectives: To find out the completeness of filling in and out summary forms for inpatients based on quantitative analysis of catarack disease, unspecified at the Amal Sehat Islamic Hospital, Sragen. Methods: This research is a descriptive study, using the method of observation and interviews. The population in this study were 616 medical records of inpatients with cataracts, unspecified by using a random sampling technique where the sample was taken randomly and the Slovin formula was used to determine the sampling. Result: analysis in the review of identification of the complete number of 240 documents with a percentage of 98.77% while those that were incomplete were 3 documents with a percentage of 1.23%, in the review of reporting the complete number of 123 documents with a percentage of 50 ,62% while the incomplete ones are 120 with a percentage of 49.38%, in the authentication review the complete number is 236 documents with a percentage of 97.12% while the incomplete ones are 7 documents with a percentage of 2.88% and in the recording review the total number is 2.88%. 236 complete documents with a percentage of 97.12% while 7 documents incomplete with a percentage of 2.88% Conclusion: the incompleteness of medical record documents at the Amal Sehat Hospital Sragen is still not optimal, medical and non-medical officers should be more careful in completing medical record documents.
Workload of Medical Record Service in Pandemic Covid-19 Sri Wahyuningsih Nugraheni; Erna Zakiyah; Mamik Farida
Proceeding of International Conference on Science, Health, And Technology 2021: Proceeding of the 2nd International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1240.42 KB) | DOI: 10.47701/icohetech.v1i1.1089

Abstract

The workload of hospital staff, especially registration officers at RSUI YAKSSI Gemolong Sragen, in 2020 has decreased and increased along with the decline and increase in the number of patients during the COVID-19 pandemic. The calculation of the need for the number of registration officers uses the health workload analysis method (ABK Health). The aim of this study was to analyze the workload of registration officers and calculate the need for the number of registration officers using the health workload analysis method (ABK Health). This research is a descriptive study with cross sectional approach. Research subjects were manajer of the medical record, manajer of the registration room, and the registration officer. While the object of research is the registration officer workload in RSUI YAKSSI Gemolong Sragen. The research instruments were observation and interview guidelines. Data processing by collecting, editing, tabulating and presenting data. Analysis data is descriptively. The steps of the ABK Health method include determining health service facilities and types of human resources, determining available work time, determining workload components and work norms, calculating workload standards, calculating standards of supporting activities, then calculating the human resource needs for health per health service institutions or facilities. Based on the calculation of the need for registration officers at RSUI YAKSSI in 2020 a number of 6, and currently there are 6 registration officers at RSUI YAKSSI so that is sufficient. The need for registration officers at RSUI YAKSSI in 2020 is 6, and currently there are 6 registration officers at YAKSSI Hospital so that is sufficient. The number of registration officers is sufficient, however, it is necessary to improve the quality of registration officers with further education for registration officers with high school education qualifications to diploma 3 educational qualifications of medical records and health information.
ANALISIS KEBUTUHAN TENAGA KERJA BAGIAN PELAPORAN RUMAH SAKIT MENGGUNAKAN METODE ANALISIS BEBAN KERJA KESEHATAN (ABK KES) Hesty Latifa Noor; Siti Nur Qomariyah; Sri Wahyuningsih Nugraheni
Jurnal Infokes Vol 13 No 1 (2023): Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan
Publisher : Universitas Duta Bangsa Surakarta

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Abstract

ABK Kes is a method of calculating the need for health human resources based on the workload carried out by each type of health human resource according to their main tasks and functions. There is a double job, the amount of data that needs to be processed results in reports that cannot be reported properly, on time and officers cannot carry out work in accordance with the description of their main tasks and functions. The purpose of this study was to determine the needs of the workforce with the health workload analysis method (ABK Kes) in the medical record unit reporting section at Muhammadiyah Lamongan Hospital.The subjects in this study were reporting officers. While the object in this study is the workload of reporting officers. Data collection methods are by interview and observation. Data processing is done by collecting, editing, tabulating and presenting data in a qualitative descriptive form. The results of this study are health facilities of the general hospital type and the type of health human resources reporting section, the available WKT is 1240 hours/year and 74400 minutes/year, the workload standard is 538,800, the FTP value is 1.91% and the STP value is 1.13%, and the results of the calculation of the labor requirements for the reporting section of the ABK Kes method were 6 people. The conclusion of this study is that the reporting section's need for health human resources is 6 health human resources currently only 3 health human resources are available. The author suggests that it is better to add 3 health human resources.
Qualitative Analysis of Medical Record Documents in Inpatient Patients in the Public Health Center Sri Wahyuningsih Nugraheni; Satinder Kumar; Laila Rizky Azizah
Proceedings of the International Conference on Nursing and Health Sciences Vol 4 No 1 (2023): January-June 2023
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v4i1.1718

Abstract

The community health center is one of the first level health service facilities that is required to maintain medical records. Medical record is a document that contains patient identity data, examinations, treatment, actions, and other services that have been given to patients. Based on the Regulation of the Minister of Health of the Republic of Indonesia Number 24 of 2022 concerning medical records, Article 18 states that medical records are analyzed quantitatively and qualitatively. Qualitative analysis aims to ensure complete and accurate medical record data. Objective: The research objective was to determine the completeness and consistency of medical records based on six reviews. Method: This type of research is descriptive research with a retrospective approach. The population is 432 inpatient medical record documents, sample 81 inpatient medical record documents using simple random sampling technique. Collecting data using interviews and observation. Data processing, data presentation and data analysis were carried out on quantitative data and qualitative data in a non-statistical or descriptive manner in tabular and textular forms. Results: The results of the study: 1) review of the completeness and consistency of diagnosis by 71 (88%), 2) review of the consistency of recording diagnoses by 80 (99%), 3) review of things done during care and treatment by 81 (100%), 4 ) review of 8 forms of informed consent by 8 (100%), 5) review of recording techniques by 71 (88%), and 6) review of potential compensation matters by 66 (81%). Conclusions: The results of a qualitative analysis of medical record documents based on the six highest reviews were on the review of recording things that were done during care and treatment as well as the review of complete informed consent, namely 81 (100%), while the lowest review was on the review of things that had the potential for compensation, namely 66 (81 %). The researcher's suggestion to improve the completeness and consistency is to increase the commitment of Caring Professionals (doctors, midwives, nurses, medical recorders) regarding the importance of the completeness and consistency of medical records and the implementation of comprehensive and continuous quantitative and qualitative analyzes.
IMPLEMENTASI METODE SCRUM PADA WEBSITE PENDAFTARAN PASIEN RAWAT JALAN Nurhayati; Sri Wahyuningsih Nugraheni
Nusantara Hasana Journal Vol. 3 No. 2 (2023): Nusantara Hasana Journal, July 2023
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v3i2.894

Abstract

Websites in health services are expected to be able to manage information and data processing to be faster and according to minimum service standards. This study aims to develop an outpatient registration website by applying the Scrum system development method. The research method used is descriptive research including data collection and software requirements analysis, website modeling and website development using the Scrum model. The website is developed using PHP and Mysql. This research was able to produce an outpatient registration website, the scrum method was able to make website work more effective, efficient and structured.
Co-Authors Agung Suryadi Aloysius Eka Wardaya beta setiawati Erna Zakiyah Hesty Latifa Noor Kufita Alya Salsabila Laila Rizky Azizah Liss Dyah Dewi Arini Mamik Farida Marisca Windi Absari Muhammad Amin bin Sahari Nawang Sari Putri Widiastuti Nurhayati Satinder Kumar Siti Nur Qomariyah