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All Journal Indonesian of Health Information Management Journal (INOHIM) Jurnal Teknik Informatika (JUTIF) Jurnal Kesehatan Tambusai Journal of Innovation Research and Knowledge Jurnal Sosial dan Sains Cerdika: Jurnal Ilmiah Indonesia JUKEJ: Jurnal Kesehatan Jompa Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Siswati
Universitas Esa Unggul
Humanities Astronomy Computer Science & IT Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Library & Information Science Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary

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Tinjauan Kelengkapan Pengisian Rekam Medis Rawat Inap di Rumah Sakit Angkatan Laut Marinir Cilandak Nurrachma Yulianti; Siswati Siswati; Nanda Aula Rumana; Lily Widjaya
Jurnal sosial dan sains Vol. 3 No. 7 (2023): Jurnal Sosial dan Sains
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/jurnalsosains.v3i7.923

Abstract

Latar Belakang: Rekam medis merupakan berkas yang berisikan catatan dan dokumen yang berisi identitas pasien, serta salah satu bukti tertulis tentang proses pelayanan yang berisi data klinis pasien selama proses diagnosis serta pengobatan. Di Rumah Sakit Angkatan Laut Marinir Cilandak dalam analisis kuantitatif dilakukan pada pengisian rekam medis rawat inap masih belum lengkap. Tujuan: Tujuan dilakukan penelitian adalah untuk mengidentifikasi SPO pengisian rekam medis rawat inap, melakukan analisis kuantitatif terhadap kelengkapan pengisian rekam medis rawat inap, mengidentifikasi faktor-faktor yang mempengaruhi ketidaklengkapan pengisian rekam medis rawat inap. Metode: Data yang dianalisis adalah rekam medis rawat inap periode Juni 2022. Penelitian dilakukan dengan menggunakan metode penelitian deskriptif kuantitatif Analisa data yang digunakan adalah analisis kuantitatif terhadap kelengkapan rekam medis. Hasil: Berdasarkan hasil penelitian terhadap 96 rekam medis rawat inap didapat rata-rata prosentase kelengkapan sebesar 87%. SPO pengisian rekam medis rawat inap sudah berjalan dengan baik dan semestinya tetapi, Sebaiknya dilakukan sosialisasi tentang SPO pengisian Rekam Medis Rawat Inap. Kesimpulan: Faktor-faktor yang mempengaruhi ketidaklengkapan rekam medis rawat inap adalah kurangnya Pengetahuan kelengkapan rekam medis sangat penting bagi petugas kesehatan baik untuk dokter, perawat terutama petugas rekam medis, kebiasaan seperti mengulang kesalahan yang telah dilakukan pemberi pelayanan medis, kurangnya sosialisasi terhadap tenaga kesehatan lain yang terkait dalam pengisian rekam medis rawat inap yang lengkap.
TINJAUAN KEPUASAN PASIEN DI BAGIAN PELAYANAN PENDAFTARAN RAWAT JALAN RSUD KEMBANGAN JAKARTA BARAT Tia Ivany; Siswati Siswati; Laela Indawati; Dina Sonia
Jurnal Kesehatan Tambusai Vol. 4 No. 4 (2023): DESEMBER 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v4i4.21941

Abstract

Kepuasan pasien merupakan respon pasien terhadap kinerja petugas yang ada. Tujuan penelitian yaitu untuk mendapat gambaran Kepuasan Pasien Dibagian Pelayanan Pendaftaran Rajal di RSUD Kembangan. Penelitian ini menggunakan deskriptif kuantitatif. Penelitian dilakukan di RSUD Kembangan Kota Jakarta Barat pada bulan November 2022 hingga Juni 2023. Sampel penelitian ini seluruh pasien rawat jalan di RSUD Kembangan yaitu sebanyak 71 responden. Teknik dan instrument data pada penelitian ini adalah observasi, kuisioner dan checklist. Data yang didapat lalu akan dianalisis dengan menggunakan softwere SPSS. Dalam penyusunan angket penelitian ini menggunakan skala Likert. Tangible sebanyak 4,2% menyampaikan tidak puas, sedangkan yang tertinggi sebanyak 83,1% yang menyatakan puas. Dimensi reliability yang terendah bernilai 1,4% yang menyampaikan tidak puas, sedangkan nilai tertinggi sebanyak 91,5% menyampaikan puas. Dimensi responsivenes terendah bernilai 1,4% yang menyampaikan tidak puas, sedangkan nilai tertinggi sebanyak 85,9% menyampaikan puas. Dimensi assurance terendah bernilai 1,4% yang menyampaikan tidak puas, sedangkan nilai tertinggi sebanyak 90,1% menyampaikan puas. Dimensi empathy terendah bernilai 1,4% yang menyampaikan tidak puas, sedangkan nilai tertinggi sebanyak 84,5% menyampaikan puas. Hasil analisis pada masing-masing dimensi, dapat dilihat kepuasan pasien pada dimensi tangibles di tempat pendaftaran pasien rajal di RSUD Kembangan, dari 71 responden menunjukan kepuasan pasien secara keseluruhan pasien pada 5 dimensi sebanyak 51,4% yang menyatakan tidak puas dan 48,6% yang menyatakan puas. 
Tinjauan Sistem Keamanan Rekam Medis Elektronik di Rumah Sakit Al Dr. Mintohardjo Jakarta Aldo Rizky Mahendra; Siswati Siswati; Dina Sonia; Muhammad Fuad Iqbal
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 2 (2026): Juli: Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v6i2.11037

Abstract

This study examines the security concerns surrounding electronic medical records (EMR) at AL Dr. Mintohardjo Hospital, which currently uses a hybrid system combining both manual and electronic methods. Despite the benefits of EMR in improving efficiency and accuracy, challenges persist in transitioning to a fully digital system. The research identifies key issues such as data entry errors and insufficient cybersecurity training for medical record staff. Data was collected through interviews and participant observation with administrative, medical, and IT department members. Although the hospital has established Standard Operating Procedures (SOP) for EMR security, the study finds that these procedures are not effectively implemented. Security measures such as access control and user authentication have been put in place to protect patient data, but vulnerabilities remain, such as excessive access by administrators and infrequent password updates by users. Additionally, data entry mistakes can negatively impact patient care, and concerns about unstable internet connections and reliance on a single resource persist. Despite the hospital's security efforts, including audit trails and firewalls, the study emphasizes the need for better staff training and enhanced procedures to further safeguard the confidentiality, integrity, and availability of EMR data.
Analisis Hambatan Implementasi Rekam Medis Elektronik di Puskesmas Koja Stephany Stephany; Siswati Siswati; Bangga Agung Satrya; Diana Sonia
JUKEJ : Jurnal Kesehatan Jompa Vol 5 No 3 (2026): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol5.Iss3.2997

Abstract

The digital transformation of healthcare services has encouraged healthcare facilities to implement Electronic Medical Records (EMRs) to improve service quality, administrative efficiency, and health information management. The Koja District Community Health Center, North Jakarta, has implemented an EMR system through the ENA PRIMER application since 2017; however, several challenges continue to hinder its optimal utilization. This study aimed to analyze the implementation of EMRs and identify the barriers affecting their implementation based on the 5M approach (Man, Money, Material, Machine, and Method). A qualitative descriptive design was employed, with data collected through observations and in-depth interviews involving medical record officers, registration staff, and information technology personnel. The findings revealed that EMR implementation has been supported by Standard Operating Procedures (SOPs) and adequate technological infrastructure. Nevertheless, the implementation has not yet achieved optimal performance due to network disruptions, limited application features, dependence on external vendors for system development, and the incomplete adoption of EMRs across all service units. Based on the 5M analysis, barriers were identified in staff competency for handling system-related issues, lengthy budget approval processes, limitations in application development, network infrastructure problems, and implementation methods that have not been fully integrated. Strengthening human resource capacity, improving information technology infrastructure, and developing a more adaptive system are necessary to optimize EMR implementation at the Koja District Community Health Center.
Medical Information Release Application Design Using Design Thinking And Heuristic Evaluation At Private Hospital In Bumi Serpong Damai Nerissa Adha Andrania; Anastasia Cyntia Dewi Kurniawati; Hosizah Hosizah; Siswati Siswati
Jurnal Teknik Informatika (Jutif) Vol. 7 No. 5 (2026): JUTIF Volume 7, Number 5, October 2026
Publisher : Informatika, Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52436/1.jutif.2026.7.5.5653

Abstract

Medical information release processes in Indonesian hospitals often suffer from data inconsistency, process delays, and weak coordination, while simultaneously operating under strict regulatory and privacy requirements. This study designs a user interface (UI) for a medical information release application using a Design Thinking methodology encompassing empathize, define, ideate, prototype, and test phases. The resulting high‑fidelity prototype adopts a dual‑pathway architecture that separates navigation flows for patients/third parties and Health Information Management (HIM) personnel, and integrates 13 core features aligned with Indonesian Ministry of Health Regulation No. 24/2022, IFHIMA recommendations, and HIPAA security principles such as minimum necessary disclosure, role‑based access control, audit trail, and informed consent. Gestalt design principles are applied to optimize perception, reduce cognitive load, and support safe handling of sensitive medical data. Usability was evaluated through heuristic assessment with 22 criteria and a 0–4 severity rating scale by three expert evaluators, yielding an average Severity Rating of 1.26, categorized as cosmetic problems without impact on core functionality or user satisfaction. The prototype therefore offers both operational effectiveness and regulation-aligned security, providing a reference framework for health informatics in designing medical information release systems for highly regulated healthcare environments.
Co-Authors Aldo Rizky Mahendra Anastasia Cyntia Dewi Kurniawati Annisah Isnaeni Ansye Yasinta Wowor Aringgi Al Pasya Darwis Bangga Agung Satrya Dewi, Deasy Rosmala Diana Sonia Dina Sonia Endang Palupi Ningsih Fannya, Puteri Hanum Milla Kurnia Hosizah Hosizah Indawati, Laela Iqbal, Muhammad Fuad Liliy Widjaja Lily Widjaya Lily Widjaya Nerissa Adha Andrania Nurrachma Yulianti Rara Sabrina Sukma Selvy Lindu Pratami Stephany Stephany Sumiati Sumiati Tia Ivany Wahyu Darmansyah Wahyudi Prasetyo Yulia, Noor