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All Journal Jurnal Rekam Medis dan Informasi Kesehatan Journal of Public Health Science (JoPHS) Jurnal Rekam Medis dan Informasi Kesehatan Indonesia
M. Afif Rijal Husni
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Computer Science & IT Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Aspek Keamanan dan Privasi Penerapan Informed Consent Elektronik di Unit Kamar Bedah RSU Anna Medika Madura Bangkalan M. Afif Rijal Husni
Jurnal Rekam Medis dan Informasi Kesehatan Vol 5, No 2 (2022): Oktober 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v5i2.8376

Abstract

Medical records are useful as legal evidence, essential to ensure their safety and privacy. Electronic medical records do not yet have specific laws and regulations, generally regulated in Permenkes No. 269 of 2008 on Medical Records. Informed consent is often used as legal evidence and is always made in paper form (Hatta, 2017). Informed consent made electronically needs to be studied related to its implementation and use, more specifically on the aspects of security and privacy. This research is qualitative research of phenomenology. The data collection method used in-depth interviews with 9 staffs as key and main informants. The security aspect of electronic informed consent , the data is stored in a database on the server computer. Each officer in each service is given a username and password to access the menu in the electronic system according to the service unit. The security aspects of electronic devices are divided into software and hardware. Software security is done by periodic data backups, installation of antivirus software, and the use of firewalls and encryption. Hardware security is done quite well but there are still many that are not up to standard. In the aspect of electronic informed consent privacy there is an SPO that regulates its use. Each user is given a username and password to access the electronic system in accordance with his authority. Every officer at RSU Anna Medika Madura is sworn to maintain the confidentiality of health information that is legally consistent if violated, including IT vendors who assist in the implementation of electronic systems accompanied by stamped signatures
TINJAUAN TINGKAT KEAKURATAN KODE DIAGNOSIS TYPHOID FEVER PASIEN RAWAT INAP BERDASARKAN ICD 10 DI PUSKESMAS GULUK-GULUK Ayu Soviana; M. Afif Rijal Husni
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 2 No. 1 (2022): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v2i1.22

Abstract

The diagnosis code is said to be accurate if it is following what is written in the ICD-10. The determination of the diagnosis code for Typhoid Fever at Puskesmas Guluk-Guluk uses a smart book and the code is not specified with the fourth character. The purpose of this study is to review the accuracy of the Typhoid Fever diagnosis code for inpatients based on ICD-10 at Puskesmas Guluk-Guluk. The type of research used was descriptive quantitative research with a retrospective approach. The population of this study was medical record files of inpatients with a diagnosis of Typhoid Fever. The sampling technique used was random sampling. The results of the study from a total sample of 51 files of inpatient medical records for Typhoid Fever patients at Puskesmas Guluk-Guluk obtained 18 medical record files with accurate diagnosis codes (35.3%) and 33 medical record files with inaccurate diagnosis codes (64.7%). The results can be concluded that the inaccuracy is due to the diagnosis code not being obtained from the ICD-10  but from the smart book and not specified with the fourth character. It is recommended that coding officers in the coding process use ICD-10 to ensure the accuracy of the diagnosis code.
TINJAUAN KEPUASAN PASIEN TERHADAP PELAYANAN PENDAFTARAN ONLINE BERBASIS WHATSAPP DAN TELEPON PASIEN RAWAT JALAN DI RSU ANNA MEDIKA MADURA M. Afif Rijal Husni; Nur Aini
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 3 No. 2 (2024): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v3i2.60

Abstract

At Anna Medika Madura's Hospital, patients still claim to be less content with online registration services with whatsapp online registration services and outpatient phones at Anna Medika Madura General Hospital. The type of research used was quantitative descriptive research. The population of this research were all the old outpatient who were online registration at Anna Medika Madura General Hospital and the determination of the number of samples using accidental sampling based on time using 5 dimension. Based on the results of the analysis on each dimension it be seen that of the 82 respondents, on the tangibles dimension expressed satisfaction with a percentage of 79,67%. On the reliability dimension, stated that they were very satisfied with a percentage of 80,63%. On the responsiveness dimension, stated that they were satisfied with a percentage of 76,26%. On the assurance dimension, stated that they were very satisfied with a percentage of 82,85%. On the empathy dimension, stated that they were very satisfied with a percentage of 81,71%. Thus the assurance dimension had the highest level of satisfaction. The average overall patient satisfaction is 80,22% in the satisfied category. The clarity and ease of the service are essential to improving the quality and level of the satisfaction of the patient, the quality of service having an effect on the patient’s satisfaction. Online registration can make it easier for the patient and is shown to be able to support hospital activities in the registration process and also to have the ability to reduce waiting times which will increase patient satisfaction.
IDENTIFIKASI MINIMUM DATASET RIWAYAT KELUARGA PADA REKAM MEDIS ELEKTRONIK SEBAGAI DASAR DETEKSI DINI PENYAKIT GENETIK Rulisiana; M. Afif Rijal Husni; Dimas Aulia Savitri; Angga Ferdianto
Journal of Public Health Science Vol. 3 No. 1 (2026): Maret
Publisher : Yayasan Nuraini Ibrahim Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70248/jophs.v3i1.3571

Abstract

Electronic Medical Records (EMR) play a crucial role in supporting healthcare services and clinical decision-making, yet family history recording remains unstructured and underutilized in healthcare practice. This situation necessitates the identification of the most essential family history data elements to ensure more focused, consistent, and applicable recording. This study aims to identify a minimum family history dataset in EMR as a basis for early detection of genetic diseases. The research method used was a two-round Delphi method involving a 15-member expert panel consisting of clinicians, senior medical records personnel, and medical records experts. The results showed that in the first round of the Delphi, of the 15 initial family history elements evaluated, 12 elements met the context, while 3 elements were excluded because they were deemed inadequate for consistent recording. Two additional elements emerged based on input from the panel of experts. In the second Delphi round, all 14 evaluated elements reached consensus with a median value ≥ 4 and an IQR ≤ 1. These elements include family structure, family disease history, and genetic patterns and risks that are considered clinically important and relevant to daily healthcare practice. This study resulted in 14 minimum elements of a family history dataset that can be used as a conceptual basis for the development or integration of more structured family history recording into an EMR system to support early detection of genetic diseases.
Co-Authors Angga Ferdianto Ayu Soviana Dimas Aulia Savitri NUR AINI Rulisiana