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All Journal Jurnal Manajemen Informasi dan Administrasi Kesehatan Gaster
Haryanti, Rheni
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Computer Science & IT Health Professions Medicine & Pharmacology Nursing Public Health

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Analisis Kelengkapan Pengisian Berkas Rekam Medis Rawat Inap Di RS X di Kabupaten Klaten Syahputri, Rezyana Budi; Haryanti, Rheni; Rohma, Freshtasya Nora Putri
Jurnal Manajemen Informasi dan Administrasi Kesehatan Vol. 7 No. 2 (2024): JMIAK
Publisher : Program Studi D3 Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jmiak.v7i2.5921

Abstract

One of the essential support services in hospitals is the completeness of medical records. The ability to properly maintain medical records facilitates healthcare providers in conducting patient treatments and interventions, while also serving as a valuable information source for hospital management in evaluating and developing healthcare services. However, common issues in medical record documentation include incomplete entries and physicians' insufficient specificity in documenting diagnoses. The aim of this study is to describe the medical records of inpatients at RS X Kabupaten Klaten. This research analyzes the completeness of medical record files at RS X Kabupaten Klaten. A quantitative study was conducted on 98 medical record files by reviewing four components. The results show varying levels of completeness, with some components reaching 100% (such as demographic data), while the lowest was 25.5% (ICD9CM procedures). Critical components like Diet (25.5%) indicate areas in need of improvement. The readability of medical records reached 94.9%. This study identifies areas that require enhancement and suggests strategies such as staff training, routine audits, standardized formats, and the implementation of electronic medical records. Improving the completeness of medical records is expected to enhance patient care quality and hospital operational efficiency.
Pulmonary Complaints Among Gas Station Operators: A Descriptive Study in Klaten Region Handayani, Sri; Agustiningrum, Ratna; Agustina, Nur Wulan; Haryanti, Rheni
Gaster Vol 23 No 2 (2025): AGUSTUS
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v23i2.1964

Abstract

Background Gas station environments pose a high risk for exposure to vehicle emissions, which may lead to respiratory health issues due to the accumulation of hazardous pollutants. Continuous exposure, particularly among gas station operators, increases susceptibility to pulmonary disorders. Objective This study aimed to describe the prevalence and characteristics of pulmonary complaints among gas station workers in the Klaten region. Methods A descriptive study was conducted at two gas stations (44.57406 and 44.57403), both located on major traffic routes and operating daily. The total sampling technique was employed, involving 51 workers. Data were collected using structured questionnaires that assessed personal characteristics, smoking habits, mask usage behavior, and respiratory symptoms. Descriptive statistics using frequency distribution were applied in the data analysis. Results Findings showed that 41.2% of respondents experienced pulmonary complaints. The most frequently reported symptoms included shortness of breath while walking briskly, shortness of breath after physical exertion, productive cough, and persistent coughing throughout the day. Contributing factors identified were long working hours, smoking behavior, and inconsistent use of face masks. Conclusion A significant proportion of gas station operators reported respiratory complaints potentially linked to prolonged exposure to vehicle emissions. Additional risk factors such as smoking and improper personal protective equipment use may further compromise respiratory health. These findings underscore the need for preventive measures, including occupational health education, routine screening, and environmental interventions.
Co-Authors Agustina, Nur Wulan Agustiningrum, Ratna Handayani, Sri Rohma, Freshtasya Nora Putri Syahputri, Rezyana Budi