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Analisis Kelengkapan dan Ketepatan Kodefikasi Penyakit Neoplasma Berdasarkan ICD-10 Suryandari, Endang Sri Dewi Hastuti; Muttaqien, Anis Nurul Fataya; Gunawan; Sangkot, Hartaty Sarma; Wijaya, Avid
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 9 No. 1 (2024): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v9i1.1530

Abstract

Diagnosis coding in neoplasm diseases should be complete and precise in accordance to ICD-10 by providing topography codes and morphology codes. Incompleteness and inaccuracy of codes could have an impact on inaccuracies of morbidity reports and inappropriate treatment, as well as increased medical costs. Preliminary studies at UOBK RSUD Dokter Mohamad Saleh Probolinggo showed the percentage of topography code accuracy in 5 medical record documents (MRDs) for neoplasm diseaes was 100%, and the completeness of the neoplasm diagnosis code was 0%. This study objective was to ascertain the completeness and precision of codes in neoplasm diseases based on ICD-10. The research’s design was a quantitative descriptive study with a retrospective strategy using the population of all MRDs of neoplasm diseases in September-November 2022. The sample of 112 MRDs which taken utilizing the technique of total sampling. The factors in the research was the completeness and accuracy of neoplasm diagnosis codes based on ICD-10. Data were collected through observation in the coding section and checklist sheets. The outcome presented the precision of the topography codes was 90.18%, the precision of the morphology codes was 0%, and the precision and thoroughness of the codes in neoplasm diseases was 0%. The incompleteness and inaccuracy of the codes was caused by the absence of morphological code in the patient's medical resume and errors in selecting the topography code block. Coders should complete the morphological code on the patient's medical resume to obtain the neoplasma diagnosis code’s accuracy and completeness.
PENILAIAN PENERIMAAN SISTEM INFORMASI MANAJEMEN DI PUSKESMAS WONOMERTO MELALUI PENDEKATAN METODE TAM Wijaya, Avid; Grisalda, Sonia; Rudi Sunindya, Bernadus
Sehati Abdimas Vol 6 No 1 (2023): Prosiding Sehati Abdimas 2023
Publisher : PPPM POLTESA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47767/sehati_abdimas.v6i1.614

Abstract

Penelitian ini membahas evaluasi penerimaan Sistem Informasi Manajemen Puskesmas (SIMPUS) di Puskesmas Wonomerto menggunakan pendekatan Technology Acceptance Model (TAM). SIMPUS, yang diperkenalkan pada tahun 2010 oleh Dinas Kesehatan Kabupaten Probolinggo, bertujuan meningkatkan efisiensi pengelolaan puskesmas. Penelitian ini mengusulkan penilaian TAM untuk menggali persepsi dan sikap pengguna terhadap SIMPUS. Pendekatan deskriptif kuantitatif digunakan dengan menerapkan skala sikap pada variabel-variabel yang relevan. Data dikumpulkan melalui kuesioner yang didistribusikan kepada seluruh pengguna SIMPUS di Puskesmas Wonomerto, dengan total responden sebanyak 24 orang. Hasil penelitian menunjukkan tingkat persetujuan yang tinggi terhadap kegunaan yang dirasakan (rata-rata skala 3,36), kemudahan penggunaan yang dirasakan (rata-rata skala 3,29), sikap terhadap penggunaan (rata-rata skala 3,19), niat perilaku untuk menggunakan (rata-rata skala 3,16), dan penggunaan aktual sistem (rata-rata skala 2,9). Dengan demikian, hasil penelitian ini menunjukkan bahwa SIMPUS di Puskesmas Wonomerto diterima dengan baik oleh petugas puskesmas, memberikan pandangan yang berguna untuk perbaikan dan pengembangan lebih lanjut dalam mengoptimalkan pemanfaatan sistem informasi manajemen di konteks pelayanan kesehatan.
DESAIN SISTEM E-TRACER SEBAGAI SOLUSI PENCATATAN DAN PELACAKAN PASIEN DI PUSKESMAS KENDALSARI MALANG Wijaya, Avid; Mutiara Fandabella, Titania; Yudhi Prabowo, Rahmadyo; Sri Dewi Hastuti Suryandari, Endang; Sarma Sangkot, Hartaty
Jurnal Pendidikan Teknologi Informasi (JUKANTI) Vol 7 No 1 (2024): JURNAL PENDIDIKAN TEKNOLOGI INFORMASI (JUKANTI) EDISI APRIL 2024
Publisher : Program Studi Pendidikan Informatika, Universitas Citra Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37792/jukanti.v7i1.1186

Abstract

ABSTRAK Proses penyimpanan catatan medis di Puskesmas Kendalsari saat ini telah memanfaatkan sistem pelacakan (tracer), namun masih menghadapi beberapa hambatan, seperti kesalahan dalam mencatat nomor rekam medis atau nama pasien di sistem pelacakan, kurangnya jelasnya tulisan pada sistem pelacakan, dan kesalahan dalam penempatan sistem pelacakan pada rak penyimpanan. Beberapa masalah ini berpotensi menyebabkan kesalahan dalam penyimpanan dan mengurangi efisiensi dan efektivitas pelayanan catatan medis. Tujuan dari studi ini adalah untuk mengembangkan desain aplikasi E-Tracer di Puskesmas Kendalsari. Penelitian ini menggunakan metode pengembangan sistem dengan pendekatan prototyping untuk merancang aplikasi E-Tracer di Puskesmas Kendalsari. Analisis kebutuhan sistem dilakukan melalui wawancara mendalam. Prototipe yang dikembangkan diujicoba kepada pengguna sehingga sesuai dengan kebutuhan pengguna. Hasil dari penelitian ini mencakup desain aplikasi E-Tracer berbasis web. Selain itu, penelitian ini juga mencakup desain proses yang diperbarui dan perbaikan desain sistem basis data. Keseluruhan ini menyediakan solusi komprehensif untuk mengoptimalkan sistem manajemen catatan medis. Harapannya, desain aplikasi E-Tracer ini dapat diterapkan di Puskesmas Kendalsari untuk mengurangi risiko kesalahan penyimpanan dokumen medis. Abstract The storage process of medical records at the Kendalsari Health Center currently utilizes a tracking system (tracer), but still faces several obstacles, such as errors in recording medical record numbers or patient names in the tracking system, illegible writing on the tracking system, and misplacement of the tracking system on storage shelves. These issues have the potential to lead to storage errors and reduce the efficiency and effectiveness of medical record services. The objective of this study is to develop the design of an E-Tracer application at the Kendalsari Health Center. This research employs a system development method with a prototyping approach to design the E-Tracer application at the Kendalsari Health Center. System requirements analysis is conducted through in-depth interviews. The prototype developed is tested with users to ensure it aligns with their needs. The results of this study include the web-based E-Tracer application design. Additionally, the research also covers the redesigned process design and improvements in the system database design. Together, these provide a comprehensive solution for optimizing the medical record management system. It is anticipated that this E-Tracer application design can be implemented at the Kendalsari Health Center to reduce the risk of medical record storage errors.
PENGARUH PENGGUNAAN “SIM LANSIA” DALAM MENINGKATKAN CAKUPAN DATA SKRINING LANSIA Sangkot, Hartaty Sarma; Sri Dewi Hastuti Suryandari, Endang; Wijaya, Avid
Jurnal Pendidikan Teknologi Informasi (JUKANTI) Vol 7 No 1 (2024): JURNAL PENDIDIKAN TEKNOLOGI INFORMASI (JUKANTI) EDISI APRIL 2024
Publisher : Program Studi Pendidikan Informatika, Universitas Citra Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37792/jukanti.v7i1.1225

Abstract

ABSTRAK Terdapat 3 Puskesmas di Kota Malang yang belum tercapai target cakupan data skrining lansianya, sehingga  banyak lansia yang belum terekam dalam data skrining lansia dan tidak dapat terpantau perkembangan kesehatannya. Tujuan penelitian ini untuk menganalisis peningkatan cakupan data skrining lansia yang dilakukan menggunakan aplikasi SIM lansia di 3 wilayah kerja Puskesmas, Kedungkandang, Ciptomulyo dan Kendalsari, Kota Malang. Penelitian ini menggunakan desain penelitian quasi eksperimen. Target Populasi adalah 101 Rukun Warga (RW) di 3 Puskesmas Kota Malang dengan capaian terendah. Jumlah sampel menggunakan total sampling. Sebelum pengumpulan data dilakukan resosialisasi aplikasi SIM Lansia. Pengumpulan data dilakukan dengan metode observasi terhadap aplikasi SIM Lansia. Analisis statistik menggunakan uji Wilcoxon signed ranked test, dilakukan untuk mengetahui perbedaan capaian pengisian aplikasi SIM Lansia sebelum dan sesudah penggunaan SIM Lansia. Hasil penelitian menunjukkan terdapat peningkatan rata-rata cakupan pengisian data skrining lansia sebelum (11,4%) dan sesudah (27%) adanya resosialisasi aplikasi SIM Lansia (p-value<0,05). Aplikasi SIM Lansia terbukti dapat meningkatkan cakupan pengisian data skrining lansia dibandingkan menggunakan metode manual (pencatatan di buku). ABSTRACT   Three Puskesmas in Malang City have failed to meet the target for the coverage of elderly screening data, making it impossible to track the health development of the elderly as many of them are not included in the elderly screening data. This study's goal was to examine how the elderly SIM application, which was used in three different working locations in Puskesmas Kedungkandang, Ciptomulyo, and Kendalsari, Malang City, increased the coverage of elderly screening data. A quasi-experimental research design was employed in this study. 101 Rukun Masyarakat (RW) in 3 Puskesmas Kota Malang are the target population; they have the lowest achievement. Total sampling is used for the number of samples. Prior to data collection, the “SIM Lansia” application underwent resocialization. The observation approach was used to collect data for the “SIM Lansia” application. To ascertain whether filling out the “SIM Lansia” application before and after utilizing “SIM Lansia” application, statistical analysis employing the Wilcoxon signed ranked test was performed. The findings indicated that, both before (11.4%) and after (27%) the resocialization of the Elderly SIM application, there was an increase in the average coverage of filling out elderly screening data (p-value<0.05). When compared to the manual way (recording in books), the Elderly SIM application has been shown to increase the coverage of filling out elderly screening data.
HUBUNGAN ANTARA KARAKTERISTIK PETUGAS KODING DENGAN AKURASI KODE DIAGNOSIS Rahayu, Afridyahwati; Suryandari, Endang Sri Dewi Hastuti; Sangkot, Hartaty Sarma; Wijaya, Avid
Jurnal Ilmiah Kesehatan Media Husada Vol 13 No 2 (2024): November
Publisher : LPPMK STIKES Widyagama Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33475/jikmh.v13i2.384

Abstract

The accuracy of the diagnosis codes obtained at RSU Wonolangan had not yet reached a code accuracy level of 100%. The work experience in coding and coding training of coders were still lacking. The research aims was to determine the relationship between the characteristics of coders and the accuracy of diagnosis codes at RSU Wonolanagan. This type of research was quantitative analysis with a cross sectional study. The population were 15 medical record officers and 4693 MRDs (Medical Record Documents). The sample were 5 coders and the MRDs sample was determined using a quota sampling technique, which were 150 MRDs samples taken from each coders, 30 MRDs. The research instrument used interview guides and questionnaires to collect data on the characteristics of coders, as well as checklist sheets for the accuracy of diagnosis codes. Data analysis used univariate and bivariate analysis with the chi square test. The results showed that most of coders (80%) were over 25 years old, most coders (80%) had work experience in coding for less than 6 years and most coders (60%) had never attended coding training. Based on the knowledge results, the majority (80%) of coders were in the good category. Code accuracy was 66.67% (100 MRDs). The chi square test showed the relationship between age (p=0.009), work experience (p=0.009), coding training (p=0.001), and knowledge (p=0.009) with the accuracy of diagnosis codes at RSU Wonolangan. Training of coding was needed for coders at RSU Wonolangan to improve the accuracy in coding diagnosis. Keakuratan kode diagnosis di RSU Wonolangan didapatkan belum tercapai tingkat keakuratan kode 100%. Masa kerja petugas dalam melakukan pengkodingan dan pelatihan tentang koding yang masih kurang. Penelitian ini bermaksud untuk melihat adanya hubungan antara karakteristik petugas koding dengan akurasi kode diagnosa di RSU Wonolanagan. Jenis penelitian ini merupakan analisis kuantitatif dengan pendekatan Cross Sectional. Populasi sejumlah 15 petugas rekam medis dan 4693 DRM (Dokumen Rekam Medis). Sampel petugas sebanyak 5 petugas khusus koding dan penentuan sampel DRM menggunakan teknik quota sampling, dengan sampel DRM sebanyak 150 yang diambil masing-masing petugas koding sebanyak 30 DRM. Instrumen penelitian menggunakan pedoman wawancara dan kuesioner untuk pengumpulan data karakteristik petugas koding, serta lembar checklist untuk keakuratan kode diagnosis. Analisis data yang digunakan yaitu analisa univariat juga analisa bivariat menggunakan uji chi square. Hasil penelitian menunjukkan karakteristik petugas koding sebagian besar (80%) berusia lebih dari 25 tahun. Masa kerja petugas sebagian besar (80%) kurang dari 6 tahun dan sebagian besar (60%) belum pernah mengikuti pelatihan koding. Berdasarkan hasil pengetahuan sebagian besar (80%) berkategori baik. Keakuratan kode sebesar 66,67% (100 DRM) yang akurat. Hasil uji chi square didapatkan bahwa ada hubungan antara usia (p=0,009), masa kerja (p=0,009), pelatihan koding (p=0,001), dan pengetahuan (p=0,009) dengan keakuratan kode diagnosis di RSU Wonolangan. Perlu dilakukan pelatihan koding bagi petugas koding di RSU Wonolangan untuk meningkatkan keakuratan dalam melakukan kodefikasi diagnosis penyakit. Referensi Duha, T. (2018). Perilaku Organisasi. Deepublish. Eko, W. S. (2015). Manajemen Pengembangan Sumber Daya Manusia. Pustaka Pelajar. Janah, F. M. (2015). Hubungan Kualifikasi Coder Dengan Keakuratan Kode Diagnosis Rawat Jalan Berdasarkan ICD-10 Di RSPAU dr S Hardjolukito Yogyakarta 2015. Universitas Muhammadiyah Surakarta. Kemenkes RI. (2022). Rekam Medis. Jakarta, 1-20. Maryati, W., Murti, B., & Indarto, D. (2016). Factors Affecting the Quality of Diagnosis Coding and Medical Record at Dr. Moewardi Hospital, Surakarta. Universitas Sebelas Maret. Maslikhah, Hapsyah, D. R., Jabbar, A. A., & Hidayat, D. R. (2019). Implementasi Teori Donald E. Super Pada Program Layanan BK Karir di SMK. Jurnal Ilmu Dan Budaya, 41(64), 7661–7680. Meilany, L., Sukawan, A., & Ramadani, I. (2021). Ketepatan Kode Diagnosa Kasus Fraktur Di RSUD dr. La Palaloi Maros Tahun 2021. Jurnal Rekam Medis Dan Informasi Kesehatan, 1(2), 13–17. Ningtyas, N. K., Sugiarsi, S., & Wariyanti, A. S. (2019). Analisis Ketepatan Kode Diagnosis Utama Kasus Persalinan Sebelum dan Sesudah Verifikasi pada Pasien BPJS di Rsup Dr. Soeradji Tirtonegoro Klaten. Jurnal Kesehatan Vokasional, 4(1), 1. Nursalam. (2008). Pendidikan dalam Keperawatan. Salemba Medika. Siagian. (2019). Manajemen Sumber Daya Manusia. Bumi Aksara. Sukaesih, F. (2008). Hubungan Karakteristik Petugas dengan Kinerja Petugas Rekam Medik di Rumah Sakit Umum Daerah Rokan Hulu. Universitas Sumatera Utara. Suryandari, E. (2019). Faktor-faktor yang Berpengaruh pada Akurasi Kode diagnosis di Puskesmas Rawat Jalan Kota Malang. Jurnal Kedokteran Brawijaya, 30(3), 228–234. https://doi.org/10.21776/ub.jkb.2019.030.03.12 Utami, Y. (2015). Hubungan Pengetahuan Coder Dengan Keakuratan Kode Diagnosis Pasien Rawat Inap Jaminan Kesehatan Masyarakat Berdasarkan ICD-10 Di Rsud Simo Boyolali. Jurnal Ilmiah Rekam Medis Dan Informatika Kesehatan, 5(1), 13–25. Widyawati. (2020). Buku Ajar Promosi Kesehatan Untuk Mahasiswa Keperawatan. Universitas Kristen Indonesia.
EVALUASI SISTEM INFORMASI MANAJEMEN RUMAH SAKIT (SIMRS) DI RSU PINDAD TUREN MENGGUNAKAN METODE TECHNOLOGY ACCEPTANCE MODEL (TAM) Oktariyono, Wisnu Rafi; Wijaya, Avid; Rusdi, Achmad Jaelani; Prabowo, Rahmadyo Yudhi; Trisnanto, Puguh Yudho; Marselina, Elystia Vidia
Jurnal Simantec Vol 13, No 1 (2024): Jurnal Simantec Desember 2024
Publisher : Universitas Trunojoyo Madura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21107/simantec.v13i1.27225

Abstract

Pindad Turen General Hospital has implemented a hospital management information system (SIMRS) since 2018. However, some users still complain of dissatisfaction with the system. One important factor affecting the successful implementation and use of information technology is user readiness. The level of user readiness in accepting information technology greatly affects the success or failure of the application of the technology. This study used a quantitative descriptive approach with a sample of 36 SIMRS users at RSU Pindad Turen. Data collection techniques were carried out through questionnaires to collect information about SIMRS user perceptions, as well as observations of the system. The variables were measured using dimensions of the Technology Acceptance Model (Perceived Ease of Use, Perceived Usefulness, attitude toward using, behavioral intention, and actual usage). The data obtained was analyzed quantitatively and the results are presented in table form. The study results show the average values for the dimensions of Perceived Ease of Use (3.08), Perceived Usefulness (2.87), attitude toward using (2.67), behavioral intention (3.01), and actual usage (2.89). User perceptions of SIMRS indicate that the system is running well, but still needs improvement due to several shortcomings. Therefore, it is necessary to evaluate the existing information system and further socialize it to officers who use SIMRS. This evaluation aims to measure the benefits of SIMRS implementation and identify potential problems faced by the hospital.Keywords: Evaluation, Technology, Hospital, SIMRS, TAM.
PERANCANGAN APLIKASI CUSTOMER RELATIONSHIP MANAGEMENT KLINIK BERBASIS WEB Wijaya, Avid; Akbar, Prima Soultoni; Sangkot, Hartaty Sarma
POSITIF : Jurnal Sistem dan Teknologi Informasi Vol 9 No 1 (2023): Positif : Jurnal Sistem dan Teknologi Informasi
Publisher : P3M Politeknik Negeri Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31961/positif.v9i1.1572

Abstract

The key to an agency's success lies not only in the quality of its products or services, but also in how much effort a company has to put in to meet customer needs, and then provide them with the best and most comfortable service so they can become loyal customers. Customer Relationship Management (CRM) can not only guarantee customer loyalty to a product, but also loyalty to these companies and agencies in providing health services at a clinic. Implementation of CRM strategy aims to attract new customers, improve customer relationships and retain customers, so as to obtain long-term customer loyalty. This research develops an E-CRM software application, using the action research method. The stages carried out in action research are diagnosing, planning action, taking action, evaluating action. The results of this study are web-based clinical customer relationship management application designs developed with PHP and MySQL programming. This application displays information related to clinical services and facilities that can be accessed by users. Contacts and social media links make it easier for users to stay in touch with the clinic to ask for the information they need. The customer relationship management application in the branding strategy helps in introducing the clinic through web media. Long-term relationships between patients and clinics will be maintained through an informative application system.
TINJAUAN KELENGKAPAN INFORMASI PENUNJANG MEDIS PASIEN RAWAT JALAN DI RUMAH SAKIT TNI-AD BHIRAWA BHAKTI KOTA MALANG Sita Dwi Fahyanti; Chyntia Vicky Alvionita; Avid Wijaya
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 1 No. 2 (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.v1i2.18

Abstract

The completeness of medical supporting information for outpatients at the TNI-AD Bhirawa Bhakti Hospital, Malang City, was still found to be incomplete, which affected the filling out of forms in medical record documents. In the research, it was discovered that 19 documents had a percentage of 21% (incomplete) and 71 documents had a percentage of 79% (complete). The aim of this research is to analyze the completeness of medical supporting information for outpatients at the Bhirawa Bhakti TNI-AD Hospital, Malang City. This type of research uses quantitative data collection in the form of observations and interviews, while the research instrument uses a checklist sheet. The number of samples used was 90 medical records from April-June 2023 for outpatients. In this study, the average completeness of patient identification results was 80 (88.8%), the average component of important reports was 70 (77.7%), the average component of good records was 66 (73.3%) , and the authentication review component was 69 (76.6%). From the 4 components, the total results of the recapitulation of completeness of medical supporting information obtained a complete total of 71 (79%). Conclusion: factors that influence incompleteness in medical record documents are incompleteness in the Dpjp's signature, the Dpjp's name, and the readability of the doctor's writing which is less understandable.
Edukasi Penyakit Tidak Menular dan Pelatihan Pengelolaan Web Profil di Panti Asuhan Al-Ikhlas Wijaya, Avid; Akbar, Prima Soultoni; Zein, Eiska Rohmania
JPP IPTEK (Jurnal Pengabdian dan Penerapan IPTEK) Vol 9, No 1 (2025): Mei
Publisher : Institut Teknologi Adhi Tama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31284/j.jpp-iptek.2025.v9i1.6771

Abstract

Penyakit tidak menular (PTM) menjadi masalah kesehatan yang signifikan, tidak hanya di tingkat individu, tetapi juga di berbagai kelompok masyarakat, termasuk di panti asuhan. Panti asuhan sering kali menghadapi tantangan dalam meningkatkan pemahaman kesehatan bagi penghuninya, terutama mengenai pencegahan PTM. Oleh karena itu, pengabdian masyarakat ini bertujuan untuk meningkatkan literasi kesehatan mengenai PTM di Panti Asuhan Al-Ikhlas, Wagir, Kabupaten Malang, Indonesia, melalui pengembangan dan penerapan web profil kesehatan. Kegiatan ini dilaksanakan dalam tiga tahapan, yaitu pra-kegiatan, kegiatan inti, dan pasca-kegiatan. Pada tahap pra-kegiatan, dilakukan koordinasi dan sosialisasi dengan pihak panti asuhan mengenai konsep web dan materi edukasi PTM. Kegiatan inti terdiri dari edukasi langsung mengenai PTM, pelatihan interaktif terkait faktor risiko, pencegahan, serta pentingnya gaya hidup sehat, serta pelatihan tentang pembuatan dan pengoperasian konten PTM di dalam platform web. Pada tahap pasca-kegiatan, tim melakukan monitoring dan evaluasi untuk menilai efektivitas web profil dalam meningkatkan literasi kesehatan serta mengidentifikasi kendala yang dihadapi selama penggunaan web profil. Hasil dari kegiatan ini menunjukkan bahwa web profil kesehatan efektif dalam meningkatkan pemahaman penghuni panti asuhan mengenai PTM. Pelatihan yang diberikan kepada pengurus dan penghuni panti asuhan juga berhasil memperkuat kemampuan mereka dalam mengelola dan memperbarui konten web profil. Evaluasi yang dilakukan mengidentifikasi beberapa kendala teknis yang kemudian berhasil diatasi dengan solusi yang relevan. Dengan dukungan berkelanjutan dari pihak panti asuhan dan mitra pendanaan, web profil ini diharapkan dapat terus memberikan manfaat dalam edukasi kesehatan yang berkelanjutan bagi penghuni panti asuhan.
Faktor Penyebab Ketidakakuratan Kode Diagnosis Penyakit Pasien Rawat Inap Di Rumah Sakit X SURYANDARI, ENDANG SRI DEWI HASTUTI; Setyawati, Fitri Eka; Gunawan; Sangkot, Hartaty Sarma; Wijaya, Avid
Jurnal Kesehatan Qamarul Huda Vol. 12 No. 2 (2024): Desember 2024
Publisher : Universitas Qamarul Huda Badaruddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37824/jkqh.v12i2.2024.645

Abstract

The activity of coding disease diagnosis was an important activity for preparing internal and external hospital reports, planning and managing hospitals and determining hospital service rates. Based on observations of 10 files samples from inpatients at Hospital X, 2 files were found with inaccurate disease codes (20%). The aim of the research was to identify factors that cause inaccurate disease codes for patients treated at RS X. The research method used a mixed method with retrospective approach by combined quantitative and qualitative research. The sample analyzed were 100 files inpatients for the period December 2022 using a simple random sampling by lottery and 2 coders as respondents. The results showed that 82% of the diagnosis codes were accurate and 18% of the diagnosis codes were inaccurate. The factors causing inaccurate diagnosis codes at Hospital X were lack of knowledge in coding and 1 officer had never attended coding training (man factor); lack of socialization of coding SOPs which contain explanations of the use of ICD 10 as a reference in codification (method factor); there was no ICD 10 Volume 2 version for 2010 (material factor); and lack of financial support for coding training activities for officers and procurement of ICD 10 volume 2 version for 2010 (money factor). There was a need to increase knowledge and skills in codification through coding training activities for officers, carrying out revisions and socialization regarding coding SOPs and procurement of ICD 10 volume 2 to increase the accuracy of diagnosis codes.