sri wariyanti, astri
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Hubungan Antara Pengetahuan Perawat Tentang Rekam Medis Dengan Kelengkapan Pengisian Catatan Asuhan Keperawatan Bedah di Rumah Sakit PKU Muhammadiyah Gombong Endang Sri Lestari; sri wariyanti, astri; Kusumawati, Erna Adita
Indonesian Journal of Health Information Management Vol. 3 No. 2 (2023)
Publisher : Sekolah Tinggi Ilmu Kesehatan Mitra Husada Karanganyar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54877/ijhim.v3i2.109

Abstract

Hospital as a health-care facilities are oblged to make medical records. One of the important things in the medical record document is the completeness of the medical record. According to Permenkes No.24 of 2022 recording and documentation must be complete, clear, and carried out after the patient receives health services by including the name, time and signature of the health woeker providing the service. Nurses as health workers are required to make nursing care records. The purpose of this study was to analyze the nurse relationship knowledge of medical records with surgical nursing care filling records. This study used observasional with a cross sectional approach. The subjects in this study were all nurse who served in the central surgical installation of PKU Muhammadiyah Gombong Hospital. The Object of research is the medical record files of inpatient who are analyzed with saturated samples technique. The research was conducted from september to november 2022 with a questionnaire. The research instrument to assess the level of knowledge abaut medical record. Statistical test using chi squared with SPSS The nurse’ knowledge of medical records with the completeness of filling in surgical nursing care records obtained a significance value of p= 0.024. However, this value did not meet the requirements because there were 3 cell that I got less than 5. The fisher extract test was carried out with a value of p= 0.016. In conclusion, there is a relationship between nurses’ knowledge of medical record s and the completeness of filling out surgical care records.
Analisis Kepuasan Pasien Terhadap Sistem Pendaftaran Online Dibanding Sistem Pendaftaran Onsite di RSUD Pandan Arang Boyolali Analysis Of Patient Satisfaction On Online Registration System Compared To Onsite Registration Systemat Pandan Arang Boyolali H: Analisis Kepuasan Pasien Terhadap Sistem Pendaftaran Online Dibanding Sistem Pendaftaran Onsite di RSUD Pandan Arang Boyolali Analysis Of Patient Satisfaction On Online Registration System Compared To Onsite Registration Systemat Pandan Arang Bo Uswatun Chasanah, Nur’aini; Asmo Sutrisno, Trismianto; Sri Wariyanti, Astri
Indonesian Journal of Health Information Management Vol. 4 No. 2 (2024)
Publisher : Sekolah Tinggi Ilmu Kesehatan Mitra Husada Karanganyar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54877/ijhim.v4i2.123

Abstract

Latar Belakang. Rumah Sakit Umum Daerah Pandan Arang Boyolali merupakan rumah sakit rujukan type B dengan rata-rata kunjungan pasien 250 per hari. Tergolong padat di setiap harinya. Pada tahun 2019 di RSUD Pandan Arang Boyolali telah menerapkan sistem pendaftaran secara online yang diberi nama aplikasi BAPER ( Booking Antrian Periksa ), yang dapat diakses dari rumah oleh pasien, sistem pendaftaran online ini ditujukan untuk meningkatkan mutu pelayanan di rawat jalan, akan tetapi sistem tersebut masih memiliki banyak kendala. Tujuan Mengetahui Kepuasan Pasien Terhadap Sistem Pendaftaran Online Dibanding Sistem Pendaftaran Onsite di RSUD Pandan Arang Boyolali Metode Jenis penelitian yang digunakan dalam penelitian ini adalah kuantitatif. Rancangan penelitian yang digunakan adalah komparatif. Populasi dalam penelitian adalah pasien rawat jalan yang berkunjung pada bulan November 2022 sebanyak 1.034. Teknik sampling purposive sampling. Analisa data chi square. Hasil Gambaran kepuasan pasien terhadap system pendaftaran online Sebagian besarpuassebanyak 24 responden (52,2%) Gambaran kepuasan pasien terhadap system pendaftaran onsite Sebagian besar cukup puas sebanyak 23 responden (50%). Kesimpulan. Ada perbedaan kepuasan antara sistem pendaftaran online dan onsite dengan nilai p value = 0,008
HUBUNGAN KELENGKAPAN INFORMASI PENUNJANG CT SCAN DENGAN KEAKURATAN KODE DIAGNOSIS CEREBRAL INFARCTION PADA PASIEN BPJS DI RUMAH SAKIT UMUM DAERAH KABUPATEN TEMANGGUNG KHOLIFAH, UMI; SRI WARIYANTI, ASTRI; ADITA KUSUMAWATI, ERNA
Indonesian Journal of Health Information Management Vol. 3 No. 3 (2023)
Publisher : Sekolah Tinggi Ilmu Kesehatan Mitra Husada Karanganyar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54877/ijhim.v3i3.147

Abstract

One of the factors that affects the accuracy of the Cerebral Infarction diagnosis code is the availability of medical information i.e the supporting result completeness of the CT Scan. The study was aimed at determining the relationship between the completeness of CT Scan supporting information and the accuracy of the Cerebral Infarction diagnosis code for BPJS patients at the Temanggung Regional Public Hospital in 2022. This type of research was analytic observational with a cross-sectional approach. The population were 115 medical record documents and that of 89 were taken as the sample by using simple random sampling. Statistical test used was Chi Square by using SPSS. The results of the study: The characteristic of the patient's age was mostly between 45 to 64 years and that of mostly were female. The length of patients’ treatment was mostly between 4 to 6 days and mostly the discharge patients by the the doctor approval. The completeness of CT Scan results was obtained 71 medical record documents which were complete (79.78%) and that of 18 (20.22%) which were incomplete. Coding accuracy resulted in 64 medical record (71.91%) which were accurate and that of 25 documents (28.09%) which were inaccurate. There was a relationship between the supporting information completeness of CT Scan and the accuracy of the Cerebral Infarction diagnosis code.
ANALISIS PERBEDAAN KELENGKAPAN REKAM MEDIS CONCURENT DENGAN RETROSPECTIVE DI RUMAH SAKIT ORTOPEDI PROF DR R SOEHARSO SURAKARTA RIZKA SIWI MARGIANTI; Sri Wariyanti, Astri; Adita Kusumawati, Erna
Indonesian Journal of Health Information Management Vol. 4 No. 1 (2024)
Publisher : Sekolah Tinggi Ilmu Kesehatan Mitra Husada Karanganyar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54877/ijhim.v4i1.170

Abstract

Rekam medis yang lengkap akan memberikan kemudahan bagi penyediaan informasi di rumah sakit. Penelitian ini bertujuan untuk membandingkan kelengkapan rekam medis concurent dengan retrospective. Jenis penelitian yaitu metode kuantitatif observasional analitik dengan pendekatan komparatif. Populasi yaitu seluruh rekam medis pasien rawat inap pada bulan Oktober - Desember 2023. Pengambilan sampel dengan rumus Lemeshow dengan jumlah 100 yaitu 50 rekam medis concurrent dan 50 rekam medis retrospective. Teknik pengambilan sampel dengan teknik simple random sampling. Persentase kelengkapan rekam medis yang di review secara concurrent yaitu formulir Catatan Perkembangan Pasien Terintegrasi (CPPT) kelengkapannya 34%, formulir Rencana Pelayanan dan Discharge Planing 60%, serta Laporan Operasi sebesar 18%. Persentase Kelengkapan rekam medis yang di review secara retrospective yaitu formulir Catatan Perkembangan Pasien Terintegrasi (CPPT) kelengkapannya 50%, formulir Rencana Pelayanan dan Discharge Planing 80%, serta Laporan Operasi sebesar 32%. Analisis data bivariate dilakukan dengan Uji Mann Whitney U Test dengan hasil analisis perbandingan kelengkapan rekam medis concurent dan retrospective dengan uji statistik p-value yaitu 0,011, sehingga 0,011< 0,05 maka Ho ditolak dan Ha diterima yang berarti ada perbedaan kelengkapan rekam medis concurent dengan retrospective di RS Ortopedi Prof Dr R Soeharso Surakarta. Berdasarkan hasil penelitian disarankan sebaiknya pada aplikasi rekam medis saat pengguna menginput data diberi pesan peringatan sebelum proses simpan (validasi) sehingga jika ada poin yang belum terisi tidak bisa disimpan.
HUBUNGAN KETEPATAN WAKTU PENGEMBALIAN REKAM MEDIS RAWAT INAP TERHADAP KETERSEDIAAN REKAM MEDIS RAWAT JALAN DI RSUD DOMPU RATNA CHRISTIANA HARTANTI; Sri Wariyanti, Astri; Adita Kusumawati, Erna
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 12 No 1 (2024)
Publisher : Asosiasi Perguruan Tinggi Rekam Medis dan Informasi Kesehatan Indonesia- APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/jmiki.v12i1.630

Abstract

Medical records must be filled in and once filled in must be immediately returned to the medical record section on time and in accordance with existing regulations. The minimum service standard in the dimensions of quality of effectiveness, comfort and efficiency of providing outpatient files is less than 10 minutes. The purpose of this study was to determine the relationship between the timeliness of returning inpatient medical record files to the accuracy of providing outpatient medical record files at Dompu Regional Hospital. This type of research is analytical observation with a cross sectional approach. The population is 600 medical record files, and 86 samples use the simple random sampling technique manually. How to collect data by observation using checklists and unstructured interviews. The data analysis of this study is a univariate and bivariate analysis, The results of this study returned 32 inpatient files (37.2%) on time and 54 files (62.8 %) were not on time and for the provision of outpatient medical record files 33 files (38.4%) on time 53 files (61.6%) were not on time. Based on the chi square test, it can be concluded that there is a relationship between the timeliness of returning inpatient medical record files and the accuracy of providing outpatient medical record files at Dompu Regional Hospital.