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Analisis Ketepatan Kode Diagnosis Pada Kasus Penyakit Infeksi Saluran Pernapasan di Rumah Sakit Umum Daerah Ajibarang Syifani, Annisa Zahra; Fauzi, Harry; Marini, Budiana
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 9 No. 2 (2024): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Agustus
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v9i2.1628

Abstract

Coding is one of the activities of processing medical record data by providing codes with letters or numbers or a combination of letters and numbers that represent data components. Coding is the activity of providing codes for the main diagnosis and secondary diagnosis in accordance with the 2010 version of ICD-10 published by WHO and providing action and procedure codes in accordance with the 2010 version of ICD-9-CM. Accuracy in coding disease diagnoses and actions is something that must be considered by medical recorders. The accuracy of coded data is crucial for medical recorders. The purpose of this research was to ascertain the level of coding accuracy in cases of respiratory tract infections at Ajibarang Hospital. The research was conducted using the descriptive quantitative analysis method with a sample of 90 medical records of patients with respiratory tract infections in August–October 2023 at RSUD Ajibarang. The conclusion of this research showed that of the 90 medical records of respiratory tract infection cases at Ajibarang Regional Hospital in August–October 2023 studied, there were 19 medical records with inappropriate codes (21.11%) and 71 medical records with appropriate codes (78.89%), which were identified as inaccurate factors using 5M (man, money, material, method, and machine).
Analysis Implementation of Hospital Management Information System (SIMRS) at Place of Inpatient Registration (TPPRI) Using The PIECES Method at The Ajibarang Government Hospital Afgani, Abu Sofyan Al; Indira, Zahrasita Nur; Nadi, Danu Tirta; Marini, Budiana
Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol. 6 No. 2 (2024): May
Publisher : Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/k1wbwp80

Abstract

Hospital Management Information System (SIMRS) is an information communication technology system that processes and integrates the entire process flow of hospital services in the form of a network of coordination, reporting and administrative procedures to obtain information precisely and accurately, and is part of the Health Information System. The implementation of SIMRS at the Ajibarang Regional General Hospital (RSUD) has been carried out since 2014 in almost all units, one of which is the Inpatient Registration Place (TPPRI). This study aims to improve the shortcomings of the system that has been made at SIMRS RSUD Ajibarang. The method used in this study is qualitative. The data collection method used in this study was using in-depth interviews. The data analysis method uses Performance, Information, Economy, Control, Efficiency, and Service (PIECES) which aims to obtain information related to the implementation of SIMRS at the Ajibarang Regional General Hospital. Based on the results of the SIMRS analysis in the TPPRI section, there are still obstacles in its implementation, both in terms of Performance, Information, Economy, Control, Efficiency, and Service. The results showed that there are still several problems, namely the presence of menus that are not functioning optimally, different TPPRI and TPPRJ SIMRS, inaccurate data, Human error, server down, and no warning if an error occurs. SIMRS has been running according to user needs, but cannot be separated from various problems, so it is necessary to improve and develop SIMRS through researcher recommendations so that SIMRS can maintain and improve the quality of service to patients. Based on the description of the problem, as there is no warning if an error occurs, the user will easily continue to input data on SIMRS so that errors are not detected that result in losses for hospitals and produce inaccurate data.