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All Journal Jurnal Kesehatan Indonesia
Khairunnisa Khairunnisa
Stikes Husada Borneo
Health Professions Medicine & Pharmacology

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Audit Pengkodean Klinis Menggunakan Aturan Morbiditas di Rawat Inap Rumah Sakit Umum Daerah Sultan Suriansyah Banjarmasin Ayu Dwi Anissa; Nina Rahmadiliyani; Khairunnisa Khairunnisa
Jurnal Kesehatan Indonesia Vol 16 No 2 (2026): Maret 2026
Publisher : HB PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33657/jurkessia.v16i2.995

Abstract

Clinical coding audits are necessary to review and analyze identified errors and to trace their sources by comparing the information produced by clinical coders with the data documented in patients’ medical records. Sultan Suriansyah Regional General Hospital Banjarmasin has never conducted a clinical coding audit. This study aimed to evaluate clinical coding audits using morbidity rules in inpatient medical records. This study employed a mixed-method approach with a quantitative design supported by qualitative data. A total of 99 inpatient medical record files were reviewed. The main informant was the inpatient coding officer, while triangulation informants included the inpatient BPJS doctor/verifier and the head of the medical records unit. Data were collected through observation and interviews using observation and interview guidelines, and analyzed using univariate analysis. The results of the study showed that, based on morbidity rules, the reliability of diagnosis coding was 91% consistent (90 medical records) and 9% inconsistent (9 medical records), mainly due to preliminary diagnoses that required supporting examinations to establish final diagnoses. Diagnosis completeness reached 100% (99 medical records), as completeness has been established as a standard. Coding accuracy was 93% accurate (92 medical records) and 7% inaccurate (7 medical records), primarily due to differences in ICD-10 code selection. Relevance of coding was 96% appropriate (95 medical records) and 4% inappropriate (4 medical records), which was influenced by the high workload of coding officers, leading to coding errors. In conclusion, clinical coding audits using morbidity rules at Sultan Suriansyah Regional General Hospital Banjarmasin revealed that several audit elements, particularly reliability, accuracy, and relevance, have not yet achieved optimal results.
Pengaruh Beban Kerja Dan Keadilan Reward Terhadap Burnout Dengan Job Security Sebagai Variabel Moderating Di Rumah Sakit Umum Daerah Ratu Zalecha Khairunnisa Khairunnisa; Zakhyadi Ariffin; Rini Rahmawati; Meiske Claudia; Dahniar Dahniar
Jurnal Kesehatan Indonesia Vol 16 No 1 (2025): November 2025
Publisher : HB PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33657/jurkessia.v16i1.1080

Abstract

Burnout, a form of physical, mental, and emotional exhaustion that occurs more frequently among medical and paramedical personnel than among other personnel, remains a common problem. Indications of burnout can be caused by excessive workloads, inappropriate reward systems, or concerns about job security. This study aims to analyze the influence of workload and reward fairness on burnout with job security as a moderating variable at Ratu Zalecha Martapura Regional General Hospital. The design of this study used a qualitative research with a correlational approach based on explanatory research. The data collection was cross-sectional using a questionnaire to the research sample, namely some of the paramedics in the inpatient ward of Ratu Zalecha Martapura Regional Hospital. The sample selection used a probability sampling method (proportional stratified random sampling) in 9 inpatient wards with a PNS: PTT ratio of 5:3 and the accumulated results were 139 paramedics. The measurement analysis used was Partial Least Square (PLS). The result of this indicated that (i) there was a positive significant influence workload on burnout, (ii) there was a negative significant influence justice reward on burnout, (iii) there was an interaction of job security as the monitoring variable to the influence of workload on burnout, (iv) there was an interaction of job security as the monitoring variable the influence of justice reward on burnout. Conclusion, there is an influence of workload and reward fairness on burnout with job security as a moderating variable at Ratu Zalecha Regional General Hospital.
Meta-Analisis: Pengaruh Waktu Tunggu Terhadap Kepuasan Pasien di Pelayanan Rawat Jalan di Fasilitas Kesehatan Tria Fora Delfita; Trioni Widyastuti; Khairunnisa Khairunnisa
Jurnal Kesehatan Indonesia Vol 16 No 1 (2025): November 2025
Publisher : HB PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33657/jurkessia.v16i1.1109

Abstract

Patient satisfaction is considered a key indicator of a healthcare facility’s success. Optimizing patient waiting times is crucial to improving patient satisfaction. This study aims to analyze the effect of waiting time on the satisfaction of outpatients in hospitals. This research is a systematic review and meta-analysis study using the PRISMA diagram and PICO model. Population: outpatient patient. Intervention: short waiting time. Comparison: long waiting time. Outcome: patient satisfaction. Data were sourced from Google Scholar, PubMed, Science Direct, and Springer Link which were published from 2015-2025 using keywords waiting time AND patient AND satisfaction AND outpatient AND AOR. The result of this study from 9 primary studies were used to analyze waiting time and patient satisfaction with health services. Patient who experienced short waiting times 3,02 times more satisfied with health services compared with long waiting times (aOR=3,02; CI 95%=2,22 to 4,10; P=0.86). Conclusion: Patients with shorter wait times reported 3.02 times higher levels of satisfaction than those with longer wait times. This finding suggests that service efficiency, particularly in wait time management, is a critical component in improving patient experience and satisfaction.
Co-Authors Ayu Dwi Anissa Claudia, Meiske Dahniar, Dahniar Nina Rahmadiliyani Rini Rahmawati Tria Fora Delfita Trioni Widyastuti Zakhyadi Ariffin