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All Journal Jurnal Praba: Jurnal Rumpun Kesehatan Umum Jurnal Rekam Medis dan Informasi Kesehatan Indonesia
Eva Firdayanti Bisono
Unknown Affiliation
Computer Science & IT Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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KEAKURATAN KODE DIAGNOSIS FRAKTUR DAN EXTERNAL CAUSES DI RSUD MARDI WALUYO KOTA BLITAR Nurhadi Nurhadi; Krisnita Dwi Jayanti; Andra Dwitama Hidayat; Sevi Oktrianadewi; Eva Firdayanti Bisono; Endah Retnani Wismaningsih; Elok Rizma Hapsari; Wahyu Wijaya Widiyanto
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.v1i2.48

Abstract

Diagnostic codification must fulfill 10 characteristics of quality data, namely one of which is accurate, namely the truth and validity of data values. External Causes are external causes of fracture cases which classify based on the place and activity of the incident. It is very important that external causes codes are documented in medical record files for financing analysis, health services and reporting. The purpose of this study was to determine the accuracy of the fracture diagnosis code and external causes at Mardi Waluyo Hospital, Blitar City in 2021. The research method used a retrospective descriptive. The sampling technique is simple random sampling, with 52 samples. The implementation of coding at Mardi Waluyo Hospital, Blitar City, was carried out by coder officers and was in accordance with the policies and standard operating procedures at the hospital. The level of accuracy of the fracture diagnosis code with a percentage of 85% is included in the category that needs improvement and external causes with a percentage of 6% is included in the unsatisfactory category. The inaccuracy of the external causes code is caused by the use of the 5th character or the activity code that has not yet been coded. The inaccuracy of the officers in coding caused the resulting code to be inaccurate, so it was suggested that filling out medical record documents must be filled in completely and clearly to support proper and accurate coding of fractures and external causes so as to produce a better percentage of accuracy.
Kesiapan Pengguna Rekam Medis Elektronik (RME) dengan Technology Readiness Index (TRI): Studi Kasus di RSUD DAHA HUSADA Budi Pranoto; Anggia Dini Panggabean; Eva Firdayanti Bisono
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 2 (2026): Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v4i2.720

Abstract

The readiness of officers to carry out Electronic Medical Records (RME) needs to be measured using the Technology Readiness Index (TRI) method, which is an index used to measure the readiness of new technology users to achieve goals in daily life and work. This research aims to determine the readiness of Electronic Medical Record (RME) users using the Technology Readiness Index (TRI) case study at Daha Husada Regional Hospital. This is a descriptive research with an evaluation study where the research subjects are the head of medical records and 3 medical records officers in the inpatient registration section at Daha Husada Regional Hospital using a total saturated sampling technique. Data collection uses interview techniques. Data presentation is presented using narrative. The results of the research show that of the 4 variables used to measure the readiness of medical record users, medical record officers at Daha Husada Regional Hospital are ready to use medical records, even though they are ready there are still difficulties experienced and feelings of insecurity when using Electronic Medical Records (RME), namely Medical records can be accessed anywhere and are not yet integrated according to the user's wishes. Therefore, Daha Husada Regional Hospital should further tighten its electronic medical record data security system.
Co-Authors Anggia Dini Panggabean Budi Pranoto Elok Rizma Hapsari Endah Retnani Wismaningsih Hidayat, Andra Dwitama Krisnita Dwi Jayanti Nurhadi Nurhadi Sevi Oktrianadewi Widiyanto, Wahyu Wijaya