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Hubungan Ketepatan Terminologi Medis Terhadap Keakuratan Kode Diagnosis Pasien Rujukan Berdasarkan ICD-10 Di Puskesmas Baki Sukoharjo Triwulan IV Tahun 2019 Bangkit Ary Pratama - Poltekkes Bhakti Mulia
Indonesian Journal on Medical Science Vol 7 No 2 (2020): IJMS 2020
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Kesehatan Bhakti Mulial

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Abstract

Abstract: The use of medical terminology is also one of the important things in supporting codingfication because it is a means of communication between medical professions, in writing a diagnosis must be in accordance with the correct terminology that is based on ICD-10. The purpose of this study was to determine the relationship between the accuracy of medical terminology and the accuracy of diagnosis codes for referral patients based on ICD-10 in Puskesmas Baki Sukoharjo in the fourth quarter of 2019. This type of research was analytic with a sample of 94 and a population of 1615 forms. The research instrument used observation guidelines, interviews and ICD-10 books. The results showed from a sample of 94 diagnoses and their codes, there were 27 (29%) precise terminology and 67 (71%) incorrect terminology, and an accurate outpatient diagnosis code of 24 (26%) and an inaccurate outpatient diagnosis code of 70 (74%) code. From the Chi-Square Test statistic, the p-value was 0.022. The conclusion of this study is that there is a relationship between the accuracy of medical terminology with the accuracy of the diagnosis code for referral patients based on ICD-10 in Puskesmas Baki Sukoharjo in the fourth quarter of 2019.Keyword: accuracy, medical terminology, accuracy, diagnosis code, ICD-10 Abstrak: Penggunaan terminologi medis juga menjadi salah satu hal penting dalam menunjang kodefikasi karena merupakan sarana komunikasi antar profesi medis, dalam penulisan diagnosis harus sesuai terminologi yang benar yaitu berdasarkan ICD-10. Tujuan penelitian ini untuk mengetahui hubungan ketepatan terminologi medis terhadap keakuratan kode diagnosis pasien rujukan berdasarkan ICD-10 di Puskesmas Baki Sukoharjo triwulan IV tahun 2019. Jenis penelitian adalah analitik dengan sampel sebanyak 94 dan populasi yaitu 1615 formulir. Instrumen penelitian dengan menggunakan pedoman observasi,wawancara dan buku ICD-10. Hasil penelitian menunjukkan dari sampel sebanyak 94 diagnosis serta kodenya, terdapat 27 (29%) terminologi tepat dan 67 (71%) terminologi tidak tepat, serta kode diagnosis rawat jalan akurat sebanyak 24 (26%) dan kode diagnosis rawat jalan tidak akurat sebanyak 70 (74%)  kode. Dari hasil uji statistik Chi-Square Test, diperoleh nilai p-value sebesar 0,022. Kesimpulan dari penelitian ini adalah terdapat hubungan antara ketepatan terminologi medis dengan keakuratan kode diagnosis pasien rujukan berdasarkan ICD-10 di Puskesmas Baki Sukoharjo triwulan IV tahun 2019.Kata kunci:  ketepatan, terminologi medis, keakuratan, kode diagnosis, ICD-10
Korelasi antara Ketersediaan Informasi Medis dengan Ketepatan Kode Diagnosis Bronchitis pada Dokumen Rekam Medis Rawat Inap di Rumah Sakit Umum Daerah Kabupaten Karanganyar Tahun 2019 Mega Dwi Astuti; Bangkit Ary Pratama - Politeknik Kesehatan Bhakti Mulia
Indonesian Journal on Medical Science Vol 8 No 2 (2021): IJMS 2021
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Kesehatan Bhakti Mulial

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Abstract

Abstract: One of the factors that affect the accuracy of the diagnosis code was the availability of medical information in the form of filling out the diagnosis. The purpose of the study was to determine the correlation between the availability of medical information and the accuracy of the bronchitis diagnosis code on inpatient medical record documents at the Karanganyar Regency General Hospital in 2019. This type of research was descriptive with a retrospective approach. The method used was observation. The research population was 482 medical record documents and 83 medical record documents were taken as samples. The sampling technique used was simple random sampling. Due to the Covid-19 pandemic, the sample collection became 10 medical record documents. The results of the study were based on a sample of 10 medical record documents with bronchitis cases, there were 3 documents available (30%) of medical information, which was smaller than 7 documents (70%). The accuracy of the code is 2 documents (20%) smaller than the incorrect code, which was 8 documents (80%). From the results of the Chi-Square Test statistical test, the value of (0.016) <0.05, which meant that H0 was rejected and Ha was accepted. The conclusion of this study was that there was a correlation between the availability of medical information and the accuracy of the bronchitis diagnosis code on the medical record document of inpatients at the Karanganyar Regency General Hospital in 2019.Keyword: availability of medical information, accuracy of diagnostic codes, bronchitisAbstrak: Salah satu faktor yang mempengaruhi ketepatan kode diagnosis yaitu ketersediaan informasi medis berupa pengisian diagnosis. Tujuan penelitian adalah untuk mengetahui korelasi antara ketersediaan informasi medis dengan ketepatan kode diagnosis bronchitis pada dokumen rekam medis rawat inap di Rumah Sakit Umum Daerah Kabupaten Karanganyar Tahun 2019. Jenis penelitian deskriptif dengan pendekatan retrospektif. Metode yang digunakan adalah observasi. Populasi penelitian sebanyak 482 dokumen rekam medis dan diambil 83 dokumen rekam medis sebagai sampel. Teknik pengambilan sampel menggunakan simple random sampling. Dikarenakan pandemi Covid-19, maka pengambilan sampel menjadi 10 dokumen rekam medis. Hasil penelitian berdasarkan sampel sebanyak 10 dokumen rekam medis dengan kasus bronchitis terdapat ketersediaan informasi medis sebanyak 3 dokumen (30%) lebih kecil dari yang tidak tersedia informasi medisnya yaitu sebesar 7 dokumen (70%). Ketepatan kode sebesar 2 dokumen (20%) lebih kecil dari yang tidak tepat yaitu sebesar 8 dokumen (80%). Dari hasil uji statistik Chi-Square Test, diperoleh nilai ρ (0,016) < 0,05 yang artinya bahwa H0 ditolak dan Ha diterima. Kesimpulan penelitian ini adalah terdapat korelasi antara ketersediaan informasi medis dengan ketepatan kode diagnosis bronchitis pada dokumen rekam medis pasien rawat inap di Rumah Sakit Umum Daerah Kabupaten Karanganyar Tahun 2019.Kata kunci: ketersediaan informasi medis, ketepatan kode diagnosis, bronchitis
LITERATURE REVIEW: IDENTIFIKASI PENYEBAB HEPATITIS AKUT TANPA ETIOLOGI PADA ANAK Bangkit Ary Pratama; Wahyuni
KOSALA : Jurnal Ilmu Kesehatan Vol. 10 No. 2 (2022): KOSALA : Jurnal Ilmu Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Panti Kosala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37831/kjik.v10i2.233

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Kasus hepatitis akut tanpa etiologi yang menyerang anak-anak telah dikaitkan dengan beberapa kemungkinan etiologi termasuk penyakit coronavirus 2019 (COVID-19), vaksinasi COVID-19, agen infeksi baru, racun, dan kemungkinan etiologi terkait makanan. Masih perlu banyak penelitian yang dilakukan untuk secara tepat mengidentifikasi agen penyebab hepatitis akut tanpa etiologi. Penelitian ini bertujuan untuk mengidentifikasi kemungkinan penyebab hepatitis akut tanpa etiologi pada anak. Penelitian ini menggunakan kajian literatur (literature review). Sumber data pada penelitian ini adalah jurnal ilmiah yang tersedia di PubMed dengan tema hepatitis akut tanpa etiologi pada anak. Berdasarkan pencarian jurnal menggunaan database di PubMed dengan menggunakan kata kunci “acute hepatitis of unknown aetiology” dan “children”, didapatkan 14 jurnal dan hanya 4 jurnal saja yang memenuhi kriteria dan selanjutnya dianalisis. Hasil penelitian menunjukkan terdapat beberapa kemungkinan penyebab kasus hepatitis akut tanpa etiologi meliputi infeksi Human Adenovirus 41 Subtipe F (HAdV41-F), infeksi coronavirus–2 (SARS-CoV-2), vaksinasi COVID-19, infeksi virus lainnya, dan faktor non-infeksi. Kesimpulan pada penelitian ini adalah etiologi hepatitis akut tanpa etiologi pada anak-anak belum dapat ditentukan sehingga perlu adanya penelitian lebih lanjut.   Kata kunci : anak, hepatitis akut tanpa etiologi   Cases of acute hepatitis with no etiology affecting children have been associated with several possible etiologies including coronavirus disease 2019 (COVID-19), COVID-19 vaccination, new infectious agents, toxins, and possible food-related etiologies. More research was needed to accurately identify the causative agent of acute hepatitis without an etiology. This study aimed to identify possible causes of acute hepatitis without etiology in children. This study used a literature review. The data sources in this study were scientific journals available on PubMed with the theme of acute hepatitis without etiology in children. Based on a journal search using the PubMed database using the keywords “acute hepatitis of unknown aetiology” and “children”, 14 journals were obtained and only 4 journals met the criteria and were then analyzed. The results showed that there were several possible causes of acute hepatitis cases without etiology including Human Adenovirus 41 Subtype F (HAdV41-F) infection, coronavirus-2 (SARS-CoV-2) infection, COVID-19 vaccination, other viral infections, and other factors. non-infectious. The conclusion in this study is that the etiology of acute hepatitis without an etiology in children has not been determined so that further research is needed.   Keywords: acute hepatitis of unknown aetiologi, children   Korespondensi: Bangkit Ary Pratama, Poltekkes Bhakti Mulia, Jl. Solo-Sukoharjo No.KM. 9, Sukoharjo, Jawa Tengah, email: bangkit@poltekkesbhaktimulia.ac.id, 085326333050
Efek Mutu Pelayanan Terhadap Kepuasan Pasien Rawat Jalan Poliklinik Umum Di Puskesmas Baki Tahun 2017 Bangkit Ary Pratama
Indonesian Journal on Medical Science Vol 5 No 2 (2018): IJMS 2018
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Kesehatan Bhakti Mulial

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Abstract

Based on the preliminary survei results showed that out of 10 questionnaire questionnaires given to respondents, 6 respondents considered lack of discipline, politeness and friendliness in service delivery, 2 other respondents considered inadequate facilities in the service and 2 respondents considered lacking in service timeliness, it is necessary to research the quality of services provided to patients, because patient satisfaction is one indicator of the success of health services. The purpose of this research is to know the relation of quality of outpatient health service at Baki Sukoharjo Public Health Center. This research uses descriptive analytic research with research design using cross-sectional approach. Method of collecting data with questionnaire, population is recapitulation of outpatient visit that register general pol at Tras Health Center Year 2017 and number of sample of research are 56 outpatient. Data analysis used is univariate analysis and bivariate analyst. Sampling by accidental sampling (people encountered at the same time).Statistical test using spearman's rho correlation. Based on the results of research that has been done by the author at Baki Sukoharjo Health Center shows that the hypothesis is accepted that there is a positive and significant relationship between the quality of health services with the level of outpatient satisfaction at Baki Sukoharjo Public Health Center, with p value= 0.001 with the value (r) of 0.802 means included in the interval very strong correlation strength. The conclusion of this study is there is a significant relationship between the quality of health services with the level of patient satisfaction in Baki Sukoharjo Health Center with a very strong correlation strength.
Dampak Sosial Intensitas Penggunaan Media Sosial Terhadap Kesehatan Mental Berupa Sikap Apatis di SMP Kabupaten Sukoharjo Bangkit Ary Pratama; Defie Septiana Sari
Gaster Vol 18 No 1 (2020): FEBRUARI
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (389.209 KB) | DOI: 10.30787/gaster.v18i1.487

Abstract

Teknologi informasi di era globalisasi berkembang sangat pesat di dalam kehidupan masyarakat. Berkat teknologi baru seperti internet, segala kebutuhan manusia dapat dipenuhi. Banyaknya fasilitas yang disediakan oleh internet terutama di media sosial, memicu peningkatan  penggunaan oleh remaja. Intensitas penggunaan media sosial menciptakan bentuk-bentuk interaksi yang berbeda dengan sebelumnya. Hal ini merupakan proses penyesuaian diri terhadap lingkungan sosial dimasyarakat.  Ketika remaja dengan intensitas penggunaan media sosial tinggi, maka akan berengaruh pada kesehatan mentalnya seperti interaksi sosialnya menjadi bersifat tak langsung, sosiabilitasnya cenderung rendah dan kepekaan sosialnya cenderung rendah. Hal ini biasa disebut dengan sikap apatis. Tujuan penelitian ini adalah untuk mengetahui sejauh mana dampak sosial yang ditimbulkan akibat dari penggunaan media sosial terhadap sikap apatis di lingkungan sekitar.Desain penelitian dengan menggunakan penelitian analitik observasional dengan pendekatan potong lintang (cross sectional). Teknik pengumpulan data yang digunakan untuk mengumpulkan data primer dengan menggunakan kuesioner terstruktur. Data yang diperoleh kemudian dianalisis dengan rumus univariat (rumus distribusi frekuensi) dan bivariat  (rumus Pearson product moment). Hasil penelitian menunjukkan bahwa intensitas penggunaan media sosial memiliki dampak sosial pada remaja yaitu timbulnya gangguan kesehatan mental berupa sikap apatis. Nilai korelasi 0.528 dan nilai signifikansi p(<0.001) < 0.05 dengan arah hubungan positif sehingga semakin tinggi tingkat intensitas penggunaan media sosial maka sikap remaja semakin apatis.
Analysis of Knowledge with Compliance in Implementing Protocols of COVID-19 in SMP Negeri 4 Sukoharjo’s Students Bangkit Ary Pratama; Sri Saptuti Wahyuningsih
Gaster Vol 20 No 1 (2022): FEBRUARI
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (597.31 KB) | DOI: 10.30787/gaster.v20i1.743

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ABSTRACTEfforts to prevent the spread and increase in the number of COVID-19 sufferers were the implementation protocol of. Many people do not consistently implement it. Compliance in protocol of COVID-19 was absolutely a prerequisite for breaking the chain of transmission of COVID-19. This study aims to analyze knowledge with compliance in applying the protocols  of COVID-19 in SMP Negeri 4 Sukoharjo’s students. This research was a quantitative research with the type of correlation research. The population in this study were all students at SMP Negeri 4 Sukoharjo, totaling 766 students. The sample size were 50 students that used accidental sampling. The primary data source used the results of the questionnaire answers that have been tested for validity and reliability and the data analysis used Pearson Product Moment. The results of the statistical test showed p-value (<0.001)<0.05, which means that there was a significant relationship between knowledge and compliance in implementing protocols of  COVID-19.Keywords: knowledge; compliance; protocol of COVID-19
PUBLIC KNOWLEDGE AND ATTITUDE TOWARDS COVID-19 VACCINATION IN JOMBLANG, SONOREJO VILLAGE, SUKOHARJO REGENCY Bangkit Ary Pratama; Siwi Hastuti; W Wahyuni
Gaster Vol 20 No 2 (2022): AGUSTUS
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (288.499 KB) | DOI: 10.30787/gaster.v20i2.861

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Vaccination was the most effective strategy to protect populations from Covid-19, as SARS-CoV-2 was a highly contagious virus and affects populations globally. Many obstacles were found in the implementation of vaccination, such as the loss of confidence in the effect of vaccination causing low vaccination coverage. This study aimed to analyze the relationship between community knowledge and attitudes towards Covid-19 vaccination in Jomblang, Sonorejo Village, Sukoharjo Regency. This research was a quantitative research with the type of correlational research. The population in this study were all residents of Jomblang, Sonorejo Village, Sukoharjo Regency with a sample of 60 people. The sampling technique used was purposive sampling. The data collection technique used a structured questionnaire. The primary data obtained were then analyzed by univariate and bivariate (Chi square). The results of the statistical test showed that there was a relationship between knowledge about Covid-19 vaccination and vaccination with  p-value (<0.001)<0.05 and there was a relationship between attitudes towards Covid-19 vaccination and Covid-19 vaccination with  p-value (0.022)< 0.05. The conclusion of this study showed there was a significant relationship between knowledge about Covid-19 vaccination and people's attitudes towards Covid-19 vaccination and Covid-19 vaccination in Jomblang, Sonorejo Village, Sukoharjo Regency.
Trend Mortalitas dengan Indikator Gross Death Rate dan Net Death Rate Per Tahun di Rumah Sakit PKU Muhammadiyah Surakarta Tahun 2017-2021 Bangkit Ary Pratama
Indonesian Journal on Medical Science Vol 10 No 1 (2023): IJMS 2023
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Kesehatan Bhakti Mulial

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55181/ijms.v10i1.411

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The mortality rate at the PKU Muhammadiyah Surakarta Hospital in 2017-2021 has fluctuated. Trend calculations were needed to predict the increase or decrease in GDR and NDR values ??to assist hospital management in making decisions. The purpose of this study was to determine the annual trend of GDR and NDR at PKU Muhammadiyah Surakarta Hospital in 2017-2021. This type of research was descriptive with a retrospective research design with a total sample from the entire population, namely the recapitulation of the daily census of hospitalizations per year 2017-2021 with univariate analysis, the method of data collection was the observation method. Based on the results of observations and calculations, it was found that the GDR value was still below the set national standard limit of <4.5% and fluctuated every year in 2017-2021 respectively 2.06%, 2.28%, 2.16% , 3.63%, 3.51%. While the NDR value has increased every year but is still below the set national standard limit of <2.5%, the NDR value in 2017-2021 was 1.22%, 1.53%, 1.54 respectively %, 2.03%, 1.97%. The conclusion of the research is that the trend of GDR and NDR at PKU Muhammadiyah Surakarta Hospital in 2017-2021 tends to increase. The GDR in 2017 trended 1.87 to 3.59% for the 2022-2024 forecast the numbers were 4.02, 4.45 and 4.88, while the NDR trended 1.26 increased to 2.06 and the estimates are 2.26, 2.46, and 2.66.
Perancangan Aplikasi Sistem Pendaftaran Rekam Medis Rawat Jalan di Bidan Praktik Mandiri Sri Sayekti Kebumen Berbasis Web Dani Prasetyo; Bangkit Ary Pratama
Indonesian Journal on Medical Science Vol 9 No 1 (2022): IJMS 2022
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Kesehatan Bhakti Mulial

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (616.614 KB) | DOI: 10.55181/ijms.v9i1.287

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Registration of medical records in outpatients in BPM Sri Sayekti Kebumen still used paper so as to cause problems such as difficulty in finding data so it takes a long time, document storage was still not good because some sheets of paper stored side by side with various other documents so that when reporting data loss or missfile, and often the occurrence of double data, due to negligence in storing documents and the risk of mixing with other documents. The purpose of the research was to design a web-based outpatient medical record registration application program. The type of research used is descriptive. The methods used were observation and interview. Data collection was used a cross sectional approach. The results of the study at BPM Sri Sayekti Kebumen in out patient registration serviced still use a manual system that uses paper media. As for the daily census reporting outpatients are still done manually through the register book of outpatients. The conclusion of this study was one way to solve the problems in BPM Sri Sayekti Kebumen, especially the installation of registration, namely the design of an application program for web-based outpatient medical record registration system.
Literature Review: Faktor Risiko Obesitas Pada Remaja Di Indonesia Bangkit Ary Pratama
Indonesian Journal on Medical Science Vol 10 No 2 (2023): IJMS 2023
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Kesehatan Bhakti Mulial

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55181/ijms.v10i2.443

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Obesity in adolescents that increase every year is a health problem that must be faced by all countries in the world, including Indonesia. Obesity can cause health problems in the future because obesity in adolescents will predict obesity as adults. Obesity is one of the main risk factors for chronic disease which can increase mortality. Addressing this problem at a critical population level will prevent the potential long-term impacts of adolescent obesity. The purpose of this literature review was to determine the risk factors for obesity adolescents in Indonesia. This research was a literature review research with data sources from international scientific journals published in PubMed with the theme of risk factors for obesity adolescents in Indonesia. The keywords used were "adolescent" and "overweight or obesity" and "Indonesia". Based on the search for these keywords, 194 articles were found and only 6 articles met the predetermined criteria. Two additional articles were included in the review from searches originating from the Indonesian database, so that the articles included in this review were 8 articles. The conclusion obtained from the results of the study is that the risk factors for obesity adolescents in Indonesia include adolescent characteristics, family characteristics, eating patterns, food intake, and physical activity.