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OPTIMIZING MEDICAL TERMINOLOGY INTERPRETATION AND ICD-10 CODING SKILLS FOR SURGICAL CASES AT RSKB ROPANASURI PADANG Khumaira, Nurul Fitri; Yastori, Yastori; Kader, Shaola Syafrullah; Novita, Dian
Abdi Dosen : Jurnal Pengabdian Pada Masyarakat Vol. 9 No. 3 (2025): SEPTEMBER
Publisher : LPPM Univ. Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/abdidos.v9i3.2912

Abstract

This community service activity focused on improving the understanding of medical terminology and ICD-10 coding accuracy for surgical cases at RSKB Ropanasuri Padang. The main problem identified was the difficulty medical record officers faced in correctly interpreting medical terminology used by doctors, especially in surgical diagnoses. This often led to inaccurate coding, impacting the hospital's data and finances. The solution provided was a comprehensive training session, which included socialization, case studies, and discussions to enhance participants' understanding of medical terminology and improve their ICD-10 coding skills. The results showed significant improvement in participants' ability to interpret diagnoses and apply the correct ICD-10 codes, with pretest scores increasing by 71.43% after the training. This study emphasizes the importance of standardized medical terminology and continuous training for improving diagnostic coding accuracy in healthcare settings. Further training on diverse medical cases is recommended to enhance coding proficiency.
HUBUNGAN TINGKAT KOMITMEN ORGANISASI DAN TINGKAT STRES KERJA TERHADAP TINGKAT KEPUASAN PERAWAT DAN BIDAN Kader, Shaola Syafrullah; Usman, Elly; Ernawati, Tuti
Jurnal Kesehatan Medika Saintika Vol 14, No 2 (2023): Desember 2023
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jkms.v14i2.1929

Abstract

Faktor penyebab kepuasan kerja karyawan di RSIA Restu Ibu adalah komitmen pada organisasi sebesar 47% dan stres kerja sebesar 35,2%, Ini semua disebabkan karena beban kerja banyak dirasakan oleh perawat dan bidan, karena ada pertukaran manajemen sehingga tidak sempurnanya hak yang didapatkan oleh karyawan, sehingga tingginya angka turnoven sebesar 16,05%. Tujuan penelitian ini mengetahui penyebab Tingkat kepuasan kerja pada perawat dan bidan di RSIA Restu Ibu  dengan intensi variabel Tingkat Komitmen Organisasi dan Tingkat Stres Kerja  tahun 2022. Penelitian merupakan penelitian cross sectional yaitu suatu pendekatan yang sifatnya sesaat pada suatu waktu dan tidak diikuti terus-menerus dalam kurun waktu tertentu. Pengambilan informasi mengenai variabel dependen dan variabel independen dalam penelitian ini dilakukan  dengan menggunakan kuesioner terhadap 43 responden. Variabel yang diukur adalah komitmen organisasi, stress kerja dan kepuasan kerja. Analisis data menggunakan analisis korelasi dan triangulasi data. Kesimpulan, komitmen organisasi berhubungan dengan kepuasan kerja dengan nilai p sebesar 0,036 dan stres kerja berhubungan dengan kepuasan kerja dengan nilai p sebesar 0,009. Karyawan merasa perusahaan tidak memiliki banyak makna pribadi bagi mereka, kurang percaya dan loyal terhadap perusahaan, dan mereka akan meninggalkan perusahaan jika ada tawaran pekerjaan yang lebih baik.
Concordance Between Physician’s Clinical Diagnostic Terminology and ICD‑10 on Surgical Patient Medical Records Khumaira, Nurul Fitri; Yastori; Kader, Shaola Syafrullah
MEDIA ILMU KESEHATAN Vol 14 No 3 (2025): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v14i3.1771

Abstract

Background: The accurate use of medical terminology in clinical diagnosis is crucial for proper disease classification, coding accuracy, and reliable health data reporting. However, inconsistencies remain due to non-standard terminology and abbreviations that do not comply with the International Classification of Diseases (ICD-10).Objective: This study aims to evaluate the conformity of physicians’ diagnostic terminology with ICD-10 and with the hospital’s official abbreviation guidelines.Methods: This descriptive quantitative cross-sectional study was conducted from March to July 2025 at RSKB Ropanasuri Padang. A 96 surgical patient medical records from 2024 were selected through simple random sampling. Diagnostic data were evaluated using a conformity checklist based on ICD-10 Volume 1 and 3 and the hospital’s standardized abbreviation guidelines.Results: : The results showed that not all diagnoses complied with ICD-10 terminology or abbreviation guidelines. Common discrepancies included non-standard abbreviations, inconsistent anatomical terminology, and non-specific terms such as “tumor” without further details.Conclusion: Concordance Physician’s diagnostic terminology with ICD-10 and Abbreviation guidelines remains inadequate. Strengthening standard operating procedures, enhancing clinician training in ICD-10 nomenclature, and establishing more structured coder–clinician communication are essential to ensure valid and reliable health data.