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All Journal Journal Health Information Management Indonesian Jurnal Kesehatan Tropis Indonesia
Widiyoko, Aries
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Health Professions Medicine & Pharmacology Nursing Public Health

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Analisis Faktor Ketidaklengkapan Pada Resume Medis Di RSUD Siti Fatimah Provinsi Sumatera Selatan Sari, Rani Octalia; Widiyoko, Aries
JURNAL KESEHATAN TROPIS INDONESIA Vol. 3 No. 4 (2025): September
Publisher : PT. LARPA JAYA PUBLISHER

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63265/jkti.v3i3.126

Abstract

Resume medis merupakan ringkasan riwayat perawatan pasien yang memiliki peran penting dalam kelengkapan rekam medis, kontinuitas pelayanan, klaim asuransi, serta pemenuhan aspek administrasi. Ketidaklengkapan resume medis dapat berdampak pada mutu layanan kesehatan dan menimbulkan hambatan administratif. Studi pendahuluan di RSUD Siti Fatimah menunjukkan bahwa pada periode Januari–Oktober 2024 terdapat 75% resume medis tidak lengkap, terutama pada bagian identitas pasien, diagnosis, dan autentikasi. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang memengaruhi ketidaklengkapan resume medis. Metode penelitian menggunakan pendekatan kualitatif deskriptif dengan teknik purposive sampling untuk subjek dan simple random sampling untuk objek penelitian. Subjek penelitian terdiri atas tiga dokter penanggung jawab pasien (DPJP), sedangkan objek penelitian meliputi 100 resume medis rawat inap periode Januari 2024–Maret 2025. Hasil penelitian menunjukkan bahwa faktor man berkontribusi terhadap ketidaklengkapan, di mana 67% DPJP telah memiliki pengetahuan, keterampilan, dan kedisiplinan, namun 33% masih lalai dalam pengisian. Faktor method terkait ketiadaan SOP dan kebijakan khusus pengisian resume medis. Faktor machine meliputi keterbatasan infrastruktur komputer, seperti gangguan jaringan dan error sistem. Faktor material dinilai tidak menjadi hambatan karena format formulir mudah dipahami. Dari hasil observasi, 37% resume medis tidak lengkap, terutama pada bagian identitas, diagnosis, dan tanda tangan.
Analisis Penerapan RME di Poliklinik Reguler Rawat Jalan RSUD Kota Salatiga Menggunakan Metode HOT-Fit Aryawan Eka Syahputra; Widiyanto, Wahyu Wijaya; Widiyoko, Aries
Journal Health Information Management Indonesian (JHIMI) Vol. 4 No. 2 (2025): Agustus (Journal Health Information Management Indonesian)
Publisher : Sekretariat Program Studi Sarjana Terapan Manajemen Informasi Kesehatan Politeknik Indonusa Surakarta.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46808/jhimi.v4i2.255

Abstract

The advancement of information systems requires every health facility to implement Electronic Medical Records (EMR) in accordance with Minister of Health Regulation No. 24 of 2022. Salatiga City Hospital has been using the EMR system since 2023, but obstacles such as system disruptions during peak hours and features that are not relevant to the needs of officers were found.The purpose of this study was to analyze the implementation of EMR in the Regular Outpatient Polyclinic of Salatiga City Hospital based on the Human, Organization, Technology, and Net Benefit (HOT-FIT) approach. This study used a quantitative descriptive method with a purposive sampling technique. With 43 respondents consisting of health workers. Data were collected through questionnaires and in-depth interviews, then analyzed using descriptive statistics. The results showed that the Human aspect had a respondent achievement rate (TCR) of 76.2% in the Good category, but the training aspect was still less than optimal and user satisfaction was not optimal due to technical constraints. The Organization aspect was 74,0% in the Good category, but management support was not optimal. Technology aspect 72.5% in the Good category, indicating a fairly good system even though errors often occur during peak hours, features that are less relevant and the ability of the person in charge is less than optimal. Net Benefit aspect 77.5% in the Good category, but there are still input errors due to human error. The conclusion of this study shows that the implementation of RME is running Well, but improvements are needed in user training and strengthening of technology infrastructure to support the success of the system.
Co-Authors Aryawan Eka Syahputra Sari, Rani Octalia Widiyanto, Wahyu Wijaya