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All Journal Medula Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer)
Nurrahma, Alya Nabila
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Education Health Professions Medicine & Pharmacology Neuroscience Public Health

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Electronic Medical Records in Primary Health Care Facilities Nurrahma, Alya Nabila; Larasati, TA; Kurniati, Intanri; Pramesona, Bayu Anggileo
Review of Primary Care Practice and Education Vol 6, No 2 (2023): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.79085

Abstract

Background: Medical records are an important element in the process of health care in health facilities. Several primary health facilities have used electronic-based medical records to improve service quality. Electronic medical records are patient medical records in electronic form that include health information of an individual that can be accessed using a computer from a network to provide effective, efficient, and integrated health services. The purpose of the study was to determine the development of the use of electronic medical records in primary healthcare facilities in Indonesia with a systematic review before the mandatory use of electronic medical records in Indonesia. Methods: This research is a systematic literature review of the use of electronic medical records in primary health facilities. Researchers searched the literature on google scholar with the keyword electronic medical records and obtained a total of 60 articles, 4 of which were inaccessible, 40 articles were not conducted in primary health facilities, and 3 articles do not contain the aspect we look for so only 13 articles were used in literature studies. Results: The implementation of medical records is carried out by all health workers who provide services from registration, triage, clinical examination, treatment, and drug prescribing. Medical record data is distributed automatically by computer. Health workers have different electronic medical record display menus according to their duties. Conclusions: The implementation of electronic medical records in primary health facilities can be carried out by medical recorders and non-medical health workers who are trained and has a different electronic medical record display menu in each service flow.
Manajemen Anestesi Perioperatif pada Pasien Obesitas: A Literature Review Nurrahma, Alya Nabila; Rakhman, Andre Kusuma
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1744

Abstract

The prevalence of obesity has continued to rise over the past decades and has become a major concern in clinical practice. Obesity presents specific challenges in perioperative management, particularly in airway management for obese patients undergoing surgical procedures. Anesthesiologists must understand the various risks associated with anatomical and physiological changes, including excessive fat deposition in the neck and thoracic regions, reduced functional residual capacity of the lungs, and increased oxygen demand. In addition, obese patients frequently have comorbid conditions such as diabetes mellitus, hypertension, and obstructive sleep apnea, which further increase the risk of perioperative complications. This article was prepared using a literature review method through a comprehensive search of scientific articles published in various journals. The literature included publications from 2020 to 2025 obtained from PubMed, NCBI, and Google Scholar databases. Selected articles were analyzed using a systematic literature review approach, which involved data collection, assessment of study quality, and synthesis of findings with a focus on perioperative management in obese patients. The results indicate that successful anesthetic management in obese patients strongly depends on thorough preoperative assessment, careful airway strategy planning, and appropriate selection of anesthetic techniques. During the intraoperative phase, close monitoring and adjustment of anesthetic drug dosing are essential to maintain patient safety. Postoperative care also plays a crucial role in preventing respiratory complications, particularly in the early recovery period. A comprehensive and integrated perioperative approach is required to improve patient safety and optimize clinical outcomes in obese individuals undergoing surgery.
Co-Authors Bayu Anggileo Pramesona Intanri Kurniati Rakhman, Andre Kusuma TA Larasati