Jurnal Informasi Kesehatan Indonesia (JIKI)
Vol. 10 No. 2 (2024): Jurnal Informasi Kesehatan Indonesia

HUBUNGAN KELENGKAPAN INFORMASI MEDIS DENGAN KEAKURATAN KODE DIAGNOSIS PENYAKIT DIABETES MELLITUS DI RUMAH SAKIT X BLITAR

Dewi, Cindy Shinta (Unknown)
Akbar, Prima Soultoni (Unknown)
Alvionita, Chyntia Vicky (Unknown)



Article Info

Publish Date
05 Dec 2024

Abstract

The completeness of medical information and the accuracy of medical records are crucial. If the medical information in a record is incomplete, the resulting diagnosis codes will be inaccurate. Inaccurate diagnosis codes lead to incorrect data and generate wrong charges, thus affecting the quality of statistical data and health cost payments. This study aims to examine the relationship between the completeness of medical information and the accuracy of Diabetes Mellitus diagnosis codes at X Hospital Blitar. This research employed a quantitative observational design with a cross-sectional approach, with a sample of 68 medical records of inpatient Diabetes Mellitus cases from January to October 2023. The percentage of complete medical information was 77.9%, while the incomplete information was 22.1%. The accuracy of Diabetes Mellitus diagnosis codes was 76.5%, and the inaccuracy rate was 23.5%. The results of this study indicate a statistically significant relationship between the completeness of medical information and the accuracy of Diabetes Mellitus diagnosis codes at X Hospital Blitar (p<0.001, OR = 49.000), affecting the accuracy of the Diabetes Mellitus diagnosis codes. The conclusion of this study is that there is a relationship between the completeness of medical information and the accuracy of Diabetes Mellitus diagnosis codes at X Hospital Blitar.

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Journal Info

Abbrev

JIKI

Publisher

Subject

Health Professions Nursing Public Health

Description

Jurnal Informasi Kesehatan Indonesia is a journal to disseminate various scientific papers on health development and other research of health also disseminate the conceptual thoughts or ideas and research results that have been achieved in the area of health ...