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Jurnal Rekam Medis dan Informasi Kesehatan
Published by Poltekkes Kemenkes Semarang
ISSN : 26221863     EISSN : 26227614     DOI : https://doi.org/10.31983/jrmik.v2i1.4391
Core Subject : Health,
Health Professions
It is aimed at all medical record and health information practitioners and researchers and those who manage and deliver medical record and health information services and systems. It will also be of interest to anyone involved in health information management, health information system, and health information technology.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 154 Documents
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Development of an Electronic Tracer System to Improve Medical Record Management and Healthcare Service Efficienc Fadly, Fery; Sari, Fajar Yunita; Kurniasih, Dewi Lena Suryani; Febiani, Ani Nur
Jurnal Rekam Medis dan Informasi Kesehatan Vol. 7 No. 2 (2024): OKTOBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v7i2.12014

Abstract

Tracer is a tool used to indicate when medical record files are borrowed or removed from the filing room. Field data indicates that the use of manual tracers has slowed down service, as staff often feel rushed when recording information on these tracers. As a result, manual tracers have been discontinued, leading to difficulties in tracking the whereabouts of files, delays in retrieving medical records, and a negative impact on patient care and the quality of hospital services. This study aims to design an electronic tracer system. The research is qualitative with a phenomenological design and employs the Rapid Application Development (RAD) method for system design. Data collection methods include interviews and observations. The study begins with identifying issues related to the use of manual tracers, analyzing system requirements, and designing the system, which includes creating context diagrams, Data Flow Diagrams (DFD), Requirement Tables (TRD), and activity diagrams for the electronic medical record tracer.
Determine Supporting Factors for the Successful Implementation of Electronic Medical Records in PHC Semarang City Suhito, Hanif Pandu; Sholikun, Sholikun; Raniasmi, Prahita Indriana
Jurnal Rekam Medis dan Informasi Kesehatan Vol. 7 No. 2 (2024): OKTOBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v7i2.12111

Abstract

The implementation of Electronic Medical Records (RME) in Semarang City health centers is a strategic step to increase the efficiency and effectiveness of health services. This research aims to identify factors that support the successful implementation of Electronic Medical Records (RME) in 39 Semarang City Health Centers. This research involved 110 respondents who were RME users, with various demographic characteristics such as age, gender, highest level of education, and years of work. Data was collected through an online survey using a Likert Scale-based questionnaire. Using the DeLone and McLean Model with the variables studied include system quality, information quality, service quality and user satisfaction. The results of multiple linear regression analysis show that system quality and information quality do not have a significant influence on user satisfaction, with t values of 1.515 (p=0.133) and -0.457 (p=0.649), respectively. However, service quality has a significant influence on user satisfaction, with a t value of 11.144 (p=0.000). This regression model explains that 86.7% of the variation in user satisfaction can be explained by the three independent variables, with an Adjusted R Square of 0.867. Based on this research, improving service quality is a key factor in increasing RME user satisfaction at the Semarang City Health Center. Effective implementation of RME can be encouraged by focusing on improving services to support the success of health digital transformation programs.
Prototype of EMR Information System for Primary Clinics According to Health Big Data Needs Astuti, Nina Dwi; Wijayanta, Setya; Fahyudi, Asharul; Naryanti, Indah
Jurnal Rekam Medis dan Informasi Kesehatan Vol. 7 No. 2 (2024): OKTOBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v7i2.12115

Abstract

Digital Health Transformation requires health facilities to develop Electronic Medical Records (EMR) according to predetermined data standards. This research aims to develop a prototype of the Semarang Ministry of Health Polytechnic Primary Clinic RME which can be integrated with the SATUSEHAT portal. The EMR Primary Clinic prototype is prepared by analyzing system needs and designing prototypes to build a prototype. The subjects of the study were doctors, dentists, and administrative officers. The object of the study was the EMR Primary Clinic of Health Polytechnic of Semarang. The prototype results are compiled simple design but can include standard interoperability of data.  Registration data includes all data standards in KMK 1423 of 2022. The EMR prototype can record all the clinical data and administrative data needed in the EMR. The test results show that this EMR prototype can accommodate the needs of primary care clinics and meet the data standards set by "SATUSEHAT". The implementation of this system is expected to facilitate the improvement of the quality of health services in primary clinics, as well as support efforts to integrate national health data more effectively and efficiently. This research also provides recommendations for further development to improve the functionality and interoperability of the system in the future
Implementasi ICD-10 Elektronik Tentang Penyakit Menular di Laboratorium Pendidikan Rekam Medis Sari, Fajar Yunita
Jurnal Rekam Medis dan Informasi Kesehatan Vol. 8 No. 1 (2025): MARET 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v8i1.12153

Abstract

Implementasi ICD-10 elektronik di laboratorium pendidikan rekam medis menjadi bagian penting dari adaptasi dunia pendidikan terhadap kebutuhan layanan kesehatan modern. Penerapannya dalam bentuk elektronik memberikan banyak manfaat, terutama dalam meningkatkan akurasi pencatatan dan analisis data medis secara digital. Meskipun potensi manfaatnya tinggi, implementasi ICD-10-PM dalam laboratorium pendidikan rekam medis memiliki banyak tantangan meliputi integrasi dengan sistem informasi yang sudah ada, kebutuhan pelatihan untuk staf dan mahasiswa, ketersediaan infrastruktur teknologi yang memadai, serta kepatuhan terhadap standar privasi dan keamanan data kesehatan. Penelitian ini menggunakan jenis penelitian kuantitatif dengan pendekatan deskriptif. Populasi penelitian ini adalah semua mahasiswa prodi D-III RMIK Tasikmalaya TA 2023/2024 sebanyak 225 orang. Teknik pengambilan sampel penelitian yang digunakan adalah Cluster Sampling. Metode Pengumpulan Data yang digunakan yaitu data primer dengan instrument penelitian berupa kuesioner. Analisis data dilakukan secara deskriptif dalam bentuk tabel frekuensi. Hasil penelitian menunjukkan bahwa 20 pernyataan indikator berada pada rentang nilai mean 3,26 – 4,00 atau kategori sangat setuju. Dengan demikian dapat disimpulkan bahwa seluruh responden sangat setuju dengan adanya aplikasi ICD-10-PM baik dari indikator human, organisasi, teknologi dan manfaat. Namun perlu pengembangan lebih lanjut database system sehingga tidak hanya terbatas pada penyakit menular saja.
Referral System of the BPJS Patient at the Halmahera Community Health Center Semarang City Kafrawi, Aulia Putri; Eliyah, Eliyah; Retnowati, Retnowati
Jurnal Rekam Medis dan Informasi Kesehatan Vol. 7 No. 2 (2024): OKTOBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v7i2.12218

Abstract

Implementation of SISRUTE in Health Centers needs to be a priority in the implementation of RME, there is a discrepancy between the implementation of SISRUTE in Halmahera Health Center and the applicable provisions. This study to describe the implementation of SISRUTE in Halmahera Health Center, Semarang City from the aspects of human, organization, technology, net-benefit. This research using the HOT-Fit method, data collection through observation and interviews. Human aspect, the owner of the SISRUTE account is a doctor but is operated by nurses and midwives on duty, there has been no training to develop the ability to use SISRUTE for HR other than the account owner. Organization aspect, shows the existence of SOP and Decree of the Head of Health Center regarding the delegation of authority to use SISRUTE accounts in Health Centers. The technology aspect of SISRUTE has not been bridged with other Health Information Systems, data integration has not been created between Health Centers and Hospitals, so that referral files are still manual and require re-entry time at the Hospital. Net-benefit aspect, SISRUTE has not been a priority for referral applications so that speed, effectiveness and efficiency cannot be measured.
Analisa Dan Perancangan Sistem Pendaftaran Pasien Rawat Jalan Di Klinik Mata Madiun Nugroho, Kristiawan; Irawan, Sandy; Rahadiyanto, Cahyono; Fitrianto, Lindu; Suprapto, Yossy
Jurnal Rekam Medis dan Informasi Kesehatan Vol. 8 No. 1 (2025): MARET 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v7i2.12259

Abstract

Klinik merupakan fasilitas pelayanan kesehatan yang terdiri dari klinik pratama dan klinik utama, masing-masing menyediakan pelayanan non-spesialis dan spesialis. Klinik Mata di Madiun berlokasi di Jawa Timur, menyediakan berbagai layanan kesehatan mata seperti LASIK, operasi glaukoma, dan katarak. Untuk meningkatkan efisiensi pelayanan, klinik membutuhkan sistem informasi yang terintegrasi dengan Kementerian Kesehatan melalui platform Satu Sehat. Sistem informasi klinik ini, dikenal sebagai Simklinik, dirancang untuk mengelola data pendaftaran pasien, rekam medis, dan pengiriman data pasien secara terkomputerisasi. Hal ini dapat mencegah duplikasi data pasien dan mempercepat proses pelayanan. Penelitian ini bertujuan untuk menganalisis dan merancang sistem informasi pendaftaran rawat jalan di Klinik Mata Madiun. Metode yang digunakan adalah Waterfall, sebuah model pengembangan sistem informasi yang terdiri dari beberapa tahapan dalam System Development Life Cycle (SDLC). Data yang digunakan berdasarkan rekam medis dari Klinik Mata Madiun. Hasil pengujian sistem menggunakan metode black box menunjukkan keberhasilan dengan tingkat kesesuaian 100%, menandakan bahwa sistem ini dapat memenuhi kebutuhan klinik secara optimal dan efisien. 
Determinants of Outpatient Waiting Time at Lawang Malang Hospital Widyawati, Ivana Kusuma; Wardani, Silvia Intan
Jurnal Rekam Medis dan Informasi Kesehatan Vol. 7 No. 2 (2024): OKTOBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v7i2.12274

Abstract

Patient waiting time is the length of time it takes for patients to obtain health services from registration to entering the doctor's examination room. This study aims to identify the factors that affect the waiting time of outpatients at Lawang Malang Hospital. Using a quantitative design with a cross-sectional approach, the study involved 95 respondents from internal polyclinic patients who were selected through non-probability sampling techniques. Data were collected using questionnaires and analyzed by chi-square test and logistic regression analysis. The results showed that most patients experienced a waiting time of more than 60 minutes, exceeding the Minimum Service Standard (SPM). Of the variables studied, only residence had a significant relationship with waiting time (p-value = 0.0001, AOR = 1.93; 95% CI, 1.16-3.21). Other variables such as education, employment, visit days, and registration methods did not show a significant relationship. The conclusion of this study is that the majority of patients wait more than 60 minutes, and the place of residence has an effect on the waiting time. To remedy this situation, it is recommended that hospitals develop an online registration application that is integrated with doctors' schedules to reduce patient waiting times.
Rational Modelling to Support Stunting Diagnosis Rational Modelling to Support Stunting Diagnosis Masrochah, Siti; Darmini, Darmini; Sari, Yeti Kartika; Susanto, Edy
Jurnal Rekam Medis dan Informasi Kesehatan Vol. 7 No. 2 (2024): OKTOBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v7i2.12289

Abstract

Stunting is a health problem characterized by disrupted growth conditions in toddlers due to a lack of nutritional intake over a long period of time, starting in the womb until the child is two years old. Stunting causes children to be short in stature and is at risk of causing problems with motor and mental development. In Cilacap Regency, the prevalence of stunting reached 32.1%, above the national figure and the limit set by WHO. Therefore, accelerating stunting reduction is carried out through a holistic, integrative and multisector approach. One of the efforts made is the development of an information system to comprehensively monitor and prevent stunting, including a diagnostic model that involves various health parameters.
Risk Evaluation of Musculoskeletal Disorders (MSDs) at the Outpatient Registration Centre: A Review of Work Postures with the Rapid Office Strain Assessment (ROSA) Method Golo, Zefan Adiputra; Lestari, Sri; Hapsari, Meilinda Asrining; Jannaty, Manzilina Hani Baity; Ningrum, Defi Dwi Cahya
Jurnal Rekam Medis dan Informasi Kesehatan Vol. 7 No. 2 (2024): OKTOBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v7i2.12297

Abstract

Ergonomic conditions at the Outpatient Registration Centre (TPPRJ) of RSUD dr. Gondo Suwarno are inadequate, which causes officers to experience musculoskeletal complaints due to inappropriate work postures. This study aims to evaluate ergonomic aspects at TPPRJ using the Rapid Office Strain Assessment (ROSA) method to assess officer work postures. The research was conducted with a qualitative descriptive approach through observation, interviews, and anthropometric measurements. The results showed that work facilities, such as desks, chairs, as well as the position of monitors and other devices, did not match the officer's body dimensions, which resulted in a ROSA score of 9, indicating a high risk of musculoskeletal disorders. These findings highlight the importance of adjusting work facilities according to ergonomic standards and training in correct posture to improve officer comfort and health, thereby supporting improved quality of health services at TPPRJ.
Analisis Prosedur Penerimaan Pasien Rawat Jalan Guna Menunjang Kelengkapan Administrasi Rekam Medis (Studi Kasus : Rumah Sakit Umum Kasih Ibu Denpasar) Wijayanti, Putu Okta; Resty Wasita, Rai Riska; Sariyani, Made Dewi
Jurnal Rekam Medis dan Informasi Kesehatan Vol. 8 No. 1 (2025): MARET 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v8i1.12306

Abstract

Rumah Sakit Umum Kasih Ibu merupakan rumah sakit dengan tujuan dan visi misi menjadi rumah sakit pilihan utama di bali melalui pelayanan kesehatan yang lengkap dan berkualitas, dengan beberapa layanan unggulan serta mengutamakan keselamatan pasien dan sentuhan kasih. Rekam medis merupakan suatu unit pelayanan yang mendukung upaya pelayanan medis sehingga dapat dihasilkan pelayanan yang berkualitas optimal yang dapat diterima oleh Masyarakat. Penelitian ini bertujuan untuk melakukan analisis prosedur penerimaan pasien rawat jalan guna menunjang kelengkapan administrasi rekam medis. Metode penelitian ini adalah penelitian kualitatif, subjek dalam penelitian ini adalah petugas penerimaan pasien rawat jalan yaitu petugas rekam medis. Metode pengumpulan data penelitian ini adalah observasi di Rumah Sakit Umum Kasih Ibu dengan checklist dan wawancara tidak terstruktur. Pengolahan data berupa penyusunan data, yang kemudian analisa data akan diolah secara deskriptif untuk menganalisis Prosedur Penerimaan Pasien Rawat Jalan Guna Menunjang kelengkapan administrasi rekam medis. Hasil penelitian dari kelengkapan administrasi rekam medis dibagian pendaftaran rawat jalan dilihat dari identifikasi 5M yaitu faktor Man, Money, Material, Method, dan Machine. Hasil penelitian ini bisa menjadi referensi terhadap kelengkapan administrasi rekam medis pasien di RSU Kasih Ibu ke depannya.

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