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Infokes : Jurnal Ilmiah Rekam Medis dan Informasi Kesehatan
Published by Universitas Duta Bangsa Surakarta
ISSN : 20862628     EISSN : 27455629     DOI : https://doi.org/10.47701/infokes.v10i1
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Medical Record Medical Informatics Health Policy and Management Midwifery Public Health Critical Care and Intensive Care Medicine Pharmacy
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 258 Documents
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PEMODELAN PENERIMAAN REKAM MEDIS ELEKTONIK (RME) PADA SOCIETY  ERA 5.0 : STUDI KASUS DI RSUP SURAKARTA Pertiwi, Julia; Andriani, Rika; Nisaa, Arifatun; Amalia, Faradila Rizky; Igiany, Prita Devy
Jurnal Infokes Vol 15 No 2 (2025): Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/f74q2a16

Abstract

Penyelenggaraan Rekam Medis Elektronik (RME) di Indonesia diberlakukan wajib bagi fasyankes sejak 2022 sebagai wujud adaptasi dari society era 5.0. Sebagai aplikasi yang baru diimplementasikan perlu dilakukan analisis penerimaan untuk memastikan kualitas dan keandalan RME. Penelitian ini bertujuan untuk menganalisis penerimaan RME di RSUP Surakarta. Jenis penelitian yang digunakan adalah kuantitatif dengan desain cross sectional. Penelitian dilakukan pada Maret–April 2025 dengan sampel berjumlah 106 orang meliputi dokter, perekam medis, perawat, apoteker, radiographer dan petugas IT yang diambil dengan metode total sampling. Instrumen penelitian berupa kuesioner tertutup berjumlah 45 pertanyaan yang diadopsi dari penelitian terdahulu dan diisi oleh responden. Teori model penerimaan teknologi yang digunakan adalah UTAUT. Model ini berfokus pada empat faktor utama: harapan kinerja, harapan usaha, pengaruh sosial, dan kondisi yang memfasilitasi. Analisis data dilakukan menggunakan Partial Least Square (PLS) melalui outer model (model pengukuran) dan inner model (model struktural). Hasil penelitian menunjukkan intensi pengguna terhadap perilaku pengguna (p=<0,001 dan T=4,294); harapan usaha terhadap intensi pengguna (p=0,562 dan T=0,580); kondisi fasilitas terhadap perilaku pengguna (p=0,003 dan T=2,987); harapan kinerja terhadap intensi pengguna (p=0,113 dan T=1,583); pengaruh sosial terhadap intensi pengguna (p=0,006 dan T=2,732). Untuk meningkatkan intensi pengguna RME perlu dilakukan pengawasan secara rutin pada komponen sistem dan pengguna.
NORMALISASI BASIS DATA SISTEM DETEKSI DINI DAN KONSULTASI KOMPLIKASI KESEHATAN MASA NIFAS Nurhayati, Nurhayati; Pertiwi, Mumpuni Intan; Kholilurrohman, Maulana Rifky; Tamarussal, Naraya Kyesa
Jurnal Infokes Vol 15 No 2 (2025): Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/7e91s431

Abstract

Masa nifas merupakan fase penting yang rawan terhadap berbagai komplikasi kesehatan sehingga membutuhkan pemantauan dan penanganan medis yang optimal. Untuk mendukung upaya deteksi dini dan konsultasi komplikasi kesehatan pada masa nifas, diperlukan sistem informasi yang memiliki struktur data yang efisien, konsisten, dan bebas dari penyimpangan. Penelitian ini bertujuan untuk merancang basis data perangkat lunak yang mendukung deteksi dini dan konsultasi komplikasi kesehatan masa nifas, dengan menerapkan teknik normalisasi sebagai pendekatan utama dalam perancangan struktur data. Metode penelitian yang digunakan adalah pendekatan rekayasa perangkat lunak berbasis desain basis data melalui normalisasi meliputi identifikasi kebutuhan data, analisis relasi antar entitas, bentuk tidak normal, normal bentuk kesatu, normal bentuk kedua dan normal bentuk ketiga. Penelitian ini menghasilkan rancangan basis data yang terdiri dari 11 tabel terstruktur yang telah melalui proses normalisasi sehingga bebas dari redundansi dan ketidakteraturan data. Simpulan dari penelitian ini adalah setelah melalui tahapan normalisasi, maka dihasilkan basis data yang memiliki struktur relasional yang efisien yang mampu mendukung perangkat lunak deteksi dini komplikasi dan konsultasi kesehatan masa nifas yang akurat dan terstruktur.
PENGENDALIAN PERSEDIAAN OBAT  MENGGUNAKAN METODE ANALISIS ABC-VEN DI INSTALASI FARMASI RS PANDAN ARANG BOYOLALI Syahputra, Rizka Wahyu; Saptarini, Opstaria; Wijayanti, Tri
Jurnal Infokes Vol 15 No 2 (2025): Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/bpd34f40

Abstract

Pelayanan kefarmasian merupakan pelayanan penunjang dan sekaligus menjadi salah satu revenue centre primer, karena lebih dari 90% pelayanan di rumah sakit menggunakan perbekalan farmasi seperti obat-obatan, bahan kimia, bahan radiologi, bahan medis habis pakai, alat kesehatan serta gas medik dan 50% dari semua pemasukan rumah sakit berasal dari pengelolaan perbekalan farmasi. Instalasi Farmasi RSUD Pandan Arang Boyolali mengelola 644 item obat yang terdaftar pada database. Perencanaan obat di RS Pandan Arang Boyolali masih menggunakan metode konsumsi. Penelitian ini bertujuan membuat usulan cara pengendalian perencanaan persediaan agar tidak terjadi stock out di Instalasi Farmasi RSUD Pandan Arang Boyolali. Penelitian ini bertujuan untuk mengetahui pengendalian perencanaan persediaan obat dengan metode ABC-VEN di instalasi Farmasi RS Pandan Arang Boyolali dengan mengambil data persediaan obat yang digunakan untuk menghitung kebutuhan persediaan tahun 2022 dengan metode analisis kombinasi ABC-VEN. Metode yang digunakan yaitu metode ABC (Always, Better, Control), VEN (Vital, Essensial, Non Essensial). Data yang diperoleh pada saat wawancara dengan narasumber, pengamatan dan observasi langsung pada saat penelitian serta data obat pada Instalasi Farmasi RS Pandan Arang Boyolali tahun 2021. Hasil analisis metode ABC-VEN diperoleh data item obat kelompok A 44 item obat kelompok B 159 item obat kelompok C 441 item obat dan dibagi menjadi 9 kategori yaitu : item obat kategori AV 15 item obat AE 24 item obat, AN 4 item obat, BV 26 item obat, BE 105 item obat, BN 28 item obat, CV 20 item obat, CE 289 item obat, CN 132 item obat dari total 644 item obat. Analisis ABC-VEN dapat dijadikan acuan untuk mendapatkan persediaan yang optimal, efektif dan efisien.
ANALISIS IMPLEMENTASI REKAM MEDIS ELEKTRONIK TERHADAP MUTU PELAYANAN RAWAT JALAN DI RSUD IBU FATMAWATI SOEKARNO KOTA SURAKARTA Meilani, Amelinda Helsa; Nugraheni, Sri Wahyuningsih; Suprawita, Budi
Jurnal Infokes Vol 15 No 2 (2025): Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/4b9q1c44

Abstract

Penerapan RME berbasis web di RSUD Ibu Fatmawati Soekarno pada awal tahun 2024 masih mengalami kendala seperti adanya gangguan jaringan dan output informasi yang tidak sesuai.  Penelitian ini bertujuan untuk mengetahui implementasi sistem RME terhadap mutu pelayanan rawat jalan berdasarkan model DeLone dan McLean yang mencakup aspek kualitas sistem, kualitas informasi, kualitas layanan, dan kepuasan pengguna. Jenis penelitian ini adalah kualitatif deskriptif dengan pendekatan cross-sectional. Teknik pengumpulan data dilakukan melalui observasi dan wawancara bebas terpimpin. Informan dalam penelitian ini berjumlah 4 orang yang merupakan pengguna langsung RME rawat jalan dengan kriteria inklusi, yaitu memiliki masa kerja minimal 2 tahun, telah menggunakan RME selama 6–12 bulan, dan pernah mengikuti pelatihan sehingga informan dapat memberikan pemahaman mendalam dalam penggunaan dan penerapan RME. Instrumen penelitian yang digunakan meliputi pedoman wawancara dan pedoman observasi. Analisis data dilakukan secara deskriptif kualitatif berupa teks berdasarkan hasil temuan lapangan. Hasil penelitian menunjukkan bahwa aspek kualitas sistem didukung dengan kemudahan penggunaan melalui pelatihan dan panduan operasional, serta pembatasan hak akses. RME dinilai mampu menyajikan informasi yang akurat, lengkap, dan relevan untuk pengambilan keputusan. Dukungan teknis dari tim IT sudah tersedia dan dapat merespons cepat terhadap masalah sistem. Serta kepuasan pengguna menunjukkan bahwa sistem RME meningkatkan efisiensi, efektivitas kerja, dan membantu pelayanan menjadi lebih cepat. Kesimpulan dari penelitian ini adalah bahwa implementasi RME di RSUD Ibu Fatmawati Soekarno telah memberikan kontribusi positif terhadap peningkatan mutu pelayanan rawat jalan, terutama dari aspek efisiensi dan dokumentasi pelayanan medis.
Determinants of Outpatient Satisfaction Based on Health Service Quality Dimensions in Primary Health Care Wahyu Ratri Sukmaningsih; Wahyu Wijaya Widiyanto; Meldha Ayu Subekti; Joaquim Gregório de Carvalho
Jurnal Infokes Vol 16 No 1 (2026): Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/bmrw4f15

Abstract

Primary health care performance is closely linked to patient satisfaction, which reflects the extent to which services meet patient expectations. This study aimed to identify the determinants of outpatient satisfaction based on health service quality dimensions at Puskesmas Simo, Boyolali. A cross-sectional analytical observational design was applied involving 100 outpatient respondents selected through convenience sampling. Data were collected using a validated and reliable structured questionnaire and analyzed using univariate, bivariate, and multivariate logistic regression methods. Results showed that the majority of respondents rated service quality positively across all SERVQUAL dimensions, with 90% reporting satisfaction. Multivariate analysis revealed that four dimensions of reliability (OR = 6,08), responsiveness (OR = 4,20), assurance (OR = 2,66), and empathy (OR = 5,09) significantly influenced outpatient satisfaction (p < 0,05), whereas tangibles did not (p = 0,220). Reliability was the strongest determinant, indicating that patients perceiving consistent, timely, and accurate services were more than six times likely to report satisfaction. These findings highlight that non-physical aspects of service quality, including interpersonal interactions and service process effectiveness, are more decisive than physical infrastructure in determining patient satisfaction. Strengthening staff competencies, ensuring standardized procedures, and promoting patient-centered care are recommended to enhance service quality in primary health care.
Knowledge And Foot Care Behavior in Patients With Diabetes Melitus: Study of Corelation Ida Nur Imamah; Guntur Harta Kusuma; Didik Iman Margatot
Jurnal Infokes Vol 16 No 1 (2026): Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/ydbqha03

Abstract

Background: Hyperglycemic conditions can lead to microvascular (27.2%) and macrovascular (53.5%) complications. Hyperglycemia causes damage to nerve cells, resulting in neuropathy that leads to decreased protective sensation in the feet. This condition causes individuals with diabetes mellitus (DM) to be unaware of foot injuries. Proper foot care is an essential part of preventing diabetic foot ulcers and can be carried out by individuals with DM at low cost and with proven effectiveness. Foot care behavior refers to actions taken to maintain foot hygiene in diabetic patients and to prevent early injuries that could lead to infection risk. Knowledge serves as the foundation for behavior change and determines an individual's level of ability.Methods:This research is a quantitative study using a cross-sectional design. The population consists of all individuals with DM, with a sample size of 57 respondents in the Surakarta City prolanis group. The sampling technique used was accidental sampling. Data were analyzed using univariate and bivariate analysis.The research instrument used DFKS for knowledge and NAFF foot care behavior. Results:The majority of respondents had a low level of knowledge (64.9%) and poor foot care behavior (71.9%). Bivariate analysis using the chi-square test showed a p-value < 0.05 (0.018).Conclusion:There is a significant relationship between the level of knowledge and foot care behavior
Design and Development of An Electronic Medical Record System For Maternal and Child Health and Dental Clinics at Camar Mandiri Primary Clinic, Jember Mochammad Choirur Roziqin; Aylivia Fudya Ningrum; Bakhtiyar Hadi Prakoso; Indah Muflihatin; Gamasiano Alfiansyah; Muhammad Ifantara Putra
Jurnal Infokes Vol 16 No 1 (2026): Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/mr756b06

Abstract

Camar Mandiri Primary Clinic, particularly the Maternal and Child Health (MCH) and Dental outpatient units, has not yet implemented an Electronic Medical Record (EMR) system; consequently, patient registration and data recording are still performed manually. This condition is not in line with the Indonesian Ministry of Health Regulation No. 24 of 2022. This study aims to design and develop a web-based outpatient EMR system to improve service efficiency in the MCH and Dental clinics at Camar Mandiri Primary Clinic. This study employed a Research and Development (R&D) approach. Data were collected through observations and interviews involving two medical records staff, one dentist, one midwife, one pharmacist, and the clinic head. The system was developed using the waterfall method, which includes system flowcharts, context diagrams, Data Flow Diagrams (DFD), and Entity Relationship Diagrams (ERD). Data were collected through observation and interviews. The result is a web-based outpatient EMR system for the MCH and Dental clinics at Camar Mandiri Primary Clinic. Black-box testing results demonstrate that the system aligns with user needs, is user-friendly, and adequately supports clinical examination and reporting functions. Future development is recommended by adding more comprehensive and complex features, particularly modules related to pharmacy services and cashier management
Tooth Agenesis in A Seven Year Old Child at RSGM Soelastri Surakarta Case Report Devina Pramesti Intan Faradilla; Septriyani Kaswindiarti
Jurnal Infokes Vol 16 No 1 (2026): Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/ss6d7x70

Abstract

Agenesis is a dental anomaly that occurs relatively frequently in humans. Agenesis results in the failure of teeth to develop after birth, with tooth development occurring only during childhood. The prevalence of permanent dental agenesis in non-syndromic individuals is higher among Europeans, with 4.6% in males and 5.5% in females, in Australia 5.5% in males and 7.6% in females, and lower among Caucasian Americans, with 3.2% in males and 4.6% in females. A 7-year-old male patient came to RSGM Soelastri with his mother, complaining of small and sharp teeth. In the intraoral examination, abnormalities were found in the deciduous teeth, showing hypodontia where the tooth bud of 42 did not develop. Beside of hypodontia, this case also exhibited a peg shape in tooth 82. The patient's parents should be given communication, information and education regarding the issues that occur. The diagnosis of agenesis requires clinical and supportive examinations. It can be concluded that the main factor causing agenesis and peg shape is genetic.
Review of The Completeness of Filling In The Form (CPPT) of The Inpatient Midwifery Ward of Aisyiyah Hospital Rahmadhani Rahmadhani; Dewi Mardiawati; Oktamianiza Oktamianiza; Heru Rahmat Wibawa; Yopia Priyanti; Siti Handam Dewi
Jurnal Infokes Vol 16 No 1 (2026): Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/dz57rc03

Abstract

Incompleteness of Inpatient (CPPT) form affects the quality of medical records in hospitals. The (CPPT) form must be filled out completely to improve the quality of hospital services and can be accounted for if there are errors in service, action or medication administration. The purpose of this study was carried out because there are still many problems found related to incompleteness of the (CPPT) form by PPA at Aisyiyah Hospital. The study was conducted at Aisyiyah Hospital from January to March 2025, this type of research is quantitative research with a descriptive approach. The population was 144, with the Accidental Sampling sample technique, obtained 59. Data processing techniques were editing, coding, processing, and cleaning. The results of the study obtained a percentage of identification data as much as 1 (1.7%) incomplete 58 (98.3%) complete, in important reports 17 (28.8%) incomplete 42 (71.2%) complete. In authentication 50 (84.7%) incomplete 9 (15.3%) complete. In good record keeping, 21 (35.6%) were incomplete, 38 (64.4%) were complete. In filling out the form (CPPT), 51 (86.4%) were incomplete, 8 (13.6%) were complete. This was due to a lack of awareness among officers in filling out the CPPT form. The conclusion in this study was that incompleteness was still found, especially in the Authentication and Completion of the CPPT Form. This has an impact on patient safety and the accountability of medical personnel. It is recommended that officers fill out the CPPT form completely and accurately to support safe and quality health services.
A New Formative Assessment for Indonesian Medical Records Education: Validating DOPSAT-RSP Untoro Dwi Raharjo; Rizky Yuspita Sari; Resia Perwirani; Jannatul Iza Ahmad Kamal
Jurnal Infokes Vol 16 No 1 (2026): Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/cqnhga62

Abstract

The assessment of practical skills among Associate Degree or Diploma 3 students of Medical Records and Health Information (MRHI) during field practice (PKL) lacks a standardized workplace-based assessment (WPBA) instrument, resulting in variations across institutions and potential subjectivity in evaluation. While Direct Observation of Procedural Skills (DOPS) is effective in clinical assessment but not fully suited to the non-clinical context of MRHI practice. This study aimed to modify DOPS into a formative assessment tool for MRHI field practice and to examine its validity and reliability. A research and development design was applied. The modified instrument, DOPSAT-RSP, underwent content validity testing by ten experts using the Content Validity Index (CVI) and Content Validity Ratio (CVR). Reliability testing included inter-rater reliability using Weighted Cohen’s Kappa and internal consistency using Cronbach’s alpha, involving two raters and 39 students. All items met content validity criteria (I-CVI ?0.900; CVR ?0.800; S-CVI =0.950). The Weighted Kappa value (0.774) indicated strong inter-rater agreement, while Cronbach’s alpha (0.952) demonstrated excellent internal consistency. The DOPSAT-RSP instrument is valid and reliable for formative assessment of D-3 RMIK students’ practical skills during PKL and shows potential for wider implementation with user training.

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