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Muhammad Yunus
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m.yunus@polije.ac.id
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j-remi@polije.ac.id
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Program Studi Rekam Medik Politeknik Negeri Jember Jl. Mastrip PO Box 164, Jember, Jawa Timur
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J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan
Published by Politeknik Negeri Jember
ISSN : -     EISSN : 2721866X     DOI : https://doi.org/10.25047/jremi
Core Subject : Health,
Health Professions Public Health
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan is a scientific journal that is managed and published by the Program Studi Rekam Medik, Jurusan Kesehatan, Politeknik Negeri Jember. J-REMI contains the publication of research results from students, lecturers and or other practitioners in the field of medical records and health information with coverage and focus on the fields of Health Information Management, Health Information Systems, Health Information Technology, Health Quality Information Management and Classification, Coding of Diseases and Problems. Health and Action.
Arjuna Subject : Profesi Kesehatan - Menejmen Informasi Kesehatan
Articles 6 Documents
 1 
Search results for , issue "Vol 1 No 2 (2020): March" : 6 Documents clear
DETERMINAN KEAMANAN DAN KERAHASIAAN DOKUMEN REKAM MEDIS DI RUANG FILING RS X Gamasiano Alfiansyah; Rossalina Adi Wijayanti; Novita Nuraini; Selvia Juwita Swari; Siti Wafiroh
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 2 (2020): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i2.1961

Abstract

Rumah Sakit X menerapkan pengelolaan rekam medis sebagai penunjang medis. Dokumen rekam medis belum terjaga keamanan dan kerahasiaannya, dimana banyak petugas medis lain keluar masuk ruang filing, terdapat petugas makan dan minum diruang filing, penyimpanan masih di rak terbuka, dan petugas atau mahasiswa penelitian membocorkan isi rekam medis pasien.  Tujuan dari penelitian ini adalah mengetahui determinan keamanan dan kerahasiaan dokumen rekam medis di Rumah Sakit X. Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian kualitatif menggunakan metode brainstorming dengan teknik wawancara, observasi dan dokumentasi. Hasil yang didapatkan dalam penelitian ini adalah faktor karakteristik petugas terdiri dari tingkat pendidikan terakhir petugas SMA, umur petugas 32-38 tahun, dan jenis kelamin laki-laki. Faktor psikologi meliputi attitude seperti petugas masih makan dan minum, petugas medis lain keluar masuk, membuka dokumen rekam medis tanpa izin dan terdapat pembocoran isi dokumen rekam medis. Faktor motivasi meliputi petugas merasa puas dan kompetitif dalam bekerja. Faktor organisasi meliputi penghargaan berupa pujian dan kepemimpinan belum dilakukan pemberian petunjuk pergantian dokumen rekam medis yang hilang. Hasil brainstorming yang menjadi penyebab utama yaitu tingkat pendidikan petugas yang masih rendah yaitu SMA. Saran yang diberikan meliputi pendidikan lanjutan atau pelatihan, memberi evaluasi secara rutin dan piagam kepada petugas. Kata kunci : keamanan, kerahasiaan, penyimpanan
ANALISIS FAKTOR KINERJA PENGISIAN DOKUMEN REKAM MEDIS RAWAT INAP KLINIK dr. M. SUHERMAN JEMBER Aditya Dwi Arimbi; Selvia Juwita Swari; Novita Nuraini; Indah Muflihatin; Gamasiano Alfiansyah
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 2 (2020): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i2.2238

Abstract

Percentage of incompleteness of filling in the medical records of the Clinic Dr. M. Suherman shows thatthe Minimum Service Standards in the Hospital are not yet 100%. Incomplete data has shown that thecompleteness of filling medical record documents is still not in accordance with the specified standards.The incompleteness of filling out the medical record document may be caused by the performance factorof the officer in completing the inpatient medical record document. The purpose of this study is to analyzethe performance factors in filling out the record documents. The purpose of this study was to analyze theperformance factors in filling out medical records of inpatients at the Clinic dr. M. Suherman Jember. Thisstudy uses qualitative research that aims to identify and analyze performance factors in filling inpatientmedical record documents at the Clinic dr. M. Suherman Jember, who will be associated with performancetheory with personal factors, leadership factors, team factors, system factors, and situational factors, andusing the USG (Urgency, Seriousness, Growth) method to determine the main factors of the 5 factors thataffect performance as well as efforts to correct problems using brainstorming. The results of this studyobtained priority causes of the incompleteness of filling medical records documents for inpatients at theClinic dr. M. Suherman Jember is the lack of awareness of each individual related to filling medical recorddocuments, lack of evaluation and monitoring, lack of socialization, lack of understanding related to SOPfor filling medical record documents because there is no SOP for filling medical record documents, so theClinic, Dr. M. Suherman asked researchers to make SOPs for filling in the records of inpatients. As asuggestion, do a commitment to complete the completeness of filling medical record documents, conductsocialization, evaluation and routine monitoring, as well as making SOP for filling medical recorddocuments.
SISTEM INFORMASI PEMINJAMAN DAN PENGEMBALIANREKAM MEDIS DENGAN BARCODE DAN NOTIFIKASI WHATSAPP DI RUMAH SAKIT WIJAYA KUSUMA LUMAJANG Hayu Ning Widyastuti; Andri Permana Wicaksono; Sustin Farlinda; Ervina Rachmawati
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 2 (2020): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i2.2239

Abstract

The medical record file control activity at Wijaya Kusuma Lumajang Hospital has not been well implemented.This is evidenced by the absence of the use of tracers as a substitute for files that leave the medical recordrack and the use of expedition books only on borrowing inpatient medical record files. This study aims todesign and create a medical record lending and return information system with a barcode and web-basedWhatsApp notification at Wijaya Kusuma Lumajang Hospital that produces patient labels, tracers, reports onborrowing and return of medical records. This type of research is the development of a prototype method withqualitative data collection techniques in the form of interviews, observation, documentation, and brainstorming.The stages of the prototype method include analyzing user needs, making prototypes, adjusting prototypes tothe user's wishes, creating new systems, testing systems, adjusting the system to the user's wishes, andusing the system. The results of this study are information systems for borrowing and returning medicalrecords with a web-based barcode and WhatsApp notification system that facilitates the process of trackingfiles and overcoming problems in the process of borrowing and returning medical records
ANALISIS KUALITATIF DOKUMEN REKAM MEDIS RAWAT INAP PADA PASIEN TUBERKULOSIS PARU Novita Nuraini; Demiawan Rachmatta Putro Mudiono; Mitha Audia Rachma
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 2 (2020): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i2.2240

Abstract

Qualitative analysis is a review of filling medical records relating to the consistency of the contents of the medicalrecord. A good medical record must contain complete medical records. This study aims to analyze qualitativeinpatient Medical Record Documents (DRM) in pulmonary tuberculosis patients in Tongas Probolinggo RegionalHospital in the first quarter of 2017. This research type is descriptive with a qualitative approach with datacollection techniques of observation and interviews. The results of this study are that there are still documentson pulmonary tuberculosis medical records at Tongas Probolinggo Regional Hospital which are still incompleteand inaccurate. One of them is in the administrative qualitative analysis, which is the incomplete patient addresswriting100%, because nurses pay less attention and remind patients / guardians in filling out informed consentsheets. In addition, medical staff did not apply 100% of the writing of the tuberculosis standard abbreviationcontained in the SOP of the Tongas Hospital Standard Standard, because there was still a lack of socializationfrom the RM unit to medical personnel related to the use of the tuberculosis standard abbreviation. In aqualitative medical analysis, there were no X-ray examination results on patients who had X-ray examinationsas many as 19 documents, because in Tongas Regional Hospital did not have an examination result sheet, sothe results of the examination were not written in the DRM. So the quality of DRM in patients with pulmonarytuberculosis both administratively and medically is still not good. It is better if the accuracy and discipline ofmedical staff are needed in filling DRM
SISTEM INFORMASI PEMINJAMAN DAN PENGEMBALIAN DOKUMEN REKAM MEDIS MENGGUNAKAN METODE WATERFALL (STUDI KASUS PUSKESMAS BANJARSENGON) Nur Malika Jamil; Niyalatul Muna; Rossalina Adi Wijayanti; Andri Permana Wicaksono
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 2 (2020): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i2.2241

Abstract

The information system is made based on problems in recording the implementation of loans, returningmedical records. This computerized information system where in the borrowing and returning of medicalrecords is no longer manual. The purpose of this information system is to facilitate officers in recording,borrowing, returning, controlling and controlling medical records. The borrowing and return of medical recordsmust be controlled properly to reduce duplication of medical record numbers and delays in medical recorddocuments. Qualitative research using documentation data collection methods and interviews at theBanjarsengon Health Center in Jember. The method used in this research is the 2011 somerviel waterfallmethod. The steps taken are requirements analysis, system design, program code writing, and programtesting. The design of this information system uses flowchart design, context diagrams, Data Flow Diagrams(DFD), and Entity Relationship Diagrams (ERD) then the design results are implemented into a visual basicprogramming language using Miscrosoft Visual Studio 2010. The results of this study are lending informationsystems. and return of medical record documents. This information system is equipped with a warning alert asa notification that medical record documents borrowed by POLI to be returned immediately, can help ease theworkload of filing officers by minimizing the number of delays in medical record documents and duplication ofmedical record documents.
TINGKAT PENERIMAAN DAN PENGGUNAAN SISTEM INFORMASI MANAJEMEN PUSKESMAS KABUPATEN JEMBER Sedyo Pinerdi; Efri Tri Ardianto; Novita Nuraini; Ida Nurmawati
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 2 (2020): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i2.2242

Abstract

The district health office of Jember conducted a trial of operating SIMPUS in 20 puskesmas, but only 16puskesmas operated the SIMPUS. The district health office of Jember will be announced at the end of 2019SIMPUS will be fully operated in 50 puskesmas throughout the Jember district. This study is aimed to describethe level of acceptance and use of the Puskesmas management information system using the Theory ofAcceptance and Use of Technology (UTAUT) method. This study discusses the variables of performanceexpectancy, effort expectancy, sosial influence, facilitating conditions, behavioral intention, and the usebehavioral of SIMPUS users that are spread across 16 public health platforms in the District Health Office ofJember. This type of research is observational descriptive. The data analysis technique used is descriptive.The results of this study were that the officers were quite confident that they would get ease while workingusing SIMPUS (55.9%), the work became easy when the officers used SIMPUS (69.5%), the head of thepuskesmas and health offices supported the use of SIMPUS (73,7%), the facilities and infrastructure providedcan support the use of SIMPUS (58.5%), officers wish to use SIMPUS in the near future (70.3%), and officersuse SIMPUS when working (65.3%). The district health office of Jember needs to operate SIMPUS again andincrease server capacity so that the acceptance and use of SIMPUS increases.

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