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Beny Irawan
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Medistra Medical Journal (MMJ)
Published by Institut Kesehatan Medistra Lubuk Pakam
ISSN : -     EISSN : 30263492     DOI : https://doi.org/10.35451/mmj.v2i1
Core Subject : Health, Science,
Health Professions Immunology & microbiology Medicine & Pharmacology Public Health
Aims and Scope Medistra Medical Journal (MMJ) Aims to disseminate conceptual thoughts or ideas, reviews and research findings obtained by academics, researchers and practitioners in the field of Medicine and Health Medistra Medical Journal (MMJ) Scope: Biomedical Science & Clinical Practice Preventive Medicine Family Medicine Occupational Medicine Bioethics Trauma and Medical Emergencies Public Health Epidemiology and Biostatistics Mental Health Clinical Nutrition Clinical Pathology Anatomical Pathology
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 22 Documents
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Search results for , issue "Vol 2 No 2 (2025): Medistra Medical Journal (MMJ)" : 22 Documents clear
Integration of Health Information Systems to Improve Emergency Management in Primary Care at Sembiring General Hospital Deli Tua in 2023 Ridwanto Situmeang
Medistra Medical Journal (MMJ) Vol 2 No 2 (2025): Medistra Medical Journal (MMJ)
Publisher : Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/tkyc5e36

Abstract

Catastrophic emergencies, such as natural disasters, mass accidents, and pandemics, demand preparedness and resilience. Primary care plays a crucial role as the frontline in handling medical emergencies. Speed, accuracy, and strong coordination are key to saving patients' lives. However, challenges often arise, including delays in data recording, difficulty accessing medical records, and suboptimal communication between units. Health information system integration presents an innovation to address these challenges through digital, real-time, and interconnected data management across service units. This study aims to analyze the role of health information system integration in improving emergency management at Sembiring Deli Tua General Hospital in 2023. The research method used a descriptive qualitative design using interviews, observations, and document review techniques. Research informants included Emergency Unit healthcare workers, medical records officers, and hospital information system managers. The results showed that the implementation of a health information system can accelerate the triage process, improve the accuracy of patient records, and strengthen coordination between healthcare workers in critical situations. Consequently, the response to emergency patients becomes more efficient and targeted. Obstacles still encountered include limited technological infrastructure, human resource skills, and suboptimal policy support. In conclusion, health information system integration has proven to contribute significantly to improving emergency management in primary care. Going forward, strengthening digital infrastructure, improving healthcare worker competency, and managerial commitment will be key factors.
Evaluation of Clinical Decision-Making Quality in Catastrophic Emergency Management at Primary Care Services in Pagar Jati Community Health Center, 2023 Elias Siahaan
Medistra Medical Journal (MMJ) Vol 2 No 2 (2025): Medistra Medical Journal (MMJ)
Publisher : Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/xzrvqp85

Abstract

Background: The quality of clinical decision-making is a crucial factor in managing catastrophic emergencies, particularly in primary care facilities that serve as the frontline of disaster response. Pagar Jati Community Health Center, as a primary health service, needs to be evaluated for its capacity to make rapid, accurate, and well-coordinated clinical decisions during disaster situations. Objective: This study aims to evaluate the quality of clinical decision-making among healthcare workers in managing catastrophic emergencies at Pagar Jati Community Health Center in 2023. Methods: This research employed a descriptive-analytic design with a quantitative approach. The sample consisted of medical personnel (doctors, nurses, and midwives) involved in emergency management. Data were collected through structured questionnaires, simulation observations, and a review of standard operating procedures (SOPs). Descriptive analysis was performed to assess timeliness, clinical accuracy, and team coordination. Results: The study found that most clinical decisions were made within ≤10 minutes, consistent with the golden time standard, although 23% of cases experienced delays due to communication barriers. Clinical accuracy reached 78% in accordance with national guidelines, but errors were identified in prioritizing patients with multiple injuries. Internal team coordination among healthcare workers was relatively good, yet external coordination with referral hospitals faced challenges, particularly in communication and the timely evacuation of critical patients. Conclusion: The quality of clinical decision-making at Pagar Jati Community Health Center is considered adequate but requires improvement through regular disaster simulation training, strengthening of referral communication systems, and the development of integrated emergency information systems. These efforts are expected to enhance the effectiveness of catastrophic emergency management in primary care services.

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