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nurmawati, ida
Politeknik Negeri Jember
Computer Science & IT Decision Sciences, Operations Research & Management Education Engineering Health Professions Immunology & microbiology Library & Information Science Medicine & Pharmacology Nursing Public Health

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Evaluasi Rekam Medis Elektronik di Tempat Pendaftaran Pasien Gawat Darurat dan Rawat Inap RSUD K.R.M.T Wongsonegoro Kota Semarang Eka Cintiya Febrianti; Ida Nurmawati; Indah Muflihatin
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 4 (2020): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i4.2145

Abstract

Each hospital is required to hold records or records of all services provided to patients called medical records. Increasing the effectiveness of recording medical data that is accurate, fast, can take advantage of current technological advances through the implementation of the Electronic Medical Record (EMR) system in hospitals. RSUD K.R.M.T Wongsonegoro is one of the hospitals that has implemented an electronic medical record (EMR) especially in the inpatient and emergency department registration units. The application of this electronic medical record still has some flaws that must be evaluated. This study aims to evaluate the implementation of electronic medical records at the emergency and inpatient registrations of Wongsonegoro Hospital. Data collection in this study consisted of observations and interviews. Identification of problems using the TAM (Technology Acceptance Model) method by reviewing from 3 aspects namely perceived usefulness, perceived ease of use, and behavioral intention to use. This type of research is descriptive qualitative by narrating the results of research based on the data obtained. The results obtained from this study are based on the aspect of usefulness (perceived usefulness), namely the use of electronic medical records in TPPGD and TPPRI, making the registration officer work faster and more effective.The aspect of ease (perceived ease of use) obtained from the interview results is that it is able to make it easier to accelerate the registration process in the TPPGD and TPPRI. The behavioral intention to use obtained is that the users of this system really need this electronic medical record and the registration officer at TPPGD and TPPRI plans to use the EMR in the future.
Identifikasi Faktor Penyebab Penumpukan Berkas Rekam Medis Aktif di RS Husada Utama Nurul Kamilia; Rossalina Adi Wijayanti; Ida Nurmawati
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 4 (2020): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i4.2160

Abstract

Based on the results of a preliminary study conducted at the Husada Utama Hospital it is known that in 2018 there was an accumulation of active medical record files which were 310 files. The impact of the accumulation of medical record files is the provision of medical record files will take longer so that patients often complain, officers become fatigued quickly in doing their work so that it will also have an impact on the depreciation process that should be done every day, and officers also feel uncomfortable and disturbed because the accumulation of medical record files also interferes with access to filing officers when retrieving and returning medical record files. This study aims to identify the factors causing the accumulation of active medical record files in Husada Utama Hospital. This type of research uses qualitative and data collection by interview, observation, and documentation. The results obtained that the results showed that the cause of the accumulation of medical record files that affect from the Man side is that the officer has never attended medical records training, from the Money side that is still not getting a budget for storage shelves, from the Material side there is a medical record file that is not using a map, in terms of Machine that is the number of storage racks not according to needs and in terms of Method which is the implementation of a storage system, alignment, and retention that is not in accordance with the Standard Operating Procedure (SOP).
Evaluasi Rekam Medis Elektronik Bagian Coding Rawat Inap RSUD K.R.M.T Wongsonegoro Kota Semarang Septina Dwi Indrawati; Ida Nurmawati; Indah Muflihatin; Syaifuddin Syaifuddin
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 4 (2020): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i4.2164

Abstract

RSUD K.R.M. T Wongsonegoro The city of Semarang became one of the type B hospitals in the city of Semarang, which have applied the electronic medical record gradually the application of electronic medical records assessed as an effort to improve the quality of services increasing patient satisfaction improves the documentation accuracy reduces clinical error and speeds up patient data access. (Billy Maria in Andriani DKK 2017). One of the service units that require the speed, accuracy and accuracy of access to patient data is the coding part of the hospitalization of the person who handled the medical record and coding (PJRM). In its implementation, there were constraints that made the officers less satisfied with RME. The purpose of this research is to evaluate RME implementation using the PIECES method (performance, information, economic, control, efficiency, service). This type of research is qualitative research, by conducting observation methods and interviews to PJRM officers. The results of RME evaluation conducted using the PIECES method on the performance/performance aspect, RME has already produced a good performance. Based on information/information aspect, RME can provide accurate information quality, according to user needs, and easy to understand. Based on Economy/economy, RME has the value to be integrated with one hospital and have qualified resource. Based on Control/control aspect, RME has good integrity and security because it comes with username and password, has different permissions. Based on the Efficiency/data efficiency aspects of RME can be easily learned, operated, and processed. Based on the Service/service aspect: RME users feel that RME provides convenience for RME users. In conclusion, RME in the coding part of inpatient is good enough in terms of Performance, Information, Economy, Control, Efficiency and Control. The advice that can be given is to make improvements and development on RME to avoid errors, regulatory or regulation regarding steps when errors occur, as well as conducting socialization or training to RME users.
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.
Desain Formulir Pendukung Surveilans Infeksi Nosokomial di Rumah Sakit Baladhika Husada Jember Ana Nafidatul Nafidatul Khoiroh; Rinda Nurul Nurul Karimah; Ida Nurmawati
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 2 No 1 (2020): December
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v2i1.2249

Abstract

Nosocomial infections if not reported will affect the quality of service and patient satisfaction. This happened at Baladhika Husada Hospital in Jember, namely the absence of a surveillance form for nosocomial infection. This form is important as evidence in determining accreditation standards because accreditation requires documentary proof in writing. This study aims to design an infection surveillance support form based on SNARS edition 1 of 2017. The type of research used in this study is the Research & Development study to design a support form for nosocomial infection surveillance. Data collection techniques using interview, observation, and brainstorming techniques. The subjects of this study were medical record officers, doctors, nurses, PPI, and SNARS accreditation team. This research resulted in identification of the physical aspects of the paper used is F4 paper with a weight of 70 gr and white. The anatomical aspects used on the form are the head of the form located at the top, there are instructions on the form, the font used is arial with a space of 1.15. The content aspect consists of completeness of items, sorting of items, grouping of items, abbreviations, symbols and ways of filling have been adapted to other forms and user needs. The results of this study are in the form of designs that are expected to be used for consideration in planning a form, especially infection surveillance forms. So that the hospital is easier in carrying out recording and reporting activities regarding nosocomial infection surveillance.
Analisis Kepuasan Pasien Rawat Jalan Puskesmas Dringu Kabupaten Probolinggo Ani Nuraini; Ida Nurmawati; Rossalina Adi Wijayanti; Ervina Rachmawati
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 2 No 4 (2021): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v2i4.2310

Abstract

Dringu Public Health Center, Probolinggo Region, has a vision to become a public health center with the optimal health services. It can be known from patient satisfaction assessment. So far, the patient satisfaction assessment has never been carried out in Dringu Public Health Center. The purpose of this study was to analyze the outpatient satisfaction of the Dringu Public Health Center, Probolinggo Region, through service quality method based on five (5) service quality dimensions of tangible, reliability, responsiveness, assurance and empathy. This type of research used a quantitative method. The populations consist of 23526 peoples and the samples were 100 respondents. The sampling technique used purposive sampling.  Data were collected by questionnaire. The results showed that the percentage of services in tangible dimension were 86.3% of patient satisfaction and 13.7% of patient dissatisfaction. The percentage of services in reliability dimension were 89.6% of patient satisfaction and 10.4% of patient dissatisfaction. The percentage of services in responsiveness dimension were 69.7% of patient satisfaction and 30.3% of patient dissatisfaction. The percentage of services in the assurance dimension were 68.2% of patient satisfaction and 31.8% of patient dissatisfaction. In the empathy dimension, the percentage of service were 74.1% of patient satisfaction and 25.9% of patient dissatisfaction. It is recommended to create a patient admission flow as well as create a service schedule poster for Dringu public health center.
Kebutuhan Perancangan Sistem Screening Balita Sakit Berdasarkan Klasifikasi dan Penatalasanaan MTBS Ida Nurmawati; Feby Erawantini
Jurnal Kesehatan Vol 6 No 3 (2018): Desember
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-kes.v6i3.18

Abstract

Angka kematian balita (AKBA) di Indonesia tahun 2015 sebesar 26,29 per 1000 kelahiran hidup. Target SDG’s angka kematian balita dapat menurun sebesar 25 per 1000 kelahiran pada tahun 2030. Salah satu upaya untuk menurunkan kematian balita adalah dengan deteksi sedini mungkin penyebab kematian balita. Tujuan penelitian ini adalah melakukan identifikasi kebutuhan perancangan sistem screening balita sakit berbasis android. Penelitian ini merupakan penelitian kualitatif untuk menggali lebih dalam informasi tentang kebutuhan perancangan sistem. Pengumpulan data dilakukan dengan brainstorming dan dokumentasi. Brainstorming dilaksanakan dengan melibatkan 2 bidan dan 2 perawat sebagai pengguna MTBS di Puskesmas. Dokumentasi dilakukan untuk memperoleh informasi tentang bagan MTBS revisi 2015. Hasil penelitian diketahui bahwa petugas kesehatan membutuhkan aplikasi yang mampu mendeteksi balita sakit secara otomatis, kader kesehatan dapat diberdayakan dalam mendeteksi balita sakit dengan menggunakan sistem screening balita sakit, sistem screening balita sakit dapat membenatu penyelenggaraan MTBS-M. Memberikan pelatihan kepada kader kesehatan dalam melakukan deteksi balita sakit menggunakan bagan MTBS.
Design Formulir Informed Consent Unit Layanan Kesehatan Jiwa Puskesmas Candipuro Ferly Ferly; Ida Nurmawati
Jurnal Kesehatan Vol 8 No 3 (2020): Desember
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-kes.v8i3.172

Abstract

Pencatatan data tentang tindakan yang dilakukan tenaga medis terhadap pasien sangat penting untuk didokumentasikan dalam formulir rekam medis. Sehingga formulir perlu didesain sedemikian rupa guna memenuhi kebutuhan pengguna. Berdasarkan survei pendahuluan di Puskesmas Candipuro formulir persetujuan tindakan kedokteran pasien gangguan jiwa masih menggunakan formulir rawat jalan biasa, tidak mencerminkan formulir informed consent pasien gangguan jiwa. Tujuan penelitian ini adalah untuk mendesain formulir informed consent pasien gangguan jiwa pada Unit Layanan Kesehatan Jiwa Puskesmas Candipuro. Metode yang digunakan kualitatif dengan teknik pengumpulan data observasi, wawancara, dan brainstorming, subjek penelitian yaitu 1 petugas rekam medis, 2 perawat pasien jiwa, dokter yang menangani pasien gangguan jiwa, dan kepala puskesmas. Analisis data dalam penelitian ini menggunakan analisis data reduction, data display, dan conclusions. Hasil penelitian ini adalah rancangan desain formulir informed consent pasien gangguan jiwa yang sesuai kebutuhan pengguna berdasarkan aspek fisik menggunakan kertas HVS F4 dengan berat 70 gram, aspek anatomi menyesuaikan standar desain formulir, dan aspek isi formulir menyesuaikan kebutuhan pengguna dengan mencantumkan data administratif dan data klinis yang terdiri dari diagnosa dan dasar penegakannya, tindakan medis yang terdiri dari indikasi, tata cara, tujuan, dan risikonya, serta informasi lain yang dibutuhkan dalam informed consent. Desain formulir informed consent pasien gangguan jiwa yang baru dapat diterapkan di Unit Layanan Kesehatan Jiwa Puskesmas Candipuro untuk menunjang kelengkapan informasi rekam medis pasien gangguan jiwa dan untuk menghindari malpraktik.
Perancangan dan Pembuatan Sistem Informasi Retensi Rekam Medis Rawat Jalan di Puskesmas Jenggawah Kabupaten Jember Andri Permana Wicaksono; Muhaiminul Aziz; Feby Erawantini; Ida Nurmawati
Jurnal Teknologi Informasi dan Ilmu Komputer Vol 9 No 4: Agustus 2022
Publisher : Fakultas Ilmu Komputer, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25126/jtiik.2021864795

Abstract

Puskesmas Jenggawah Kabupaten Jember dalam melaksanakan pengelolaan dokumen rekam medis tidak selamanya disimpan di ruang filing melainkan ada batas waktu penyimpanan. Dokumen rekam medis yang sudah melewati masa penyimpanan harus diretensi, karena bertambahnya jumlah dokumen rekam medis sehingga ruang penyimpanan akan penuh dan tidak mencukupi untuk rekam medis baru. Pelaksanaan retensi masih dilakukan secara manual, menyebabkan kegiatan retensi tidak berjalan dengan efektif dan efisien, serta tidak sesuai dengan perkembangan zaman. Penelitian ini bertujuan untuk merancang dan membuat sistem informasi retensi rekam medis rawat jalan di Puskesmas Jenggawah. Jenis penelitian yang digunakan adalah pengembangan sistem dengan metode RAD (Rapid Application Development) dan menggunakan teknik pengumpulan data kualitatif berupa wawancara, observasi, dokumentasi, dan brainstorming. Responden dalam penelitian ini yaitu kepala unit rekam medis, dan dua orang petugas rekam medis. Hasil dari penelitian ini adalah sebuah sistem informasi retensi rekam medis rawat jalan yang memudahkan petugas dalam melaksanakan kegiatan retensi di Puskesmas Jenggawah. AbstractJenggawah Public Health Center at Jember Regency in the process of managing the medical record documents was not always stored in a filing room but there was a time limit for storage. Medical record documents that had passed the storage period must be retained, due to the increasing number of medical record documents so that the storage space will be full and not sufficient for new medical records. The implementation of retention still aplied manually, caused retention activity did not run effectively and efficiently, and did not in accordance with the times. This study aims to design and creates an outpatient medical record retention information system at Jenggawah Public Health Center. This type of the research was a system development with the RAD (Rapid Application Development) method and uses qualitative data collection techniques in the form of interviews, observation, documentation, and brainstorming. Respondents in this study were the head of the medical record unit, and two medical record officers. The result of this study is an outpatient medical record retention information system that has the ability to regulate and manage the retention, preservation, and destruction of outpatient medical record documents and is integrated with the information system for borrowing and returning medical record documents so that it can make it easier for officers to carry out retention activity at Jenggawah Public Health Center.
Literature Review: Kepuasan Pasien BPJS Rawat Inap Ditinjau dari Dimensi Mutu Pelayanan Kesehatan Ida Nurmawati; Bunga Adina Pramesti
Jurnal Kesehatan Vokasional Vol 7, No 4 (2022): November
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.72737

Abstract

Latar Belakang: Fasilitas pelayanan kesehatan diharuskan memberikan mutu pelayanan yang profesional dan sesuai harapan pasien sehingga pasien puas, tetapi masih banyak keluhan pasien terhadap mutu pelayanan kesehatan sehingga pasien tidak puas. Ketidakpuasan pasien terhadap pelayanan kesehatan yang diperoleh dikarenakan pelayanan tidak tepat waktu, petugas yang tidak dapat memberikan penjelasan, kurangnya perhatian petugas, dan lingkungan rawat inap yang penuh.Tujuan: Menganalisis mutu pelayanan kesehatan terhadap kepuasan pasien BPJS rawat inap menggunakan dimensi kepuasan pasien (reliability, responsiveness, tangible, assurance, dan empathy)Metode: Literature review digunakan dengan mencari artikel menggunakan Publish or Perish dan bagan PRISMA sehingga ditemukan 10 jurnal dan 1 skripsi yang sesuai dengan kriteria yang ditentukan.Hasil: Hasil analisis 11 artikel menunjukkan keluhan pasien berupa kurang ramahnya dokter dan perawat, sarana dan prasarana yang tidak lengkap, perawat yang kurang tanggap, keterampilan yang tidak profesional, dan pelayanan yang tidak tepat waktu.Kesimpulan: Faktor-faktor yang membuat pasien lebih mudah puas adalah pendidikan pasien yang rendah, pasien yang berusia pasien, hubungan yang baik antara pasien dan petugas (empathy), fasilitas dan lingkungan rawat inap bersih (tangible), ketanggapan petugas dalam memberikan informasi (responsiveness), ketelitian dan ketepatan diagnosis (assurance), dan pelayanan berjalan tepat waktu (reliability).
Co-Authors Amaliya Nikmatul Rohmah Amaliya Nikmatul Rohmah Ana Nafidatul Nafidatul Khoiroh Andri Permana Wicaksono Andri Permana Wicaksono Angga Kristiana Putri Ani Nuraini Astrid Kartika Dewi Aprilia Bunga Adina Pramesti Bunga Adina Pramesti Demiawan Rahmatta Putro Mudiono Desy Rachmawati Dita Melinda Pratiwi Efri Tri Ardianto Eka Cintiya Febrianti Ervina Rachmawati Faiqatul Hikmah Feby Erawantini Feby Erawantini Feby Erawantini Ferly Ferly Finno Harta Dinata Gamasiano Alfiansyah Gamasiano Alfiansyah Gilang Nur Permana Gilang Nur Permana Indah Muflihatin Kurnia Arofah Lidya Nur Fatimatuz Zuhro Maya Weka Santi Maya Weka Santi Muhaiminul Aziz Nabiilah Qurrota A'yun Niyalatul Muna Novita Nuraini Novita Nuraini Nurul Kamilia Puspito Arum Rinda Nurul Nurul Karimah Rossalina Adi Wijayanti Sabran Sabran Sari Handayani Sedyo Pinerdi Selvia Juwita Swari Septina Dwi Indrawati Syaifuddin Syaifuddin Syaifuddin Syaifuddin Wiwik Dian Sari