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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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Analysis of Factors Causing Delay in Returning Inpatient Medical Record Files at Purwoharjo Health Center Maya Weka Santi; Wiwik Dian Sari; Ida Nurmawati; Sabran Sabran
Saintika Medika Vol. 18 No. 2 (2022): December 2022
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol18.SMUMM2.21959

Abstract

Delays returning inpatient medical record files at the Purwoharjo Health Center reached 54.01%, far from the standard 100% return target within 2x24 hours after the patient returned home. The purpose of the study was analyzing the factors causing the delay in returning medical record files at the Purwoharjo Health Center. The research subjects were 8 informants. Collecting data using interviews, observation, documentation, priority problems with USG, and improvement planning to fix problems with FGD. The results of the analysis of the delay in returning inpatient medical record files due to lack of knowledge of officers on the standard of returning medical record files, indiscipline of officers in filling medical record files, SIMPUS often an error, non-optimal use of expedition books, incomplete filling of medical record files, patient motivation in the form of encouragement from medical record officers have been done but officers still often return medical record files delayed. Priority problems include incomplete filling of patient medical files, indiscipline in filling patient medical record files, and lack of motivation in the form of reward. Improvement planning is making SOP for filling the medical record, improving SOP for returning the medical record, posting SOP in every officer room, giving the reward.
Penyebab Keterlambatan Pengembalian Berkas Rekam Medis Rawat Inap di Rumah Sakit Ida Nurmawati; Amaliya Nikmatul Rohmah; Gamasiano Alfiansyah
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 13 (2022): Nomor Khusus November 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13nk313

Abstract

Accuracy in returning medical record files is necessary in order to realize good medical record management, because it influences policy making, management decisions, and the delivery of information to each patient. So a study is needed that aims to study the causes of delays in returning inpatient medical record files at the hospital. This study is a literature review involving 19 articles from Google Scholar and the Garuda Portal. The results of the study stated that the causes of delays in returning medical record files were: 1) man: lack of knowledge regarding the deadline for returning medical record files, training had not been carried out, staff attitude was not good, education level was not appropriate, staff had less years of service; 2) money: budget is not yet available; 3) method: there is no SOP, the SOP has not been socialized, the officers do not work according to the SOP, monitoring has not been carried out; 4) material: incomplete filling of the patient's medical record file; 5) machine: lack of other supporting facilities.Keywords: hospital; late returns; medical records ABSTRAK Ketepatan pengembalian berkas rekam medis diperlukan guna mewujudkan manajemen rekam medis yang baik, karena berpengaruh terhadap pengambilan kebijakan, keputusan manajemen, serta penyampaian informasi kepada setiap pasien. Maka diperlukan studi yang bertujuan untuk mempelajari penyebab keterlambatan pengembalian berkas rekam medis rawat inap di rumah sakit. Studi ini merupakan literature review yang melibatkan 19 artikel dari Google Scholar dan Portal Garuda. Hasil studi menyatakan bahwa penyebab keterlambatan pengembalian berkas rekam medis adalah: 1) man: kurangnya pengetahuan terkait batas waktu pengembalian berkas rekam medis, belum dilakukan pelatihan, kurang baiknya sikap petugas, tingkat pendidikan tidak sesuai, masa kerja petugas kurang; 2) money: belum tersedianya anggaran; 3) method: belum ada SOP, belum disosialisasikannya SOP, petugas tidak bekerja sesuai SOP, belum dilaksanakannya monitoring; 4) material: ketidaklengkapan pengisian berkas rekam medis pasien; 5) machine: kurangnya sarana penunjang lain.Kata kunci: rumah sakit; keterlambatan pengembalian; rekam medis
Faktor Penyebab Ketidaklengkapan Pengisian Berkas Rekam Medis Pasien Rawat Inap Angga Kristiana Putri; Ida Nurmawati; Maya Weka Santi; Selvia Juwita Swari
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 13, No 4 (2022): Oktober 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v13i4.2282

Abstract

Incomplete medical records have an impact on the low quality of medical records and health services. The purpose of this study is to analyze the factors that cause incomplete filling in medical record files for inpatients at the hospital based on the 5M elements of management (Man, Money, Methods, Machine, Material). This study was a literature review. The results of the analysis showed that incomplete medical record files were 34.3%. Many of the items that were not filled in completely from the medical record form included authentication from doctors and nurses, namely 7 articles. Factors causing incomplete filling of inpatient medical record files with the highest percentage were lack of knowledge of staff, lack of budget, lack of rewards and punishments, non-specific or incomplete checklists for assessing file completeness, and medical record files that were less systematic. Efforts that need to be made are increasing the knowledge of officers about the importance of completing medical record files, implementing a reward and punishment system to motivate officers, improving checklist sheets and medical record files according to standards.Keywords: incompleteness; filling; inpatient medical record ABSTRAK Ketidaklengkapan rekam medis berdampak pada rendahnya mutu kualitas rekam medis dan pelayanan kesehatan. Tujuan dari studi ini adalah untuk menganalisis faktor penyebab ketidaklengkapan pengisian berkas rekam medis pasien rawat inap di rumah sakit berdasarkan unsur manajemen 5M (Man, Money, Methods, Machine, Material). Studi ini merupakan literature review. Hasil analisis menunjukkan bahwa ketidaklengkapan berkas rekam medis adalah 34,3%. Item yang banyak tidak terisi secara lengkap dari formulir rekam medis di antaranya adalah autentifikasi dari dokter maupun perawat yaitu sebanyak 7 artikel. Faktor penyebab ketidaklengkapan pengisian berkas rekam medis rawat inap dengan persentase tertinggi adalah kurangnya pengetahuan petugas, kurangnya anggaran, belum adanya reward dan punishment, checklis penilaian kelengkapan berkas yang tidak spesifik atau tidak lengkap, dan berkas rekam medis yang kurang sistematis. Upaya yang perlu dilakukan adalah meningkatkan pengetahuan petugas tentang pentingnya kelengkapan berkas rekam medis, menerapkan sistem reward dan punishment untuk motivasi petugas, memperbaiki lembar checklist dan berkas rekam medis sesuai standar.  Kata kunci: ketidaklengkapan; pengisian; rekam medis rawat inap
Faktor Penyebab Ketidaklengkapan Pengisian Dokumen Rekam Medis Rawat Inap di Rumah Sakit Gamasiano Alfiansyah; Dita Melinda Pratiwi; Novita Nuraini; Ida Nurmawati
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 13 (2022): Nomor Khusus November 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13nk355

Abstract

One of the characteristics of good medical record management is a complete medical record. This study aims to determine the factors causing the incomplete filling of inpatient medical record documents. The method used in this study was a literature review with 15 journal articles that had been selected according to the inclusion criteria. The results showed that there were several factors causing incomplete filling of inpatient medical record documents as seen from the "man" factor, namely lack of knowledge of officers, indiscipline of officers, lack of motivation of officers, high workload, and no training. The "machine" factor is the lack of communication between officers, the absence of monitoring and evaluation of medical records, and the absence of sanctions or rewards. The "method" factor, namely the implementation of filling out inpatient medical record documents is not in accordance with the SOP (Standard Operating Procedure). The "material" factor, namely medical record documents need to be simplified, there is no special room to fill in medical records, and there is no incomplete recapitulation data and the "money" factor, namely a limited budget. Hospitals need to pay attention to these factors so that they can maintain the quality of service and the quality of hospital medical records.Keywords: medical record documents; incompleteness; inpatient ABSTRAK Salah satu ciri penyelenggaraan rekam medis yang baik adalah rekam medis yang lengkap. Penelitian ini bertujuan untuk mengetahui faktor penyebab ketidaklengkapan pengisian dokumen rekam medis rawat inap. Metode yang digunakan dalam studi ini adalah literature review dengan 15 artikel jurnal yang telah dipilih sesuai dengan kriteria inklusi. Hasil penelitian menunjukkan bahwa ada beberapa faktor penyebab ketidaklengkapan pengisian dokumen rekam medis rawat inap yang dilihat dari faktor “man” yaitu kurangnya pengetahuan petugas, ketidakdisiplinan petugas, kurangnya motivasi petugas, beban kerja yang tinggi, dan tidak ada pelatihan. Faktor “machine” yaitu kurangnya komunikasi antar petugas, belum adanya monitoring dan evaluasi mengenai rekam medis, dan tidak adanya sanksi atau penghargaan. Faktor “method” yaitu pelaksanaan pengisian dokumen rekam medis rawat inap belum sesuai dengan SOP (Standard Operating Procedure). Faktor “material” yaitu dokumen rekam medis perlu disederhanakan, tidak adanya ruangan khusus untuk mengisi rekam medis, dan tidak ada data rekapitulasi ketidaklengkapan dan faktor “money” yaitu anggaran dana yang terbatas. Rumah sakit perlu memperhatikan faktor-faktor tersebut sehingga dapat menjaga mutu pelayanan serta mutu rekam medis rumah sakit.Kata kunci: dokumen rekam medis; ketidaklengkapan; rawat inap
Comparison of Mother’s and Toddler’s Characteristics Based On The Nutritional Status of The Toddler Puspito Arum; Ida Nurmawati; Niyalatul Muna; Indah Muflihatin; Demiawan Rahmatta Putro Mudiono; Andri Permana Wicaksono
International Journal of Health and Information System Vol. 1 No. 2 (2023): September
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/ijhis.v1i2.4

Abstract

Nutritional status in toddlers is one of the indicators used to describe the quality of toddler health. Toddlers’ nutritional status is interpreted based on some indices, namely weight for age, length/height for age, and weight for length/height Z-score. The nutritional status of toddlers is affected by various factors, both maternal and child factors. Anaemia and chronic energy deficiency during pregnancy affect a toddler’s nutrition status. Birth weight, exclusive breastfeeding, and complementary food may result in a toddler’s nutrition status as well. This study aims to compare the mother’s and toddler’s characteristics based on the nutritional status of the toddler. This was an observational analytical cross-sectional study. All data for the analysis of this paper were obtained from observations of the toddlers, interviews with mothers, and recorded data from KIA book. Toddlers’ weight and length/height were measured when the subject came to Posyandu. Questions about exclusive breastfeeding and complementary food were asked of mothers. Information about anaemia and chronic energy deficiency status was obtained from KIA book. This study used chi-square test to finds evidence that, on 88 subjects, there is no difference in anaemia and chronic energy deficiency during pregnancy, birth weight, exclusive breastfeeding, and complementary food among all nutritional status indices.
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