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ANALISIS PELAKSANAAN PELAYANAN OBSTETRI NEONATAL EMERGENCY KOMPREHENSIF (PONEK) DI RSUD Dr. PIRNGADI MEDAN TAHUN 2019 Hana Dhini Julia Pohan; Sudiro Sudiro; Arifah Devi Fitriani
Indonesian Trust Health Journal Vol 4 No 1 (2021): Indonesian Trust Health Journal
Publisher : STIKes Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/ithj.v4i1.70

Infant mortality has a close relationship with the quality of maternal care, so the process of childbirth and baby care must be in an integrated system at the national and regional levels. The study was conducted at Dr. Pirngadi Hospital Medan 2019. The research aims at describing the administration and management of PONEK, describing the adequacy of PONEK HR, and describing the fulfillment of PONEK facilities. This research approach is descriptive qualitative with data collection techniques through interviews. The informants of this study were the PONEK Implementation Team and the PONEK Management Team with a total of 8 people. The research instrument was the researcher himself and the collection of data through interviews and documentation. Processing and analysis of data used in the Content Analysis method. The results of the study were that the PONEK funding source comes from the Regional Public Service Agency. Incorrect PONEK Team Placement. Many PONEK Team members have not yet received PONEK training and certificates. 24-hour PONEK facilities. Blood supply of RSUD Dr. Pirngadi Medan is a Blood Transfusion Unit. The conclusion of the research is that management and administration are less than optimal. The PONEK executive officer does not get special PONEK incentives. The placement of Human Resources in implementing PONEK officers is not in accordance with their main tasks and functions, many PONEK Team members have not received PONEK certificate training but have provided emergency obstetric services. PONEK facilities serve 24 hours. The suggestion is that the budget for the procurement of facilities be proposed in the Regional Revenue and Expenditure Budget / Medan Government so that the Regional Public Service Board budget obtained by the hospital can be used optimally for the need to improve PONEK training and provide special PONEK incentives for PONEK implementing officers. Abstrak Kematian bayi mempunyai hubungan erat dengan mutu penanganan ibu, maka proses persalinan dan perawatan bayi harus dalam sistem terpadu di tingkat nasional dan regional. Penelitian dilakukan di RSUD Dr. Pirngadi Medan Tahun 2019. Penelitian bertujuan mendeskripsikan administrasi dan pengelolaan PONEK, mendeskripsikan kecukupan SDM PONEK, dan mendeskripsikan pemenuhan fasilitas PONEK. Pendekatan penelitian ini deskriptif kualitatif dengan teknik pengumpulan data melalui wawancara. Informan penelitian ini Tim Pelaksana PONEK dan Tim Manajemen PONEK dengan jumlah seluruhnya 8 orang. Instrument penelitian adalah peneliti sendiri dan pengumpulan data melalui wawancara dan dokumentasi. Pengolahan dan analisis data menggunakan metode Content Analysis. Hasil penelitian adalah Sumber dana PONEK berasal dari Badan Layanan Umum Daerah. Penempatan Tim PONEK yang tidak sesuai. Banyak anggota Tim PONEK yang belum mendapatkan pelatihan dan sertifikat PONEK. Fasilitas PONEK 24 jam. Persediaan darah RSUD Dr. Pirngadi Medan bersifat Unit Transfusi Darah. Kesimpulan penelitian yaitu Pengelolaan dan administrasi kurang maksimal. Petugas pelaksana PONEK tidak mendapatkan insentif khusus PONEK. Penempatan Sumber Daya Manusia petugas pelaksana PONEK tidak sesuai tupoksinya, banyak anggota Tim PONEK yang belum mendapatkan pelatihan sertifikat PONEK tetapi sudah memberikan pelayanan obstetri emergensi. Fasilitas PONEK melayani 24 jam. Saran yaitu anggaran pengadaan fasilitas diusulkan dalam Anggaran Pendapatan dan Belanja Daerah/Pemerintah Kota Medan, sehingga anggaran Badan Layanan Umum Daerah yang didapat rumah sakit bisa digunakan secara maksimal untuk kebutuhan meningkatkan pelatihan PONEK dan pemberian insentif khusus PONEK bagi petugas pelaksana PONEK.

FAKTOR PENGHAMBAT BELUM DITERAPKANNYA REKAM MEDIS ELEKTRONIK (RME) DI KLINIK AKSARA TAHUN 2022 Hana Dhini Julia Pohan; Aida Sulisna; Sri Agustina Meliala
Indonesian Trust Health Journal Vol 5 No 1 (2022): Indonesian Trust Health Journal
Publisher : STIKes Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/ithj.v5i1.98

Electronic Medical Record is a computerized health information system that contains social data and patient medical data, and is equipped with a decision support system. The purpose of this study was to determine the inhibiting factors for not implementing electronic medical records in literacy clinics. This research is a qualitative research using triangulation technique using observation, interview and documentation methods. There are 4 informants in this research. The results of the study stated that there were several factors that had not been implemented in the Electronic Medical Record, including inadequate facilities and a network that was difficult to obtain, besides that it was known that there were no officers with a medical record graduate background at the Aksara Clinic. This causes the implementation of medical record tasks to be less than optimal. The method used is correct using the technical instructions for clinical services, but it has not been realized optimally because there are several obstacles. The conclusion of the study is that there are several factors that have not been implemented in the Electronic Medical Record, including man, money, material, machine and methods. The advice given is that medical record officers with medical record graduate backgrounds, increase the number of machines use the internet network at a higher speed, and should implement Electronic Medical Records at the Aksara Clinic in order to achieve better medical records. Abstrak Rekam Medis Elektronik merupakan sistem informasi kesehatan terkomputerisasi yang berisi data sosial dan data medis pasien, serta dilengkapi dengan sistem pendukung keputusan. Tujuan penelitian ini untuk mengetahui faktor penghambat belum diterapkannya rekam medis elektronik di klinik aksara. Penelitian ini adalah penelitian kualitatif menggunakan teknik triangulasi dengan menggunakan metode observasi, wawancara dan dokumentasi. Informan penelitian ini berjumlah 4 orang. Hasil penelitian menyatakan terdapat beberapa faktor belum diterapkannya Rekam Medis Elektronik diantaranya fasilitas yang tidak memadai dan jaringan yang sulit didapat, selain itu diketahui bahwa tidak adanya petugas yang berlatar belakang lulusan rekam medis di Klinik Aksara. Hal ini menyebabkan pelaksanaan tugas rekam medis kurang maksimal. Metode yang digunakan sudah benar menggunakan petunjuk teknis pelayanan Klinik, namun belum terealisasikan secara maksimal dikarenakan terdapat beberapa kendala. Kesimpulan penelitian terdapat beberapa faktor belum diterapkannya Rekam Medis Elektronik diantaranya yaitu manusia, uang, bahan, mesin dan metode. Saran yang diberikan sebaiknya petugas rekam medis berlatar belakang lulusan rekam medis, penambahan jumlah mesin, menggunakan jaringan internet dengan kecepatan yang lebih tinggi, dan sebaiknya menerapkan Rekam Medis Elektronik di Klinik Aksara agar tercapainya rekam medis yang lebih baik.

Experimental Study Of Second Semester Student Knowledge About Vital Sign at AKBID Helvetia Medan Hana Dhini Julia Pohan
International Archives of Medical Sciences and Public Health Vol. 3 No. 1 (2022)
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar

Midwives have many ways to monitor client well-being. A group of skills that involves measuring physical characteristics as observations, one of which is measuring blood pressure, pulse, respiratory rate and measuring temperature. Can be used to monitor the response of the mother's body to pregnancy, labor, and delivery. The purpose of this study was to determine the difference in knowledge of second semester students about vital signs before and after being given learning media through audio-visual media. The design used in this study was a quasi-experimental study with a non-randomized pretest-posttest control group design that conducted a pretest before treatment was given and posttest afterward, to determine whether there was a difference between the experimental group and the control group. This study used the total population method, where the entire population was sampled as many as 117 respondents. The data used in this study are primary data, secondary data, and tertiary data. The results of this study, the knowledge of students in the intervention group with the Chochran test analysis. Based on the test statistics, the results of the Chochran test showed a significance value of 0.000 from the results of the study (test statistics), the results of the McNemar test obtained a difference in the level of knowledge between the two measurements. Knowledge of students in the control group. Based on test statistics, the results of the Chochran test with a significance value of 0.607 from the results of the study (test statistics), the results of the McNemar test showed no difference in the level of knowledge between the two measurements. Suggestions are expected that audio visual media learning media can increase students' knowledge about vital signs and can be an effective learning media.

Experimental Study Of Second Semester Student Knowledge About Vital Sign at AKBID Helvetia Medan Hana Dhini Julia Pohan
International Archives of Medical Sciences and Public Health Vol. 3 No. 1 (2022)
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar

Midwives have many ways to monitor client well-being. A group of skills that involves measuring physical characteristics as observations, one of which is measuring blood pressure, pulse, respiratory rate and measuring temperature. Can be used to monitor the response of the mother's body to pregnancy, labor, and delivery. The purpose of this study was to determine the difference in knowledge of second semester students about vital signs before and after being given learning media through audio-visual media. The design used in this study was a quasi-experimental study with a non-randomized pretest-posttest control group design that conducted a pretest before treatment was given and posttest afterward, to determine whether there was a difference between the experimental group and the control group. This study used the total population method, where the entire population was sampled as many as 117 respondents. The data used in this study are primary data, secondary data, and tertiary data. The results of this study, the knowledge of students in the intervention group with the Chochran test analysis. Based on the test statistics, the results of the Chochran test showed a significance value of 0.000 from the results of the study (test statistics), the results of the McNemar test obtained a difference in the level of knowledge between the two measurements. Knowledge of students in the control group. Based on test statistics, the results of the Chochran test with a significance value of 0.607 from the results of the study (test statistics), the results of the McNemar test showed no difference in the level of knowledge between the two measurements. Suggestions are expected that audio visual media learning media can increase students' knowledge about vital signs and can be an effective learning media.

ANALISIS PROSEDUR PENGEMBALIAN BERKAS REKAM MEDIS RAWAT INAP GUNA MENUNJANG EFEKTIVITAS PELAYANAN Hana Dhini Julia Pohan; Sri Agustina Meliala; Aida Sulisna
INFOKES (Informasi Kesehatan) Vol 6 No 2 (2022): Jurnal Infokes
Publisher : POLITEKNIK PIKSI GANESHA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56689/infokes.v6i2.839

During a pandemic, BPJS Health increased digital-based innovation to make it easier to provide services to participants. One of them is an online queue system that is integrated into the Mobile-JKN application, making it easy for participants to access services at health facilities. This research was conducted with the aim of knowing the relationship between patient satisfaction with BPJS Kesehatan participants and online registration for the use of the Mobile-JKN application at Pratama Salma in November–December 2022. This research is analytic in nature, using primary and secondary data with a total sample of 30 BPJS participant patients' health at Pratama Salma Clinic in March–October 2022. From the results of the study it can be seen that 12 respondents 40.0% percent of BPJS Health Participating Patients are dissatisfied, most of the use of the Mobile application registration - Easy JKN is 12 respondents 40.0 percent while BPJS Health Participant Patients satisfied as many as 18 respondents 60.0 percent the majority use the Mobile application registration - JKN is easy as many as 10 respondents 33.3 percent, and the minority uses the Mobile application registration - JKN is not easy as many as 8 respondents 26.7 percent. The conclusion is expected: health workers will further improve communication and outreach in providing information, especially the advantages and disadvantages of using the mobile application for online registration (JKN). Keywords: BPJS Health Participant Satisfaction, Online Registration, JKN Mobile Application.

Analisis Autentifikasi Dokumen Rekam Medis di RSU Tere Margareth Hana Dhini Julia Pohan; Sri Agustina Meliala; Muhammad Adiul Ilham
MAHESA : Malahayati Health Student Journal Vol 3, No 8 (2023): Volume 3 Nomor 8 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i8.10813

ABSTRACT Medical record is a form of health service documentation. Qualified medical records contain complete data, thus it can be processed into information. Authentication of medical record documents includes a clear name, signature, seal/stamp and initials recorded in the medical record or a code of individual for computerization. This research was conducted to realize the authentication of medical record documents at Tere Margareth General Hospital in 2023. This research was a quantitative research with a cross sectional approach. This research was an analytic form of research using primary data and secondary data with a total sample of 67 respondents selected through a random sampling technique. The results showed that health workers with a good knowledge in the authentication of medical record documents were 35 respondents (52.2%), while 32 respondents (47.8%) had a poor knowledge with p = 0.002 < α = 0.05. The attitudes of health workers towards the authentication of medical record documents were good for 28 respondents (41.8%) and unfavourable for 39 respondents (58.2%) with a value of p = 0.000 < α = 0.05. The actions of health workers towards the authentication of medical record documents were good by 31 respondents (46.3%) and unfavourable by 36 respondents (53.7%) with p = 0.003 < α = 0.05. The conclusion of this research is that knowledge, attitudes and actions are influential in completing the data for the authentication of medical record document. Hence, there are still many incomplete data of medical record authentication at Tere Margareth General Hospital. Keywords: Authentication, Medical Record ABSTRAK Rekam medis sebagai bentuk dari pendokumentasian layanan kesehatan. Rekam medis yang berkualitas berisi data secara lengkap, sehingga dapat diolah menjadi sebuah informasi. Autentifikasi dokumen rekam medis berupa nama terang, tanda tangan, cap/stempel dan inisial yang dicatat dalam rekam medis atau kode seseorang untuk komputerisasi. Penelitian ini dilakukan bertujuan untuk mengetahui autentifikasi dokumen rekam medis di RSU Tere Margareth Tahun 2023. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Penelitian ini bersifat analitik dengan menggunakan data primer dan data sekunder dengan total sampel 67 responden menggunakan teknik random sampling. Hasil penelitian menunjukkan Pengetahuan tenaga kesehatan terhadap autentifikasi dokumen rekam medis dari pengetahuan baik sebanyak 35 responden (52,2%) dan pengetahuan kurang baik sebanyak 32 responden (47,8%) dengan nilai p = 0,002 < α = 0,05. Sikap tenaga kesehatan terhadap autentifikasi dokumen rekam medis sikap baik sebanyak 28 responden (41,8%) dan sikap kurang baik sebanyak 39 responden (58,2%) dengan nilai p = 0,000 < α = 0,05. Tindakan tenaga kesehatan terhadap autentifikasi dokumen rekam medis tindakan baik sebanyak 31 responden (46,3%) dan tindakan kurang baik sebanyak 36 responden (53,7%) dengan nilai p = 0,003 < α = 0,05. Kesimpulan dalam penelitian ini pengetahuan, sikap dan tindakan berpengaruh dalam melakukan pengisian kelengkapan data autentifikasi dokumen rekam medis sehingga masih banyaknya data autentifikasi rekam medis yang belum lengkap di RSU Tere Margareth. Kata Kunci: Autentifikasi, Rekam Medis

Analisis Pemahaman Pasien Terhadap Hak dan Kewajiban Pasien di Klinik Pratama Kelambir Aida Sulisna; Muhammad Adiul Ilham; Hana Dhini Julia Pohan
MAHESA : Malahayati Health Student Journal Vol 4, No 3 (2024): Volume 4 Nomor 3 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i3.13806

ABSTRACT The rights and obligations of patients are regulated in Law number 36 of 2009 concerning health. Various patient rights include; the right to information, the right to give consent, the right to medical secrets and the right to a second opinion. Meanwhile, the patient's obligation is to provide correct information to the doctor, comply with the doctor's or nurse's recommendations, provide appropriate compensation for services and the patient also has an obligation not to force his wishes to be carried out by the doctor if it is contrary to the freedom and nobility of the doctor's profession. To analyze patient understanding of patient rights and obligations at the Kelambir Pratama Clinic. The method used is quantitative with a cross sectional analytical survey approach. The research population is 82 patients in 2023 and the sample is Total Sampling. Sampling was carried out using the Accidental Sampling method. Show that there is an influence of education with a p-value= 0.000<0.05, an environmental influence with a p-value= 0.000<0.05 and an influence of information sources with a p-value= 0.000<0.05 on the patient's level of understanding. The conclusion is that there is an influence of education, environment and information sources on the level of understanding of patient rights and obligations at the Pratama Klambir Clinic. Keywords: Understanding Patient Rights and Obligations ABSTRAK Hak dan kewajiban pasien diatur dalam Undang-Undang nomor 36 tahun 2009 tentang kesehatan. Macam- macam hak pasien meliputi; hak atas infomasi, hak untuk memberikan persetujuan, hak atas rahasia kedokteran dan hak atas pendapat kedua. Sedangkan kewajiban pasien adalah memberikan informasi yang benar kepada dokter, mematuhi anjuran dokter atau perawat, memberi imbalan jasa yang layak dan pasien juga mempunyai kewajiban untuk tidak memaksakan keinginannya agar dilaksanakan oleh dokter apabila berlawanan dengan kebebasan dan keluhuran profesi dokter. Untuk menganalisis Pemahaman Pasien Terhadap Hak dan Kewajiban Pasien Di Klinik Pratama Kelambir. Metode yang digunakan adalah kuantitatif dengan pendekatan survey analitic cross sectional. Populasi penelitian adalah pasien pada tahun 2023 sebanyak 82 pasien dan sampel adalah Total Sampling. Penarikan sampel dilakukan dengan metode Accidental Sampling. Menunjukkan bahwa ada pengaruh pendidikan dengan p-value= 0,000<0,05, pengaruh lingkungan dengan p-value= 0,000<0,05 dan pengaruh sumber informasi dengan p-value= 0,000<0,05 terhadap tingkat pemahaman pasien. Kesimpulan ada pengaruh pendidikan, lingkungan dan sumber informasi terhadap tingkat pemahaman hak dan kewajiban pasien di Klinik Pratama Klambir Kata Kunci: Pemahaman Hak dan Kewajiban Pasien

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