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All Journal JURNAL SISTEM INFORMASI BISNIS Jurnal Kesehatan ARTERI : Jurnal Ilmu Kesehatan Community Development Journal: Jurnal Pengabdian Masyarakat J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Health Media Jurnal Abdimas Medika International Journal of Health and Information System (IJHIS)
dony setiawan hendyca putra
politeknik negeri jember
Humanities Computer Science & IT Economics, Econometrics & Finance Education Electrical & Electronics Engineering Health Professions Library & Information Science Medicine & Pharmacology Nursing Public Health

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Journal : J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan

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Telaah Kesehatan Dan Keselamatan Ki Instalasi Rekam Medis RSUD Sleman erja Unit Filing d Deva Setia Pratama; Feby Erawantini; Dony Setiawan Hendyca Putra
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 2 No 3 (2021): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v2i3.2203

Abstract

Management of medical records consists of the process of identification patients, patient identity record, assembling, coding, indexing and storage the medical records.Storage of medical records is an activity to protect the medical records from physical damage and the content of the medical records. The process of storing the medical records has risks that can threatening the occupational safety and health of medical records staff. At filing RSUD Sleman found some risk that at risk of respiratory diseases because not used masks, scraped paper or sharp medical record mapbecause not used handscoon, and and strangulated the roll o’pack. The purposed of the risearch was to examine occupational health and safety in the filing unit at Sleman District Hospital. This typed of research is a qualitative study with data collection used interview and observation techniques. The results of this research there are 14,3% low risk, 71,4 % moderat risk, and 14,3% in high risk. So manage or control the risk is 1) substitutions, this control aims to replace materials, processes, operations or equipment from dangerous to more harmless. 2) Administrative, danger control by making modifications to the workers' interactions with the work environment, such as the preparation of Standart Procedure Operasional. 3) self-protection, danger control, using self-protective devices designed to protect staff from dangers in the workplace.
DESAIN ULANG FORMULIR SERTIFIKAT KEMATIAN DI RUMAH SAKIT BALADHIKA HUSADA JEMBER TAHUN 2019 Bhre Diansyah D.K; Dony Setiawan Hendyca Putra
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 2 No 3 (2021): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v2i3.2226

Abstract

Formulir penyebab kematian dan surat keterangan kematian adalah pencatatan beberapa penyakit atau kondisi yang merupakan satu rangkaian perjalanan penyakit menuju kematian atau keadaan kecelakaan, kekerasan yang menyebabkan cedera dan berakhir dengan kematian. Berdasarkan survey pendahuluan di Rumah Sakit Baladhika Husada Jember, petugas tidak melakukan penulisan informasi terhadap formulir tersebut tidak sesuai dengan pedoman pengisan formulir penyebab kematian dan surat kematian BLKRI. Desain formulir penyebab kematian belum menggunakan kertas yang sesuai standart dan belum adanya pengelompokan data mengenai jenis penyebab kematian pasien. Penelitian ini bertujuan untuk melakukan redesain terhadap formulir penyebab kematian dan pembuatan formulir surat keterangan kematian di Rumah Sakit Baladhika Husada Jember. Metode yang digunakan kualitatif dengan teknik pengumpulan data observasi, wawancara, dokumentasi dan Brainstoming. Berdasarkan hasil penelitian dapat diketahui bahwa desain formulir penyebab kematian belum sesuai dengan standard dan kebutuhan pengguna yang dapat menyebabkan ketidaklengkapan pengisian serta terhambatnya pelaksanaan pemberian tindakan, oleh karena itu formulir penyebab kematian dan surat keterangan kematian yang baru, didesain dengan mempertimbangkan 3 aspek penting yaitu aspek  fisik, aspek anatomi, dan aspek isi yang sesuai dengan standart dan kebutuhan pengguna. Sebaiknya dilakukan evaluasi formulir penyebab kematian dan surat keterangan kematian yang baru guna menyesuaikan dengan kebutuhan pengguna yang bisa berubah dari waktu ke waktu.Kata kunci : desain formulir, penyebab kematian, surat keterangan kematian
RANCANG BANGUN SISTEM INFORMASI APOTEK DALAM MENINGKATKAN PELAYANAN DI KLINIK PRATAMA ROLAS MEDIKA JEMBER Errica Rostia Loren; Sustin Farlinda; Nugroho Setyo Wibowo; Dony Setiawan Hendyca Putra
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 3 No 1 (2021): Desember
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v3i1.2348

Abstract

Pelayanan kesehatan di Klinik Pratama Rolas Medika Jember sudah menggunakan sistem komputerisasi. Salah satu sistem komputerisasi yaitu adanya sistem informasi apotek yang telah digunakan di Apotek Rolas Medika milik klinik tersebut. Penggunaan sistem informasi apotek tersebut masih terdapat kendala dan kekurangan seperti tidak adanya form retur obat, mutasi obat dan tidak adanya pemberitahuan warning expired date pada sistem tersebut, sehingga petugas harus mengerjakannya secara manual. Tujuan penelitian ini adalah mengembangkan sistem informasi apotek dengan merancang dan membuat sistem informasi apotek sesuai kebutuhan pengguna dalam meningkatkan pelayanan di Klinik Pratama Rolas Medika Jember. Jenis penelitian ini adalah kualitatif dengan menggunakan metode pengembangan prototipe. Pengambilan data dilakukan dengan wawancara, observasi, dan dokumentasi. Hasil dari penelitian ini adalah sistem informasi apotek di Klinik Pratama Rolas Medika Jember yang dapat meningkatkan pelayanan dan dengan adanya pemberitahuan warning expired date dapat mempermudah petugas dalam mengetahui jumlah stok obat yang akan mendekati tanggal kadaluarsa.
PEDOMAN FORMAT DOKUMENTASI PENGKAJIAN KEPERAWATAN ORANG DENGAN GANGGUAN JIWA (ODGJ) Ike Puspa Adityas; Dony Setiawan Hendyca Putra
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 3 No 3 (2022): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v3i3.2453

Abstract

Mental assessment is process of collecting data systematically documenting determine health status of people with mental disorders. Mental assessment documentation format must provided based on needs of health service facility and should pay attention to guidelines for design aspects of the documentation format covering physical, anatomical, and content aspects. Study aims produce documentary format guideline for assessment people with mental disorders based on standard design documentation format. Study used the literature review method using 14 articles with combination of the theme form design article and mental nursing assessment. The technique of collecting data by collecting articles through academic repositories and then applying reselection articles using inclusion and exclusion criteria. Results of study, physical aspect use HVS 70 gram, portrait orientation rectangle shape, A4, white paper with black ink. Anatomical aspect, there a heading that explains the identity of agency and identity of format including title of the documentation format, the introduction is included in the title format, the instruction is placed at the bottom left of format, body includes grouping, type and size of letters, color, margins, line spacing, and how to fill in. Close is approval room containing signature and name. Content aspects consist items of identity, reasons for entry, predisposition, physical examination, psychosocial, mental status, social relationships, preparation for going home, coping, spiritual, psychosocial and environmental, knowledge, medical aspects, nursing problems, and additional information. Research suggestions, the format of the mental disorders nursing assessment documentation can be used as a reference guide in health service agencies
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN KELENGKAPAN RESUME MEDIS – LITERATURE REVIEW Nafa Maharani; Atma Deharja; Rossalina Adi Wijayanti; Dony Setiawan Hendyca Putra
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 3 No 2 (2022): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v3i2.2667

Abstract

A Medical resume is a summary of the whole medical patient's treatment. The incomplete medical resume can cause the patient's medical history to not continue with the patient's previous data. The various factors cause an incomplete medical resume. The research aimed to analyze the aspects related to the completeness of a medical resume. The study is a literature review with database from Google Scholar and Garuda. This research's keywords are factors related AND completeness OR complete AND medical resume OR medical resume OR discharge summary OR discharge summary. The manpower elements are 21,4 percent of good knowledge, 28,5 percent of long working tenure, 21,4 percent of civil servant employment status, 7,1 percent of good attitude, and 7,1 percent of higher education. The motivation elements are 14,2 percent of adequate supervision (monitoring and evaluation), 7,1 percent of good leadership, and 7,1 percent of reward and punishment. Media elements are 7,1 percent of how to pay for BPJS patients and 7,1 percent of directly related work conditions (unique table and chair to fill medical records) and other work environments (lighting and noise room to fill medical resumes). The main factor related to medical resume's completeness is tenure, and other high factors are knowledge and employment status. The writer suggests that health facilities should facilitate patient data completeness, especially for doctors with a new term, bad experience, and non civil servant employment status.
Co-Authors Atma Deharja Bhre Diansyah D.K Deva Setia Pratama Efri Tri Ardianto Ely Mulyadi Erna Selviyanti Errica Rostia Loren Estin Roso Pristiwaningsih Feby Erawantini Feby Erawantini Futari Ayu Istikomah Hendro Prasetyo Heri Warsito I Gede Wiryawan Ike Puspa Adityas Ines Meiyola Pradanthi Khafidurrohman Agustianto Kurnia Arofah Mahardika Nugraha Maya Weka Santi Miftahul Jannah Mochammad Arief Darmawan Mochammad Choirur Roziqin Moh Zaenal Abidin Muhammad Syeikhoni Noor Muzaffatul Hasan Nafa Maharani Najla Kamil Niyalatul Muna Nugroho Setyo Wibowo Prawidya Destarianto Priscilia Noviyanti Putri Rahayu Ratri Ratih Putri Damayati Rinda Nurul Karimah, Rinda Nurul Rizky Farah Dilla Rossalina Adi Wijayanti Sabran Sabran Salma Firyal Nabila Sustin Farlinda Vanny Permata Sari WIDATUL WAHIDAH