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All Journal JURNAL SOSIAL EKONOMI PETERNAKAN Agricore: Jurnal Agribisnis dan Sosial Ekonomi Pertanian Unpad Jurnal Ilmiah Econosains AGROLAND: The Agricultural Sciences Journal MATEMATIKA DAN PEMBELAJARAN JIKAP PGSD: Jurnal Ilmiah Ilmu Kependidikan Jurnal Ilmu Kesehatan Bhakti Setya Medika
Hery Setiyawan
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Agriculture, Biological Sciences & Forestry Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Environmental Science Mathematics Medicine & Pharmacology Social Sciences

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Journal : Jurnal Ilmu Kesehatan Bhakti Setya Medika

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ANALISIS KETEPATAN KODE DIAGNOSIS PENYAKIT BERDASARKAN KODE ICD-10 PASIEN RAWAT JALAN DI PUSKESMAS PLERET BANTUL Hery Setiyawan
JURNAL ILMU KESEHATAN BHAKTI SETYA MEDIKA Vol. 7 No. 1 (2022): Jurnal Ilmu Kesehatan Bhakti Setya Medika
Publisher : Politeknik Kesehatan Bhakti Setya Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (277.675 KB) | DOI: 10.56727/bsm.v7i1.63

Abstract

Efforts to improve the quality of services at the Puskesmas are very necessary for good medical record performance, so as to produce complete and accurate information to improve the quality of Puskesmas services. To achieve good service, competent and professional medical record personnel are needed so that they are able to classify & codify diseases or actions according to the correct medical terminology. The objectives are to identify the implementation of the diagnostic code based on ICD-10, to know the percentage of accuracy of the diagnosis code, to know the percentage of the inaccuracy of the diagnosis code and to know the factors causing the inaccuracy of the diagnosis code. The research method used is descriptive research with a qualitative approach, the design used is cross sectional. The subjects and objects of this research are 2 nurses, 1 doctor, 1 medical record officer and medical record file. Data collection techniques by conducting documentation studies, observations and interviews. Based on the results of the implementation of determining the diagnosis code at the Pleret Health Center using a list of codes that are usually commonly used and searching through google, it is not carried out in the right order using ICD 10 volumes one and three, so there are still codes that are not specific and appropriate. The conclusion from the results of the analysis is that the percentage of accuracy of the diagnosis code is 40.4% and the percentage of inaccuracy of the diagnosis code is 59.6%. The factors causing the inaccuracy of the diagnosis code are incompetent human resources, the absence of fixed SOPs related to the coding system and the use of the ICD-10 book is not optimal in coding.
Co-Authors Agus Setiadi Azkia Nurhadi Debby Diandra Gultom, Rissanti Ayudita Oktaviery Migie Handayani Nurul Widya Anggraeni Roessali, Wiludjeng Siwi Gayatri Titik Ekowati Yuliana, Leni