Atma Deharja
Politeknik Negeri Jember (Polije)

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

The Analysis of Predisposing and Reinforcing Factors on the Accuracy of Returning Inpatient Medical Records Documents Atma Deharja; Fatika Laily Novitasari; Ervina Rachmawati; Maya Weka Santi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (618.176 KB) | DOI: 10.30604/jika.v6i3.523

Abstract

According to the Procedure Operational Standard of Jember Klinik Hospital, the time for returning medical record documents is 2x24 hours after the patient's discharged from the hospital. Therefore, a medical record document return system is essential to support services, especially medical record document management. Based on the preliminary study, the average rate of returning medical record documents more than 48 hours from January to June 2019 reached 42.3%. The purpose of this study was to analyze the relationship between predisposing and reinforcing factors on the accuracy of returning inpatient medical record documents at the Jember Klinik Hospital. It is a quantitative study with a cross-sectional approach and the spearman rank correlation method. The population of this study was 67 nurses and midwives and 50 respondents as the sample. The results were that there was a significant relationship between knowledge (sig. 0,000), attitude (sig. 0.009), superiors support (sig. 0.002), and colleagues support (sig. 0.012) on the accuracy of returning medical record documents. However, the variable age (sig. 0.110) of nurses and midwives has no significant relationship with the precision of returning medical record documents. Therefore, this study can be used as a reference in evaluating the accuracy of returning medical record documents. Abstrak: Waktu pengembalian dokumen rekam medis menurut Standar Operasional Prosedur Rumah Sakit Jember Klinik maksimal 2x24 jam setelah pasien keluar dari rumah sakit. Sistem pengembaliandokumenrekammedissangatpentinguntuk menunjangpelayanankhususnya  dalam pengolahan  dokumen  rekam medis. Berdasarkan hasil studi pendahuluan di Rumah SakitJember Klinik diketahui bahwa angka rata-rata pengembalian dokumen rekam medis ke unit kerja rekam medis lebih dari 48 jam (2x24jam) pada bulan Januari hingga Juni 2019 mencapai 42,3%. Tujuan dari penelitian ini adalah menganalisis hubungan faktor predisposisi dan penguat terhadap ketepatan pengembalian dokumen rekam medis rawat inap di Rumah Sakit Jember Klinik. Jenis penelitian ini merupakan penelitian kuantitatif dengan pendekatan crosssectional dan metode korelasi spearman rank. Populasi penelitian ini yaitu sebanyak 67 petugas rawat inap dan sampel 50. Hasil penelitian yang dilakukan oleh peneliti yaitu bahwa terdapat hubungan yang signifikan antara pengetahuan (sig. 0,000), sikap (sig. 0,009), dukungan atasan (sig. 0,002), dan dukungan rekan kerja (sig. 0,012) terhadap ketepatan pengembalian dokumen rekam medis. Namun variabel usia (sig. 0,110) perawat atau bidan tidak ada hubungan yang signifikan dengan ketepatan pengembalian dokumen rekam medis. Hasil penelitian ini dapat digunakan sebagai bahan  evaluasi  bagi  pihak  rumah  sakit dalam evaluasi ketepatan pengembalian dokumen rekam medis.
Technology Acceptance Model to Implementation of Electronic Medical Record (EMR’s) at Clinic of Rumah Sehat Keluarga Jember Atma Deharja; Meiranda Normarisa Azis; Novita Nuraini; Angga Rahagiyanto; Maya Weka Santi; Muhammad Yunus
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 4: December 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (860.343 KB) | DOI: 10.30604/jika.v7i4.1370

Abstract

The Rumah Sehat Keluarga Clinic is one of the clinics in Jember that has just implemented electronic medical records (RME) at the end of October 2020. Based on observations made on January 4, 2021, at the Rumah Sehat Keluarga Clinic, it is known that there are several obstacles in implementing the electronic medical record system. outpatient treatment indicating that analysis is necessary. This study aims to analyze the application of outpatient electronic medical records at the Rumah Sehat Keluarga Clinic. Identification of problems using the TAM (Technology Acceptance Model) method by reviewing aspects of external variables, aspects of perceived usefulness, aspects of perceived ease of use, and aspects of behavioral intention to use. This type of research is qualitative with data collection methods, namely interviews, observation, documentation and brainstorming. The subjects of this study are the head of the clinic and the medical record officer. The results showed that based on aspects of external variables, several constraining factors were obtained including the absence of guidelines for using RME for new or old users and there was a diagnosis menu that had not been integrated with the ICD 10 database. Aspects of perceived usefulness, namely the use of electronic medical records in the clinic made the work of the officers faster and more efficient. The perceived ease of use aspect showed that receiving electronic medical records is considered easy to understand, flexible enough with the work of officers and easy to use to help work. Based on the aspect of behavioral intention to use, even though there are several obstacles in its application, outpatients show interest in RME and they will use it in the future. Abstrak: Klinik Rumah Sehat Keluarga baru menerapkan Rekam Medis Elektronik (RME) pada akhir Oktober 2020. Berdasarkan pengamatan terdapat kendala dalam penerapannya yang menunjukkan perlu dilakukan analisis. Tujuan penelitian ini untuk menganalisis penerapan rekam medis elektronik rawat jalan Klinik Rumah Sehat Keluarga. Identifikasi permasalahan menggunakan metode TAM (Technology Acceptance Model) dengan meninjau dari aspek variable luar (external variable), aspek kebermanfaatan (perceived usefulness), aspek kemudahan (perceived ease of use), dan aspek minat (behavioral intention to use). Jenis penelitian ini kualitatif dengan metode pengumpulan data yaitu wawancara, observasi, dokumentasi dan brainstorming. Subjek penelitian ini adalah kepala klinik dan petugas rekam medis. Hasil penelitian menunjukkan bahwa berdasarkan aspek variabel luar (external variable) diperoleh faktor kendala diantaranya tidak adanya panduan penggunaan RME bagi pengguna baru atau lama dan terdapat menu diagnosis yang belum terintegrasi dengan database ICD 10. Aspek kebermanfaatan (perceived usefulness) yaitu penggunaan rekam medis elektronik di klinik membuat pekerjaan petugas menjadi lebih cepat dan efisien. Aspek kemudahan (perceived ease of use) menunjukkan dalam penerimaan rekam medis elektronik dinilai mudah dipahami, cukup fleksibel dengan pekerjaan petugas serta mudah digunakan untuk membantu pekerjaan. Berdasarkan aspek minat (behavioral intention to use) yaitu petugas rawat jalan menunjukkan minatnya terhadap RME serta berencana menggunakannya di masa yang akan datang.