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EVALUASI PROGRAM EARLY WARNING ALERT AND RESPON SYSTEM (EWARS) DALAM PELAKSANAAN SURVEILANS KLB KOTA SALATIGA PROVINSI JAWA TENGAH Nurvita Wikansari Wikansari; Dian Budi Santoso; Dibyo Pramono; Dyah W Widarsih
Jurnal Manajemen Informasi dan Administrasi Kesehatan Vol 2, No 1 (2019): JMIAK
Publisher : Program Studi Perekam Medis & Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jmiak.v2i01.449

Outbreaks of disease can result in a large increase in morbidity and mortality, have an impact on tourism, economics and social, so there is a need for an Extraordinary Early Response and Response System (EWARS) (Early Warning and Response System). SKDR has been socialized and replicated gradually throughout Indonesia. Salatiga is one of the cities in Central Java Province and has 6 health centers that have been running the EWARS program in early detection of outbreaks but still occur every year. It is necessary to evaluate the EWARS Program at the Salatiga City Health Service.Evaluation was carried out with a descriptive study of analysis, namely evaluating aspects of input, process, output and outcome by interviewing questionnaires to EWARS health center program administrators and Salatiga City Health Service.The problem with input is that officers have multiple tasks ≥2 (67%) and there are no adequate funds. In the process of targeting and planning (50%) and coordination across sectors (33%). At the output, the officer did not send the report on time and in the outcome of the detection of outbreaks as early as possible but there was no epidemiological bulletin to inform public health every week.There are a number of things that need to be addressed in the EWARS program in Salatiga, namely human resources, facilities and infrastructure as well as planning and implementation. There needs to be equal employment, EWARS training for puskesmas officers and municipal health offices so that they can detect and analyze potentially outbreak diseases as early as possible.

PERANCANGAN SISTEM INFORMASI MANAJEMEN KLINIK LARAS HATI SEWON BANTUL agung kurniawan; nurvita wikansari
Jurnal Manajemen Informasi dan Administrasi Kesehatan Vol 4, No 1 (2021): JMIAK
Publisher : Program Studi Perekam Medis & Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jmiak.v4i1.1392

ABSTRAKLatar Belakang: Perancangan system informasi manajemen klinik laras hati sewon bantul dilakukan agar proses pelayanan yang diberikan oleh klinik kepada pasien dapat dilakukan dengan cepat dan bermutu, sehingga proses identifikasi data pasien juga dapat dilakukan secara komprehensifTujuan Penelitian: Tujuan dari penelitian ini adalah merancang system informasi manajemen Klinik Laras Hati Sewon BantulSubjek dan Metode: Jenis penelitian ini adalah dekriptif dengan pendekatan kualitatif, Penelitian di lakukan di Klinik Laras Hati. Subyek Penelitian ini dilakukan kepada petugas rekam medis Klinik Laras HatiHasil: Alat bantu yang digunakan dalam melakukan perancangan system informasi klinik laras hati adalah DFD (Data Flow Diagram), Kamus Data (Data Dictionary), Diagram Konteks (Context Diagram), Daftar Kejadian (Event List), dan spesifikasi Proses (Process spesifiction), Data base sistem informasi klinik laras hati terdiri dari Tabel pasien, Tabel kunjungan, Tabel kunjungan_ kamar, Tabel pelayanan, Tabel dokter, Tabel diagnosa, Tabel spesialisasi, Rancangan Entity Relationship Sistem Informasi Manajemen unit Rekam Medis Klinik Laras Hati Sewon Bantul berelasi one to one, dan one to mayKesimpulan: tahapan-tahapan yang dilakukan dalam melakukan perancangan system informasi klinik laras hati sewon Bantul antara lain membuat DFD (Data Flow Diagram), Kamus Data (Data Dictionary), Diagram Konteks (Context Diagram), Daftar Kejadian (Event List), dan spesifikasi Proses (Process spesifiction). Kata Kunci : perancangan, system informasi manajemen, klinik

DIABLOCK: PROTOTIPE REKAM KESEHATAN PERSONAL BERBASIS MOBILE BAGI DIABETESI Nurvita Wikansari; Dian Budi Santoso
Jurnal Informasi Kesehatan Indonesia (JIKI) Vol 8 No 1 (2022): Jurnal Informasi Kesehatan Indonesia
Publisher : Politeknik Kesehatan Kemenkes Malang (State Health Polytechnic of Malang)

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BPJS Kesehatan, as an institution that manages national health insurance in Indonesia, has launched a chronic disease management program where one of the diseases that is specifically monitored is Diabetes Mellitus. Health data is limited to those collected from health service facilities. On the other hand, patients have not been involved to participate in managing this health data. A personal health record specifically for diabetics is needed that can fulfill the data collection aspect by actively involving patients. This study aims to develop a personal health record prototype specifically according to the needs of diabetics. Subjects and Method: This study used a participatory action research design involving 7 people with diabetes as subjects as well as research participants. Data collection for needs analysis was carried out through online FGDs, the results then used as the basis for developing a prototype by involving research subjects to provide input until the prototype was developed. Results: A prototype of a personal health record for diabetics has been created named “DiaBlock” which was developed on an Android-based mobile platform. “DiaBlock” has 7 main features, namely consultation, medical record, glucolator (blood sugar calculator), screening, sugar chart, reward, and health tips. Conclusion: “DiaBlock” has been developed according to the needs of diabetics. Various features such as health articles, record of independent blood sugar measurements, and rewards are expected to motivate diabetics to be able to control and implement a healthy lifestyle.

ANALISIS KELENGKAPAN LEMBAR LAPORAN OPERASI PADA REKAM MEDIS PASIEN BEDAH DI RSU PKU MUHAMMADIYAH BANTUL Dwi Ratna Sari; Nurvita Wikansari; Tri Ariani
Jurnal Informasi Kesehatan Indonesia (JIKI) Vol 8 No 1 (2022): Jurnal Informasi Kesehatan Indonesia
Publisher : Politeknik Kesehatan Kemenkes Malang (State Health Polytechnic of Malang)

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Background: Surgery is one of the services carried out by the hospital. The surgical report sheet must be completely filled out and signed by the doctor who performed the operation and must be made immediately after surgery, then entered into the patient's medical record. The incompleteness of filling out the surgical report can result in unclear sequence of procedures, this can cause serious problems, especially if it goes to court. The purpose of this study was to determine the completeness of the surgery report and the factor of incompleteness of the surgery report sheet at RSU PKU Muhammadiyah Bantul. Subjects and Method: This type of research is mixed methodology, data collection using observation checklist tables, and interview sheets. The population in this study was a surgical patient visit report sheet in April 2022 with a sample of 100 operating report sheets. The research subjects were 2 surgeons and 2 nurses. Results: The completeness of the surgical report for the identification section was 88.75%, the important report section was 95.58%, the authentication section was 100%, and the documentation section was good at 98%. The factor causing the incomplete surgical report is because of the doctors and nurses are busy, causing the operation report sheet to be incomplete. Conclusion: It is recommended that there be course to doctors and nurses regarding the importance of completeness of medical records, especially operating report sheets, and collaboration between medical record officers, nurses, and doctors who treat patients. Keywords: Completeness, Medical Records, Surgery Report, Surgical Patient.

Determinan perilaku berhenti merokok pada penderita hipertensi di Kabupaten Sleman Nurvita Wikansari; Nyoman Kertia; Fatwa Sari Tetra Dewi
Berita Kedokteran Masyarakat (BKM) Vol 33, No 3 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Determinants of smoking cessation behaviour in people with hypertensionPurposeThis study aimed to determine the factors associated with smoking cessation behavior in patients with hypertension in Sleman district.MethodsThis quantitative study used a cross-sectional design. The subjects of this study were all patients with hypertension with a history of smoking. There were those subjects who had stopped smoking and those still smoking totaling 120 respondents. The sample population was the total sample that met the inclusion and exclusion criteria. Data analysis was done by bivariate and multivariate analysis using chi square and logistic regression tests.ResultsThis study found that factors related to smoking cessation behavior in hypertensive patients in Sleman district were education with PR 1.56 (95% CI 1.111-2.274; p=0.004) and history of other disease with PR 2.7 (95% CI 1.209-6.031; p=0.007). Age, occupation, marital status, economic status, and health professional advice were not related to smoking cessation behavior in hypertensive patients in Sleman district.ConclusionHealth and community institutions are expected to support hypertensive patients to quit smoking by advising them of the health risks. This study showed people who quit smoking, may start smoking again.

DIABLOCK: PROTOTIPE REKAM KESEHATAN PERSONAL BERBASIS MOBILE BAGI DIABETESI Nurvita Wikansari; Dian Budi Santoso
Jurnal Informasi Kesehatan Indonesia (JIKI) Vol 8 No 1 (2022): Jurnal Informasi Kesehatan Indonesia
Publisher : Politeknik Kesehatan Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jiki.v8i1.3071

Latar Belakang: Indonesia masuk ke dalam sepuluh besar dunia untuk prevalensi penderita diabetes. BPJS Kesehatan telah meluncurkan program pengelolaan penyakit kronis dimana salah satu penyakit yang dipantau secara khusus adalah Diabetes Mellitus. Data kesehatan yang dimiliki BPJS Kesehatan baru sebatas yang dikumpulkan dari sarana pelayanan kesehatan yang menjadi mitranya. Di sisi yang lain, pasien belum dilibatkan untuk ikut serta mengelola data kesehatan ini. Diperlukan sebuah prototipe rekam kesehatan personal khusus diabetesi yang dapat memenuhi aspek pengumpulan data dengan melibatkan pasien secara aktif. Penelitian ini bertujuan mengembangkan protipe rekam kesehatan personal secara spesifik sesuai kebutuhan diabetesi. Subjek dan Metode: Penelitian ini menggunakan rancangan participatory action research dengan melibatkan 7 orang diabetesi di Daerah Istimewa Yogyakarta sebagai subyek sekaligus sebagai partisipan penelitian. Pengambilan data untuk analisis kebutuhan dilakukan melaui FGD secara daring yang kemudian hasilnya dijadikan sebagai dasar pengembangan prototipe dengan melibatkan subyek penelitian untuk memberikan masukan sampai prototipe selesai dikembangkan. Hasil: Telah dibuat sebuah prototipe rekam kesehatan personal untuk diabetesi yang diberi nama “DiaBlock” yang dikembangkan pada mobile platform berbasis Android. “DiaBlock” memiliki 7 fitur utama yaitu konsultasi, rekam medis, glukolator, skrining, grafik gula, reward, dan tips kesehatan. Kesimpulan: “DiaBlock” telah dikembangkan sesuai kebutuhan diabetesi. Berbagai fitur dan fasilitas seperti artikel kesehatan, pencatatan pengukuran gula darah mandiri, dan reward diharapkan dapat memotivasi para diabetesi untuk dapat mengontrol dan menerapkan pola hidup sehat.

ANALISIS KELENGKAPAN LEMBAR LAPORAN OPERASI PADA REKAM MEDIS PASIEN BEDAH DI RSU PKU MUHAMMADIYAH BANTUL Dwi Ratna Sari; Nurvita Wikansari; Tri Ariani
Jurnal Informasi Kesehatan Indonesia (JIKI) Vol 8 No 1 (2022): Jurnal Informasi Kesehatan Indonesia
Publisher : Politeknik Kesehatan Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jiki.v8i1.3145

Latar Belakang: Tindakan operasi adalah salah satu pelayanan yang dilaksanakan oleh rumah sakit. Lembar laporan operasi harus terisi lengkap dan ditandatangani oleh dokter yang melakukan operasi dan harus segera dibuat setelah pembedahan, kemudian dimasukkan kedalam rekam medis milik pasien. Ketidaklengkapan pengisian lembar laporan operasi dapat mengakibatkan ketidakjelasan urutan prosedur, hal ini dapat menimbulkan permalasahan serius terutama jika sampai pengadilan. Tujuan dari penelitian ini adalah untuk mengetahui kelengkapan lembar laporan operasi dan faktor ketidaklengkapan lembar laporan operasi di RSU PKU Muhammadiyah Bantul. Subjek dan Metode: Jenis penelitian ini adalah mixed methodology, pengumpulan data menggunakan tabel checklist observasi, dan lembar wawancara. Populasi dalam penelitian ini adalah lembar laporan operasi kunjungan pasien bedah di bulan April 2022 dengan sampel 100 lembar laporan operasi. Subjek penelitian 2 dokter bedah dan 2 perawat. Hasil: Hasil penelitian secara umum menunjukkan kelengkapan lembar laporan operasi bagian identifikasi sebesar 88,75%, bagian laporan penting sebesar 95,58%, bagian autentifikasi sebesar 100%, dan bagian pendokumentasian yang baik sebesar 98%. Faktor penyebab ketidaklengkapan lembar laporan operasi yaitu karena kesibukan dokter dan perawat, sehingga menyebabkan lembar laporan operasi tidak terisi dengan lengkap. Kesimpulan: Sebaiknya diadakan sosialisasi kepada dokter dan perawat mengenai pentingnya kelengkapan rekam medis khususnya lembar laporan operasi, serta diperlukan kerjasama antara petugas rekam medis, perawat, dengan dokter yang menangani pasien.

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