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All Journal Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Jurnal EduHealth Indonesian Journal of Health Information Management Services (IJHIMS) Zadama: Jurnal Pengabdian Masyarakat Jurnal Ilmiah Pengabdian Kepada Masyarakat Aspirasi : Publikasi Hasil Pengabdian dan Kegiatan Masyarakat
Mei Sryendang Sitorus
Universitas Imelda Medan
Agriculture, Biological Sciences & Forestry Humanities Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Engineering Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Journal : Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)

 1 
Review Rekam Medis Pasien Ruang Isolasi Covid-19 RSU Imelda Pekerja Indonesia Tahun 2020 Mei Sryendang Sitorus; Esraida Simanjuntak; Valentina Valentina
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 7 No. 2 (2022): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Agustus
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v7i2.988

Abstract

Quantitative Analysis is a review of certain parts of the contents of medical records to find deficiencies, especially those related to the documenting of medical records. Coronavirus Disease 2019 (Covid-19) is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARSCoV-2). The purpose of this study is to find out the implementation of the Covid-19 Isolation Room Patient Medical Record Document Review at RSU Imelda Pekerja Indonesia in 2020. The population is all patients treated in the Covid-19 Isolation Room in 2020 as many as 182 people, the study sample is all patients treated in the Covid-19 Isolation Room in October as many as 48 people. The DRM review was conducted on four variables. From the results of the study obtained that the Review of Timeliness of appropriate DRM Returns as much as 35.41%; Review of the Accuracy of Filling out DRM for the exact Opname Warrant Form (SPO) 31.25%, the appropriate IGD Assessment Form 52.08%, the right Medical Resume Form 100%, and the proper Observation Form 66.67%; DRM Readability Review for Opname Warrant Form (SPO) which reads 100%, IGD Assessment Form that reads 77.08%, Medical Resume Form that reads 100%, and Observation Form that reads 72.92%; Drm Completeness Review for Screening Form found in 68.75% of documents, Triage Form found in 77.08% documents, Internal Transfer Form found on 89.58% of documents, Discharge Planning Form found on 81.25% of documents.For General Consent Forms, Inpatient Assessments, CPPT Forms, Observation Forms, and Information and Education Forms are found in all documents that are 100%. It is recommended that the existing SPO socialization prioritizes the accuracy of filling out medical records qualitatively, not limited to the completeness of the form only.
Perancangan Ulang Map Rekam Medis Di Puskesmas Glugur Darat Medan 2022 Mei Sryendang Sitorus; Bella Siringo-ringo
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 8 No. 1 (2023): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v8i1.1144

Abstract

Medical record folder is a folder that is used to protect the forms in it to facilitate storage, especially patient medical record forms. The medical record folder at the Glugur Darat Health Center in Medan is currently in the form of a landscape and uses pink cardboard which is easy to tear and does not last long. The purpose of this study was to analyze and design a medical record folder in terms of three aspects, namely the physical aspect of the form, the anatomical aspect of the form, and the aspect of form content at the Glugur Darat Health Center in Medan. This research method uses descriptive, qualitative methods with saturated sampling technique, which was carried out at the Glugur Darat Health Center Medan in July-September 2022. The subjects in this study were Medical Record Officers, Filing Officers and Registration Officers at the Glugur Darat Health Center Medan. The result of this study is the design of a medical record folder at the Glugur Darat Health Center in Medan which is viewed from three aspects, namely the physical aspect of the form, a medical record folder made of thin cardboard is easy to tear and not durable. In the anatomical aspect, the form was found to only contain the name of the Family Folder, the name of the Puskesmas and the logo of the Puskesmas in the Heading section. In the aspect of the contents of the form found in the medical record folder at the Glugur Darat Health Center Medan, there is no loading in the medical record folder with the words Confidential.
Co-Authors Anna Nadiyas Kristiani Lase Azizah Putri Syafa Harahap Bella Siringo-ringo Erlindai Esraida Simanjuntak Joel Roganda Manik Johana Christy Johanna Christy Khairani Lisa Anggriani Marta Simanjuntak Nila Sari Puput Melati Hasibuan Puput Melati Hutauruk Theresia Hutasoit Valentina Valentina Valentina Yeyi Gusla Nengsih