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

Analisis Kebutuhan Ideal Tenaga Rekam Medis pada Unit Filling Rizal Pratama Adi Putra; Syamsuriansyah Syamsuriansyah; Uswatun Hasanah; Musparlin Halid; Ikhwan Ikhwan
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 3 (2023): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v4i3.3781

Abstract

The availability of adequate Human Resources (HR) in accordance with the scientific field is the main focus of various units in the Mataram City Hospital, especially medical recorders. This study aimed to determine the ideal number of medical recorder personnel needed in the filing unit. This type of research uses a quantitative approach in Mataram City Hospital with a sample of 4 people. Calculate ideal medical recorder staffing needs using the Workload Indicator Staffing Need (WISN) method. The results show that the workload is still relatively high. The number of personnel working at this time is still lacking. The number of medical recorders does not match the workload. The staff should be 7 people, while the current staff is 4 people, so they still need 3 more people. The need for medical recorders is not ideal and the hospital still needs additional medical recorders in the filling unit.
Analisis Kelengkapan Pengisian Berkas Rekam Medis Fahrunisa Fahrunisa; Musparlin Halid; Ikhwan Ikhwan
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 2 (2023): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v4i2.3373

Abstract

Minimum Service Standards (MSS) indicators in the form of completing the filling of medical record documents for 24 hours. There are medical record files and informed consent that are incomplete and not in accordance with MSS. The purpose of the study was to identify and analyze the completeness of the medical record file. The study was conducted at the Hospital of NTB Province. The purpose of the study was to determine the level of completeness of the contents of the medical record document. This research uses quantitative type. The sample is 87 medical record files. Services in the medical record section are not in accordance with the MSS. With details of the completeness of the contents of the medical record document for 24 hours after the service, it has not been completely filled out, such as the initials of the doctor/nurse (62%). Indicators of filling out informed consent from completeness after the patient is given incomplete information, such as providing information (76%), type of information (76%), doctor's signature (76%), and signatures of witnesses 1 and 2 (76%). The medical record document has not been filled in completely by the medical record officer.
Faktor Kesuksesan SIM-RS Berdasarkan Teori DeLone and McLean di Rumah Sakit Umum Daerah Kota Mataram Yan Reiza Permana; Musparlin Halid; Uswatun Hasanah; Rizal Pratama Adi Putra; Ikhwan Ikhwan
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 2 (2023): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v4i2.3783

Abstract

Information systems with technology support are one of the systems that have a big role in the success of the organization. The purpose of this study is to describe the success factors of the Hospital Management Information System (SIM-RS) in the medical record installation based on the theory of DeLone and McLean which consists of six variables. namely system quality, information quality, service quality, use, user satisfaction and benefits. This research was conducted at the Mataram City Hospital (MCH) with a sample of 48 medical record officers who use a SIM-RS. The results obtained from this study according to the system quality variable that as many as 48% of medical record officers stated that the SIM-RS had quality. The information quality variable, as much as 54% of respondents stated that the SIM-RS was of high quality. Service quality variable as much as 79% of respondents said they were satisfied with the SIM-RS. The use variable as many as 43% of respondents stated that the SIM-RS was often used. The user satisfaction variable as much as 94% of respondents stated that the SIM-RS was of good quality. The benefit variable, as many as 56% of respondents stated that the SIM-RS was useful.
Hubungan Kelengkapan Informasi Klinis dengan Ketepatan Kode Diagnosis Berdasarkan ICD-10 pada Kasus Fracture Wulandari Dewi Susilawati; Uswatun Hasanah; Rizal Pratama Adi Putra; Musparlin Halid; Ikhwan; Beny Binarto Budi Susilo; Yan Reiza Permana; Aditiyani Nugraha Pertiwi; Rian Wahyul Ikhtiar
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 4 (2023): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v4i4.3784

Abstract

Kodefikasi kasus fracture wajib menerapkan karakter ke-5 dan kelengkapan external cause apabila tidak dilakukan penerapan karakter ke-5 dan external cause maka kode yang diberikan salah sehingga menyebabkan kerugian bagi pasien maupun rumah sakit. Tujuan penelitian untuk mengetahui hubungan antara kelengkapan informasi dengan ketepatan kode diagnosis kasus fracture pasien. Metode penelitian menggunakan observasional analitik dengan pendekatan crsoss sectional. Populasi penelitian adalah dokumen rekam medis pasien rawat inap dengan kasus fracture periode Januari-Oktober 2021. Sampel berjumlah 92 dokumen rekam medis. Uji statistik menggunakan uji Lambda dengan menggunakan SPSS 20.0. Hasil penelitian menununjukkan bahwa terdapat hubungan antara kelengkapan informasi dengan ketepatan kode diagnosis (p = 0.29). Mayoritas ketidaklengkapan informasi medis (62.0%) dan ketidaktepatan kode diagnosis (76.1%) lebih banyak daripada jumlah kelengkapan informasi (38.0%) dan ketepatan kode diagnosis (23.9%)  kasus fracture. Kesimpulan untuk menekan pentingnya kelengkapan informasi terhadap ketepatan kode diagnosis harus ditetapkan oleh petugas kodefikasi.
Hubungan Karakteristik Individu dengan Kinerja Petugas Rekam Medis di Puskesmas Wilayah Kota Mataram Rizal Pratama Adi Putra; Sismulyanto Sismulyanto; Agus Supinganto; Menap Menap; Sastrawan Sastrawan; Suardi Suardi; Uswatun Hasanah; Musparlin Halid
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 5 No 3 (2024): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v5i3.4627

Abstract

Efforts to improve the performance of healthcare workers at Community Health Centers are crucial due to various aspects related to improving healthcare services. This study aimed to determine the relationship between individual characteristics and the performance of medical recorders at Community Health Centers in the Mataram City area. The research used a cross-sectional design with a sample size of 43 people. Bivariate analysis was used with a confidence level of 95% and a p-value <0.05. The study showed that there was no significant relationship between gender (p=0.737) and the performance of medical record officers. On the other hand, there were a relationship between educational background and performance with p=0.036, length of service and performance with p=0.036, age and performance with p=0.006. Additionally, employment status and performance with p=0.001, and training and performance with p=0.019. Therefore, individual characteristics such as educational qualifications, length of service, age, employment status, and training play an important role in improving the performance of medical record officers at Community Health Centers in the Mataram area. Healthcare service organizations need to optimize workforce management strategies and improve the quality of medical record management.