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All Journal JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Jurnal Wiyata : Penelitian Sains dan Kesehatan SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Jurnal Kesehatan Manarang Jurnal Manajemen Informasi dan Administrasi Kesehatan Indonesian Journal for Health Sciences (IJHS) Biota Journal of Health Sciences Jurnal Farmasi Higea JURNAL ILMIAH KESEHATAN SANDI HUSADA Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) JPP Jurnal Kesehatan Poltekkes Palembang JURNAL PENELITIAN FARMASI & HERBAL Jurnal Teknologi Informasi dan Komunikasi Jurnal ABDIMAS (Pengabdian kepada Masyarakat) UBJ J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Jurnal Interkom : Jurnal Publikasi Ilmiah Bidang Teknologi Informasi dan Komunikasi Jurnal Masyarakat Madani Indonesia Jurnal Penelitian dan Kajian Ilmiah Kesehatan Politeknik Medica Farma Husada Mataram Jurnal Pengabdian Masyarakat Sehati JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
Musparlin Halid
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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.
Analysis of Differences in Timeliness of Providing Outpatient Medical Record Documents in the Terminal Digit Filling Filing System at Hospital Ikhwan Ikhwan; Musparlin Halid
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 11 No. 2 (2022): August 2022
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v11i2.15517

Abstract

Filling a system document of the medical record is a system of using to arrange a bundle of the medical record in share of filing. The research intends to analyze different time rapidity of supplying the Medical Record Document (MRD) manner take care of the filing system of Terminal Digit Filing (TDF) and the Straight Numerical Filing (SNF). This research was an analytic observational study with a cross-sectional approach by analyzing the difference in the timeliness of providing outpatient medical record documents to the TDF system at Patut Patuh Patju (Tripat) Hospital and SNF at Siti Hajar Mataram Hospital. The study was conducted from January to May 2022. The study population was old patients taken care of in the Tripat Hospital and Siti Hajar Mataram Hospital. The research sample was 90 MRDs in the Tripat Hospital and 87 MRDs in the Siti Hajar Mataram Hospital taken with systematic random sampling. The instrument used an observation sheet and the time of providing MRD, both in the TDF and SNF systems. The data was quantitative data obtained from the speed of time for providing MRD. Analysis of research used experiment of Independent Sample t-test. The experiment statistic used the aid of the SPSS Version 20 software. The result of the study indicated different supplying time rapidly of documents of the medical record manner taking care of system juxtaposition of terminal digit filing and straight numerical filing (P-Value = 0,043).
Survey Karakteristik Demografi Petugas Rekam Medis di Puskesmas Wilayah Kota Mataram Rian Wahyul Ikhtiar; Uswatun Hasanah; Ikhwan Ikhwan; Rizal Pratama Adi Putra; Beny Binarto Budi Susilo; Musparlin Halid; Yan Reiza Permana; Muhammad Munawir Gazali
Jurnal Wiyata Penelitian Sains dan Kesehatan Vol 11, No 1 (2024)
Publisher : LP2M IIK (Lembaga Penelitian dan Pengabdian Masyarakat Institut Ilmu Kesehatan) Bhakti Wiy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56710/wiyata.v11i1.600

Abstract

Characteristics of Medical Record officers consist of religion, age, gender, years of service, education, training, and employment status. This research was conducted at the Public Health Center in the City of Mataram. The purpose of this study was to determine the characteristics of medical record officers at the public health center in the city of Mataram. The design of this research is descriptive. The sample in this study were all medical record officers at the Mataram City of Health Center, totaling 39 medical record officers. The results showed that the medical record officers at the Mataram City of Health Center were mostly Muslim (100.0%), the sex of the officers was female as many as 22 people (56.4%), and the service period of the officers was less than 5 years (48,7%), Officer education is Diploma III of Medical Record and Health Information (MRHI) as many as 12 people (30.8%), training officers who have never attended training as many as 28 people (71.8%), while the staffing status of non-civil servant officers is 23 people (59, 0%). The conclusion is there needs to be an increase in the number and quality of medical record personnel in health centers with a Diploma III MRHI background
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.
Co-Authors Aditiyani Nugraha Pertiwi Agus Supinganto aini aini Ajeng Dian Pertiwi Alfisahrin Alfisahrin Alfisahrin Aria Yulandita Beny Binarto Budi Susilo Bidarita Widiati Elan Pratiwi Fahrunisa Fahrunisa Hardani Hardani Hardani, H Hollysa Andini Ikhwan Ikhwan Ikhwan Ikhwan Ikhwan Ikhwan Ikhwan Irawansyah Irawansyah Mar yam Menap Menap Muhammad Munawir Gazali Muhammad Taufiqurrahman, Muhammad Pauzan Pauzan Pauzan Rian Wahyul Ikhtiar Rizal Pratam Adi Putra Rizal Pratama Adi Putra Sastrawan Sastrawan Sismulyanto Sismulyanto Sri Rahmawati Suardi Suardi suhada, adriyan Syaidatussalihah Syamsuriansyah, Syamsuriansyah Toto Sudargo Tuhfatul Ulya Uswatun Hasanah Uswatun Hasanah Wulan Ratia Ratulangi Wulan Ratia Ratulangi Wulandari Dewi Susilawati Yan Reiza Permana