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LITERATUR REVIEW TENTANG SIKAP DAN PENGETAHUAN PETUGAS MEDIS TERHADAP KELNGKAPAN PENGISIAN RESUME MEDIS RAWAT INAP Linda Handayuni; Ririn Afrima Yenni; Dewi Mardiawati; Melda Yenti
Ensiklopedia of Journal Vol 4, No 4 (2022): Vol 4 No. 4 Edisi 1 Juli 2022
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

A medical resume is a summary of all services received by patients during treatment or treatment carried out by health workers. The incompleteness of filling in inpatient medical resumes in hospitals still exists such as lack of attitude and knowledge of health workers, busyness of doctors, absence of SOPs, disagreement with the time limit for filling out medical resumes, which is 1x24 hours. The purpose of this study was to describe the attitudes and knowledge of medical officers to the completeness of filling out an inpatient medical resume. The data used is secondary data, then the data is analyzed by looking for similarities, dissimilarities, views, comparisons and summaries of several research results. The results of the study from 10 journals showed that there were still incomplete medical resumes, due to the lack of knowledge and attitude of officers regarding the importance of completing medical resumes, the unavailability of SOPs for filling out resumes, busy doctors serving patients, resulting in limited time to complete them and the discipline of the doctor in charge. which is still low. From the researcher's analysis, it was concluded that the high number of completeness of completing inpatient medical resumes in hospitals was due to undisciplined officers and the lack of knowledge of officers about filling out resumes. In order to increase the completeness of filling in inpatient medical resumes in hospitals, health workers need to cooperate with each other in filling out medical record documents, especially medical resume sheets in order to create a good, complete and accurate filling.

FAKTOR-FAKTOR YANG MEMPENGARUHI KETEPATAN PENGODEAN PADA KASUS CEDERA BERDASARKAN ICD-10 DI RUMAH SAKIT KHUSUS BEDAH Dewi Mardiawati; Linda Handayuni; Ririn Afrima Yenni; Delvia Giovani
Ensiklopedia of Journal Vol 4, No 3 (2022): Vol 4 No. 3 Edisi 2 April 2022
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Abstract: Coding is a classification of a patient's disease, the implementation of which there are still errors both in terms of writing a diagnosis that is unclear to and incomplete. Based on the initial survey conducted, it was found that 15 (75%) of the writing of the diagnosis were unclear, 12 (60%) of the writing of the diagnosis were incomplete, and 14 (70%) incorrect coding of the 20 medical record files. This study aims to determine the accuracy of the coding of injury cases based on ICD-10 at Ropanasuri Hospital, Padang. This research was conducted at the Hospital for Special Surgery Ropanasuri Padang,. The population was 74 medical record files, using the total sampling technique. This research is by means of observation, using a checklist table, the data is processed using a computerized and analyzed by univariate. The results showed that the clarity of writing the diagnosis of injury cases was not clear 49 (66.2%), the completeness of writing the diagnosis of injury cases was incomplete 51 (68.9%), the accuracy of coding the injury cases was not accurate 17 (22.9%). The results of the research on the implementation of coding, especially in injury cases, have been very good where the number of inaccuracies in the code of injury cases is small, but the clarity of writing the diagnosis and completeness of the diagnosis is still not good. Researchers suggest to doctors to improve diagnosis writing and coder to be more active and thorough in coding in order to produce good reporting so as to improve the quality of the hospital.Keywords: Accuracy of coding, Medical Records, ICD-10, Clarity, Completeness

ANALISIS PEMANFAATAN e-PUSKESMAS DENGAN METODE PERFOMANCE, INFORMATION, EKONOMI, CONTROL, DAN EFISIENSI, SERVICE (PIECES) DI PUSKESMAS KOTA PADANG Devid Leonard; Dewi Mardiawati; Dian Sari
Ensiklopedia of Journal Vol 1, No 1 (2018): Vol 1 No 1 Edisi 1 Oktober 2018
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Implementation of e-puskesmas in Padang City health centers is expected to contribute to health centers in improving the effectiveness and efficiency of health services. The results of observations of e-puskesmas applications are not in accordance with the needs of health center staff (from registration to reporting). To assess the benefits of implementing an e-puskesmas one of the evaluation methods that can be used is an evaluation based on the user's perception using the PIECES method. This research is a qualitative case study approach. This research was conducted at the Padang City health center from February to May 2018. The informants in this study amounted to 10 people taken by purposive sampling technique, data analysis results of Focus Group Discastion (FGD) will be carried outprocess transcription, data reduction, coding, categories, presentation data and data interpretation. Aspects of Performance input of patient data and response time is faster, in the aspect of information there are still obstacles, namely the resulting report is still limited to LB1 reports, still constrained for data briging with P-care BPJS, on theaspect the economic use of e-puskesmas still does not provide benefits which is large in terms of reporting because there are still data input activities and reporting that must be done manually. In terms ofaspects control, the implementation of e-puskesmas still faces constraints in terms of data security because all officers can access the e-puskesmas with the same user and password. For theaspects of efficiency the e-puskesmas users are still constrained by the workload of recording and reporting that is still done manually to the City Health Office, theaspect service needs to be the development of the modules in the e-puskesmas such as the LB2 to LB 4 reporting menu module. It is necessary to develop a menu / module on the e-Puskesmas system, the need for a data security system by providing login access according to the user level and the need for communication with BPJS related to briging data.

Analisa Persepsi Verifikator Terhadap Kode Tindakan Medis Di RS Umum Citra Bunda Medical Center Padang Dewi Mardiawati; Linda Handayuni
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 6 No. 2 (2021): 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.v6i2.486

Based on the initial survey conducted by researchers, it was found that there were differences in perceptions between code verifiers and BPJS verifiers about medical action codes. In February, there were 15 disease codes with different perceptions, because the hospital had to follow the code based on the BPJS. The research objective was to analyze the perception of medical action codes by verifiers at Bunda Medical Center Hospital.This type of research is qualitative with a phenomonological approach. Research is conducted by in-depth interviews with 1 medical support person, 1 medical committee person, 1 code verifier, and 1 BPJS verifier, using a voice recorder and using interview guidelines. Data were analyzed using the Collaizzi method.The results showed that what hampered the implementation of the verification of medical action codes was that the doctor's writing was difficult to read by the verifier. There are differences in the perceptions of the verifier about the medical action code, where the verification of the medical action code is based on the number of resources used in the service, while the BPJS verifier thinks the medical action code is based on the level of severity or severity level. The conclusion in this study is that the educational qualifications between the BPJS verifier and the verification of medical action codes are not yet appropriate, then the BPJS verifier verifies the code based on the severity level it should be based on the most spent resources.

SOSIALISASI PENGUNAAN MASKER PADA PEMBELAJARAN TATAP MUKA DI MASA PANDEMI COVID-19 DI SEKOLAH MENENGAH ATAS (SMA) KOTA PADANG Dewi Mardiawati; Linda Handayuni; Ririn Afrima Yenni; Claudya Rizki Audina Daulay; Maudy Maudy; Ikhlasul Amal; Nidno Friani Candra
Jurnal Salingka Abdimas Vol 2, No 2 (2022)
Publisher : Jurnal Salingka Abdimas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (408.63 KB)

Coronavirus (CoV) adalah keluarga besar virus yang menyebabkan penyakit mulai dari gejala ringan sampai berat. Berdasarkan Surat Edaran walikota, maka semua sekolah di Kota Padang diaktifkan dengan tetap memperhatikan protokol kesehatan. Tujuan dari pengabdian ini adalah memberikan pemahaman kepada anak sekolah tentang pentingnya penggunaan masker dalam lingkungan masyarakat sesuai anjuran untuk penerapan protokol kesehatan sebagai upaya meningkatkan kesadaran tentang pentingnya pencegahan dini dari virus COVID-19. Metode kegiatan yang digunakan dalam kegiatan pengabdian masyarakat ini adalah Sosialisasi Pentingnya Penggunaan Masker Pada Masa Pandemi COVID-19 sebagai upaya penerapan protokol kesehatan demi terciptanya pencegahan terhadap virus Covid-19 pada masyarakat dalam menghadapai situasi pandemik saat ini. Pelaksanaanya adalah melakukan presentasi kesekolah dengan memberikan sosialisasi kepada siswa/anak sekolah dan juga memberikan brosur agar mahasiswa memahami pentingnya penggunaan masker selama melaksanakan pembelajaran disekolah. Pada dasarnya sebenarnya siswa/siswi memahami betul pentingnya menggunakan masker dimasa pendemi COVID-19 seperti sekarang apalagi di dilingkungan sekolah. Namun terkadang masih banyak siswa/siswa yang tidak ingin memakai masker dengan alasan susah bernafas, panas dan mereka berada dalam ruangan yang cukup lama. Dari 10 SMA yang akan dilakukan sosialisasi hanya 5 SMA yang bersedia untuk melakukan sosialisasi yaitu: SMA SIMA,PGRI 3,SMAN 6,PGAI, dan Pembagunan. Kegiatan pengabdian ini dapat meningkatkan pengetahuan serta pemahaman siswa/anak Sekolah Menegah Atas (SMA) mengenai pentingnya pengunaan masker dimasa pandemi COVID-19. Sehingga untuk selanjutnya kualitas kehidupan masyarakat akan meningkat dan penyebaran COVID-19 bisa di kurangi. Kata kunci: Masker, Pembejaran, Covid-19

Sosialisasi Pentingnya Pengunaan Masker pada Pembelajaran Tatap Muka pada Masa Pandemi COVID-19 di Sekolah Menengah Atas (SMA) Kota Padang: Socialization of the Importance of the Use of Mask in Face-to-Face Learning During the COVID-19 Pandemic at the Senior High School in Padang City Dewi Mardiawati; Linda Handayuni; Ririn Afrima Yenni; Claudya Rizki Audina Daulay; Kevin Wahyudi Farhan; Nidno Friani Candra
Jurnal Surya Medika (JSM) Vol. 8 No. 3 (2022): Jurnal Surya Medika (JSM)
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/jsm.v8i3.3711

Coronaviruses (CoV) are a large family of viruses that cause illness ranging from mild to severe. Based on the mayor's circular, all schools in the city of Padang are activated while still observing health protocols. The purpose of this service is to provide understanding to school children about the importance of using masks in the community according to the recommendations for implementing health protocols as an effort to increase awareness about the importance of early prevention of the COVID-19 virus. The method of activity used in this community service activity is the dissemination of the importance of using masks during the COVID-19 pandemic as an effort to implement health protocols in order to create prevention of the Covid-19 virus in the community in dealing with the current pandemic situation. The implementation is to do presentations at school by providing socialization to students/school children and also providing brochures so that students understand the importance of using masks while carrying out learning at school. Basically, students really understand the importance of wearing masks during the COVID-19 pandemic, especially in the school environment. But sometimes there are still many students who don't want to wear masks on the grounds that it's hard to breathe, it's hot and they are in the room for a long time. Of the 10 high schools that will be socialized, only 5 high schools are willing to do the socialization, namely: SMA SIMA, PGRI 3, SMAN 6, PGAI, and Development. This service activity can increase the knowledge and understanding of high school students/children about the importance of using masks during the COVID-19 pandemic. So that in the future the quality of people's lives will improve and the spread of COVID-19 can be reduced.

PELAKSANAAN ANALISA PELAPORAN MORTALITAS PASIEN RAWAT INAP DI PELAYANAN KESEHATAN RSUD Dr. M. ZEIN PAINAN Dewi Mardiawati; Linda Handayuni; Engla Meisesdyanti
Ensiklopedia of Journal Vol 5, No 2 (2023): Volume 5 No. 2 Edisi 3 Januari 2023
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Mortality reports are a reference to see the number of death in hospital due to certain diseases. The current mortality report is still experiencing problems, namely the processing of reporting data is still manual, there is no determination of the cause of death code because there is no death certificate. This study aims to determine the analysis of the implementation of the mortality report at the hospital Dr. M. Zein Painan in 2021. Type of research is qualitative with a phenomenological approach. Data analysis using collaizi method. Research was conducted by in-depth interviews with 4 informants, namely reporting officers, head of the medical record room, coder and death certificate issuance officers. Results of the study indicate that the implementation of the mortality report has experienced problems including insufficient number of employees resulting in double jobs, staff knowledge is still minimal because they have never attended training, there are no policies, inadequate facilities and infrastructure and evaluation monitoring has not been carried out, thus affecting the output results. Implementation of mortality report has not been carried out completely because officers prioritize reports that have a direct impact on services. Therefore, it is necessary to recruit reporting officers, develop SIM RS for processing mortality data, make policies on mortality reports and evaluate the performance of officers on a regular basis.

Pelaksanaan Analisa Kuantitatif Rekam Medis Berbasis Elektronik Di RSUP Dr. M. Djamil Padang Linda Handayuni; Dewi Mardiawati; Hendra Nusa Putra; Ririn Afrima Yenni; Rozi Rahmadian
Jurnal Pendidikan dan Konseling (JPDK) Vol. 5 No. 2 (2023): Jurnal Pendidikan dan Konseling
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jpdk.v5i2.13292

Pengelolaan dokumen dengan menggunakan sistem yang berbasis komputer/elektronik di sektor kesehatan yang sedang menjadi trend global adalah rekam medis elektronik (RME). Pihak rumah sakit, khususnya rekam medis bagian assembling melakukan pemantauan kualitas mutu berkas rekam medis dengan melaksanakan analisa kuantitatif untuk mengetahui kelengkapan suatu berkas rekam medis. Tujuan penelitian ini adalah untuk mengetahui pelaksanaan analisa kuantitatif rekam medis berbasis elektronik di RSUP Dr. M. Djamil Padang. Jenis penelitian ini adalah penelitian deskriptif cross-sectional dengan pendekatan kuantitatif. Sampel pada penelitian ini berjumlah 182 rekam medis. Berdasarkan hasil penelitian menunjukkan analisis kuantitatifdiantara keempat komponen yaitu identifikasi pasien, kelengkapan laporan/catatan yang penting, auntentifikasi penulis, dan catatan yang baik diperoleh rata-rata presentase kelengkapan sebesar 95%,kelengkapantertinggi ditemukan pada komponen identifikasi pasien sebesar99,5%, sedangkan persentasekelengkapan terendah ditemukan padakomponen kelengkapan laporan/catatan yang penting sebesar89%. Sebaiknya dilakukan evaluasi dari hasilanalisis kuantitatif guna mengurangiketidaklengkapan rekam medis agar dapat mendukung dalam pengambilansuatu keputusan.

Diagnosis of Congenital Hypothyroidism by Analysis of Medical Records Linda Handayuni; Dewi Mardiawati; Ririn Afrima Yenni; Rozi Rahmadian
Jurnal Penelitian Pendidikan IPA Vol 9 No 6 (2023): June
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i6.3490

Congenital hypothyroidism is one of the causes of mental retardation in children that can be prevented if recognized and treated early. Thyroid hormones play a role in the development of the central nervous system. It is known that 95% of CH do not show typical clinical signs and symptoms at birth and the duration of early intervention to prevent mental retardation is short. Therefore, most developed countries have conducted neonatal screening programs for early detection of CH. The purpose of this study was to determine the diagnosis and management of congenital hypoteroid based on medical record analysis. This research method is a cross-sectional descriptive study with a quantitative approach to patient medical records. Data were analyzed in accordance with the standard diagnosis and management of congenital hypoteroid issued by the Pediatric Association in 2017. The clinical practice guidelines explain that congenital hypothyroidism can be transient or permanent and is classified according to the location of the disorder: primary (in the thyroid gland) or secondary (in the pituitary and/or hypothalamus); severity of hypothyroidism: (serum TSH levels > 100 mIU/L are considered severe; and age of onset of hypothyroidism. The most common form is permanent primary CH (high serum TSH levels) due to thyroid dysgenesis. Permanent CH requires lifelong treatment while transient CH does not. The results of the study have met clinical guidelines, namely CH screening in newborns is positive if the TSH level is â‰¥ 20 mU/L. Infants with positive screening results must be confirmed by re-checking serum TSH and FT4. The diagnosis of CH is made when TSH levels are high and FT4 is low. In non-screened infants, the diagnosis is made through clinical symptoms and serum TSH and FT4 examination.

Sosialisasi Pentingnya Penggunaan Masker pada Pembelajaran Tatap Muka pada Masa Pandemi Covid-19 di Sekolah Menegah Atas (SMA) Kota Padang: Socialization of the Importance of the Use of Mask in Face to Face Learning During the Covid-19 Pandemic at the Senior High School in Padang City Dewi Mardiawati; Linda Handayuni; Ririn Afrima Yenni; Claudya Rizki Audina Daulay; Kevin Wahyudi Farhan; Nidno Friani Candra
Jurnal Surya Medika (JSM) Vol. 9 No. 2 (2023): Jurnal Surya Medika (JSM)
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/jsm.v9i2.5675

Coronaviruses (CoV) are a large family of viruses that cause illness ranging from mild to severe. Based on the mayor's circular, all schools in the city of Padang are activated while still observing health protocols. The purpose of this service is to provide understanding to school children about the importance of using masks in the community according to the recommendations for implementing health protocols as an effort to increase awareness about the importance of early prevention of the COVID-19 virus. The method of activity used in this community service activity is the dissemination of the importance of using masks during the COVID-19 pandemic as an effort to implement health protocols in order to create prevention of the Covid-19 virus in the community in dealing with the current pandemic situation. The implementation is to do presentations at school by providing socialization to students/school children and also providing brochures so that students understand the importance of using masks while carrying out learning at school. Basically, students really understand the importance of wearing masks during the COVID-19 pandemic, especially in the school environment. But sometimes there are still many students who don't want to wear masks on the grounds that it's hard to breathe, it's hot and they are in the room for a long time. Of the 10 high schools that will be socialized, only 5 high schools are willing to do the socialization, namely: SMA SIMA, PGRI 3, SMAN 6, PGAI, and Development. This service activity can increase the knowledge and understanding of high school students/children about the importance of using masks during the COVID-19 pandemic. So that in the future the quality of people's lives will improve and the spread of COVID-19 can be reduced.

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