Jurnal Rekam Medis dan Informasi Kesehatan
Vol 2, No 1 (2019): MARET 2019

Tinjauan Pelaksanaan Pemberian Kode Diagnosa dan Tindakan pada Pasien Rawat Inap

Irmawati Irmawati (Poltekkes Kemenkes Semarang)
Sugiharto Sugiharto (RSUP Dr. Kariadi)
Rozalia Mayasari (RSI Siti Hajar Sidoarjo)



Article Info

Publish Date
20 Jun 2019

Abstract

Penelitian ini menggunakan penelitian deskriptif dengan pendekatan cross sectional melalui kuesioner yang diberikan kepada semua petugas koding rawat inap dan checklist yang untuk prosedur dan sarana prasarana koding. Penelitian dilakukan di Bagian Koding Rawat Inap RSUD Kota Salatiga pada bulan Mei - Juni. Analisis data menggunakan analisis univariate yaitu berupa distribusi frekuensi.Berdasarkan hasil penelitian, semua petugas koding rawat inap di RSUD Kota Salatiga berlatar belakang pendidikan DIII Rekam Medis dan sudah pernah mengikuti pelatihan tentang koding. Semua petugas koding rawat inap RSUD Kota Salatiga memiliki pengetahuan dan sikap yang baik dalam pelaksanaan pemberian kode diagnosa dan tindakan. Namun kelengkapan sarana prasarana koding bagi setiap petugas koding belum lengkap serta kepatuhan melaksanakan prosedur koding belum sesuai dan belum semua dilaksanakan.AbstractThis research uses descriptive research with cross sectional approach through a questionnaire given to all officers inpatient coding and checklist for procedures and infrastructure coding. Research conducted at the Hospital Inpatient Coding Part of Salatiga in May-June. Data analysis using univariate analysis in the form of a frequency distribution.Based on the results of the study, all officers in the hospital inpatient coding Salatiga educational background DIII Medical Records and have completed training on coding. All inpatient hospital coding clerk in RSUD Kota Salatiga have knowledge and a good attitude in the implementation of the diagnose and the procedure code. However, the completeness of the infrastructure coding for each officer incomplete coding and compliance implement coding procedure is not appropriate and not all implemented.

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Journal Info

Abbrev

RMIK

Publisher

Subject

Health Professions

Description

It is aimed at all medical record and health information practitioners and researchers and those who manage and deliver medical record and health information services and systems. It will also be of interest to anyone involved in health information management, health information system, and health ...