cover
Contact Name
Alex Rikki, S.Kom.,M.Kom
Contact Email
alexrikisinaga@gmail.com
Phone
+6282275847123
Journal Mail Official
alexrikisinaga@gmail.com
Editorial Address
Jl. Bilal No. 52 Kelurahan Pulo Brayan Darat I Kecamatan Medan Timur, Medan - Sumatera Utara Telp : (061) 66455670
Location
Kota medan,
Sumatera utara
INDONESIA
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)
ISSN : 25027786     EISSN : 25977156     DOI : https://doi.org/10.2411/jipiki
Core Subject : Health,
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) (p-ISSN : 2502-7786 ) (e-ISSN : 2597-7156) is a national, peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the medical record and health information. 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 information technology.
Articles 12 Documents
Search results for , issue "Vol. 7 No. 2 (2022): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Agustus" : 12 Documents clear
Tinjauan Faktor-Faktor Penyebab Terjadinya Kerusakan Dokumen Rekam Medis Rawat Inap Di Rumah Sakit Putri Hijau Medan Khairani; Khairannisa Harefa
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.v7i2.702

Abstract

Medical Record is a file containing records and documents regarding patient identity, examination, treatment, actions and other services for patients at health care facilities. The factors that affect archive damage can be divided into two, namely intrinsic factors which are the cause of damage originating from the archive object itself, for example the quality of paper and the influence of ink. extrinsic factors are the causes of damage that come from external factors of archive objects, such as physical, biological and chemical environmental factors. cross-sectional approach, that is, each research subject is only observed once and measurements are made on the status of the character or variable of the subject at the time of examination. Intrinsic factors which include paper, ink and adhesive with the amount of damage to medical record documents caused by ink with a total of 89 (29.5%). Extrinsic factors include physical, biological and chemical factors with 72 (23.9%) damage caused by fungi. The conclusion is that the biggest damage is caused by intrinsic factors, namely chemical damage as many as 89 (29.5%) medical record documents
Tinjauan dan Pelaksanaan Penyusutan Rekam Medis Di RSU Madani Medan Lisa Anggriani Tanjung; Siddik Karo-Karo; Indah Fitri Hartanti
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.v7i2.703

Abstract

Depreciation of medical record documents is an activity to separate documents that are declared active and inactive. If the implementation of depreciation is delayed, there will be a buildup of medical record documents that fill the medical record document storage rack. The accumulation of medical record documents makes storage shelves untidy and prone to misplacement of medical record documents (missfile). In Permenkes No. 269/MENKES/PERIII/2008 concerning medical records, medical records are files containing notes and documents regarding patient identity, examination, treatment, actions and other services provided to patients. The purpose of this study was to determine the implementation of shrinking medical record files at Madani Hospital Medan. This type of research is descriptive qualitative. This method is used to describe the cause of the non-implementation of shrinkage of medical record files at RSU Madani Medan. Collecting data in this study conducted interviews with medical record officers. Based on the results of research at Madani General Hospital in Medan, there were 6 medical record officers and only 4 people with RMIK D-III educational background. The implementation of sorting medical record files at RSU Madani Medan is not in accordance with standard operating procedures because the sorting process is more than 5 years old. Hospitals should provide training for filing officers. For non-medical record officers, medical record education and health information to better understand the implementation of depreciation. Hospitals also need to immediately make a retention schedule so that there is a regular schedule for retention.
Pelaksanaan Program Sistem Pencatatan dan Pelaporan Terpadu (SP2TP) Puskesmas Pesantren II Reny Nugraheni; Ananda Muchamad Syaiful
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.v7i2.719

Abstract

Sistem pencatatan dan pelaporan terpadu puskesmas atau (SP2TP) merupakan kegiatan dan pelaporan data umum, sarana, tenaga dan upaya pelayanan pusat kesehatan di masyarakat. Sistem pencatatan dan pelaporan terpadu puskesmas merupakan sumber pengumpulan data dan informasi ditingkat puskesmas. Tujuan penelitian adalah untuk evaluasi pelaksanaan system pencatatan dan pelaporan terpadu di Puskesmas Pesantren II Kota Kediri Jawa Timur. Desain penelitian menggunakan desain kualitatif dengan pendekatan studi kasus meallui wawancara dan observasi. Kuesioner yang digunakan bertujuan untuk mengetahui input, proses dan output pelaksanaan program puskesmas melalui data primer dan data sekunder. Ketepatan waktu pelaporan adalah penyampaian atau penerimaan menjadi faktor penting dalam arus laporan atas dasar pertimbangan laporan diperlukan untuk bahan pengambilan kebijaksanaan pada saat tertentu atau secara berkala. Keterlambatan penyampaian atau penerimaan laporan akan mengganggu mekanisme pengambilan keputusan.
Visualisasi Pentatalaksanaan Rekam Medis di Masa Pandemi Covid-19 pada Pembelajaran Praktikum Laboratorium Melalui Media Video Tutorial Subinarto Subinarto; Isnaini Qoriatul Fadhilah; Puput Sugiarto
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.v7i2.942

Abstract

The Covid-19 pandemic has had an impact on health services in Indonesia. Health workers, especially PMIK, must pay attention to the procedures for handling Covid-19 in providing services to patients. Medical record management procedures need to be taught to students in order to gain knowledge and understanding of medical record management during the Covid-19 pandemic. Visualization of the management of medical records during the Covid-19 pandemic is needed for students in video tutorial media. The purpose of this research is to develop visualization in video tutorial media about the management of medical records during the Covid-19 pandemic in laboratory practicum learning. The study used the research and development method which was carried out in the manual medical record laboratory of Poltekkes Kemenkes Semarang from August to December 2021. The stages in this study began with a needs analysis through FGD, followed by the stages of making video tutorials, testing validity, and ending at the trial stage. . The results of the study obtained visualization in the form of video tutorials which have been declared very valid in the material test by 85% and media testing by 81% by experts. Practicality tests on videos that were conducted on students obtained practical results with a value of 78% so that they were able to provide visualization to students on the management of medical records during the Covid-19 pandemic. It is necessary to measure the effectiveness of video tutorials in increasing students' knowledge and skills regarding the management of medical records during the Covid-19 pandemic.
Tinjauan Penyebab Terjadinya Misfile Dokumen Rekam Medis Rawat Jalan Di RSUD Kabupaten Jombang Tahun 2020 Krisnita Dwi Jayanti; Ratna Frenty Nurkhalim; Ninda Mulya Ike Ardila; Budi Pranoto; Indra Setyawan; Indah Susilowati
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.v7i2.950

Abstract

Medical record outpatient and emergency must be accompanied and completed after service to patiens the same day. This study aims to find out the factors that cause misfile from the management aspects of man, method, machine, and material in Jombang District Hospital. This research is descriptive qualitative with a case study approach. The sample in this study were 11 officers. Data collection techniques used are questionnaires and observation sheets. The results showed that in the man element, it was found that the problem of the absence of medical record officers with a background in medical record education where it is also a trigger for misfile in the filing room, the absence of training for medical record officers due to the lack of programs related to medical record training in Jombang District Hospital, and officers have never been rewarded in any form such as praise or incentives and penalties to be motivated to work better. In the method element found the problem of the absence of the implementation of medical record documents investigation activities every day periodically by officers to prevent the occurrence of misfile. On the machine element found problems of not using tracer and outguide. In the material element found the problem is that the color code in Jombang District Hospital is not applied in its entirety because of the lack of importance of color coding officers to prevent misfiles. It can be suggested that leaders should provide rewards and punishments, participate in training, make policies related to DRM investigation activities, tracer implementation, and color coding on DRM covers.
Tinjauan Manajemen Informasi Dan Rekam Medis (MIRM) 11 Dan 14 Standar Nasional Akreditasi Rumah Sakit (SNARS) Di RSU X Tasikmalaya Tahun 2022 Novi Fidianti; Ida Sugiarti
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.v7i2.986

Abstract

Hospital accreditation is an acknowledgment of service quality. The results of a preliminary study in the filing room, the storage door was not locked because it was the access door to the medical record room, it was found that medical records were stored in cardboard boxes, storage of files stored in an untidy manner made medical records damaged and folded, and no tracer was available. The purpose of this study was to determine the application of security and confidentiality aspects of medical records according to MIRM 11 and 14. This type of research was qualitative with a phenomenological approach. The research subjects were 4 informants with data collection methods using in-depth interviews, observation, and documentation studies. Data analysis used thematic analysis. The results of the study provided SOP and SK for the prevention of unauthorized use of medical records. Protection from loss by recording in the register book. Protection from damage is to replace the cover, adequate facilities, and there are K3 officers. Protection from access interference is with officers always on guard at the storage room. The protection of the storage room against unauthorized access is that the door is always locked. There are SOP on the confidentiality and privacy of information. Regulations are enforced at the time of release of information and when accessing files. Other compliance officers comply with the time of returning medical records
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 Sistem Informasi Registrasi Pasien Berbasis Web Di Puskesmas Tumbuan Kabupaten Seluma Tahun 2022 Ismail Arifin; Qaka Rahma Tita; Nur Elly; Deno Harmanto
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.v7i2.1021

Abstract

The development of information technology is currently moving very rapidly and rapidly spreading to various fields, one of which is in the health sector. Based on PERMENKES Number 31 Year (2019) concerning Information Systems, Puskesmas must implement an Information System to assist the decision-making process in implementing the management of the Puskesmas to achieve its activity targets. This causes the data collected to be inaccurate, prone to data loss, duplication of data and the reporting takes a long time. To overcome this problem, an electronic information system will be developed so that the workload of officers will be reduced and the procedure for collecting patient data will be better, it will not take time to search and record data, and reporting can be done faster and submitted to the relevant parties. The method used to create this system uses visual basic and MySQL database and uses the DFD (data flow diagram) development method. In this study produced a prototype of the puskesmas information system which includes a login menu, an officer data input menu, patient registration and a report menu. It is recommended that the Tumbuan Health Center consider the results of the SIMPUS design so that it can be implemented immediately to support registration activities.
Gambaran Kepuasan Pasien Terhadap Penggunaan Anjungan Pendaftaran Mandiri (APM) Di RSU Pakuwon Sumedang Tahun 2022 Shiila Nika Adiffa; Imas Masturoh
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.v7i2.1023

Abstract

APM is a self registration machine in which contains a touchscreen display, barcode scanner, printer or other additional tools. There are several problems related to the use of APM at Pakuwon Hospital, one of them is the queue number that can’t be printed due to the error of SIMRS network. This situation makes the process of service obtained by patients hampered. The quality of service provided by the hospital to the patient can lead to a sense of patient satisfaction. Patient satisfaction must always be considered because it relates to the subjectivity value to the quality of services provided. The purpose of this was to determine the level of satisfaction of patients using APM at Pakuwon Sumedang General Hospital. Method used in this study is quantitative with descriptive resejiarch design. The measurement of satisfaction using the End User Computing Satisfaction (EUCS) which determines from 5 dimensions. The population were 72,364 patients and the samples of this study were 110 patients. Data collection techniques using a questionnaire. Data analysis using a criterion score. The characteristics of the respondents contained in this stud based on age, education, occupation and membership status. The level of satisfaction obtained based on the content aspect is 89.22%, the accuracy aspect is 87.60%, the format aspect is 88.37%, the timeliness aspect is 86.98%, the ease of use aspect is 88.50% and overall patient satisfaction is 84.30%.
Asesmen Suryo Nugroho Markus; Laili Rahmatul Ilmi; Praptana Praptana; Sis Wuryanto; Heri Herawan; Sujono Riyadi; Tri Sunarsih
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.v7i2.1028

Abstract

a complete medical record reflects the quality of good documentation, the complete of diagnosis writing reduces incorrect and inaccurate code and appropriate reporting to support decision makers. this study aims to measure the completeness and accuracy of the death code and the basic cause of death of patients. This study uses a quantitative descriptive design using a completeness checklist instrument. researchers used secondary data from the medical records of patients who died in 2021, the total sample was 199 using the slovin formula. secondary data analyzed with STATA, presented with tabulations and descriptive narratives. the basic cause of the basic cause of death was highest in code J80 at 33 (17%), J12.8 at 21 (11%) and the third being E11.9 . Based on the category of completeness of filling out of the 199 medical records analyzed, there were 37% (75) death forms that were not filled in completely

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