Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)
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.
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<![CDATA[Ketepatan Waktu Pengembalian Berkas Rekam Medis Berdasarkan Unsur-Unsur Manajemen Di RSU Bina Kasih Medan Tahun 2021 ]]>
<![CDATA[Johanna Christy]]>;
<![CDATA[Siti Suarni Waruwu]]>
<![CDATA[ Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 8 No. 1 (2023): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari ]]>
Publisher : <![CDATA[Akademi Perekam dan Informasi Kesehatan Imelda ]]>
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DOI: 10.52943/jipiki.v8i1.987
<![CDATA[Management is a process consisting of regulatory, planning, organizing, directing and controlling activities carried out to determine and achieve goals through the use of human resources and other resources to achieve organizational goals effectively and efficiently. Elements of management include 5M including (Man, Method, Material, Machine, Money). The purpose of this research is to determine the 5 element of The Timely Return of Inpatient Medical Record Files at Bina Kasih Hospital in 2021. This type of research is qualitative with a case study approach. The research was conducted in August-September 2021 which coincided with Bina Kasih Hospital in Medan with 7 subjects and head of medical record informants, the sampling technique used was purposive sampling. The timeliness of returning inpatient medical record files in August 2021 totaled 270 files and the number of inaccuracies in inpatient medical record files was 60.74% machine and money elements.]]>
<![CDATA[Analisis Kebutuhan Tenaga Rekam Medis Berdasarkan Beban Kerja Dengan Metode WISN Di Bagian Filling RSU Mitra Sejati Medan ]]>
<![CDATA[Yeyi Gusla Nengsih]]>;
<![CDATA[Lisa Anggriani Tanjung]]>
<![CDATA[ Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 8 No. 1 (2023): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari ]]>
Publisher : <![CDATA[Akademi Perekam dan Informasi Kesehatan Imelda ]]>
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DOI: 10.52943/jipiki.v8i1.1031
<![CDATA[Analysis of the medical record workload is very necessary in improving health services in a hospital. This aims to determine which workloads need to be streamlined. In addition, with the analysis or measurement of workloads, scientific evidence-based decision making can be made. Seeing the large role of medical records in health services in hospitals, it is necessary what things are needed to improve the best quality in medical record installations. The purpose of this study was to determine the need for medical record personnel based on the workload in the filling section of Mitra Sejati General Hospital Medan. This type of research is descriptive with a cross sectional approach with a population of 4 medical record officers. The place where the research was conducted was at Mitra Sejati General Hospital Medan because the hospital had problems regarding work requirements in the filling section. The available working time is based on the number of effective working hours in the medical record section, which is 2200 hours/year, in 1 day working hours are 8 hours. The above regulation is based on the number of working hours of medical record officers at Mitra Sejati Hospital Medan, the number of outpatient visits is 6098 patients/year and for inpatients is 14789 patients/year while the standard time allowance for officers is 0.01 minutes. Based on the results of the calculation of the need for filling officers using the WISN method, the total human resource requirements in the outpatient filling unit were 2.89 or 3 officers while the outpatient filling unit officers at Mitra Sejati General Hospital Medan were 2 people. Meanwhile, the total human resource requirements for the inpatient filling unit are 3.11 or 3 officers, while the inpatient filling staff at Mitra Sejati General Hospital Medan are 2 people, so there is still a need for additional medical records officers specifically in the filling section.]]>
<![CDATA[Tinjauan Sistem Penyimpanan Dengan Lama Waktu Pengambilan Berkas Rekam Medis Di Rumah Sakit Ibu Dan Anak Artha Mahinrus Medan2021 ]]>
<![CDATA[Puput Melati Hutauruk]]>;
<![CDATA[Yeyi Gusla Nengsih]]>;
<![CDATA[Ellan Eltitah Riya Zebua]]>
<![CDATA[ Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 8 No. 1 (2023): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari ]]>
Publisher : <![CDATA[Akademi Perekam dan Informasi Kesehatan Imelda ]]>
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DOI: 10.52943/jipiki.v8i1.1089
<![CDATA[Storage (Filling) is an activity of storing, structuring, or storing medical record files facilitate retrieval. The aim of this research is to determine the overview of the storage system with the length of time for retrieval of medical record files at RSIA Artha Mahinrus Medan. This research is descriptive qualitative to see by describing the results as they are and comparing them with the theory which is then drawn conclusions. The time of the study was carried out in May at the Artha Mahinrus Mother and Child Hospital, Medan. The population and sample used are medical record employees in the registration and storage division (filling). The instruments used in data collection were observation and interviews. Based on the results of this study, it shows that the storage system at the Artha Mahinrus Mother and Child Hospital Medan is a centralized storage system, by combining medical record files in one room. The time of taking medical record files is very influential on education, age, years of service and storage shelves. The education of medical record file storage officers is not all D3 medical record graduates. But the storage process continues to run well. for the medical record retrieval process, it is hoped that the retrieval process from registration to the polyclinic is expected to be improved again with a time of 10 minutes.]]>
<![CDATA[Tinjauan Kejadian Misfiled di Rak Penyimpanan Rekam Medis RSUD Dr. Adjidarmo Kab. Lebak Tahun 2022 ]]>
<![CDATA[Nabila Raihani]]>;
<![CDATA[Wiwik Viatiningsih]]>;
<![CDATA[Noor Yulia]]>;
<![CDATA[Deasy Rosmala Dewi]]>
<![CDATA[ Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 8 No. 1 (2023): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari ]]>
Publisher : <![CDATA[Akademi Perekam dan Informasi Kesehatan Imelda ]]>
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DOI: 10.52943/jipiki.v8i1.1123
<![CDATA[Misfiled is an error in the storage of medical records, or the non-discovery of medical records on the storage shelf. This study aims to determine the description of misfiled events in the medical record storage shelf of RSUD Dr. Adjidarmo Kab. Lebak in 2022. This study uses a descriptive analysis method with a quantitative approach by conducting observations and interviews. The results of the study with 99 samples found that 9 (9.1%) of the misfiled and the non-misfiled were 90 (90,9%). Most of the medical records that occurred were misfiled because it did not fit on the proper shelf or medical record documents located on another shelf. The storage system used is a centralized system and its alignment system uses a digit filing terminal. The first factor causing the misfiled in the hospital is that the medical record officer is not careful in storing medical records, because there are still often errors when reading the numbers written. Another factor is in the facilities and infrastructure of the storage room, because there is no tracer as a substitute for medical records that come out of the shelves. The advice is always to use tracers to replace medical records that come out, so as not to misfiled the alignment of medical records.]]>
<![CDATA[Tinjauan Pelaksanaan Penyusutan dan Pemusnahan Rekam Medis di RSUD Muntilan ]]>
<![CDATA[Hanifah Shofiarini]]>;
<![CDATA[Makhrum Irmaningsih]]>;
<![CDATA[Dyah Megawati Surip Solekhah]]>;
<![CDATA[Adinda Dwi Nurul ’Ain]]>;
<![CDATA[Esa Maheswari]]>;
<![CDATA[Marko Ferdian Salim]]>;
<![CDATA[Emi Nugroho]]>;
<![CDATA[Bagus Setyadi]]>
<![CDATA[ Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 8 No. 1 (2023): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari ]]>
Publisher : <![CDATA[Akademi Perekam dan Informasi Kesehatan Imelda ]]>
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DOI: 10.52943/jipiki.v8i1.1136
<![CDATA[Medical records are crucial documents in a hospital's patient care. Long-term use of paper-based or conventional medical records might result in issues including misfiles, disorganized shelves, and limited storage space. As a result, it's important to implement a procedure for the retention, elimination, and destruction of medical record files in order to eliminate useless files, decrease the growth in the number of files, and maintain the standard of medical record services. This study aims to evaluate the 5 M (Man, Money, Method, Material, and Machine) components of the process of eliminating and destroying medical record files at RSUD Muntilan. The object of research is medical record files, storage facilities, storage, implementation, and destruction of medical files. The method used in this study is a qualitative method through data collection by observation and interviews with medical record officers. The research was carried out at the Muntilan Hospital from June to July 2022. Based on the research that has been done, the process of implementing and destroying medical records is in accordance with applicable procedures and the regulation of the Ministry of Health No. 269 of 2008.]]>
<![CDATA[Faktor Yang Mempengaruhi Pelayanan Kesehatan Terhadap Kepuasan Pasien Rawat Inap Di RSUD DR. R.M. Djoelham Binjai Tahun 2022 ]]>
<![CDATA[Erlindai Purba]]>;
<![CDATA[Angelia Putriana]]>;
<![CDATA[Afifah Roselini Pasaribu]]>
<![CDATA[ Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 8 No. 1 (2023): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari ]]>
Publisher : <![CDATA[Akademi Perekam dan Informasi Kesehatan Imelda ]]>
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DOI: 10.52943/jipiki.v8i1.1137
<![CDATA[Patient satisfaction is a level of patient feeling that arises as a result of the performance of health services obtained after the patient compares with what he expects. The purpose of this study is to have a very strategic role in accelerating the improvement of public health status in providing health services. This research method uses quantitative research methods with a cross sectional approach. The population in this study were all inpatients at RSUD Dr. R.M Djoelham Binjai totaled 331 patients. The sample to be studied is 76 respondents. The sampling technique in this study used the accidental sampling technique. Data were analyzed by performing chi-square analysis test. The conclusion of this study is based on hypothesis testing using quantitative methods based on simple linear regression test equipment (F test) it was found that the significance value was 0.0053 or less than 0.05, therefore there was a positive influence between the health service variables (X). Caused by several factors, among others, namely physical evidence (Tangible), reliability (reliability), responsiveness (responsiveness), assurance (assurance), empathy (emphaty) to the satisfaction of inpatients (Y). It is hoped that services that have received a satisfied response from patients will be maintained and improved by measuring the level of patient satisfaction on a regular basis so that they can monitor and maintain the quality of health services.]]>
<![CDATA[Review Ketepatan Kode Diagnosis Dan Pending Klaim Rekam Medis Pasien Covid-19 Tahun 2021 ]]>
<![CDATA[Laili Rahmatul Ilmi]]>;
<![CDATA[Ratna Prahesti]]>;
<![CDATA[Praptana Pratana]]>;
<![CDATA[Ayu Wahyuningsih]]>;
<![CDATA[Chinara Manuela]]>
<![CDATA[ Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 8 No. 1 (2023): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari ]]>
Publisher : <![CDATA[Akademi Perekam dan Informasi Kesehatan Imelda ]]>
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DOI: 10.52943/jipiki.v8i1.1141
<![CDATA[A complete of medical record and the accuracy of clinical coding is reflect to the quality of medical record documentation. In 2021, the number of pending claim for medical record patient’s covid-19 is 41%, as cause the quality of medical record incomplete. The research aim is to measure the quality of medical records by covid-19 documentation for pending claims and the accuracy of coding Covid-19. The research method is mixed-method sequential explanatory. We used the checklist observation to measure the quality of clinical coding for patient covid-19 and interview guideline to explore the factors of pending claims. The total sampling are 889 of medical records as secondary data was analyze with STATA Version 13. The characteristic of administrative data by gender is man 571 (64,45%), woman 315 (35,35%). the number of classification covid-19 case is probable 25 cases (2,71%), suspected 214(24,15%) and confirmed 648 cases (73,14%). In another hand, the quality of accuracy coding covid-10 use code B34.2 is 377 (42,55%), use code U07.1 is 295(33,30%) and use code Z20.8 is 215 (24.14%). The accuracy of coding covid-19 is 295 (33,30%) and inaccurate 591 (66,70%). we observe the number of pending claims is 222 due to incomplete of signature and full name of physician items in discharge summary form.]]>
<![CDATA[Perancangan Ulang Map Rekam Medis Di Puskesmas Glugur Darat Medan 2022 ]]>
<![CDATA[Mei Sryendang Sitorus]]>;
<![CDATA[Bella Siringo-ringo]]>
<![CDATA[ Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 8 No. 1 (2023): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari ]]>
Publisher : <![CDATA[Akademi Perekam dan Informasi Kesehatan Imelda ]]>
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DOI: 10.52943/jipiki.v8i1.1144
<![CDATA[Medical record folder is a folder that is used to protect the forms in it to facilitate storage, especially patient medical record forms. The medical record folder at the Glugur Darat Health Center in Medan is currently in the form of a landscape and uses pink cardboard which is easy to tear and does not last long. The purpose of this study was to analyze and design a medical record folder in terms of three aspects, namely the physical aspect of the form, the anatomical aspect of the form, and the aspect of form content at the Glugur Darat Health Center in Medan. This research method uses descriptive, qualitative methods with saturated sampling technique, which was carried out at the Glugur Darat Health Center Medan in July-September 2022. The subjects in this study were Medical Record Officers, Filing Officers and Registration Officers at the Glugur Darat Health Center Medan. The result of this study is the design of a medical record folder at the Glugur Darat Health Center in Medan which is viewed from three aspects, namely the physical aspect of the form, a medical record folder made of thin cardboard is easy to tear and not durable. In the anatomical aspect, the form was found to only contain the name of the Family Folder, the name of the Puskesmas and the logo of the Puskesmas in the Heading section. In the aspect of the contents of the form found in the medical record folder at the Glugur Darat Health Center Medan, there is no loading in the medical record folder with the words Confidential.]]>
<![CDATA[Tinjauan Perancangan Tracer (Outguide) Pada Unit Penyimpanan Rekam Medis Di RSU Imelda Pekerja Indonesia Tahun 2022 ]]>
<![CDATA[Siddik Karo-Karo]]>;
<![CDATA[Marjones Hardy H. Sihombing]]>
<![CDATA[ Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 8 No. 1 (2023): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari ]]>
Publisher : <![CDATA[Akademi Perekam dan Informasi Kesehatan Imelda ]]>
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DOI: 10.52943/jipiki.v8i1.1175
<![CDATA[Tracer (outguide) is a substitute for medical records that will be removed from storage for any purpose. A good tracer should be made of strong and colorful materials. The function of the tracer is to show where medical record documents are when they are not in storage. Tracers can also improve efficiency and accuracy by showing where medical records are stored when they return. The purpose of this study was to redesign the tracer at Imelda Workers' Hospital in Indonesia by replacing materials, shapes, and designs to make it easier for officers to carry out their duties, namely inserting tracers into the shelves between the densely packed medical record files. The research method used is descriptive qualitative research. And the research instruments used are interview guidelines and observation check lists. The tracer (outguide) at Imelda Workers' Hospital in Indonesia has not been used for about a year because all tracers (outguides) have been damaged. The tracer (outguide) was damaged because the material was too stiff and broke easily when the officer inserted the tracer into the storage rack between the dense medical record files. RSU Imelda Workers Indonesia requires a tracer (outguide) made of strong, durable, not easily damaged, torn, broken and researchers have redesigned the tracer (outguide) as the results in the design above, namely by using flexible mica plastic material with a thickness of 0.70 mm , and the color chosen by the researcher in this design is black. The shape and size of the tracer (outguide) in this design is the same as the shape and size of the previous tracer (outguide) in Imelda Workers' Hospital in Indonesia. medical devices with new materials and designs such as the results in this design.]]>
<![CDATA[Perancangan Prototype Sistem Informasi Rawat Jalan pada RSU Aisyah Padang Tahun 2022 ]]>
<![CDATA[Syamsul Kamal]]>;
<![CDATA[Yuli Mardi]]>;
<![CDATA[Rindy Sakila]]>
<![CDATA[ Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 8 No. 1 (2023): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari ]]>
Publisher : <![CDATA[Akademi Perekam dan Informasi Kesehatan Imelda ]]>
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DOI: 10.52943/jipiki.v8i1.1179
<![CDATA[Prototype design is a software development method that uses an approach to make designs quickly and gradually so that potential users can immediately evaluate the advantages and disadvantages of the designed prototype. With this prototyping method, developers and users can interact and communicate with each other during the process of making prorotypes. In the design of an outpatient information system prototype it is very necessary and needed is supporting data so that the design can be further developed and aligned with existing systems in hospitals. “Aisyiyah Padang. The design of the outpatient medical record information system in the hospital already exists and needs to be analyzed again whether it is relevant for the future or not. In designing the outpatient information prototype used DFD (Data Flow Diagram), ERD (Entity Relation Diagram), direct interview method with hospital medical record staff and IT to retrieve the information needed in the design and completion. The purpose of this research is to see and analyze how far the information system design is currently running, especially the outpatient department and see the weaknesses in designing this system and whether the current system design is useful for hospitals or is it still relevant today and what needs to be developed more specifically, analyzing the specifications of the requirements and system design, designing the system interface, and evaluating the results of the system analysis and design. The results obtained after conducting research at the Aisyiyah General Hospital are the need to develop a prototype outpatient information system that is currently running because there are still deficiencies and weaknesses in the design of the old system, which is no longer relevant to the current condition of the information system.]]>
