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MEDICORDHIF Jurnal Rekam Medis
Published by Akademi Perekam Medis dan Informasi Kesehatan Bhumi Husada Jakarta
ISSN : 26558955     EISSN : 22529616     DOI : 10.59300/mjrm.v7i0
Core Subject : Health, Education,
Education Health Professions Public Health Other
MEDICORDHIF Jurnal Rekam Medis is a Scientific Electronic Journal of the Medical Recorder and Health Information Academy of Bhumi Husada Jakarta (APIKES BHJ) in order to accommodate the research results of APIKES BHJ lecturers and students as well as other authors outside the APIKES BHJ institutions, as one of the goals of higher education institutions in Indonesia.The Medicordhif e-journal provides the widest opportunity for lecturers, researchers and authors in the scientific fields of medical records, health information, public health, hospital management and also health management to join in as an author in our MEDICORDHIF e-journal.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 80 Documents
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TINJAUAN IMPLEMENTASI SISTEM INFORMASI E-PUSKESMAS NEXT GENERATION DI PUSKESMAS KECAMATAN KEBAYORAN LAMA Meliana; Joko Asmoro Widhi; Dwi Suryaningsih
MEDICORDHIF Jurnal Rekam Medis Vol 9 No 1 (2022): MEDICORDHIF Jurnal Rekam Medis
Publisher : APIKES Bhumi Husada Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (11.033 KB) | DOI: 10.59300/mjrm.v9i1.80

Abstract

ABSTRACT Community health centers as one of the first-level health service facilities that have an important role in the national health system. Puskesmas is an important forum for public, especially the underprivileged society. In carrying out public health services at the Kebayoran Lama District, Health Center uses an online (web)-based public health center information system. The research method used in this research is descriptive quantitative method. From the results of the research that was conducted by the author at the Kebayoran Lama District Health Center, it is known that the maximum service time is 54 minutes in line, 35 minutes for examination, and 45 minutes for drug service. The minimum duration for the queue is 18.4 minutes, the duration for the examination is 10 minutes, and the duration of drug service is 6 minutes. The median duration of the queue is 16 minutes, the duration of the examination is 7 minutes, and 1111the examination is 2 minutes, the duration of drug service is 1 minute. And the standard deviation is 13.7 minutes of queue duration, 7.8 minutes of examination, and 6.1 minutes of drug service. The author suggests to make an SOP for the E-Puskesmas N.G System so that it can run according to the expected standards and makes it easier for the health workers to carry out their work. Regarding the SOP for the clinic, it is necessary to add an explanation to the standard time for patient registration. Keywords: Implementation, Information Systems, E-Puskesmas Next Generation ABSTRAK Pusat kesehatan masyarakat sebagai salah satu jenis fasilitas pelayanan kesehatan tingkat pertama yang memiliki peranan penting dalam sistem kesehatan nasional. Puskesmas menjadi salah satu wadah yang penting bagi masyarakat umum terutama masyarakat kurang mampu. Dalam melaksanakan pelayanan kesehatan masyarakat di Puskesmas Kecamatan Kebayoran Lama menggunakan sistem informasi puskesmas yang berbasis online (web). Metode penelitian yang digunakan adalah metode penelitian deskriptif kuantitatif. Dari hasil penelitian dilakukan penulis di Puskesmas Kecamatan Kebayoran Lama diketahui bahwa waktu pelayanan maksimal lama antrean 54 menit, lama pemeriksaan 35 menit, dan lama pelayanan obat 45 menit. Mean lama antrean 18,4 menit, lama pemeriksaan 10 menit, lama pelayanan obat 6 menit. Median lama antrean 16 menit, lama pemeriksaan 7 menit, lama pelayanan obat 4 menit. Minimal lama antrean 1 menit, lama pemeriksaan 2 menit, lama pelayanan obat 1 menit. Dan standar defiasi lama antrean 13,7 menit, lama pemeriksaan 7,8 menit, lama pelayanan obat 6,1 menit. Saran dari penulis sebaiknya membuat SPO tentang Sistem E-puskesmas N.G agar dapat berjalan sesuai standar yang diharapkan serta memudahkan para tenaga kesehatan dalam menjalankan perkerjaan. Mengenai SPO poli klinik perlu ditambahkan penjelasan mengenai standar waktu pendaftaran pasien. Kata Kunci : Implementasi, Sistem Informasi, E-Puskesmas Next Generation
TINJAUAN KELENGKAPAN LAPORAN OPERASI PASIEN RAWAT INAP DI RUMAH SAKIT UMUM SETIA MITRA Hudiyati Agustini; Ummul Mufidah
MEDICORDHIF Jurnal Rekam Medis Vol 9 No 1 (2022): MEDICORDHIF Jurnal Rekam Medis
Publisher : APIKES Bhumi Husada Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (11.033 KB) | DOI: 10.59300/mjrm.v9i1.81

Abstract

ABSTRACT The operation report must be filled in completely by the doctor in charge, immediately after the operation is completed. The completeness of the operation report on the status of the patient's medical record is very important as information and documentation of the operation, which can be used by the paying party (insurance) or the court (if a case occurs). The general objective of this study was to determine the completeness of the operating report for inpatients at Setia Mitra Hospital. The research method used is descriptive, with a population of inpatient surgery reports in the period February-August 2020, with a sample of 136 inpatient surgery reports. Based on the results of the research, it is known that Setia Mitra Hospital does not yet have a special SOP regarding filling out operational reports that must be complete. Hospitals only have SOPs in general entitled Planned/Elective Surgical Services, where these SOPs do not follow applicable standards or references. From the results of quantitative analysis calculations, it was found that only 9 statuses (6.6%) had complete operation reports. The component that is filled out 100% is the patient identification, while the least completely filled out is the important notes by 66%. The cause of the incomplete filling of the operation report form is the lack of awareness of human resources about the importance of the operation report, and there is no monitoring and evaluation regarding the completeness of its completion. Keywords: completeness, operation report ABSTRAK Laporan operasi wajib diisi lengkap oleh dokter yang bertanggung jawab segera setelah operasi selesai. Kelengkapan laporan operasi pada status rekam medis pasien sangat penting sebagai informasi dan pendokumentasian operasi, yang dapat digunakan oleh pihak pembayar (asuransi) atau pengadilan (apabila terjadi suatu kasus). Tujuan Umum dari penelitian ini adalah untuk mengetahui kelengkapan laporan operasi pasien rawat inap di RSU Setia Mitra. Metode penelitian yang digunakan adalah deskriptif, dengan populasi laporan operasi pasien rawat inap pada periode bulan Februari−Agustus 2020, dengan sampel sebanyak 136 laporan operasi pasien rawat inap. Berdasarkan hasil penelitian, diketahui bahwa RSU Setia Mitra belum memiliki SPO khusus tentang pengisian laporan operasi yang harus lengkap. Rumah sakit hanya memiliki SPO secara umum yang berjudul Pelayanan Bedah Terencana/Eleketif, di mana SPO ini belum mengikuti standar atau acuan yang berlaku. Dari hasil perhitungan analisis kuantitatif, didapatkan hanya 9 status (6,6%) yang memiliki laporan operasi terisi lengkap. Komponen yang terisi lengkap 100% adalah identifikasi pasien, sedangkan yang paling sedikit terisi lengkap adalah catatan penting sebesar 66%. Penyebab ketidaklengkapan pengisian formulir laporan operasi adalah kurangnya kesadaran sumber daya manusia tentang pentingnya laporan operasi, serta tidak ada monitoring dan evaluasi mengenai kelengkapan pengisiannya. Kata kunci: kelengkapan, laporan operasi
TINJAUAN KEBUTUHAN TENAGA PEREKAM MEDIS DAN INFORMASI KESEHATAN DI UNIT REKAM MEDIS RUMAH SAKIT XYZ Garis Gemilang; Devi Ariska Safirah
MEDICORDHIF Jurnal Rekam Medis Vol 9 No 1 (2022): MEDICORDHIF Jurnal Rekam Medis
Publisher : APIKES Bhumi Husada Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (11.033 KB) | DOI: 10.59300/mjrm.v9i1.82

Abstract

Perencanaan kebutuhan tenaga Sumber Daya Manusia Kesehatan adalah proses sistematis dalam upaya menetapkan jumlah, jenis, dan kualifikasi SDMK yang dibutuhkan sesuai kondisi suatu wilayah dalam rangka mencapai tujuan pembangunan kesehatan. Beban kerja adalah banyaknya jenis pekerjaan yang harus diselesaikan oleh tenaga kesehatan professional dalam satu tahun pada satu sarana pelayanan kesehatan. Pada penelitian ini, penulis melakukan penelitian di Unit RMIK Rumah Sakit XYZ dimana semua petugas rekam medis merangkap kegiatan yang ada di unit RMIK karena kekurangan tenaga. Kegiatan pengkodean penyakit dan tindakan belum dilaksanakan karena tidak ada petugas yang mengerjakan kegiatan tersebut. Perhitungan kebutuhan tenaga Perekam Medis dan Informasi Kesehatan ini berdasarkan metode Analisis Beban Kerja Kesehatan (ABK Kes). Tujuan penelitian ini adalah mengetahui jumlah tenaga Perekam Medis dan Informasi Kesehatan yang dibutuhkan di Unit RMIK. Berdasarkan hasil perhitungan, jumlah tenaga yang dibutuhkan saat ini adalah 8 orang SDMK, namun yang tersedia ada 7 orang SDMK. Dibutuhkan penambahan 1 orang perekam medis dan informasi kesehatan untuk melakukan kegiatan pengkodingan penyakit dan tindakan karena kegiatan ini merupakan salah satu dari system pengolahan rekam medis yang harus ada di unit RMIK. Daftar Pustaka : 8 Buah (1996-2014) Kata Kunci : Kebutuhan Tenaga, Perekam Medis dan Informasi Kesehatan, Rekam Medis
PENGABDIAN KEPADA MASYARAKAT SEMINAR NASIONAL ONLINE “KOMPETENSI, PELUANG, DAN TANTANGAN PEREKAM MEDIS & INFORMASI KESEHATAN DI ERA INDUSTRI 4.0 Meliana; Garis Gemilang; Indah Kristina; Ima Rusdiana
MEDICORDHIF Jurnal Rekam Medis Vol 9 No 1 (2022): MEDICORDHIF Jurnal Rekam Medis
Publisher : APIKES Bhumi Husada Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (11.033 KB) | DOI: 10.59300/mjrm.v9i1.83

Abstract

Community Service is one of the Tri Dharma of Higher Education, namely education, research, and community service. One of the realizations of community service carried out by APIKES BHJ is in the form of a national seminar with the theme "PMIK Competencies, Opportunities & Challenges in the Industrial Era 4.0". The activity is carried out online using the Zoom Meeting media. The background of this activity is to stay productive in the COVID-19 pandemic situation. Technological progress is developing very quickly. As a PMIK worker, you are required to be adaptive to follow developments, and even be able to improve your skills and knowledge so that later you become a PMIK that is superior and highly competitive. The flow of change in the era of the industrial revolution 4.0, demands that all health workers and health services provided must be adaptive and able to adapt to the latest technological developments. This activity will be held on Wednesday, March 17, 2021, at 08.30 WIB to 12.30 WIB. Followed by 431 participants consisting of 151 students, 161 PMIK, 119 general participants. Keywords ; PKM, PMIK, industry 4.,
ANALISA TINGKAT KEPUASAN KELUARGA PASIEN DI PELAYANAN PENDAFTARAN PASIEN INSTALASI GAWAT DARURAT DI RUMAH SAKIT MENTENG MITRA AFIA Meliana; Meta Arnelita
MEDICORDHIF Jurnal Rekam Medis Vol 9 No 1 (2022): MEDICORDHIF Jurnal Rekam Medis
Publisher : APIKES Bhumi Husada Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (11.033 KB) | DOI: 10.59300/mjrm.v9i1.84

Abstract

This study was conducted to obtain an overview of the patient's family satisfaction with services at the emergency room (ER) patient registration section at Menteng Mitra Afia Hospital. The place of this research was carried out at the emergency room (ER) patient registration site at Menteng Mitra Afia Hospital in June 2021 using a qualitative descriptive analysis method with data collection by direct observation and interviews with registration officers. The sample from this study collected 178 patient families obtained from the total patient family population in January, February and March 2021. Registration is the beginning of a hospital service. This is where the importance of the role of a registration officer must be able to give a good impression so that the patient's family can feel satisfaction from hospital services. Dimensions of satisfaction consist of 5 namely Responsiveness (responsiveness), Reliability (reliability), Assurance (guarantee), Empathy (empathy), Tangibles (display/physical evidence). The results of the study were based on 5 dimensions of service quality for emergency room (ER) patient registration, namely Responsiveness (responsiveness) 77.00% satisfied category, 16.40% neutral category, and 6.85% dissatisfied category. The reliability of the satisfied category is 76.63%, the neutral category is 15.17%, and the dissatisfied category is 8.11%. Guarantee (Guarantee) in the category of 76.40% satisfied, 17.98% neutral category, and 5.28% dissatisfied category. Empathy (Empathy) is 75.06% satisfied category, 19.66% neutral category, and 5.28% dissatisfied category. Tangibles (display/physical evidence) in the satisfied category is 66.52%, the neutral category is 19.78%, and the dissatisfied category is 13.71%.
PENGABDIAN KEPADA MASYARAKAT DONOR DARAH “APIKES BHJ MENEBAR MANFAAT, KITA SEHAT MEREKA SELAMAT” Garis Gemilang; Hudiyati Agustini; Meliana
MEDICORDHIF Jurnal Rekam Medis Vol 9 No 1 (2022): MEDICORDHIF Jurnal Rekam Medis
Publisher : APIKES Bhumi Husada Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (11.033 KB) | DOI: 10.59300/mjrm.v9i1.85

Abstract

Community Service is one of the Tri Dharma of Higher Education, namely education, research, and community service. One of the realizations of community service carried out by APIKES BHJ is in the form of blood donation which is carried out in a systematic and coordinated manner. Blood is one of the most important components in the body considering its function as a means of transportation. Lack of blood in the body can trigger a number of diseases starting from anemia, hypotension, heart attacks and several other diseases. To show concern for others, the entire APIKES Bhumi Husada Jakarta community held a Blood Donation activity with the theme "APIKES BHJ Spreads Benefits, We Are Healthy They Are Safe". The blood donation activity was held on Monday, March 22, 2021. Participants who attended on the day of the implementation were 36 people, consisting of 5 lecturers, 25 students, 4 employees, and 2 people from the general public. The number of participants who could donate blood was 22 people (61%), while 14 people (38%) could not donate blood, because of low hemoglobin or blood pressure, menstruating, and underweight. Keywords; PKM; blood donors;
PENATA LAKSANAAN PENYIMPANAN REKAM MEDIS DI PUSKESMAS PISANGAN Indah Kristina; Ambarwati
MEDICORDHIF Jurnal Rekam Medis Vol 9 No 1 (2022): MEDICORDHIF Jurnal Rekam Medis
Publisher : APIKES Bhumi Husada Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (11.033 KB) | DOI: 10.59300/mjrm.v9i1.86

Abstract

The implementation of Community Service activities at the Pisangan Health Center aims to assist the management of the health center's medical record storage, especially the shrinkage of medical records, carried out according to plan and running smoothly. This activity was carried out in collaboration with the Pisangan Health Center. Activities include observing the storage room, the number of shelves is sufficient to accommodate active medical records, there is no indication for storing medical records, there is no outguide, tracer, medical records with family folders, currently in the process of transitioning to individual folders. Medical records that have been destroyed have not yet been made. Minutes of the destruction have not been made. assistance in assessing 7039 family folder medical records and 3031 individual medical records still in the active medical record category. The recommendations submitted were making an official report on the destruction of medical records that had been destroyed, using the guidelines for managing medical record shrinkage at the Puskesmas, completing supporting equipment for storing medical records, rearranging the alignment of medical records using final numbers and placing medical records in sub shelves according to their capacity. Access to Medical Records repository. Keywords: management, storage, medical records
TINJAUAN DESAIN FORMULIR REKAM MEDIS RAWAT INAP PELAYANAN BEDAH DI RUMAH SAKIT KHUSUS BEDAH RAWAMANGUN Indah Kristina; Dede Maysaroh
MEDICORDHIF Jurnal Rekam Medis Vol 10 No 1 (2023): MEDICORDHIF Jurnal Rekam Medis
Publisher : APIKES Bhumi Husada Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (11.033 KB) | DOI: 10.59300/mjrm.v10i1.90

Abstract

ABSTRACT This research was conducted to identify SOP (standart operasional procedure) governing the design of medical record forms, analyze components reviewed from anatomical, physical and content aspects contained in surgical hospitalization forms, and identify design constraints and use of surgical hospitalization forms. The research method used is a quantitative descriptive analysis method with percentage results to obtain an overview of the design review of surgical hospitalization forms at Rawamangun Special Hospital of Surgery East Jakarta. The data collection method is carried out by direct observation using checks and interviews to respondents using interview guidelines and informed consent interviews. The results of this study showed that the hospital already has a policy related to form design, namely SPO (standard operational procedure) form renewal. Guidelines for filling out medical records files and form design policies in the medical record service guidelines, fulfillment of anatomical, physical and fill aspects on surgical hospitalization forms have not been completed 100% fulfilled, from the average physical aspect of 79.20%, anatomical aspects 47.42% and content aspects 95.7%. For design constraints, the lack of knowledge about the rules of form design according to existing policies in hospitals for usage constraints is not too many obstacles, it's just that the instructions are diformed that are less clear. In conclusion, the hospital already has policies related to the design of medical record forms both SPO and guidelines governing aspects of form design, but there are still unmet aspects of the design of surgical hospitalization forms at Rawamangun Surgical Special Hospital. Existing forms do not meet the rules of the form design policy that has been created by the hospital. Bibliography: 14(2012 – 2021) Keywords: Review, Design, Form, SOP.
TINJAUAN KELENGKAPAN PENGISIAN FORMULIR PERSETUJUAN TINDAKAN KEDOKTERAN SECTIO CAESAREA DI PRIMAYA EVASARI HOSPITAL Indah Kristina; Muhamad Abdul Fatah
MEDICORDHIF Jurnal Rekam Medis Vol 10 No 1 (2023): MEDICORDHIF Jurnal Rekam Medis
Publisher : APIKES Bhumi Husada Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (11.033 KB) | DOI: 10.59300/mjrm.v10i1.91

Abstract

ABSTRACT Approval for medical action is the approval given by the patient or his closest family after receiving a complete explanation regarding the medical or dental action to be performed on the patient. recording of approval for medical action as evidence that the patient agrees to the action to be taken and must be filled in completely because it can be used as legal evidence in the event of a claim from the patient. This study was conducted to identify standard operating procedures (SOPs) for completing the approval form for sectio caesarea medical action, identify the completeness of filling out the approval form for planned and emergency sectio caesarea medical actions, identify the factors causing incomplete completion of the consent form for medical action at Primaya Evasari Hospital. The research method used is descriptive method with a sample of 103 medical treatment consent forms. The results of the study, standard operating procedures for filling out approval forms for medical actions are available, completeness of filling out approval forms for medical actions 64% are completely filled out and 36% are incomplete, factors that cause incomplete filling of consent forms for medical actions include not knowing that standard operating procedures are available for filling 20% , did not receive socialization of filling out the 20% form, did not understand how to revise 60%, the impact of incomplete filling in the consent form Medical action is that it cannot make valid evidence in the event of a lawsuit. Keywords: completeness of filling out the consent form for medical action. 
ANALISA KEPUASAN PASIEN PADA PELAYANAN DI TEMPAT PENDAFTARAN PASIEN RAWAT JALAN DI RUMAH SAKIT DIK PUSDIKKES TAHUN 2022 Yayah Sya'diah,SST,MKes.; Adika Dwi Prasetyo
MEDICORDHIF Jurnal Rekam Medis Vol 10 No 1 (2023): MEDICORDHIF Jurnal Rekam Medis
Publisher : APIKES Bhumi Husada Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (11.033 KB) | DOI: 10.59300/mjrm.v10i1.95

Abstract

ABSTRACT Patient satisfaction is the level of patient feelings that arise from the results of the performance of health services obtained after comparing them with what is expected. . The purpose of this study was to describe the level of patient satisfaction with services at the registration of outpatients at the Pusdikkes Education Hospital in 2022. This research is a descriptive quantitative study to get a picture of the level of patient satisfaction at the Dik Pusdikkes Hospital based on 5 dimensions, namely Tangible, Responsiveness, Reliability, Empathy, Assurance. The results of this study showed that patient satisfaction was 84.07%, tangibles was 16.89%, reliability was 16.57%, responsiveness was 16.86%, assurance was 16.79%, and empathy was 16.96%. To overcome this dissatisfaction, officers should improve services such as directing patients after registering because sometimes patients are still confused, officers should explain information in a voice that is not too loud so that patients are not offended, and so on. Keywords: Outpatient., registration, satisfaction level, service.

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