scholarly journals Gambaran Pasien yang Menggunakan Suplemen Kalsium di Poliklinik Sub Spesialis Bedah Onkologi RSUD Ulin Banjarmasin

2021 ◽  
Vol 8 (1) ◽  
pp. 7
Author(s):  
Adella Adella ◽  
Noor Cahaya ◽  
Siti Rahmah

Suplemen kalsium banyak digunakan oleh pasien yang menderita kanker dengan terapi hormonal di poliklinik sub spesialis bedah onkologi RSUD Ulin Banjarmasin. Penelitian ini bertujuan mendeskripsikan karakteristik berupa umur dan jenis kelamin pasien yang menerima suplemen kalsium, jenis kanker, obat lain yang diberikan bersama pemberian kalsium, jenis suplemen kalsium, frekuensi pemberian kalsium, lama pemberian kalsium dan penggunaan suplemen kalsium dari lama pemberian kalsium dan obat terapi hormonal yang digunakan di poliklinik sub spesialis bedah onkologi RSUD Ulin Banjarmasin. eksperimental deskriptif  adalah jenis penelitiannya serta pengambilan datanya dengan retrospektif menggunakan sumber cacatan medik pada tahun 2018. Data Populasi digunakan dengan kriteria inklusi adalah pasien kanker usia >18 tahun, menerima suplemen kalsium dan kriteria eksklusi yaitu penderita kanker dengan informasi catatan medik yang kurang lengkap/tak ditemukan. Total jumlah populasi yang digunakan adalah 55 pasien. Hasil dan kesimpulan penelitian didapatkan karakteristik berdasarkan usia pada rentang 26-35 tahun (1,81%), 36-45 tahun (10,91%), 46-65 tahun (43,64%), 56-65 tahun (40,00%) dan >65 tahun (3,64%); jenis kelamin perempuan (100%); jenis kanker berupa kanker payudara (98,18%) dan kanker tiroid (1,82%); obat lain yang diberikan bersama pemberian kalsium adalah obat golongan hormonal, kemoterapi sitotoksik, analgesik, H2 Blocker, ACE Inhibitor, Antihistamin, Bifosfonat, Analog vitamin D serta multivitamin lainnya; jenis suplemen kalsium yang didapat yaitu kalsium karbonat (100%); frekuensi pemberian kalsium 1x sehari 500 mg (100%); lama pemberian kalsium selama 7 hari (1,82%), 15 hari (1,82%), 20 hari (1,82%), 21 hari (1,82%), 30 hari (92,72%) dan penggunaan suplemen kalsium dari lama pemberian kalsium dan obat terapi hormonal yang digunakan adalah 7, 15, 20 dan 21 hari dengan jumlah pasien masing-masing 1 pasien terapi hormonal yang digunakan yaitu letrozole dan 30 hari dengan jumlah pasien 51 terapi hormonal yang digunakan yaitu letrozole, anasrozole, tamoxifen, goserelin acetate, megestrol acetate, dan levothyroxine. Kata Kunci: Suplemen, Kalsium, Onkologi, Hormonal, Kanker Calcium supplements are widely used by patients who suffer cancer with hormonal therapy at oncology surgery sub specialist polyclinic at Ulin Regional Public Hospital Banjarmasin. The research aims to describe the characteristics of the age and gender of patiens who receive calcium supplements, types of cancer, other drugs given with calcium, types of calcium supplements, frequency of calcium administration, duration of calcium administration and the use of calcium supplements from the duration of calcium administration and hormonal therapy drugs used at oncology surgery sub specialist polyclinic at Ulin Regional Public Hospital Banjarmasin. The research type is non-experimental descriptive and the data retrieval is taken restropective by using medical record as the source in 2018. The population data used with inclusion criteria are patients who suffer cancer with the age of > 18 years old, consumed calcium supplements and the exclusion criteria are patients with incomplete / not found medical record. The total population used are 55 patients. The research result and conclusion shows that the characteristics based on age is between 26-35 years old (1,81%), 36-45 years old (10,91%), 46-65 years old (43,64%), 56-65 years old (40,00%) and > 65 years old (3,64%); female (100%); types of cancer in the form of breast cancer (98,18%) and thyroid cancer (1,82%); other drugs given with calcium are hormonal medicine groups, cytotoxic chemotherapy, analgesic, H2 Blocker, ACE Inhibitor, Antihistamine, Bisphosphonates, Vitamin analogues D and other multivitamins; types of calcium supplements obtained is calcium carbonate (100%); frequency of calcium administration is 1 x 500 mg (100%) each day and duration of calcium administration is 7 days (1,82%), 15 days (1,82%), 20 days (1,82%), 21 days (1,82%), 30 days (92,72%) and the use of calcium supplements from the duration of calcium administration and hormonal therapy drugs used were 7,15,20 and 21 days with 1 patient each of hormonal therapy used letrozole and 30 days with 51 patients using hormonal therapy letrozole, anasrozole, tamoxifen, goserelin acetate, megestrol acetate, dan levothyroxine.

2016 ◽  
Vol 4 (2) ◽  
pp. 84-90
Author(s):  
Faik Agiwahyuanto ◽  
Sudiro Sudiro ◽  
Inge Hartini

Percentage of clinical and insurance diagnosis differences at Semarang City Public Hospital tended to increase. If this condition remained, it would lead to upcoding (fraud). The aim of this study was to explain a process of clinical and insurance diagnosis at a hospital in the implementation of Healthcare and Social Security Agency (Health BPJS). This was a qualitative study. Main informants consisted of doctors at an emergency room, surgeons, and internists. Informants for triangulation purpose consisted of a Hospital Director, a hospital verifier, and a head of Medical Record Unit. Data were analysed using content analysis.The results of this research showed that there were any differences in clinical and insurance diagnosis at Semarang City Public Hospital. The cause of these differences was due to differences in diagnosis and medical treatment between medical service standard of doctors at the hospital and a standard of INA-CBGs. To prevent the differences of clinical and insurance diagnosis, the Semarang City Public Hospital had formed an internal verifier team of the hospital and a Clinical Micro System team. A medical committee had a role to minimise the occurrence of upcoding by multiplying kinds of Clinical Pathway as a reference for doctors in diagnosing and determining kinds of treatments for patients.The differences of clinical and insurance diagnosis must be equated to prevent the occurrence of upcoding and disadvantage of the hospital. Efforts to prevent these differences are by adding officers, training coding, making and multiplying algorithm of clinical pathway, forming a team of Clinical Micro System, and monitoring and evaluating medical services.


2020 ◽  
Vol 30 ◽  
pp. 481-483
Author(s):  
Musriati ◽  
Indar ◽  
Muhammad Tahir Abdullah ◽  
Rahman Kadir

2017 ◽  
Vol 5 (1) ◽  
pp. 21
Author(s):  
Cindy Kusuma Dewi

Performance evaluation was showed that average service time from January to October 2016 was 35.56 minutes. The average service time ensuring provision of medical records of outpatients was under targets because the standard of service time of the Minister of Health No. 129 at 2008 is <10 minutes. This research aimed to determine the information quality of medical record documents outpatients as helped efforts to improve the information quality of medical record documents. This was a descriptive study with cross-sectional design. Data was collected through observation outpatient medical record on December. The samples consisted 115 medical record documents. The sampling method used was random sampling. Variable used by researchers was the quality dimensions of The Product and Service Performance for Information Quality Model. The results showed the dimensions free of error of 68.33%, dimensions of concise representation of 58.44%, and the dimensions of completeness by 55.56%, and dimensions of consistent representation of 52.22%. Based on research result, average score of information quality assessment were good enough. Recommendation for Medical Record Departementbased on research results was made guidelines or standard operating procedures could be used to increase the quality of medical record documents. Keywords: assessment, dimension, information quality, Medical Record Document,outpatient


2019 ◽  
Vol 3 (1) ◽  
pp. 25
Author(s):  
Muhammad Farid Bashori ◽  
IJK Sito Meiyanto

Stress is one of the psychological reactions that can be in a work situation. Work situations may change at any time in different forms. An employee's psychological reaction to change also varies. Job insecurity arising from changing work situations increases job stress. A company certainly does not want employees to experience work stress that can impact on the decline in company performance. The level of employeereligiosity is expected to reduce the impact of job insecurity. This study aims to determine the role of job insecurity against work stress moderated by religiosity. Job stress as dependent variable, job insecurity as independent variable, and religiosity as moderator. Methods of data retrieval were performed using work stress scale, job insecurity scale, and scale of religiosity. The subjects of this study were 119 employees working in the State Forestry Corporation. The hypothesis proposed in this study is religiosity as a moderator in the relationship between job insecurity with work stress. Moderate and hypothesis testis done by moderate regression analysis. The research result shows religiosity not proved as moderator in relationship between job insecurity with work stress, but directly significant impact to work.


2020 ◽  
Vol 5 (1) ◽  
pp. 47-61
Author(s):  
Sri Mulyati

The research aimed at finding out speaking ability of second grade elementary students by using Think Talk Write learning model. The data retrieval was carried out for four days. The problem was lack of teachers’ innovation in improving students’ speaking ability so the researcher decided to carry out this model. The research method was descriptive qualitative. Primary data was taken from this research result and secondary data was taken from published journals. Data analysis techniques were triangulation and data reduction from interview, observations, students’ activities, and students’ presentation results. The result of this study showed that on the first day of observation the students were still in low category, while on the second day to the fourth day, 25 students were in fast category and only 2 students were in medium category. Based on this result, it can be concluded that Think Talk Write learning model can improve speaking ability of second grade elementary students. 


2018 ◽  
Vol 3 (3) ◽  
pp. 624
Author(s):  
Dewi Mardiawati ◽  
Devid Leonard

<p><em>Claim process proposed by a hospital, there were still returned claim documents verification of BPJS, in which medical treatment codes were not corrected.The problem was that in implementation of coding application could influence the health cost service.A goal of the research was to expose the problem of coding application in medical treatment through analysis process of input and output factors. A kind of the research was qualitative with case study approach. This research was conducted at Islamic Hospital of Siti Rahmah of Padang from February to July 2017.The research informants were about 6 persons taken with a technique of purpose sampling. The analysis of result data were from detailed interview sourced from coding data reduction to be transcription. Category of providing data, interpretation. The research result showed that  medical treatment disturbance of coding implementation was not clearness of doctor’s writing as icon of medical diagnose and incomplete resume sent. Computer coding system  was not maximal because of the new  medical record officers. Hospital officer added the strength in policy regulation  in human resources through increasing life skill such as training. The policy strength must be fixed regulation rewards and sanction for medical recorder not fulfilling the un accurate data. Besides, socialization from medical record unit about importance of medical diagnose treatment furthermore it relates with an implementation of SOP through regular watch.</em></p><p><em><br /></em></p><p>Pada proses pengajuan klaim di rumah sakit masih terdapat berkas yang dikembalikan verifikator BPJS, salah satu penyebab dikarenakan kode tindakan medis tidak tepat. Permasalahan pelaksanaan tindakan pengodean dan tindakan medis dapat mempengaruhi tarif pelayanan kesehatan. Tujuan penelitian adalah mengeksplorasi permasalahan pelaksanaan pengodean tindakan medis dengan menganalisis faktor input, proses dan output. Jenis penelitian adalah kualitatif dengan pendekatan studi kasus. Penelitian dilakukan di RSI Siti Rahmah Padang dari bulan Februari sampai Juli 2017. Informan peneltian ini berjumlah 6 orang diambil dengan teknik purposive sampling, Analisis data hasil wawancara mendalam dengan tahap transkripsi, reduksi, coding, kategori, penyajian dan interpretasi data. Hasil penelitian menunjukkan yang menghambat kelancaran pelaksanaan pengodean tindakan medis adalah ketidak jelasan tulisan dokter sebagai penegak diagnosa dan tindakan medis serta ketidak lengkapan pengisian resume. Pengodean disistem komputerisasi belum maksimal karena petugas koding masih baru. Sebaiknya rumah sakit melakukan penguatan input, dibidang SDM dengan meningkatkan keterampilan melalui pelatihan. Penguatan kebijakan melalui regulasi dan sanksi tegas bagi SDM yang tidak mengisi rekam medis dengan baik dan benar, serta perlu sosialisasi tentang pentingnya pengisian diagnosa tindakan medis sesuai kaidah ICD 9 CM dan Penguatan fungsi manajemen dalam pelaksanaan pengodean tindakan medis terutama berkaitan dengan SOP pelaksanaan melalui kegiatan pengawasan secara berkala.</p><p><em><br /></em></p>


2021 ◽  
Vol 11 (4) ◽  
Author(s):  
Natalia Bianchini Dodo ◽  
Josimeire Cantanhêde De Deus ◽  
Priscilla Perez da Silva Pereira ◽  
José Juliano Cedaro

Objetivo: avaliar a qualidade dos registros de enfermagem realizados em prontuário de pacientes internados num hospital público municipal da região norte brasileira. Método: estudo quanti-qualitativo, tipo documental, em prontuários de pacientes que permaneceram internados no mínimo 48 horas. O instrumento de coleta avaliava a qualidade dos registros, conforme definição pelo Conselho Federal de Enfermagem. Foram realizadas análises descritivas por meio do Stata®13.0. Resultados: do total de 248 prontuários, 25,9% foram considerados completos, 67,1% incompletos, 6,7% incorretos e 0,3% não estavam preenchidos. Em mais de 90% dos registros estudados se verificou que não havia uma escrita sequencial e concisa, emprego de terminologias técnicas e descrição dos cuidados prestados. Conclusões: Os registros de enfermagem foram considerados com qualidade insatisfatória. Como possíveis caminhos a serem experimentados tem-se o uso de formulários específicos para a Sistematização da Assistência de Enfermagem, implementação do prontuário eletrônico e padronização de siglas.Descritores: Registros de Enfermagem; Equipe de Enfermagem; Qualidade da Assistência à Saúde. EVALUATION OF THE QUALITY OF NURSING RECORDS IN THE HOSPITAL IN NORTHEN BRAZILObjective: to evaluate the quality of nursing records carried out in patients' records in a municipal public hospital in the northern region of Brazil. Method: quantitative-qualitative study, documentary type in medical records of patients who remained hospitalized at least 48 hours. The collection instrument evaluated the quality of the records, as defined by the Federal Nursing Council. Descriptive analyzes were carried out using Stata®13.0. Results: Of the total of 248 medical records, 25.9% were considered complete, 67.1% were incomplete, 6.7% were incorrect and 0.3% were not filled. In more than 90% of the studied registers it was verified that there was no sequential and concise writing, use of technical terminologies and description of the care provided. Conclusions: Nursing records were considered of unsatisfactory quality. As possible ways to be tried it is suggested the use of specific forms for the Systematization of the Nursing Assistance, implantation of the electronic medical record and standardization of acronyms.Descriptors: Nursing Records; Nursing Team; Quality of Health Care. EVALUACIÓN DE LA CALIDAD DE LOS REGISTROS DE ENFERMERÍA EN UN HOSPITAL EN EL NORTE DE BRASILObjetivo: evaluar la calidad de los registros de enfermería realizados en los registros de pacientes en un hospital público municipal en la región norte de Brasil. Método: estudio cuantitativo-cualitativo, tipo documental en registros médicos de pacientes que permanecieron hospitalizados al menos 48 horas. El instrumento de recolección evaluó la calidad de los registros, según lo define el Consejo Federal de Enfermería. Los análisis descriptivos se llevaron a cabo utilizando Stata®13.0. Resultados: Del total de 248 registros médicos, 25.9% se consideraron completos, 67.1% estaban incompletos, 6.7% eran incorrectos y 0.3% no se llenaron. En más del 90% de los registros estudiados se verificó que no había una escritura secuencial y concisa, el uso de terminologías técnicas y la descripción de la atención prestada. Conclusiones: los registros de enfermería fueron considerados de calidad insatisfactoria. Como posibles formas de ser juzgado, se sugiere el uso de formularios específicos para la Sistematización de la Asistencia de Enfermería, la implantación del registro médico electrónico y la estandarización de acrónimos.Descriptores: Registros de Enfermería; Registros; Grupo de Enfermería; Calidad de la Atención de Salud.


2019 ◽  
Vol 6 (2) ◽  
pp. 50-53
Author(s):  
Widya Nurbaeti ◽  
Jaenudin ◽  
Iin Indra Nuraeni

In the storage section of the medical recordat the Waled public hospital. there are problems with ergonomics. high shelves cause medical record files difficult to reach and footing aids used in the form of a former wooden table drawer where the risk of falling to the officer at work, and the unavailability of room temperature indicators to measure ideal temperature and humidity as well as lack of lighting and less space stuffy. The purpose of this study was to review aspects of ergonomics in the medical record storage room. The Used of type research is descriptive. The used method  is observation. The purpose of this study is to overview ergonomic aspects in the medical record storage room. The procedure for collecting data in this study is by observation and measurement. The used instrument is observation and measurement sheets. The population and samples in this study are medical record storage room and the officers. The used data analysis is univariate analysis. The research was conducted on 16 may 2019 at Waled public hospital of Cirebon district.From the results of the study about ergonomic aspects according to The International Ergonomic Association IEA, 2002 devided ergonomics into 4 categories. Physical ergonomics with percentage value of 80% and environmental ergonomics also with a percentage value of 80% do not meet ergonomics standard. Cognitive ergonomics with percentage value of 100% which has the same value with ergonomic Organization with percentage value of 100% meet ergonomics standard. it is suggested that hospital, especially in the filling room should replace foot pedestal devices, should use iron material ladders to advoid and reduce the risk of falling for officer. Should  Install a temperature indicator or hygrometer in medical record storage room. Should Install curtains on glass windows, should clean the floor use a wet cloth to reduce dust and repair damage facilities and infrastructure in filling room.


Author(s):  
Musriati . ◽  
Indar . ◽  
Muhammad Tahir Abdullah

Background: This research is motivated by the high number of incompleteness of filling in the patient's medical record file in the inpatient installation, which is 30-35% in Regional Public Hospital Batara Guru Belopa.Methods: The research method is qualitative using the phenomenology approach. Determination of informants using purposive sampling method and obtained as many as eighteen informants. Data collection in the form of in-depth interviews, document review and observation. The validity of the data is done by triangulation and credibility test.Results: Management of medical records completeness seen from human resources who still need additional staffin the central part of the hospitalization by looking at the large number of patients and workload of the officers, doctors rarely fill in the full medical record sheets due to negligence of doctors due to other activities or in a hurry. Management of medical records completeness viewed from the procedure, there are still officers in the inpatient department who do not know the flow of exit and entry of the medical record file to the inpatient installation. The management of medical record completeness is seen from the information, implementation of hospital policy regarding the completeness of filling in medical record is not maximal because medical record file is slowly completed and returned to the medical record section.Conclusions: The hospital should be conducted a routine evaluation related to the completeness of the medical record and activated the hospital management information system (HMIS).


2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Christine Hendra ◽  
Aaltje E. Manampiring ◽  
Fona Budiarso

Abstract: Obesity is defined as a condition of abnormal or excessive fat accumulation in adipose tissue which can be harmful for health. The risk factors that can affect obesity in adolescent are dietary habit, lifestyle, physical activity, environmental factor, genetics, health factor, psychological and hormonal drugs. The purpose of this study was to determine the prevalence and risk factors for obesity in adolescent. This study used cross sectional method with descriptive approach, the sampling technique used in this study is simple random sampling. Samples are 966 students which met the inclusion criteria were 15 to 18 years old, was willing to be sampled. Data retrieval is done by measuring waist circumference. Conclusion: Based on the waist circumference measurement of 966 populations, 220 peoples are found obese with presentation of 22,8% consisting of 59 boys with presentation 6,1% and 161 girls with presentation of 16,7%. Based on the research result, dietry habit is the most affecting factor in obesity, followed by genetic factor, lifestyle, physical activity and environmental factor and the last are health factor and psychological.Keywords: obesity, adolescents, risk factor.Abstrak: Obesitas didefinisikan sebagai suatu kondisi akumulasi lemak yang tidak normal atau berlebihan di jaringan adiposa sampai kadar tertentu sehingga dapat merusak kesehatan. Faktor-faktor risiko yang dapat menpengaruhi terjadinya obesitas pada remaja adalah pola makan, pola hidup, aktivitas fisik, faktor lingkungan, genetik, faktor kesehatan, psikis dan obat-obatan hormonal. Tujuan penelitian ini adalah untuk mengetahui prevalensi dan faktor-faktor risiko terhadap obesitas pada remaja. Penelitian ini menggunakan metode cross sectionaldengan pendekatan dekskriptif. Teknik pengambilan sampel yang digunakan adalah dengan menggunakan cara simple random sampling. Sampel penelitian sebanyak 966 siswa yang memenuhi kriteria inklusi yang berusia 15-18 tahun, bersedia menjadi sampel. Pengambilan data dilakukan dengan cara pengukuran lingkar pinggang. Simpulan: Berdasarkan hasil pengukuran lingkar pinggang pada 966 populasi didapatkan 220 orang mengalami obesitas dengan presentasi 22,8% yang terdiri dari 59 orang laki-laki dengan presentase 6,1% dan 161 orag perempuan dengan presentase 16,7%. Berdasarkan hasil penelitian juga didapatkan bahwa pola makan merupakan faktor risiko paling berpengaruh pada obesitas kemudian diikuti dengan faktor genetik, pola hidup, aktivitas fisik dan faktor lingkungan dan yang terakhir adalah faktor kesehatan dan psikis.Kata kunci: obesitas, remaja, faktor risiko.


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