Ketidaksesuaian Dosis dan Interval Pemberian Antibiotik pada Lansia di Bangsal Penyakit Dalam RSUD dr Moewardi Solo serta Gambaran Timbulnya Efek Samping yang Merugikan

Aging causes a decrease in renal blood flow velocity and clearance values related to renal filtration function. A decrease in kidney filtration function results in a decrease in the ability of drug elimination so that the drug and its metabolites tend to accumulate in the blood. The dose of certain antibiotics must be adjusted to the patient's kidney function. Clinical estimates of kidney filtration function are expressed in terms of creatinine clearance (CrCl). This study aims to determine the percentage of suitability of the dose and interval of antibiotic administration with the CrCl value of elderly patients and to see description of the side effects arising from the administration of antibiotics. This research was observational with data retrospective retrieval of medical records. The subjects of the study were elderly patients who were hospitalized in the ward ward in dr. Moewardi Solo Hospital in the period January - May 2019 , ≥ 60 years aged with a diagnosis of Pneumonia, Urinary Tract Infection (UTI), Cellulitis and sepsis with complete medical record data. The antibiotics evaluated are all antibiotics given to the patient while being treated. The results showed the suitability of the dose and interval of antibiotic administration with the CrCl value of elderly patients hospitalized in the disease ward in RSUD Dr. Moewardi Solo for the period January-May 2019 was 63.35%, the incidence of side effects arising from the administration of antibiotics was nausea and vomiting (10 patients ) and diarrhea (4 patients).

Download Full-text

Aplikasi Filling Rekam Medis Menggunakan Metode Algoritma Turbo Boyer Moore

Computer Engineering Science and System Journal ◽

10.24114/cess.v5i2.17565 ◽

2020 ◽

Vol 5 (2) ◽

pp. 259

Author(s):

Beni Harzani ◽

Diana Diana

Keyword(s):

Health Center ◽

Medical Record ◽

Medical Records ◽

Community Health Centers ◽

Processing System ◽

Patient Data ◽

Search Problem ◽

Test Results ◽

Medical Record Data ◽

Record Data

Nagaswidak Health Center is one of the community health centers that is quite large and has complete facilities. But the problem that is often faced by officers in the puskesmas is the medical record data processing system which is still manual, causing the accumulation of patient medical record file data, in addition to patients who have been checked before and lost their medical records, it is very difficult for officers to find back, so the officer made a new medical record data. To overcome this problem, a Medical Records Filling Application was made at the Nagaswidak Health Center which includes the processing of medical records, patient data, drug data, action data, doctor data, and admin logins. So that the data search problem is not difficult, the turbo boyer moore algorithm method is applied which is expected to later be able to facilitate the search for patient data in the medical record filling application. Based on the test results Boyer Moore's Algorithm successfully applied to search for the beginning of a word, middle word, and final word. And the level of ease and usefulness of medical records application using Boyer Moore's algorithm obtained results that the level of ease is 80% and 100% usability rate.

Download Full-text

INTRACEREBRAL HEMORRHAGE (ICH) INCIDENCE PROFILE IN JEMURSARI ISLAMIC HOSPITAL DURING THE PERIOD 2017-2019

Oceana Biomedicina Journal ◽

10.30649/obj.v5i1.62 ◽

2022 ◽

Vol 5 (1) ◽

pp. 41-48

Author(s):

Hidayatullah Hidayatullah ◽

Shobihatus Syifak ◽

Choirotussanijjah Choirotussanijjah

Keyword(s):

Mortality Rate ◽

Intracerebral Hemorrhage ◽

Medical Records ◽

Hemorrhagic Stroke ◽

Epidemiological Studies ◽

Brain Parenchyma ◽

Type B ◽

Medical Record Data ◽

Record Data ◽

Male Patients

Background: Intracerebral hemorrhage or ICH or hemorrhagic stroke is caused by bleeding within brain parenchyma. Riskesdas reported that stroke patients in Indonesia experienced an increase from 7 permil in 2013 to 10.9 permil in 2018. Mortality rate for ICH is estimated 40% in 1 month and 54% in 1 year. Rumah sakit Islam Jemursari (RSI) is the only type B hospital in Wonocolo sub-district, Surabaya city. This study aimed to analyze the pattern of incidents and variations of ICH at RSI Jemursari Surabaya.Method: This was a descriptive observational study. Medical record data is collected from 2017-2019. The data were obtained from medical records section of total number of ICH, gender, age and outcome of patients. Furthermore, data is analyzed and illustrated through a bar chart and the frequency of mortality is calculated.Results: Total ICH patients at Jemursari Hospital were 310 with 192 male patients and 118 female patients over 3 years. Meanwhile, the most groups experienced ICH were 45-64 years, followed by +65 age group. This is consistent with several epidemiological studies related to ICH, where the incidence of ICH increases with increasing age. The mortality rate for ICH patients, in the 2017-2019 periode, was around 23-30%.Conclusion: It can be concluded that male more susceptible to ICH than female subjects. Meanwhile, the mortality rate for ICH patients ranged from 23-30% in the 2017-2019 period. It is necessary to carry out further evaluation related to other data from the patient. So it could describe incidence rate as well as an overview of the ICH profile at RSI Jemursari.

Download Full-text

GAMBARAN PENYAKIT DEMAM BERDARAH DENGUE DI RUMAH SAKIT UMUM LUBUK PAKAM

Journal of Natural Sciences ◽

10.34007/jns.v1i3.27 ◽

2021 ◽

Vol 1 (3) ◽

pp. 152-158

Author(s):

Yessi Sundari

Keyword(s):

General Hospital ◽

Medical Records ◽

Hemorrhagic Fever ◽

Age Group ◽

Medical Record Data ◽

Descriptive Data ◽

Record Data ◽

Air Ventilation ◽

Male Sex ◽

Collection Methods

DBD is a disease caused by the dengue virus which is transmitted through mosquito bites and reduces the platelet count in the sufferer. This study aims to determine the medical records of dengue hemorrhagic fever at Lubuk Pakam General Hospital. This type of research is descriptive. Data collection methods were medical records for all DHF patients from 2005 to 2009 at Lubuk Pakam General Hospital. Then the medical record data are grouped by age, sex and occupation. Based on the results of the study, it was found that the number of DHF sufferers from 2005 to 2009 increased in the 21-56 year age group with all male sex and work as entrepreneurs. This is due to a narrower environment, increasing population, and inadequate living quarters with no good air ventilation, so that the spread of dengue is increasing.

Download Full-text

Evaluasi Ketepatan Antibiotik pada Pasien Sepsis

Pharmacon Jurnal Farmasi Indonesia ◽

10.23917/pharmacon.v18i2.16635 ◽

2021 ◽

Vol 18 (2) ◽

pp. 194-207

Author(s):

Ambar Yunita Nugraheni ◽

Mahyastuty Shintya Putri ◽

Adi Yusron Saputro

Keyword(s):

Medical Record ◽

Observational Data ◽

Inclusion Criteria ◽

Medical Record Data ◽

Exclusion Criteria ◽

Central Java ◽

Intravenous Antibiotics ◽

Record Data ◽

The Right ◽

Complete Medical Record

The administration of early intravenous antibiotics was one of the fundamental procedures in sepsis. Inappropriate of antibiotics in septic patients has an impact on mortality and prolongs treatment. The purpose of this study was to evaluate the appropriateness of antibiotics therapy in hospitalized sepsis patients in Central Java based on the parameters right indication, right patient, right drug, and the right dose. This study was observational. Data collected retrospectively and analyzed descriptively. Sampling was done by purposive sampling. The inclusion criteria were inpatients diagnosed with sepsis who received antibiotics therapy with complete medical record data. The exclusion criteria were patients who died of sepsis. Antibiotics analyzed using the DIH 25th edition 2016, IONI 2014, Tata Laksana Sepsis Pada Anak IDAI 2016, Neofax 2014, Kepmenkes PNPK Tata Laksana Sepsis 2017, PPK RS, and SHC Antimicrobial Dosing 2017. Based on data from 108 patients who fulfilled the inclusion criteria obtained results right indication 100%, right patient 97.22%, right drug 90.74%, and the right dose 48.15%. The most used antibiotic was a combination of ampicillin and gentamicin (41.67%), while the single antibiotic was ceftriaxone (12.96%).

Download Full-text

HUBUNGAN DERAJAT KEPARAHAN SIROSIS HATI DAN NILAI LAJU GLOMERULUS PADA SIROSIS HATI

e-CliniC ◽

10.35790/ecl.3.1.2015.7482 ◽

2015 ◽

Vol 3 (1) ◽

Author(s):

Pamela M. Poluan ◽

Ventje Kawengian ◽

Cerelia Sugeng

Keyword(s):

Liver Cirrhosis ◽

Medical Records ◽

Spearman Correlation ◽

Medical Record Data ◽

Cross Sectional ◽

Record Data ◽

Class B ◽

Spearman Correlation Test ◽

Cross Sectional Design ◽

Increased Activity

Abstract: Liver cirrhosis is often associated with impaired renal function. This can be due to disturbances of hemodynamic and neurohormonal systems and increased activity of the sympathetic nervous system. This will lead to a decrease in glomerular filtration rate (GFR). This study aimed to find out the connection of the liver cirrhosis degree and GFR values in liver cirrhosis subjects. This study was a cross-sectional design. Samples were 30 liver cirrhosis cases’ medical records at BLU Prof. Dr R.D Kandou Hospital Manado in the period of October 2013 to October 2014.The medical record data included age, gender, values of albumin, bilirubin, and creatinine, Child’s score, and the GFR values by using CKD-EPI formula. The corrrelation of the liver cirrhosis degrees and GFR values was tested by using the Spearman correlation test. The results showed that there was a negative, not significant correlation between class B Child’s score and GFR (r = -0.231, p = 0.618); a positive, not significant correlation between class C Child’s score and GFR (r = 0.188, p = 0.428), and btween Child’s score and GFR (r = 0.118, p = 0.533)Conclusion: There was no significant correlation between the liver cirrhosis degree (Child’s score) and GFR values.Keywords: liver cirhhosis, Child’s score, GFRAbstrak: Sirosis hati sering disertai gangguan fungsi ginjal. Hal tersebut dapat disebabkan adanya gangguan sistem hemodinamik dan neurohormonal, serta peningkatan aktivitas sistem saraf simpatis. Gangguan ini akan memicu penurunan laju filtrasi glomerulus (LFG). Penelitian ini bertujuan untuk melihat hubungan derajat keparahan sirosis hati dengan nilai laju filtrasi glomerulus pada subyek sirosis hati. Penelitian ini menggunakan desain potong lintang. Sampel peneltian ini berjumlah 30 rekam medik subyek sirosis hati yang tercatat di BLU RSUP Prof. Dr. R.D. Kandou Manado periode Oktober 2013 sampai Oktober 2014. Data rekam medik tersebut mencakup umur, jenis kelamin, nilai albumin, bilirubin, kreatinin, skor Child, dan nilai LFG menggunakan formula CKD-EPI. Hubungan derajat keparahan Child dengan LFGdiuji dengan uji korelasi Spearman. Hasil uji korelasi Spearman menunjukkan bahwa terdapat hubungan negatif dan tidak signifikan antara skor Child kelas B dengan LFG (r = -0,231, p = 0,618), hubungan positif dan tidak signifikan antara skor Child kelas Cdengan LFG (r = 0,188, p = 0,428), serta skor Child dengan LFG (r = 0,118, p = 0,533). Simpulan: Tidak terdapat hubungan signifikan antara derajat keparahan sirosis hati (Skor Child) dengan nilai LFG.Kata kunci: sirosis hati, skor Child, LFG

Download Full-text

Electronic Surveillance of Testicular Cancer: Understanding Patient Perspectives on Access to Electronic Medical Records

Journal of Oncology Practice ◽

10.1200/jop.0942004 ◽

2009 ◽

Vol 5 (4) ◽

pp. 177-181 ◽

Cited By ~ 3

Author(s):

Ryan J. Groll ◽

Kevin J. Leonard ◽

Joan Eakin ◽

Padraig Warde ◽

Jackie Bender ◽

...

Keyword(s):

Testicular Cancer ◽

Medical Record ◽

Electronic Medical Records ◽

Medical Records ◽

Early Stage ◽

Reference Source ◽

Medical Record Data ◽

Electronic Medical Record Data ◽

Record Data

This study explores the basis for providing effective access to electronic medical record data as a reference source for patients with early-stage testicular cancer undergoing surveillance follow-up programs.

Download Full-text

COMPARISON OF CLOPIDOGREL AND ACETOSAL IN THE PREVENTION OF RECCURENT ISCHEMIC STROKE AT DR. MOEWARDI REGIONAL GENERAL HOSPITAL

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2017.v10i10.19893 ◽

2017 ◽

Vol 10 (10) ◽

pp. 145

Author(s):

Anis Dwi Kristiyowati ◽

Retnosari Andrajati ◽

Anton Bahtiar

Keyword(s):

Ischemic Stroke ◽

General Hospital ◽

Medical Record ◽

Medical Records ◽

Recurrent Stroke ◽

Control Group ◽

Medical Record Data ◽

Record Data ◽

History Of ◽

Almost All

Objective: This study was conducted to determine the effect of clopidogrel on the prevention of recurrent stroke.Methods: This study used case–control study; data were taken from patient’s medical record of DR. Moewardi Regional General Hospital in the period of January 2013 – February 2017. Case group is a recurrent stroke patient receiving an acetosal or clopidogrel. The control group is a nonrecurrent stroke patient who receives an acetosal or clopidogrel.Results: During the period of study, the number of medical sample record data are 177 samples from the entire study subjects that met the inclusion and exclusion criteria, 50 medical records entered as subject of case study, 32 medical record samples was excluded because medical record data at the first stroke was gone (obselete), 35 medical record was excluded because medical record data at first stroke was not at of DR. Moewardi Regional General Hospital, 4 samples of medical records was excluded for using a combination of acetosal and clopidogrel, 55 samples of medical records as control subjects. Patients who use clopidogrel have a tendency to prevent recurrent stroke, but statistically not significantly different. This study shows that men tend to suffer more recurrent ischemic stroke (64.0%) than women. While in the control group of recurrent ischemic stroke of women (56.4%) more experienced the first stroke than men. Patients who had a stroke almost all had a history of hypertension (90.2%). Recurrent stroke patients in this study almost all had a history of hypertension. Bivariate analysis was showed that gender, history of diabetes mellitus (DM) and history of hypertension had an effect on recurrent stroke events. From the multivariate analysis, it was found that men had a risk of 2.328 for recurrent stroke (p=0.047), the history of DM had a risk of 3.975 times for recurrent stroke (p=0.016) and history of hypertension was 4.021 times for recurrent stroke (p=0.03)

Download Full-text

Are medical record front page data suitable for risk adjustment in hospital performance measurement? Development and validation of a risk model of in-hospital mortality after acute myocardial infarction

BMJ Open ◽

10.1136/bmjopen-2020-045053 ◽

2021 ◽

Vol 11 (4) ◽

pp. e045053

Author(s):

Chaoqun Wu ◽

Danwei Zhang ◽

Xueke Bai ◽

Tiannan Zhou ◽

Yongfei Wang ◽

...

Keyword(s):

Myocardial Infarction ◽

Hospital Mortality ◽

Medical Record ◽

Risk Adjustment ◽

Validation Cohort ◽

Hospital Performance ◽

Front Page ◽

Medical Record Data ◽

Record Data ◽

Complete Medical Record

ObjectivesTo develop a model of in-hospital mortality using medical record front page (MRFP) data and assess its validity in case-mix standardisation by comparison with a model developed using the complete medical record data.DesignA nationally representative retrospective study.SettingRepresentative hospitals in China, covering 161 hospitals in modelling cohort and 156 hospitals in validation cohort.ParticipantsRepresentative patients admitted for acute myocardial infarction. 8370 patients in modelling cohort and 9704 patients in validation cohort.Primary outcome measuresIn-hospital mortality, which was defined explicitly as death that occurred during hospitalisation, and the hospital-level risk standardised mortality rate (RSMR).ResultsA total of 14 variables were included in the model predicting in-hospital mortality based on MRFP data, with the area under receiver operating characteristic curve of 0.78 among modelling cohort and 0.79 among validation cohort. The median of absolute difference between the hospital RSMR predicted by hierarchical generalised linear models established based on MRFP data and complete medical record data, which was built as ‘reference model’, was 0.08% (10th and 90th percentiles: −1.8% and 1.6%). In the regression model comparing the RSMR between two models, the slope and intercept of the regression equation is 0.90 and 0.007 in modelling cohort, while 0.85 and 0.010 in validation cohort, which indicated that the evaluation capability from two models were very similar.ConclusionsThe models based on MRFP data showed good discrimination and calibration capability, as well as similar risk prediction effect in comparison with the model based on complete medical record data, which proved that MRFP data could be suitable for risk adjustment in hospital performance measurement.

Download Full-text

Gambaran Karakteristik Penderita Endometriosis di RSUP Prof. Dr. R. D. Kandou Manado

e-CliniC ◽

10.35790/ecl.5.2.2017.18568 ◽

2017 ◽

Vol 5 (2) ◽

Author(s):

Indrani B. Wu ◽

Hermie M.M. Tendean ◽

Maya E. Mewengkang

Keyword(s):

High School ◽

Medical Records ◽

Uterine Cavity ◽

Senior High School ◽

Reproductive Age ◽

Women Of Reproductive Age ◽

Medical Record Data ◽

Infertile Women ◽

Stage 4 ◽

Record Data

Abstract: Endometriosis is a gynecology disease in which the endometrium grows outside of the uterine cavity. The endometrial tissue that keeps growing can cause irritation, pain, and infertility. The prevalence of endometriosis in women of reproductive age varies between 3-10% meanwhile the incidence endometriosis in infertile women is 9-50%. This study was aimed to obtain the characteristics of patients with endometriosis at Prof. Dr. R. D. Kandou Hospital, Manado from January 2016 to September 2017. This was a descriptive retrospective study, using medical record data of endometriosis patients at Prof. Dr. R. D. Kandou, Manado. The results showed 65 cases of endometriosis during that period but only 54 cases had complete data in the medical records. Endometriosis cases were more common among age of 36-45 years (50%), senior high school (61.1%), housewife (51.9%), married status (92.6%), nulipara (51.9%), menarche at age 12 years (35.2%), duration of menstruation for 5 days (29.6%), dysmenorrhoea (44.4%), endometriosis location in the ovarium (73.6%), endometriosis with stage 4 (51.9%), and treated with operation and medicine (51.9%). Conclusion: Most frequent characteristics patientswith endometriosis were 36-45 years old, senior high school, housewife, married, nulipara, menarche at age 12 years, duration of menstruation 5 days, dysmenorrhoea, location of endometriosis in the ovarium, stage 4 endometriosis, and treated with operation and medicine.Keywords: endometriosis Abstrak: Endometriosis merupakan penyakit ginekologis dimana endometrium tumbuh di luar rongga uterus. Jaringan endometrium yang terus tumbuh ini dapat menyebabkan iritasi, rasa nyeri, dan infertilitas. Prevalensi endometriosis pada wanita usia reproduksi bervariasi antara 3-10%. Pada kelompok wanita infertilitas angka kejadian sekitar 9-50%. Penelitian ini bertujuan untuk mengetahui gambaran karakteristik penderita endometriosis di RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2016 – September 2017. Jenis penelitian ialah deskriptif retrospektif, menggunakan data rekam medik penderita endometriosis di RSUP Prof. Dr. R. D. Kandou Manado. Hasil penelitian mendapatkan 65 kasus endometriosis selama periode tersebut tetapi pasien yang memiliki data rekam medik lengkap hanya 54 kasus. Distribusi endometriosis terbanyak pada kelompok usia 36-45 tahun (50%), pendidikan terakhir tingkat SLTA (61,1%), perkerjaan ibu rumah tangga (51,9%), status kawin (92,6%), nulipara (51,9%), usia menarche 12 tahun (35,2%), lama waktu menstruasi 5 hari (29,6%), keluhan utama nyeri haid (44,4%), lokasi pada ovarium (73,6%), endometriosis dengan stadium 4 (51,9%), dan penanganan secara operasi dan medikamentosa (51,9%). Simpulan: Karakteristik penderita endometriosis terbanyak pada kelompok usia 36-45 tahun, tingkat pendidikan SLTA, pekerjaan ibu rumah tangga, status kawin, nulipara, usia menarche 12 tahun, lama waktu menstruasi 5 hari, keluhan utama nyeri haid, lokasi endometriosis di ovarium, stadium 4, dan penanganan secara operasi dan medikamentosa.Kata kunci: endometriosis

Download Full-text

MENINGKATKAN PEMAHAMAN SISWA TENTANG PENTINGNYA REKAM MEDIS PADA FASILITAS KESEHATAN

LOGISTA - Jurnal Ilmiah Pengabdian kepada Masyarakat ◽

10.25077/logista.3.2.149-156.2019 ◽

2019 ◽

Vol 3 (2) ◽

pp. 149

Author(s):

Yuli Mardi ◽

Syamsul Kamal

Keyword(s):

Medical Record ◽

Medical Records ◽

Treatment Process ◽

Personal Data ◽

Health Facilities ◽

Medical Record Data ◽

Patient Complaints ◽

The People ◽

Initial Stage ◽

Record Data

Hal pertama yang harus dilakukan sebelum ada tindakan terhadap pasien pada fasilitas kesehatan sangat erat kaitannya dengan rekam medis, seperti melengkapi data pasien, keluhan pasien dan lain sebagainya. Namun, banyak diantara masyarakat kita tidak memahami hal tersebut. Data rekam medis dan semua isi yang terdapat didalamnya merupakan data pribadi yang tidak boleh disebarluaskan kepada siapa saja. Di era BPJS saat ini, rekam medis menjadi sangat penting bagi fasilitas kesehatan, sehingga diperlukan juga pofesional rekam medis yang handal diposisi tersebut. Rekam medis tidak sekedar mengisi data medis pasien, tapi juga melakukan pengodean penyakit yang juga merupakan bagian dari rekam medis. Pengodean dilakukan agar fasilitas kesehatan dapat mengklaim biaya yang dikeluarkannya dalam menangani seorang pasien di fasilitas kesehatan tersebut. Untuk itu, perlu kiranya diberikan pengetahuan tentang rekam medis kepada masyarakat sehingga diharapkan nantinya lebih banyak masyarakat yang mengerti dan memahami betapa pentingnya rekam medis bagi pasien dan fasilitas kesehatan. Dalam hal ini, tahap awal pengetahuan tentang rekam medis diberikan kepada siswa-siswa Madrasah Aliyah Negeri (MAN) 2 Padang. Dengan kegiatan ini diharapkan masyarakat yang berobat ke fasilitas kesehatan lebih peduli dan tidak berbelit-belit dalam memberikan keterangan tentang hal-hal yang ditanyakan petugas medis di fasilitas kesehatan, sehingga proses pengobatan dapat berjalan dengan baik. Kata kunci : Rekam Medis, Pasien, Fasilitas Kesehatan ABSTRACT The first thing that must be done before there is action on patients in health facilities is very closely related to medical records, such as completing patient data, patient complaints and so on. However, several people do not understand this. Medical record data and all contents contained in it are personal data that cannot be disseminated to anyone. In the current BPJS era, medical records are very important for health facilities, so that professional medical records are also needed in that position. Medical records not only fill the patient's medical data but also encode the disease which is also part of the medical record. The coding is done so that health facilities can claim the costs incurred in handling a patient at the health facility. For this reason, it is necessary to provide knowledge about medical records to the community so that it is hoped that more people will understand the importance of medical records for patients and health facilities. In this case, the initial stage of knowledge about medical records is given to students of the State 2 Madrasah Aliyah (MAN) Padang. With this activity, it is expected that the people who seek treatment at health facilities are more caring and convoluted in giving information about matters that are asked by medical staff in health facilities so that the treatment process can run well. Keyword : Medical Records, Patients, Health Facilities

Download Full-text