scholarly journals PENGELOLAAN DATA REKAM MEDIS MELALUI SISTEM PENOMORAN DAN PENYIMPANAN UNTUK MENINGKATKAN MUTU PELAYANAN KESEHATAN DI KLINIK GIGI DAN UMUM PURI MEDICAL

2019 ◽  
Vol 3 (2) ◽  
pp. 135
Author(s):  
Rahmi Septia Sari
Keyword(s):  
Health Care ◽  
Medical Record ◽  
Community Service ◽  
Storage System ◽  
Patient Data ◽  
Health Care Facilities ◽  
Medical Record Data ◽  
Care Facilities ◽  
Record Data ◽  
And Storage

Pemeliharaan dan pengambilan data rekam medis merupakan fungsi penting dalam pelayanan disetiap fasilitas asuhan kesehatan. Peningkatan tuntutan akan informasi kesehatan ini mengharuskan fasilitas untuk memelihara sistem informasi yang efektif dan efisien. Mengenai sistem penomoran, penyimpanan dan retensi dari manajemen rekam medis di Indonesia banyak jenisnya. Bentuk sistem penomoran dan penyimpanan yang baik merupakan tahap awal dalam pemberian pelayanan terhadap pasien. Pengambilan dan penyimpanan rekam medis yang tepat merupakan elemen penting dalam pemberian pelayanan. Perlu kehati-hatian dalam merencanakan sistem penomoran dan penyimpanan. Tujuan utama dalam melakukan pemberian penomoran adalah mengidentifikasi data pasien. Penulis berpendapat bahwa dengan menggunakan bentuk pemberian nomor metode apapun rahasia pasien dapat terjaga. Pemberian nomor ini dilakukan pada saat pasien mendaftar atau kontak dengan sarana pelayanan kesehatan. Hal tujuan utama dalam melakukan pemberian penomoran adalah mengidentifikasi data pasien. Pemberian nomor dilakukan pada saat pasien mendaftar atau kontak dengan sarana pelayanan kesehatan. Dalam kegiatan ini kami berusaha untuk mengoptimalkan sistem pelayanan kesehatan  di Klinik Puri Medical melalui penyuluhan tentang sistem penomoran dan penyimpanan data Rekam Medis  yang baik dan memudahkan petugas dalam pengambilan dan penyimpanan data Rekam Medis tersebut. Pelaksanaan Pengabdian kepada masyarakat ini kami menguraikan tentang pengelolaan data Rekam medis melalui tatacara sistem penomoran dan penyimpanan data Rekam Medis. Metode yang dilakukan dengan cara memberikan materi dan dipresentasikan serta didiskusikan dengan staf yang hadir dalam Pengabdian tersebut dengan beberapa tahap, antara lain dengan pemaparan materi tentang sistem penomoran dan penyimpanan yang disampaikan kepada staf/petugas bagian Rekam medik yang hadir dalam acara Pengabdian Kepada Masyarakat, setelah itu dilanjutkan dengan praktik lapangan, jika ada hal yang kurang dipahami dalam pelaksanaan maka akan dilanjutkan dengan tahap bimbingan dan konsultasi antara staf rekam medis dengan tim Pengabdian Kepada Masyarakat,tahap akhir dalam jangka beberapa minggu akan dilakukan monitoring dan evaluasi apakah ilmu yang di berikan telah teraplikasi dengan baik di klinik tersebut. Kata kunci: Rekam Medis, Penomoran, Pengarsipan, Klinik ABSTRACT Corresponding author: * [email protected]   Maintenance and retrieval of medical record data is an important function of service in every health care facility. This increasing demand for health information requires facilities to maintain effective and efficient information systems. Regarding the numbering, storage and retention systems of medical record management in Indonesia, there are many types. The form of a good numbering and storage system is the initial stage in providing services to patients. Proper collection and storage of medical records is an important element in the delivery of services. Care needs to be taken in planning the numbering and storage system. The main purpose in numbering is to identify patient data. The author believes that by using any method of giving numbers the patient's secret can be kept. Giving this number is done when the patient registers or contacts with health care facilities. The main goal in making numbering is to identify patient data. The number is given when the patient registers or contacts with health care facilities. In this activity we are trying to optimize the health service system at Puri Medical Clinic through counseling about the numbering system and storing good Medical Record data and facilitate the officers in retrieving and storing the Medical Record data. This Community Service Implementation describes the management of medical record data through the procedure for numbering and storing medical record data. The method is done by providing material and presented and discussed with the staff present at the Service with several stages, including the presentation of material about the numbering and storage system that was delivered to the staff / officers of the Medical Record section who attended the Community Service event, after it is continued with field practice, if there are things that are not understood in the implementation it will be continued with the guidance and consultation phase between the medical record staff and the Community Service Team, the final stage within a period of several weeks will be carried out monitoring and evaluation whether the knowledge provided has been applied well in the clinic. Keywords: Medical Record, Numbering, Archiving, Clinic

scholarly journals Aplikasi Filling Rekam Medis Menggunakan Metode Algoritma Turbo Boyer Moore

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.

scholarly journals TINJAUAN PELAKSANAAN NILAI GUNA REKAM MEDIS BAGI PASIEN DI RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA (RSU IPI) MEDAN TAHUN 2018

2020 ◽  
Vol 5 (1) ◽  
pp. 80-84
Author(s):  
Johanna Christy ◽  
Afni Efani Putri S
Keyword(s):  
Health Care ◽  
Medical Care ◽  
General Hospital ◽  
Medical Record ◽  
Medical Records ◽  
Health Care Facilities ◽  
Use Value ◽  
Care Facilities ◽  
Conducting Research

ABSTRAK Rekam medis adalah berkas yang berisi catatan dan dokumen tentang identitas pasien, pemeriksaan, pengobatan, tindakan dan pelayanan lain kepada pasien pada sarana pelayanan kesehatan. Tujuan penelitian ini adalah untuk mengetahui bagaimana pelaksanan nilai guna rekam medis bagi pasien. Jenis penelitian ini adalah deskriptif bertujuan menggambarkan secara sistematis fakta dan karakteristik objek dan subjek secara tepat. Waktu penelitian ini dilakukan pada bulan Juli di Rumah Sakit Umum Pekerja Indonesia Medan (RSU IPI) Tahun 2018. Populasi dalam penelitian adalah 440 berkas rekam medis. Dalam melakukan penelitian, peneliti mengambil sampel sebanyak 81 berkas rekam medis. Berdasarkan hasil penelitian yang dilakukan di RSU IPI pelaksanaan nilai guna rekam medis sudah terlaksana dengan baik, dilihat dari tersedianya ringkasan masuk dan keluar, resume, lembar operasi, identifikasi bayi, lembar persetujuan tindakan, lembar kematian pada setiapberkas pasien pulang meninggal, asuhan keperawatan didalam berkas rekam medis. Tetapi dalam pengisian berkas rekam medis petugas rekam medis belum mengimplementasikan nilai guna rekam medis dengan baik. Kesimpulannya pelaksanaan nilai guna rekam medis sudah baik namun dalam pengisian berkas rekam medis lebih di perhatikan sesuai Permenkes 269 Tahun 2008 Tentang rekam Medis sehingga pelaksaaan nilai guna rekam medis dan pengisisan berkas rekam medis berjalan lebih baik.   Kata Kunci: Rekam Medis, Nilai Guna Rekam Medis, Berkas Rekam Medis                                             ABSTRACT   Medical record is a document that contains records and documents about patient identity, examination, treatment, care and other services for patients in health care facilities. The purpose of this study was to study how the implementation of the use of medical records for patients. This type of research is descriptive which addresses the systematic problem and the appropriate characteristics of objects and subjects. When this study was conducted in July at the Medan Indonesian Workers General Hospital (RSU IPI) in 2018. The population in this study was 440 medical record documents. In conducting research, researchers took 81 samples of medical records. Based on the results of research conducted at the IPI General Hospital, the implementation of the use value of medical records has been carried out well, seen from the availability of incoming and outgoing assessments, proceeding, surgery sheets, accessing infants, action approval sheets, consent sheets on each patient's return documents, medical care care. However, in applying medical records, medical record officers have not applied the use value of medical records properly. Conclusion the reclamation of the value of the medical record has been better in the reclamation of the medical record is better with the approval in accordance with Minister of Health Regulation 269 of 2008 About the Medical Record requires the implementation of the value of the medical record and the filling of the medical record better.

scholarly journals IBM FABRIC MASK MAKING TRAINING FOR THE RESIDENTS OF EAST PENFUI VILLAGE, KUPANG TENGAH, KUPANG DISTRICT IN CENTRAL PANDEMI COVID-19

2021 ◽  
Vol 1 (1) ◽  
pp. 25-28
Author(s):  
Anita Lidesna Shinta Amat ◽  
Herman Pieter Louis Wungouw ◽  
Efrisca Damanik
Keyword(s):  
Health Care ◽  
Home Care ◽  
Community Service ◽  
First Aid ◽  
Health Care Facilities ◽  
Daily Activities ◽  
Modes Of Transmission ◽  
Care Facilities ◽  
Almost All ◽  
Respiratory Droplets

Covid-19 pandemic has become a global problem that has an impact on almost all levels of society, both those with income and no income. Recommendations regarding the use of masks in the community, during home care, and in health care facilities in areas need to be mobilized massively. Current information indicates that the two main modes of transmission of the COVID-19 virus are respiratory droplets and contact. The use of masks has become a culture in life and daily activities so that the need for masks has increased. Therefore, it is necessary to have a stock of masks that are clean and of good type of cloth as prevention and first aid when doing activities outside the home. The condition of the residents in Penfui Village shows that not all are able to provide a large stock of masks for at least 1 house / small family. This situation prompted the Community Service team from the Faculty of Medicine (FK) Undana to provide training in making cloth masks for the community in East Penfui Village.

scholarly journals PENINGKATAN PENGETAHUAN MASYARAKAT TENTANG PENGGUNAAN DAN PENGELOLAAN OBAT YANG RASIONAL MELALUI PENYULUHAN DAGUSIBU

2020 ◽  
Vol 4 (1) ◽  
pp. 23
Author(s):  
Devi Ristian Octavia ◽  
Irma Susanti2 ◽  
Sri Bintang Mahaputra Kusuma Negara
Keyword(s):  
Health Care ◽  
Community Service ◽  
Health Care Facilities ◽  
Public Knowledge ◽  
Drug Management ◽  
Rational Drug ◽  
Care Facilities ◽  
Service Activity ◽  
Evaluation And Monitoring ◽  
At Home

In the era of National Health Insurance (JKN) which has an impact on increasing people's motivation to check health at health care facilities, so that efforts to get drugs are quite easy. But the increasing use of drugs has not been supported by public knowledge about how to consume and manage medicines at home. This community service activity aims to increase public knowledge about the proper use of drugs (rational) and procedures for storing and disposing of drugs that have been damaged or expired properly. The method used in this service is to increase knowledge about Get Use of Save and Dispose of Medication (DAGUSIBU) PKK cadres by counseling or educating and mentoring drug management at home. The knowledge gained by the community in this activity is expected to change people's behavior in managing medicines at home and rational use of drugs. The method used in this service is by approach. From the results of evaluation and monitoring of activities that have been carried out shows a positive result, namely an increase in knowledge about rational drug use and proper management of medicines at home.

scholarly journals Secure Storage of Electronic Health Records on Cloud Using Integrity Verification Auditing

2021 ◽  
Vol 11 (2) ◽  
pp. 2132-2141
Author(s):  
S. Srinivasan ◽  
Kethineni Keerthi ◽  
Gummadi Tejaswi ◽  
Kodali Divya Shobana
Keyword(s):  
Health Care ◽  
Electronic Health Records ◽  
Data Access ◽  
Patient Data ◽  
Health Care Facilities ◽  
Data Availability ◽  
Health Records ◽  
Data Access Control ◽  
Care Facilities ◽  
Electronic Health

Health care facilities have tried to keep sensitive patient information safe. Health information is important in identifying any stage of treatment. However, such information should be kept confidential and only available at health care facilities. To ensure data availability, health care data is now stored in the cloud and accessible online. But, this approach poses many threats due to the possibility of a patient data to be accessed by unauthorized personnel. Moreover, the standard data access control mechanisms are insufficient to ensure integrity of data due to numerous users. The constant adjustment of privileges also affected confidentiality. This paper proposes a novel approach in which the sensitive patient data in Electronic Health Records is hidden and stored more securely in the cloud. It uses a sanitization technique to detect sensitive data in the EHR and make use of identity based shared data integrity auditing to allow authorized access to the data. The web based application which uses the proposed technique is developed and tested to demonstrate its effectiveness.

AUDIT SYSTEM INFORMATION ELECTRONIC MEDICAL RECORD AS STUDENT ONLINE LEARNING

JURTEKSI ◽  
2021 ◽  
Vol 8 (1) ◽  
pp. 49-58
Author(s):  
Wahyu Wijaya Widiyanto ◽  
Sri Wulandari
Keyword(s):  
Health Care ◽  
Information System ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Quality Measurement ◽  
Field Work ◽  
Health Care Facilities ◽  
Care Facilities ◽  
Iso 9126 ◽  
Almost All

Abstract: In the current digital era, almost all health care sectors require fast, precise, detailed, and valid services. The results of observations show that during lectures, students still have difficulty understanding the flow of input, process, and output of a good application, and do not know and have an idea about Application Software in Health Care Facilities that are already running in health facilities because some students do Field Work Practices. placed in health care facilities institutions still use manual systems with paper and recording in ledgers, during the current pandemic. In this study, an electronic medical record information system was designed and built as a student learning application regarding health service applications, system accuracy test using ISO 9126, where ISO 9126 looks at Functionability, Reliability, usability, efficiency, maintainability, and portability of a good system and provides recommendations if there are findings that the system does not meet the needs. The results of this study obtained the value of the Information System that was built only 75,92593 % which is the result of quality measurement so that this application does not fall into the category of the ISO 9126 standard because there are Portability Characteristics, namely Adaptability and Installability elements are not met, for these finding recommendations for improvements are given so that the system can run perfectly. according to the need for use.            Keywords: Covid-19, Electronic Medical Records, Learning Media, ISO 9126 Abstrak: Pada era digital sekarang, hampir semua sektor pelayanan kesehatan membutuhkan pelayanan yang cepat, tepat, detail, dan valid. Hasil observasi menunjukkan bahwa selama perkuliahan mahasiswa masih kesulitan memahami alur input, proses, dan output dari suatu aplikasi yang baik, serta belum mengetahui dan mempunyai gambaran tentang Software Aplikasi di Fasilitas Pelayanan Kesehatan yang sudah berjalan di fasilitas kesehatan dikarenakan beberapa mahasiswa yang melakukan Praktek Kerja Lapangan ditempatkan di institusi fasilitas pelayanan kesehatan masih menggunakan sistem manual dengan kertas dan pencatatan di buku. Pada penelitian ini dirancang dan dibangun sebuah sistem informasi rekam medis elektronik sebagai aplikasi pembelajaran mahasiswa mengenai aplikasi pelayanan kesehatan, uji akurasi sistem menggunakan ISO 9126, dimana ISO 9126 menilik Functionability, Reliability, usability, efesiency, maintainability dan portability sistem yang baik serta memberi rekomendasi apabila ada temuan sistem yang belum sesuai kebutuhan. Hasil dari penelitian ini diperoleh nilai Sistem Informasi yang dibangun hanya 75,92593 % yang merupakan hasil pengukuran kualitas sehingga aplikasi ini tidak masuk kategori standar ISO 9126 karena ada Karakteristik Portability yaitu unsur Adaptability, dan Installability tidak terpenuhi, untuk temuan ini diberikan rekomendasi perbaikan agar sistem dapat berjalan sempurna sesuai kebutuhan penggunaannya. Kata kunci: Covid-19, Media Pembelajaran, Rekam Medis Elektronik, ISO 9126

scholarly journals Patient Clinical Data Integration in Integrated Electronic Medical Record System for Health Care Facilities in Indonesia

2017 ◽  
Vol 13 (2) ◽  
Author(s):  
Arif Kurniadi ◽  
Retno Pratiwi
Keyword(s):  
Health Care ◽  
Data Integration ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Clinical Data ◽  
Data Exchange ◽  
Clinical History ◽  
Health Care Facilities ◽  
Portal System ◽  
Care Facilities

Complete patient service requires continuous support of clinical history. This can be realized by integrating electronic medical record data. The limitation is the wide variety of software, formats, and data dictionaries used in healthcare facilities. This was a descriptive analysis study with cross sectional approach to find open source electronic medical record integration model for clinical data exchange between health care facilities. Respondents were doctors, nurses, pharmacists, laboratory staffs, and person in charge of hospital information system as informant for content analysis. From the study, we managed a web-based service portal to implement clinical data integration that can be accessed by clinician registered within the Ministry of Health. The patients clinical history is stored in the hospital database and requires unique OpenIDRM code on the Health Service Server to integrate it. OpenIDRM contains all of the patients medical record number, as one patient may have several different medical record numbers in several hospitals. In conclusion, clinician can access the patients clinical history by opening a web portal system through a unique OpenIDRM code.

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