scholarly journals Sistem Informasi Rekam Medis Puskesmas Kotaratu Berbasis Desktop

2021 ◽  
Vol 5 (2) ◽  
pp. 306-314
Author(s):  
Aprilia Ningsi ◽  
◽  
Kristina Sara ◽  
Anastasia Mude ◽  
◽  
...  
Keyword(s):  
Information System ◽  
Health Center ◽  
Medical Record ◽  
Medical Records ◽  
Visual Basic ◽  
Medical Record Data ◽  
Administrative Process ◽  
Record Data ◽  
Develop Software ◽  
Long Time

The administrative process at Kotaratu health center still uses manual means. So, it takes a long time in handling patient visits and making reports. The goal of the study was to build a desktop-based medical record information system using the Microsoft Visual Basic. Net Programming Language and MySQL as its database. Data collection techniques through interviews, observations and literature studies. Meanwhile, to develop software (system) with waterfall method, while testing uses blackbox-testing. Our findings are in the form of a desktop-based information system at Kotaratu health center. Furthermore, Blackbox-testing results show that all components in this system are running well, and all medical record data is stored in the database to provide a convenience in managing patient data, searching for medical records, managing medical records and making reports periodically.

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 Pola Penggunaan Obat Antidiabetes di Puskesmas Grabag Magelang

2021 ◽  
Vol 3 (1) ◽  
pp. 51-59
Author(s):  
Nurul Maulidya ◽  
Dian Oktianti
Keyword(s):  
Public Health ◽  
Diabetes Mellitus ◽  
Combination Therapy ◽  
Health Center ◽  
Medical Record ◽  
Sampling Technique ◽  
Antidiabetic Drugs ◽  
Medical Record Data ◽  
Public Health Center ◽  
Record Data

Diabetes Mellitus (DM) is a long-term or chronic disease which continues to increase every year. Indonesia itself is ranked 7th for the most DM sufferers in the world. The purpose of this study was to determine the profile of the use of antidiabetic drugs in DM patients at the Grabag Public Health Center. The method used in this research is descriptive method, with retrospective data collection. The population of DM sufferers at the Grabag Public Health Center was 50 patients, with the sampling technique using the total sampling method. The inclusion criteria were medical record data for outpatient type 2 diabetes mellitus, and the exclusion criteria incomplete medical record data. The results of this study were the use of oral antidiabetic drugs (OAD) with single therapy, metformin 32% and acarbose 2%, and with combination therapy are metformin + glimepirid 58%, acarbose + glimepiride 2%, and metformin + glimepiride+acarbose 6%. Based on the duration of suffering from diabetes, for 1 year the most people used metformin by 26%, for 2 and 3 years the most used metformin + glimepiride by 38% and 8%, while for 4 years using a combination of metformin + glimepiride + acarbose by 2%. Most of the patients are accompanied by hypertension complications. The most widely used single therapy oral OAD is metformin and the combination therapy is metformin + glimepiride. Patients suffering from diabetes for 1 year of treatment used metformin single therapy, for 2 and 3 years the most treatment used 2 combination therapy, glimepiride + metformin, while for 4 years of treatment using 3 combination therapy metformin + glimepiride + acarbose. Abstrak Diabetes Mellitus (DM) merupakan penyakit jangka panjang atau kronis yang pada setiap tahunnya terus mengalami peningkatan. Indonesia sendiri menduduki peringkat ke-7 untuk penderita DM terbanyak didiunia. Tujuan penelitian ini adalah untuk mengetahui profil penggunaan obat antidiabetes pada pasien DM di Puskesmas Grabag. Metode yang digunakan pada penelitian ini adalah metode deskriptif, dengan pengambilan data secara retrospektif. Populasi penderita DM di puskesmas Grabag sebanyak 50 pasien dengan teknik pengambilan sampel menggunakan metode total sampling. Kriteria inklusi berupa data rekam medik pasien DM tipe 2 rawat jalan, dan kriteria eksklusi berupa data rekam medik yang tidak lengkap. Hasil dari penelitian ini adalah penggunaan obat antidiabetes (OAD) oral dengan terapi tunggal yaitu metformin 32% dan acarbose 2%, dan dengan terapi kombinasi adalah metformin + glimepirid 58%, acarbose + glimepiride 2%, dan metformin+glimepiride + acarbose 6%. Berdasarkan lamanya menderita DM, selama 1 tahun terbanyak menggunakan metformin sebesar 26%, selama 2 dan 3 tahun terbanyak menggunakan metformin + glimepiride sebesar 38% dan 8%, sedangkan selama 4 tahun menggunakan kombinasi metformin + glimepiride + acarbose sebesar 2%. Sebagian besar pasien disertai dengan komplikasi hipertensi. Penggunaan OAD oral terapi tunggal terbanyak adalah metformin dan terapi kombinasi adalah metformin+glimepiride. Pasien yang menderita DM selama 1 tahun pengobatan terbanyak menggunakan terapi tunggal metformin, selama 2 dan 3 tahun pengobatan terbanyak menggunakan terapi 2 kombinasi yaitu glimepiride + metformin, sedangkan selama 4 tahun pengobatannya menggunakan terapi 3 kombinasi yaitu metformin + glimepiride + acarbose.

scholarly journals Penerapan Sistem Data Cleansing untuk Mencegah dan Menghilangkan Duplikasi Rekam Medis

2020 ◽  
Vol 6 (4) ◽  
Author(s):  
Nur Rokhman ◽  
Annisa Maulida Ningtyas ◽  
Marko Ferdian Salim ◽  
Dian Budi Santoso
Keyword(s):  
Information System ◽  
Health Services ◽  
Health Information ◽  
Medical Record ◽  
Health Information System ◽  
Appropriate Technology ◽  
Medical Record Data ◽  
Data Cleansing ◽  
Record Data ◽  
Effectiveness And Efficiency

Health Information System is a system that integrates the collection, processing, reporting of data, and use of information needed to increase the effectiveness and efficiency of health services through better management at all levels of health services. Kulon Progo Health Office is one of the Health Services that has utilized the Health Information System in organizing its health transactions. However, the implementation of the Health Information System still has shortcomings, namely that it was found that a patient has many medical record numbers or often referred to as duplicated medical record data. Community service activities are carried out through the use of appropriate technology at the Kulon Progo Health Office. This activity aims to implement data cleansing techniques using the "RESIK" framework  to help prevent and detect duplication of medical records and provide training to medical recorders in cleaning data. The training was attended by 105 participants, each of whom was a representative of the Puskesmas staff in the Kulon Progo Health Office area. The “RESIK” framework  was then piloted at Puskesmas Sentolo 2 as the location for the implementation of the system. From this activity, duplicate medical record data can be found at Puskesmas Sentolo 2, and then cleaning is carried out. Kulon Progo Health Office is advised to implement data cleansing using the "RESIK" framework  at all Puskesmas in the Kulon Progo area.

scholarly journals Accuracy Implementation of Medical Record Management Information System with Waterfall Design System and ISO 9126

2020 ◽  
pp. 36-45
Author(s):  
Wahyu Wijaya Widiyanto ◽  
Sri Wulandari
Keyword(s):  
Information System ◽  
Medical Record ◽  
Management Information System ◽  
Record Management ◽  
Management Information ◽  
Medical Record Data ◽  
Patient Medical Record ◽  
Average Value ◽  
Record Data ◽  
Iso 9126

Aims: Based on the observations of researchers, some health facilities still use manual processes / have not been documented by the information system resulting in slow service, this study aims to improve health services with a medical record information system. Methodology: The method used in this study is an analysis of information systems with the waterfall method and accuracy testing with ISO 9126. Results: The results of this medical record management information system run well based on black-box testing and white box results obtained both from an average value of 82 based on the ISO 9126 scale conversion table. Conclusion: Based on the results of the average value obtained from the validation test carried out on 3 expert examiners, it can be concluded that the application for the validation system for the validation and distribution of this letter has met the ISO 9126 standard with an average good interpretation of a total value of 82, and according to be able to simplify the process of Patient Medical Record Data Management without neglecting the safety aspects of the validation and distribution process, minimizing data loss, simplifying the reporting process and facilitating the processing of patient medical record data.

Sistem Informasi Rekam Medis Berbasis Web Menggunakan Teknologi Sidik Jari (Studi Kasus Puskesmas Kampung Sawah) Bandar Lampung

2021 ◽  
Vol 4 (1) ◽  
pp. 69-78
Author(s):  
TM Zaini ◽  
M Iqbal Kadafi Nasution
Keyword(s):  
Information System ◽  
Community Health ◽  
Health Center ◽  
Medical Record ◽  
Medical Records ◽  
System Development ◽  
Community Health Center ◽  
Data Entry ◽  
Patient Data ◽  
Medical Reports

The information system at Kampung Sawah Community Health Center has several features such as patient registration, patient medical records, patient services, queues, and medical reports. Aim of this information system development is to facilitate the performance of administrators and doctors of Kampung Sawah Community Health Center in terms of searching patients’ data, storing the patient data, adding and storing the medical records, making the reports, and speeding up the data entry and identity data of the patients through fingerprint feature. This system facilitated the officials and doctors to process anywhere and the patient data was safe from physical disturbances because this system was connected to the internet.This medical record information system was built through PHP programming language supported by MySQL database. The design of this system involved the data flow diagrams. The result of this system was that the web-based information system for medical record had successfully been created and used by Kampung Sawah Community Health Center.Keywords: Information Systems, Medical Record, Web, Fingerprint

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

2009 ◽  
Vol 5 (4) ◽  
pp. 177-181 ◽  
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.

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

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)

scholarly journals Analisis Sistem Informasi Kesehatan Daerah (SIKDA) Generik Di Unit Rekam Medis Puskesmas Langsat Tahun 2020

2021 ◽  
Vol 11 (1) ◽  
pp. 55-62
Author(s):  
Dedi Dedem ◽  
Welly Sando ◽  
Suci Badri Yana
Keyword(s):  
Information System ◽  
Human Resources ◽  
Health Center ◽  
Medical Record ◽  
Medical Records ◽  
Information Needs ◽  
Community Health Center ◽  
Narrative Form ◽  
Research Subjects ◽  
Software Information

Regional  information  system  is a term that is used to describe a system consisting of a combination of input such as human resources (brainware), software, information needs format (informware), information technology and communication technology, the process of sending an analysis report recording (entry). the feedback and output data information mechanism that can be accessed together and has adequate quality, regional information system in the Langsat Health Center Medical Record Unit only started in 2017, SIKDA in the medical records unit lacks Human Resources because it does not there is a Medical Record and IT graduate. Obstacles that occur, such as disruption of soft ware and hard ware networks when opened, experience delays, causing delays in the given services. For the Fund itself, there is no special budget provided for the implementation of theregional information system  application because it has been allocated by the Health Office. Budget allocation of funds is held only if needed. This type of qualitative research uses interview and observational sheets. The research was conducted in February-September, at Langsat Public Health Center, Pekanbaru City. The research subjects were the Head of Langsat Community Health Center, the Head of the Medical Records Unit, the person in charge of SIKDA, and Operators. Data analysis was used by systematically managing the interview guidelines, then processing the data, data from observations were identified to describe each variable, a summary will be presented in a narrative form. The results of this study indicate that the Generic regional information system  in the Medical Records Unit has been running at its maximum, even though there is a lack of calm in Human Resources there are no medical records and IT graduates. Infrastructure is lacking in terms of ginset, Fund Allocation is not a special budget. Must improve Human Resources, Facilities and Infrastructure.

scholarly journals MENINGKATKAN PEMAHAMAN SISWA TENTANG PENTINGNYA REKAM MEDIS PADA FASILITAS KESEHATAN

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

scholarly journals OPTIMALISASI SISTEM PENYIMPANAN REKAM MEDIS DI PUSKESMAS PADANG PASIR TAHUN 2019

2020 ◽  
Vol 4 (1) ◽  
pp. 116
Author(s):  
Dewi Oktavia
Keyword(s):  
Community Health ◽  
Health Center ◽  
Medical Record ◽  
Medical Records ◽  
Community Health Centers ◽  
Storage System ◽  
Health Centers ◽  
Average Value ◽  
Post Test ◽  
Long Time

Semua fasilitas pelayanan kesehatan wajib menyelenggarakan rekam medis, termasuk puskesmas. Dengan pelayanan rekam medis yang berkualitas pasien akan merasa puas, khususnya  karena  pasien  dilayani  dengan  cepat,  tepat  dan  aman  oleh  pihak puskesmas. Permasalahan yang sering ditemui pada bagian penyimpanan rekam medis adalah terjadinya misfile maupun duplikasi nomor rekam medis. Akibatnya, berkas rekam medis pasien lama sulit ditemukan sehingga proses pencarian berkas rekam medis pasien di rak penyimpanan membutuhkan waktu yang cukup lama. Tujuan pelaksanaan Pengabdian Kepada Masyarakat (PKM) agar sistem penyimpanan rekam medis menjadi optimal dalam rangka peningkatan kualitas pelayanan rekam medis pasien rawat jalan di Puskesmas Padang Pasir. Metode yang digunakan berupa sosialisasi tentang optimalisasi sistem penyimpanan rekam medis di Puskesmas Padang Pasir. Sebelum sosialisasi, dilakukan pre-test dan setelah sosialisasi dilakukan kegiatan post-test dengan tujuan mengetahui tingkat pemahaman mitra tentang materi sosialisasi. PKM ini dilakukan pada tanggal 9 bulan Agustus 2019 di Puskesmas Padang Pasir. Peserta dari kegiatan PKM ini adalah semua petugas rekam medis di Puskesmas Padang Pasir sebanyak 6 (enam) orang. Hasil dari kegiatan PKM ini adalah adanya peningkatan pengetahuan mitra tentang penyimpanan rekam medis dari nilai rata-rata 45 menjadi 85 point. Kata Kunci : Kualitas, Pengabdian, Penyimpanan, Puskesmas, Rekam Medis ABSTRACT All health service facilities are required to hold medical records, including public health centers. With a quality medical record service, patients will feel satisfied, especially because patients are served quickly, precisely and safely by the community health centers. The problem that is often encountered in the medical records storage is the occurrence of misfiling and duplication of medical record numbers. As a result, old patient medical record files are difficult to find, so the process of searching a patient's medical record file on a storage rack takes quite a long time. The purpose of the implementation of Community Service (PKM) so that the medical record storage system becomes optimal to improve the quality of outpatient medical record services at the Padang Pasir Health Center. The method used in the form of socialization about optimizing the medical record storage system at the Padang Pasir Health Center. Before the socialization, a pre-test was carried out and after the socialization, a post-test was carried out to know the level of understanding of partners about the material of the socialization. This PKM was held on August 9, 2019, at the Padang Pasir Communuty Health Center. The participants of this PKM activity are all 6 medical records officers at the Padang Pasir Health Center. The result of this PKM activity was an increase in partner knowledge about medical record storage from an average value of 45 to 85 points. Keywords: Quality, Service, Storage, Community Health Centers, Medical Records

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