scholarly journals FAKTOR-FAKTOR YANG MEMPENGARUHI DUPLIKASI PENOMORAN BERKAS REKAM MEDIS DI RUMAH SAKIT ADVENT MEDAN

2020 ◽  
Vol 5 (1) ◽  
pp. 98-107
Author(s):  
Siti Agus Kartini

Abstrak Rekam medis adalah berisikan cactatan dan dokumen tentang idetitas pasien , pemeriksaan, pengobatan, tindakan, dan pelayanan lain yang telah diberikan kepada pasien. Rekam medis adalah keteranan baik yang tertulis maupun yang terekam tentang identitas, anamases, pemeriksaan laboratorium, diagnosa, segala pelyanan dan tindakan medik yang di berikan kepada pasien. Penomoran berkas rekam medis yang baik merupakan salah satu kunci keberhsilan atau kebaikan suatu manajemen rekam medis dari suatu pelayanan kesehatan, tentunya didukung dengan sistem yang baik. Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi duplikasi penomoran rekam medis di Rumah Sakit Advent Medan. Jenis penelitian ini adalah deskriptif kuantitatif dengan menggunakan metode cross sectional yang dilakukan di Rumah Sakit Advent Medan pada bulan juli 2018, Populasi dalam penelitian ini adalah 11 petugas rekam medis yang terdiri dari 7 orang petugas pendaftaran dan rawat jalan 4 orang petugas pendaftaran rawat inap, Sampel dalam penelitian ini Menggunakan  total sampel, instumen penelitian yang digunakan observasi dan kuisoner,  berdasarkan hasil penelitan yang dilakukan faktor yang mempengaruhi duplikasi nomor rekam medis mayoritas Pengetahuan diperoleh 54,5% dari 11 petugas rekam medis dan dengan hasil uji statistik diperoleh  p=0.015<0.05. sehingga Ho ditolak artinya adanya pengaruh antara pengetahuan petugas rekam medis dengan duplikasi penomoran di Rumah Sakit Advent Medan. Minoritas sikap diperoleh 63,6% dan dengan hasil uji statistik diperoleh p=0,545%<0.05 sehingga Ho diterima artinya tidak ada pengaruh antara sikap dengan duplikasi penomoran. Dari hasil uji    statistik antara pengetahuan dan sikap, terdapat pengaruh pengetahuan dengan duplikasi penomoaran di Rumah Sakit Advent, Sedangkan sikap tidak ada pengaruh dengan duplikasi penomoran di Rumah Sakit Advent. Diharapkan kepada Rumah Sakit untuk memberikan evaluasi atau pelatihan kepada petugas rekam medis dibagian pendaftaran secara berkesinambungan. Kata Kunci: Rekam medis, Faktor- faktor duplikasi No rekam medis, Sistem     penomoran Abstrack Medical record is containing records and documents about patient identity, examination, treatment, actions, and other services that have been provided to patients. Medical records are written and recorded safety regarding identities, anamases, laboratory tests, diagnoses, all services and medical actions given to patients. Numbering a good medical record file is one of the keys to the success or goodness of a medical record management of a health service, of course, supported by a good system. The purpose of this study was to determine the factors that influence the duplication of medical record numbering in Medan Adventist Hospital. This type of research is quantitative descriptive using a cross sectional method conducted at Medan Adventist Hospital in July 2018, the population in this study were 11 medical record officers consisting of 7 registration and outpatient officers 4 inpatient registration officers, samples in this study Using the total sample, the research instrument used observation and questionnaire, based on the results of research conducted by factors that influence the duplication of the majority medical record number . so Ho is rejected, meaning that there is an influence between the knowledge of the medical record officer with the numbering duplication in Medan Adventist Hospital. Minority attitudes were obtained 63.6% and with statistical test results obtained p = 0.545% <0.05 so that Ho was accepted meaning that there was no influence between attitude and numbering duplication. From the results of statistical tests between knowledge and attitude, there is an influence of knowledge with duplication of numbers in Adventist Hospitals, whereas attitude has no influence with duplication of numbers in Adventist Hospitals. It is expected that hospitals will provide evaluation or training to medical records officers in the registration section on an ongoing basis.

2021 ◽  
Vol 1 ◽  
pp. 149-156
Author(s):  
Fathan Asyhari ◽  
Aridhanyati Arifin

Health Services at the PKU Muhammadiyah Gandrungmangu Clinic have not made much use of information technology. Documentation of patient medical records still uses a manual recording system, causing various obstacles; for example, officers often find the same medical record number and difficulties making reports. Thus, creating a medical record information system is necessary to help manage medical record data electronically. The system was developed using the prototyping method. This system has several features: medical record management, user management, reporting system, input checking feature for vital sign results, uploading feature for supporting examination results, and patient queuing system for each poly. The results of the user convenience test using the SEQ method obtained an average value of 6 and 7. The usability test results using the SUS method also got a good response from the questionnaire questions given to the respondents, which got a total score of 90.6, meaning that the system has an excellent usability level.


Author(s):  
Ghaida Aziz, Ghaida jabri, Ghaida Al-Ahmadi, Mona Ehab, Marw

Breast feeding (BF) is known to have many advantages but our Arab region has a pattern similar to western countries; where exclusive breastfeeding less than 35%. Knowledge given to women during her antenatal visits plays an important influential role in her attitude and practice of BF later on.  Objective: To explore knowledge and attitude of female medical students at Taibah University about breastfeeding.  Methods: A Cross sectional study was carried out from October to November 2012. It included female medical students. Stratified sampling allocation technique was used; with a total sample of 149 students. A specialty designed self-administrated questionnaire in Arabic form was used. It included socio-demographic data, obstetric history, data about the knowledge and attitude of female medical students towards breastfeeding value and guidelines. Mean percent knowledge score for value of BF, mean percent score for BF guidelines and mean percent score for attitude were calculated. Appropriate statistical tests for qualitative and quantitative data were used accordingly. Results: Majority (91.9%) (of the studied sample) was never married and 37.6% got their knowledge about BF via books. Regarding ever married women, 58.3% only were gravid (mean =2.2±1.94). Only 25.0% were family planning users; 66.7% of them used hormonal contraceptives. Only 20% breast fed their infants with a mean duration for exclusive BF of 3.8 ± 2.87 months and mean age of weaning of 2.3 ±0.63 months. The mean knowledge percent score for guidelines of BF was 64.7±8.45. The mean attitude percent score for concepts related to BF was 76.9±7.91. Conclusion: Media and internet have minor roles in getting knowledge about BF. The mean knowledge score about advantages of BF, guidelines of BF and attitude towards BF of all female medical students; especially academic years were unsatisfactory.


Author(s):  
Khoiriya Ardiani ◽  
Eko Nursucahyo ◽  
Tjatur Prijambodo ◽  
Muhammad Anas

Introduction: Injectable contraception is the most widely used type of contraception by Indonesian mothers because of its effective way of working, practical use, and lower price. However, in the use of injectable contraception, there are side effects, one of which is weight gain. Objective: To find out the differences in weight gain for 1-month and 3-months of injecting contraceptive acceptors. Method: This was an analytical observational study with a cross-sectional design. This research was conducted at the Independent Practice Midwife of Sri Retnaningtyas, Tambaksari District, Surabaya. The total sample is 110 respondents with a consecutive sampling technique. Data collection using medical records and statistical tests using independent sample t-test. Results: Analyzing the weight gain in the contraceptive injection acceptor that is the average injection of 1-month experienced of 2.16 kilograms and injections of 3-months experienced of 2.95 kilograms. The results of the independent t-test with a significance value of 0.039 (p <0.05). Conclusion: There was a significant difference in weight gain between 1-month and 3-months injective contraception acceptors, with the highest increase occurred in 3-months, injective contraceptive acceptors.


Author(s):  
Y. Widyastuti Y. Widyastuti

  ABSTRACT [In advanced countries the number of permanent contraception option ( kontap ) approximately 10 % of all national family planning methods , while in Indonesia reached approximately 5.7 % . Based on data obtained from medical records Bhayangkara Hospital Palembang in 2010 the number of achievement when seen from the percentage of contraceptive use is only 9.10 % The purpose of this study is known age and parity relationship with the selection of contraceptive methods Surgery Women ( MOW ) in Palembang RS.Bhayangkara obstetrics clinic in 2012 . This study uses the analytic survey with cross sectional approach . The population in this study were women who become new acceptors were recorded in medical records at the hospital . Palembang Bhayangkara Hospitals January 1, 2012 to December 31 in 2012 . The sample in this study is part of a whole number of new acceptors ( either using contraception methods MOW and other family planning methods ) were registered in the hospital . Palembang Police Hospitals of January 1, 2012 to December 31 years of data 2012.Analisa univariate and bivariate statistical Chi - Square test with significance level α = 0.05 . The results showed there were 80 respondents ( 46.3 % ) who became MOW contraceptive acceptors , acceptors who have old age by 45 respondents ( 56.3 % ) and who has a young age by 35 respondents ( 43.8 % ) . acceptors which have high parity were 44 respondents ( 55 % ) who had low parity and a total of 36 respondents ( 45 % ) . From the results of Chi-square test value obtained ρ = 0.00 is smaller than α = 0.05 . There is a significant correlation between age and the selection of MOW Chi square test results obtained ρ value = 0.00 and there was a significant association between parity with the election MOW Chi square test results obtained ρ value = 0 , . From these results , it is expected to power health, especially family planning services at the hospital . Palembang Police Hospitals in order to improve the quality of family planning services in an effective, efficient , and safe are considered particularly suitable for users of contraception OperatingMethodWomen(MOW).                                      ABSTRAK Di negara sudah maju jumlah pilihan kontrasepsi mantap (kontap) sekitar 10% dari semua metode KB nasional, sedangkan di Indonesia baru mencapai sekitar 5,7 %. Berdasarkan data yang diperoleh dari Rekam medik  Rumah Sakit Bhayangkara Palembang tahun 2010 Jumlah pencapain tersebut jika dilihat dari persentasi penggunaan kontrasepsi MOW hanya  9,10% Tujuan penelitian ini adalah diketahuinya hubungan umur dan paritas dengan pemilihan alat kontrasepsi Metode Operasi Wanita (MOW) di poliklinik kebidanan RS.Bhayangkara Palembang Tahun 2012. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah wanita yang menjadi akseptor KB Baru yang tercatat di rekam medik  di RS. Bhayangkara Palembang tanggal 1 januari 2012 sampai dengan 31 Desember  tahun 2012. Sampel dalam penelitian ini adalah sebagian dari seluruh jumlah akseptor KB Baru (baik yang menggunakan alat kontrasepsi Metode MOW maupun Metode KB lain) yang teregister di RS. Bhayangkara Palembang dari tanggal 1 januari 2012 sampai dengan 31 Desember  tahun 2012.Analisa data dilakukan secara univariat dan bivariat dengan uji statistik Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian menunjukkan dari 80 responden terdapat (46,3%) yang menjadi akseptor kontrasepsi MOW, akseptor yang memiliki umur tua sebanyak 45 responden (56,3%) dan yang memiliki  umur muda sebanyak 35 responden (43,8%). akseptor yang memiliki paritas tinggi sebanyak 44 responden  (55%) dan yang memiliki  paritas rendah sebanyak 36 responden (45%). Dari hasil uji Chi square didapatkan ρ value = 0,00 lebih kecil dari α = 0,05. Ada hubungan yang bermakna antara umur dengan pemilihan MOW dari hasil uji Chi square didapatkan ρ value = 0,00 dan ada hubungan yang bermakna antara paritas dengan pemilihan MOW hasil uji Chi square didapatkan ρ value = 0,.Dari hasil penelitian ini, diharapkan kepada tenaga kesehatan khususnya pelayanan KB  di RS. Bhayangkara Palembang  agar dapat meningkatkan kualitas pelayanan KB secara efektif, efisien, dan aman yang dianggap cocok bagi penggunanya khususnya mengenai kontrasepsi Metode Operasi Wanita (MOW).    


2019 ◽  
Vol 1 (4) ◽  
pp. 127-139
Author(s):  
Nadi Rispiandi Hauteas ◽  
Luh Putu Ruliati ◽  
Soni Doke

Work fatigue is one of the health problems that is often felt by workers, characterized by a decrease in efficiency and endurance at work. Many factors can affect the occurrence of work fatigue, that is worker factors, work factors and work environment factors. The specific purpose of this research is to analyze the influence of work period, sleep quality, breakfast habits, long hours of work and work room temperature on work fatigue of wig workers in CV. Dona Mandiri Kupang City Lasiana Branch. This type of research is analytic survey research and uses cross sectional research design. This research was conducted at CV. Dona Mandiri, Lasiana Branch, Kupang City, in July-August 2019. The populations in this study were all wig workers working at CV. Dona Mandiri Lasiana Branch in Kupang City, with a total sample of research using a total population of 61 respondents. Statistical tests using is simple linear regression analysis. Based on the results of the study, the significance and effect of working period shows (0.896 and 0.000); sleep quality (0.080 and 0.051); breakfast habits (0.001); work time (0.014) and temperature shows (0.003). It show that the variable working time does not have an effect on work fatigue, sleep quality variables does not have an effect on work fatigue, breakfast habits have an effect on work fatigue, the length of work variable has an effect on work fatigue and the temperature variable has an effect on work fatigue.


2017 ◽  
Vol 1 (4) ◽  
pp. 98-99
Author(s):  
Zahra Mazloum khorasani ◽  
Mahmood Tara ◽  
Kobra Etminani ◽  
Zohre Moosavi ◽  
Zahra Ebnehoseini

Introduction: Diabetes is the most common endocrine disease. Given the importance of medical record documentation for diabetic patients and its significant impact on accurate treatment process, as well as early diagnosis and treatment of acute and chronic complications, this study aimed to qualitatively evaluate medical record documentation of diabetic patients. Methods: This descriptive and cross-sectional study was conducted on all medical records of diabetic patients (1200 cases) in the comprehensive Diabetes Center of Imam Reza Hospital. A checklist was prepared according to the main sectors and their sub-data elements to conduct a qualitative evaluation on documentation of medical records of diabetic patients.  Descriptive statistics were used to report the results. Results: In this study, 1200 (710 women and 490 men) cases were evaluated. Mean documentation of main sectors of diabetic patients’ records were as follows: 49% demographic characteristics, 14% patient referral, 4% diagnosis, 50% lab tests, 25% diabetes medications,13% nephropathy screening test, 10% diabetic neuropathy, 41% specialty and subspecialty consultations and internal medicine physicians visits did not complete for all the patients. Conclusion: According to the results of this study, qualitative evaluation of medical record documentation of diabetic patients Showed poor documentation in this regard. It is suggested that results of this study be accessible to physicians of healthcare centers to take a positive step toward improved documentation of medical records. In addition, it seems necessary to modify diabetic medical records.


Author(s):  
Samira M. Mahboub ◽  
Rahaf A. Aleyadhi ◽  
Reema I. Aldrees ◽  
Shahad S. Almuhanna

Background: Mental illness can affect anyone regardless of age, gender, and residence. Studying the attitude and knowledge about mental illnesses among university students is important, because they are the future decision makers dealing with such problems. The aim of this study was to assess level of knowledge and attitude towards mental illnesses among health and non-health university students in Riyadh.Methods: This study was a cross-sectional study on students of the governmental universities in Riyadh with both health and non-health speciality. The total sample size was 587 students. The questionnaire was designed electronically, and the link was distributed through social media. It included socio-demographic questions, 17 questions to assess knowledge and 22 questions to assess the attitudes. The statistical tests used were chi square, independent sample t-test, spearman’s correlation and multiple linear regression tests.Results: More than half of the participants had a positive attitude toward mental illness (52%). Only 13.46% of university students had good knowledge about mental illness. Significant higher level of good knowledge and positive attitude were reported among health college students compared to non-health (24.7% versus 7.9% for good knowledge and 60.8% versus 48.3 for positive attitude respectively). Attitude towards mental illness can be successfully predicted by using the knowledge score about mental illness and the type of college.Conclusion: Low percentage of university students had good knowledge about mental illness and their attitude towards mental illness was generally positive. Health college students had better attitude and knowledge about mental illness than non-health.


Author(s):  
Abdullah Musleh ◽  
Sarah Ali AlShehri ◽  
Anas Mohammed AlShehri ◽  
Sultan Khalid Kadasah ◽  
Mohammed Sharaf Alshahrani ◽  
...  

<p class="abstract"><strong>Background:</strong> Epistaxis is the common occurrence of bleeding from the nose. It is usually noticed when blood drains out through the nostrils. There are two types: anterior (the most common), and posterior (less common, more likely to require medical attention). Sometimes in more severe cases, the blood can come up the nasolacrimal duct and out from the eye<span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> A cross-sectional study was conducted in main five hospitals in Aseer region targeting residents dealing with emergency room (ER) cases during the period from 1st July to 31st July, 2018. Data were collected using a pre-structured written questionnaire by the researchers. The questionnaire composed of three parts. First part was for residents’ demographic data. Second part considered epistaxis cases rate and treatment. Third part covered 10 questions for knowledge regarding epistaxis<span lang="EN-IN">.  </span></p><p class="abstract"><strong>Results:</strong> A total sample of 165 residents was involved with ages ranged from 27 years to 32 years old and 65.5% of the sampled residents were males. Exact of 47.3% of the residents were ER residents and 24.2% were general practitioners (GPs)<span lang="EN-IN">. </span></p><p class="abstract"><strong><span lang="EN-IN">Conclusions:</span></strong><span lang="EN-IN"> Nearly one out of each four residents had good awareness level regarding epistaxis especially GPs and ER residents. Position of patients with epistaxis and sites of epistaxis were the only items well known by residents. </span></p>


2021 ◽  
Vol 6 (4) ◽  
pp. 723-730
Author(s):  
Priti Kana Barua ◽  
Ashees Kumar Saha ◽  
Jay Priya Borua ◽  
Shampa Barua ◽  
Nasima Akhter ◽  
...  

Medical record is the most important document in the medical field. This cross sectional study was conducted at Chittagong Medical College hospital from January to December, 2017 with the aim to assess the existing medical record keeping practices. Around 214 patients’ record files were selected by systematic sampling method and 30 record keeping personnel were also interviewed. Data were collected by review of records by observational checklist and semi-structured questionnaire were administered to medical record keeping personnel. This study showed that, out of 44 items of patient record file among them 33 items were recorded in 100%. Majority of the medical records (89.7%) were satisfactorily completed. All of the respondents mentioned that they had no training regarding medical record keeping practices. All the respondents stated that some problem faced during keeping the medical record and (90.0%) respondents stated that computerized medical record system could solve the problem they faced. This study showed that, the medical recording status is good in majority areas but keeping practice was not organized at all. There were important defects in keeping the medical records. It seems that there are multiple factors contributing to the problem, such as lack of manpower, insufficient record room and they had no training about medical record keeping practice. It is necessary for the government to develop policies and strategies to improve medical record keeping practice for patient safety, to reduce error, repetition of investigations, protect the medico legal issues and future health care advancement. Asian J. Med. Biol. Res. December 2020, 6(4): 723-730


2021 ◽  
Vol 1 (02) ◽  
pp. 50-58
Author(s):  
Edy Prasetiyo

Introduction: The high incidence of fires in the DKI Jakarta area certainly increases the risk for DKI Jakarta Firefighters, so Personal Protective Equipment is mandatory for officers when carrying out firefighting operations to prevent and control potential hazards for firefighters. It was recorded that 76 officers were injured and 1 officer died while carrying out firefighting operations in the last 5 (five) years. So it is necessary to know the factors that influence the behavior of using the SCBA (Self Contained Breathing Apparatus) respiratory Personal Protective Equipment. Methods: This quantitative descriptive study with a cross-sectional approach was carried out at the DKI Jakarta Provincial Fire and Rescue Service in 2021 with a population of all DKI Jakarta firefighters and a total sample of 208 firefighters. The instrument used is a questionnaire. Results: The results of data analysis carried out univariate and bivariate using the chi square test with = 0.05 showed a significant relationship between the behavior of using PPE SCBA with the availability of PPE (Pvalue = 0.000), Regulations (SOP) related to the use of PPE (Pvalue = 0.000) and Supervision (Pvalue = 0.000). However, there is no significant relationship between the behavior of using PPE SCBA with knowledge of PPE (Pvalue = 0.180), Age (Pvalue = 0.111), years of service (Pvalue = 0.065), training (Pvalue = 0.087) and PPE comfort (Pvalue = 0.513). Discussion: The behavior of using SCBA PPE for DKI Jakarta firefighters in 2021 is still relatively low because only 54.5% of respondents from firefighters stated that they used SCBA PPE in every fire fighting operation. So it is necessary to increase knowledge related to PPE and skills in using PPE for operational officers through education and training activities, training and technical guidance.


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