bluuebunny/crossref_metadata_2025 huggingface dataset:
TINJAUAN PELAKSANAAN PEMELIHARAAN DOKUMEN REKAM MEDIS DI RUANG FILING RUMAH SAKIT JIWA Prof.Dr.MUHAMMAD ILDREM MEDAN TAHUN 2018
Authors: Widya Sandika Tri , Ernianita
Published: December 2021

Rekam medis merupakan berkas yang berisi catatan dan dokumen mengenai identitas pasien, hasil pemeriksaan, pengobatan, tindakan dan pelayanan lainnya yang telah diberikan kepada pasien. Sistem pengelolaan rekam medis terdiri dari beberapa subsistem, yaitu dimulai dari tempat penerimaan pasien (membuat atau menyiapkan berkas rekam medis), dilanjutkan dengan assembling, coding, indexing, dan filling. Dibagian filling penyimpanan dan pengembalian kembali rekam medis dilakukan, penyimpanan berkas rekam medis bertujuan untuk mempermudah dan mempercepat ditemukan kembali berkas rekam medis yang disimpan dalam rak filing, mudah mengambil dari tempat penyimpanan, mudah pengambilannya, melindungi berkas rekam medis dari bahaya keruakan fisik, kimiawi dan biologi. Tujuan penelitian adalah untuk melihat pelaksanaan pemeliharaan dokumen rekam medis di Rumah Sakit Jiwa Prof.Dr.Muhammad Ildrem Medan Tahun 2018.Jenis penelitian ini menggunakan metode deskriptif, yaitu menggambarkan pelaksanaan pemeliharaan dokumen rekam medis di ruang filing tahun 2018. Dari hasil penelitian Novia Wijiastuti (2014) tentang Pemeliharaan Dokumen Rekam Medis di Ruang Rawat Inap RSUD Sunan Klijaga masih ada aspek fisik bahwa folder yang rusak masih belum diganti yang baru. Berdasarkan hasil penelitian di Rumah Sakit Jiwa Prof.Dr.Muhammad Ildrem Medan Tahun 2018 jika dilihat dari aspek fisik terdapat dokumen rekam medis yang sudah rusak seperti formulir robek sehingga identitas dan no rekam medis pasien tidak terbaca serta keamanan ruang penyimpanan yang kurang baik.
TINJAUAN KEPUASAN PASIEN PADA PELAYANAN PENDAFTARAN RAWAT JALAN DI UPT RUMAH SAKIT KHUSUS MATA MEDAN TAHUN 2019
Authors: Purba Erlindai
Published: December 2021

Pengukuran kepuasan pasien dilakukan karena kepuasan pasien merupakan tindakan dari layanan kesehatan yang diberikan tidak mungkin tepat sasaran dan berhasil tanpa melakukan pengukuran kepuasan pasien. Pengukuran kepuasan pasien pada fasilitas layanan kesehatan tidak mudah. Karena pengukuran kepuasan pasien harus dilakukan langsung kepada pasien, dan pasien tidak mungkin sulit mengetahui apakah layanan kesehatan yang didapatnya sudah sesuai dengan kebijakan rumah sakit. Tujuan penelitian ini untuk megetahui gambaran tingkat kepuasan pasien rawat jalan di unit pendaftaran di UPT Rumah Sakit Khusus Mata Medan Tahun 2018. Jenis penelitian ini menggunakan metode penelitian deskriptif yang merupakan penelitian yang digunakan untuk menggambarkan, dan menjelaskan kualitas atau keistimewaan dari pengaruh sosial yang tidak dapat dijelaskan, diukur atau digambarkan. Penelitian dilaksanakan pada bulan September-Februari 2019. Hasil penelitian ini ditemukan kepuasan Pasien Pada Pelayanan Pendaftaran Pasien Rawat Jalan di UPT Rumah Sakit Khusus Mata Medan, dijumpai populasi sebanyak 120 responden dan sampel sebanyak 30 responden yang telah diteliti, mayoritas kurang puas sebanyak 13 responden (43.3%), dan minoritas puas sebanyak 5 responden (16.7%), Kepuasan Pasien Pada Komunikasi Pendaftaran Pasien Rawat Jalan di UPT Rumah Sakit Khusus Mata medan dari 30 responden yang telah diteliti, mayoritas kurang puas sebanyak 13 responden (43.3%), dan minoritas tidak puas sebanyak 8 responden (26.7%), Kepuasan Pasien Pada Waktu Tunggu Pendaftaran Pasien Rawat Jalan di UPT Rumah Sakit Khusus Mata medan dari 30 responden yang telah diteliti, mayoritas tidak puas sebanyak 15 responden (50%), dan minoritas puas sebanyak 3 responden (10%). Saran kepada rumah sakit khusus Mata Medan agar dapat meningkatkan mutu pelayanan pada pendaftaran agar sesuai dengan prosedur yang berlaku.
FAKTOR-FAKTOR YANG MEMENGARUHI DUPLIKASI PENOMORAN REKAM MEDIS DI RUMAH SAKIT UMUM MADANI MEDAN
Authors: Parulian Gultom Suheri , Wati Pakpahan Erna
Published: December 2021

Sistem penomoran yang  digunakan di RSU Madani yaitu unit numbering system dimana pasien yang berkunjung ke rumah sakit tersebut hanya memiliki satu nomor rekam medis yang digunakan untuk selamanya berobat. Tempat penerimaan pasien tidak memiliki Standard Operating Procedure (SOP) tentang  sistem penomoran, sehingga masih di temukan adanya duplikasi nomor rekam medis, satu nomor rekam medis diindikasikan dimiliki oleh beberapa pasien. Diketahui juga bahwa sering terjadi penomoran ganda akibat kurang telitinya petugas rekam medis pada saat mencari dan menyimpan rekam medis pasien lama yang sudah pernah berobat, penomoran manual pada saat melakukan pendaftaran, komputerisasi yang terbatas, minimnya petugas rekam medis di bagian pendaftaran. Hal yang bisa saja terjadi seperti kesalahan dalam melakukan tindakan dikarenakan diagnosa terakhir atau tindakan terakhir yang tertera di berkas rekam medis ganda tersebut, bukan terakhir di pergunakan pada saat pasien mendapatkan pelayanan medis. Penelitian ini menggunakan penelitian deskriptif kuantitatif melalui wawancara, observasi dan studi dokumentasi. Populasi dan sampel penelitian adalah petugas rekam medis di pendaftaran sebanyak 8 orang. Hasil penelitian menunjukkan bahwa latar belakang pendidikan petugas rekam medis sebagian besar D-III kesehatan sebanyak 5 responden  (41,6%), sebagian kecil berpendidikan D-III rekam medis sebanyak 1 (8,3%). Sistem penomoran menggunakan straight numbering system atau sistem penomoran secara langsung namun dalam melaksanakan pengelolaan penomorannya belum terlaksanakan dengan baik karena pada RSU Madani belum adanya penetapan tentang standar operasional prosedur di unit rekam medis untuk penomoran. Tidak tersedianya Kartu Indeks Utama Pasien (KIUP). Hal ini dikarenakana standar operasional prosedur dalam pengembangan sarana dan prasarana belum ada dan kurangnya pengetahuan petugas rekam medis tentang KIUP. Diharapkan pada pimpinan RSU Madani agar  melakukan pelatihan kepada petugas rekam medis khususnya dibagian pendaftaran dan penyimpanan agar kinerjanya semakin baik.
ANALISA INDIKATOR RAWAT INAP PERIODE TAHUN 2017-2018 DI RUMAH SAKIT SINAR HUSNI MEDAN
Authors: Simanjuntak Esraida , Angelia S Clara
Published: December 2021

Indikator rawat inap merupakan gambaran yang bertujuan untuk mengetahui tingkat pemanfaaatan, mutu, efisiensi pelayanan rawat inap dan efesiensi penggunaan tempat tidur di rumah sakit. BOR merupakan prosentase pemakaian tempat tidur periode tertentu. ALOS merupakan rata-rata lama rawat seorang pasien. TOI merupakan lamanya dimana tempat tidur tidak ditempati dari telah diisi ke saat terisi berikutnya. BTO menunjukkan frekuensi pemakaian tempat tidur pada suatu periode. NDR adalah angka kematian 48 jam setelah pasien dirawat. GDR menunjukkan angka kematian umum. Tujuan penelitian adalah menganalisa indikator rawat inap periode tahun 2017-2018. Jenis penelitian ini adalah deskripsi dengan metode wawancara dan observasi. Tempat penelitian dilakukan di Rumah Sakit Sinar Husni Medan dikarenakan peneliti ingin mengetahui indikator rawat inap rumah sakit tipe C. Waktu penelitian dilakukan bulan Maret-April 2019. Populasi dan sampel yang digunakan adalah data rekapitulasi rawat inap periode tahun 2017-2018. Berdasarkan hasil penelitian, didapat perhitungan BOR tahun 2017 yaitu 78,86% dan BOR 2018 yaitu 82,87%, ALOS 2017 yaitu 2,90 hari dan ALOS 2018 yaitu 3,02 hari, TOI 2017 yaitu 0,78 hari dan TOI 2018 yaitu 0,65 hari, BTO 2018 adalah 98,62 kali/tahun dan BTO 2018 adalah 96,01 kali/tahun, NDR 2017 yaitu 1,38‰ dan NDR 2018 yaitu 2,02‰, GDR 2017 adalah 5,91 ‰ dan GDR 2018 adalah 9,30 ‰. Kesimpulan dari penelitian ini adalah nilai ALOS tidak ideal karena banyak pasien dirujuk, PAPS dan penyingkatan waktu lama rawat. TOI dan BTO tidak ideal dikarenakan jumlah pasien yang banyak. Saran dari penelitian ini adalah menambah jumlah tempat tidur untuk menampung banyaknya pasien dan meningkatkan mutu pelayanan.
FAKTOR PENYEBAB KETERLAMBATAN WAKTU PENGEMBALIAN BERKAS REKAM MEDIS RAWAT INAP DI RS ESTOMIHI MEDAN TAHUN 2019
Authors: Erlindai
Published: December 2021

Aspek ketepatan waktu pengembalian berkas rekam medis rawat inap harus sesuai dengan SPO yang ditetapkan oleh rumah sakit Estomihi yaitu 2x24 jam setelah pasien pulang dan sudah dalam keadaan lengkap. Oleh karena itu perlu adanya evaluasi faktor penyebab keterlambatan waktu pengembalian berkas rekam medis rawat inap untuk meningkatkan mutu pelayanan rumah sakit. Penelitian ini bertujuan untuk mengetahui penyebab ketidaktepatan waktu pengembalian berkas rekam medis rawat inap, jenis penelitian ini yaitu deskriptif, teknik pengumpulan data menggunakan observasi, kuisioner dan wawancara. Dari hasil penelitian yang dilakukan diketahui bahwa jumlah ketidaktepatan waktu pengembalian berkas rekam medis sebesar 63 atau 72,41% berkas rekam medis rawat inap dan jumlah berkas yang tepat waktu sebesar 24 atau 27,59%. Faktor penyebab keterlambatan waktu pengembalian berkas rekam medis rawat inap yaitu disebabkan oleh dokter yang terlambat mengisi kelengkapan berkas rekam medis, belum adanya petugas khusus pengembalian berkas rekam medis rawat inap, serta jarak Instalasi rawat inap ke Instalasi rekam medis yang cukup jauh sehingga mengakibatkan keterlambatan pengembalian berkas rekam medis rawat inap ke Instalasi rekam medis. Saran sebaiknya pihak rumah sakit melakukan sosialisasi dan mengingatkan kembali dokter dan profesi medis yang lain saat rapat tentang ketepatan pengembalian berkas rekam medis agar lebih disiplin dalam melengkapi berkas rekam medis sesuai dengan kebijakan SPO sehingga pengembalian berkas rekam medis tidak mengalami keterlambatan.
TINJAUAN KETIDAKLENGKAPAN PENULISAN RESUME MEDIS RAWAT INAP DI RUMAH SAKIT UMUM MITRA MEDIKATAHUN 2019
Authors: Agus Kartini Siti , Liddini Haliza
Published: December 2021

Berdasarkan survey awal yang dilakukan peneliti di instalasi rekam medis RSU  Mitra Medika dari data angka ketidaklengkapan pengisian catatan medis (KLPCM), ditemukan bahwa dari seluruh berkas rekam medis pasien pulang dari rumah sakit pada tahun 2018, yaitu terdapat 13279 berkas terdapat ketidaklengkapan pengisian sebanyak 7,66% (1017) berkas, dimana salah satu diantaranya adalah ketidaklengkapan pengisian resume medis.medis, terdapat ketidaklengkapan pengisian identitas pasien sebanyak 5 formulir (16,6%), anamnese 4 (13,3%), pemeriksaan fisik 2 (6,6%), diagnosa 1 (6,6%), pemeriksaan penunjang 4 (13,3%) dan tindakan medis sebanyak 2 formulir (6,6%).Populasi dalam penelitian ini adalah seluruh formulir resume medis rawat inap di RSU Mitra Medika pada bulan April 2019 sebanyak 500 formulir. Sampel yang diambil dalam penelitian ini ialah 25 % dari jumlah populasi yakni 50 formulir resume medis. Sampel yang diambil dalam penelitian adalah 10 % dari jumlah populasi yaitu sebanyak 50 formulir resume medis. Jenis penelitian ini menggunakan metode penelitian deskriptif kuantitatif dan instrumen penelitian yang digunakan dalam penelitian ini yaitu lembar observasi.
FAKTOR-FAKTOR PENYEBAB KETERLAMBATAN WAKTU PENYEDIAAN REKAM MEDIS RAWAT JALAN DI RUMAH SAKIT UMUM MADANI TAHUN 2019
Authors: Andi Ritonga Zulham , Wannara Alan Juli
Published: December 2021

ABSTRAK

 

Sistem penyimpanan yang diterapkan di Rumah Sakit Umum Madani Medan menggunakan sistem sentralisasi, yaitu penggabungan antara rekam medis rawat inap dengan rekam medis rawat jalan. Rekam medis rawat jalan dan rekam medis rawat inap disimpan dalam satu tempat penyimpanan rekam medis. Namun dikarenakan jumlah rak penyimpanan rekam medis kurang akibatnya status rekam medis tidak cukup untuk disusun di dalam rak penyimpanan dan ditumpukkan   di atas status yang telah disusun dengan rapi. Jenis penelitian ini menggunakan deskriptif melalui wawancara dan lembar check list. Penelitian ini dilakukan di RSU Madani Medan pada bulan Februari sampai dengan Juni 2019. Populasi dalam penelitian ini adalah pasien yang datang ke tempat pendaftaran rawat jalan dan seluruh petugas rekam medis di unit pendaftaran rawat jalan dan penyimpanan. Sampel dalam penelitian ini terbagi dalam dua jenis yaitu pasien rawat jalan yang terdiri dari pasien baru dan pasien lama serta petugas rekam medis rawat jalan RSU Madani Medan. Teknik sampling yang digunakan adalah Purposive Sampling. Dari hasil penelitian sistem penjajaran yang diterapkan di  Rumah Sakit Umum Madani Medan yaitu menggunakan sistem angka akhir. Sistem angka akhir dapat memudahkan para petugas rekam medis yang bukan ahli dalam melaksanakan pekerjaan penyimpanan tersebut dan sudah terlaksana dengan baik. Berdasarkan lokasi,  sistem penyimpanan menggunakan sentralisasi. Berkas rekam medis di ruang penyimpanan belum tersusun dengan rapi. Dimana rekam medis yang disimpan tidak cukup untuk dijajarkan ke dalam rak penyimpanan rekam medis, yang disebabkan karena luas ruang penyimpanan rekam medis yang tidak mencukupi sehingga mengakibatkan rak penyimpanan rekam medis tidak dapat ditambah ke dalam ruang penyimpanan rekam medis. Terdapat banyak berkas rekam medis ditumpukkan diatas berkas rekam medis yang telah disusun rapi sesuai dengan nomor rekam medisnya. Saat pengambilan kembali rekam medis pasien yang ingin berobat tidak menggunakan tracer (petunjuk keluar) sebagai pengganti untuk disisipkan di bagian setiap nomor rekam medis pasien yang ingin berobat.
HUBUNGAN WAKTU PENYEDIAAN DOKUMEN REKAM MEDIS DENGAN KEPUASAN PASIEN PADA BAGIAN PENDAFTARAN DI RUMAH SAKIT UMUM PERMATA BUNDA MEDAN
Authors: Valentina
Published: December 2021

ABSTRAK

 

Salah satu aspek yang perlu diperhatikan dalam pelayanan kesehatan yang bermutu adalah akses terhadap pelayanan yang ditandai dengan waktu penyediaan dokumen rekam medis di bagian pendaftaran. Tujuan penelitian adalah untuk mengetahui hubungan waktu penyediaan dokumen rekam medisdengan kepuasan pasien pada bagian pendaftaran di Rumah Sakit Umum Permata Bunda Medan. Jenis penelitan yang digunakan adalah deskriptif dengan desain cross sectional. Populasi penelitian ini adalah seluruh pasien rawat jalan di RSU Permata Bunda Medan yang dihitung dari rata-rata kunjungan pasien yang datang dalam satu minggu yaitu 307. Sampel dalam penelitian ini adalah 76 orang yang diambil secara accidental sampling. Instrumen yang digunakan dalam penelitian ini adalah lembar observasi dan pedoman wawancara. Analisis data dilakukan secara univariat dan analisis bivariat yaitu untuk mencari hubungan dua variabel  menggunakan uji statistik t-test independen dengan CI 95%. hasil penelitian menunjukkan ada hubungan waktu penyediaan dokumen rekam medis dengan kepuasan pasien pada bagian pendaftaran di Rumah Sakit Umum Permata Bunda Medan (p=0,0001).Disarankan untuk mempersingkat waktu penyediaan dokumen rekam medis dan meningkatkan kepuasan pasien dengan dengan melaksanakan manajemen  rekam medis yang baik benar.

Kata Kunci: Waktu, Penyediaan Dokumen Rekam Medis, Kepuasan Pasien, Pendaftaran

 

ABSTRACT

 

One aspect that needs to be considered in health services as assessed for access to services is affected by the provision of medical records in the registration section. The purpose of this study is to determine the relationship between the time of providing medical records and patient satisfaction in the registration section at Permata Bunda General Hospital, Medan. The type of research is descriptive with cross sectional design. The population are patients in RSU Permata Bunda Medan, which was calculated from the average number of patient visits that came in a week as many as 307. The sample is 76 people taken by accidental sampling. Data collection was carried out using the observation method using an observation sheet and the interview method with a questionnaire. Data were analyzed univariate and bivariate using the independent t-test with 95% CI. The results showed that there is a correlation between the time of providing medical records and patient satisfaction in the registration section at Permata Bunda General Hospital, Medan (p = 0,0001). It is recommended to shorten the time for the provision of medical record documents and increase patient satisfaction by helping to manage medical records properly.
OPTIMALISASI ANTRIAN MENGGUNAKAN METODE SINGLE CHANNEL SINGLE PHASE ( STUDI KASUS DR. REKSODIWIRYO PADANG)
Authors: Nengsih Yeyi Gusla
Published: December 2021

Antrian merupakan kejadian dimana pelanggan harus menunggu giliran untuk mendapatkan pelayanan. Proses Antrian di apotik Rumah Sakit Tentara Padang merupakan suatu masalah yang sering kali menjadi keluhan bagi pasien. Untuk mengatasi masalah ini dibutuhkan suatu metode sistem antrian supaya mendapatkan performansi model antrian. Sehingga dapat memberikan gambaran dan solusi untuk meningkatkan kinerja pelayanan pada proses pengambilan obat di apotik Rumah Sakit Tentara Padang. Model Antrian yang digunakan adalah model antrian Single Channel Single Phase yang memiliki satu jalur dan satu pelayanan yang dialiri oleh satu antrian tunggal. Variabel yang akan diamati adalah waktu antar kedatangan, waktu mulai pelayanan dan waktu selesai pelayanan dengan mengasumsikan pola distribusi poisson. Hasil dari penelitian ini nantinya diperoleh waktu sibuk server terpanjang yaitu 94,12%, jumlah rata-rata pasien dalam antrian terpanjang perperiode (Lq) yaitu 15 pasien, jumlah rata-rata pasien dalam sistem terpanjang perperiode (Ls) yaitu 16 pasien, waktu pasien berada dalam sistem terpanjang perperiode waktu (Ws) yaitu 60 menit, waktu pasien berada dalam antrian terpanjang perperiode waktu (Wq) yaitu 56,472 menit.
Dampak Penumpukan Dokumen Rekam Medis Terhadap Waktu Pengambilan Dokumen Rekam Medis Di RSU Sinar Husni Medan
Authors: Valentina  , Ritonga Selvia Sari
Published: December 2021

The filling system is one of the administrators of medical records which is responsible for orderly administration in an effort to improve health services in hospitals. Accumulation of medical record documents will affect of work of officers in the filling section. The purpose of this study is to determine the impact of the bildup of medical records documents on the time of taking medical record documents at Sinar Husni Hospital. This research is a descriptive study with a qualitative approach. The population is all filling officers at the Sinar Husni Hospital and all patient medical records calculated on average in the third quarter of 2020, counted 719 documents. The samples in this study were 2 filling officers at the Sinar Husni Hospital and part of the medical record documents totaling 86 medical record documents that were taken incidentally. The instrument used was an interview guide. The measurement of time to take medical record documents uses a stopwatch. Data were analyzed descriptively. The results showed that the accumulation of medical record documents had an impact on the time to take medical record documents at the Sinar Husni Hospital, because the officers had difficulty carrying out filling activities because the access between shelves was narrower and the documents piled on the floor were not properly aligned, with an average of 10.05 minute. We recommend to add more storage space and shelves so that medical record documents that are stacked on the floor can be moved to the storage racks.
Tinjauan Pelaksanaan Sistem Penyimpanan Rekam Medis Berdasarkan Standar Akreditasi Di UPTD Puskesmas Kotanopan Mandailing Natal
Authors: Andi Ritonga Zulham , Lubis Hasran Ependi
Published: December 2021

Storage of medical records is one of the assessments in puskesmas accreditation standards. The medical record file storage system is very important to do in health care institutions, because the storage system can make it easier for medical record files to be stored in storage racks, speed up the recovery or retrieval of medical record files stored on storage racks, easy to return, and protect record files. from theft, physical, chemical and biological damage. The purpose of this study was to determine how the implementation of a medical record storage system based on puskesmas accreditation standards, which was carried out in August 2020. The research method used was descriptive research with a qualitative approach. The number of research informants was 4 people. Storage of medical records had not used tracers and expedition book as a means of replacing medical record files and notes in and out of borrowed medical record files. Meanwhile, tracer and expedition books can assist officers in searching for missing / out of place medical record files. This can hamper the provision of patient medical record files that are needed. It is hoped that the UPTD Puskesmas Kotanopan will provide regular training or debriefing to medical record officers
Literatur Riview Tentang Faktor Penyebab Klaim Tidak Layak Bayar BPJS Kesehatan Di Rumah Sakit Tahun 2020
Authors: Oktamianiza  , Rahmadhani  , Yulia Yulfa , Putri Helmi Mazra
Published: December 2021

The amount of payment made by BPJS Kesehatan to health facilities is determined based on an agreement between BPJS Kesehatan and the relationship of health facilities in the area where the health facilities are located and refers to the INA-CBG's tariff standard. During the leveraging process by the BPJS verifier, several claims were found, one of which was an unfeasible claim. Therefore, the researchers are interested in further examining the factors that cause the BPJS health unfit claims at the hospital. The purpose of this review literature is to describe the factors that cause claims for not worth paying BPJS health at the hospital in 2020. The literature review research uses descriptive analysis which is carried out by describing the facts. The library sources used are 4 libraries from journals. Analyze the data by looking for several groups (comparing), inequality (contrasting), views (criticizing), comparing (synthesizing) and summarizing (summarizing) the research. Based on a review of 4 journals on the appropriateness of the Participation Administration an average of 66%, the suitability of service administration as much as 25%, the accuracy of disease diagnosis as much as 75%, the accuracy of the main diagnosis and the accuracy of the secondary diagnosis as much as 88%, the accuracy of the diagnosis code was 55% correct and the effect of the administrative completeness of the claim requirements on average is still <75%, which means that the administrative completeness of the BPJS Health requirements is still incomplete because it does not meet the BPJS Health standards and regulations in the submitted requirements file. Based on the results of the study, it can be ignored that the administrative completeness of the BPJS Health claim requirements in the hospital is still incomplete, due to the perception of perceptions between internal verifiers and external verifiers, the knowledge and responsibilities of health service workers on the importance of filling in complete, accurate and trustworthy medical record files. . So the researchers suggest that there is periodic socialization to equalize perceptions about policies and standards in the process of submitting BPJS Health claims between internal verifiers and external verifiers and health service workers who participate in filling out medical record files so that problems related to claims not worth paying can be minimized so that services health can run well and smoothly.
Standardisasi Resume Medis Dalam Pelaksanaan PMK 21/ 2020 Terkait Pertukaran Data Dalam Rekam Medis Elektronik
Authors: Indradi Sudra Rano
Published: December 2021

The issuance of Regulation of the Minister of Health number 21 of 2020 concerning the Strategic Plan of the Ministry of Health year 2020-2024 encourages the need for appropriate implementation measures. One of the things that was proclaimed to be realized in 2024 is the application of integrated electronic medical records (RME) reached 100%. This is intended to be able to support the exchange of medical resume data between hospitals (health information exchange / HIE). To implement this HIE requires standardization and regulation that regulates it. This research is qualitative, using a sosiolegal approach that focuses on the depth of material related to documenting standards in medical resumes enriched with literature studies. Regulations related to medical resumes / discharge summaries that exist at this time have not set about language standards, abbreviations, symbols, and units for documenting in medical resumes. The existing regulations also have not explained the dictionary related matters ...
Gambaran Stres Kerja Petugas Rekam Medis di Rumah Sakit Kota Surabaya
Authors: Nulia Syafira , Ian Rahmadhani  , Aryo Kuncoro  , Azundha Rahmadani  , Salshabilla Fitri  , Lilis Masyfufah A. S  , Diah Wijayanti S
Published: December 2021

Work stress is a state of physical and psychological imbalance that can interfere with the implementation of tasks in achieving work performance. The purpose of this study was to determine the description of the work stress of medical record officers, for that a survey was conducted and questionnaires were distributed to obtain data. The population in this study were medical record officers with a sample size of 40 people, using the non-probability sampling technique with the quota sampling method. The three variables studied were the work environment, technological developments and work motivation. The number of questionnaires used in this study were 40 questionnaires. Then quantitative data analysis was carried out categorizing the scores on a high, medium and low scale with the help of the SPSS version 25 application program. According to statistical calculations, the results of the assessment of work environment variables were 52.5% in the high category. While the variable of technological development is 57.5% in the high category and work motivation is 72.5% in the medium category.
Upaya Meningkatkan Kepatuhan Profesional Pemberi Asuhan Pasien Dalam Dokumentasi Rekam Medis
Authors: Purbobinuko Zakharias Kurnia , Prahesti Ratna , Puspita Ningsih Kori
Published: December 2021

Adanya tuntutan rumah sakit untuk menjamin kelengkapan rekam medis, perlu didukung dengan upaya rumah sakit melalui suatu regulasi dan edukasi kepada para PPA dalam proses pendokumentasian rekam medis. Lebih lanjut bahwa paradigma faktor manusia, dalam hal ini adalah PPA dalam menjaga kualitas rekam medis cukup berpengaruh langsung dalam keselamatan pasien. Tujuan dari penelitian ini adalah mengeksplorasi upaya rumah sakit dalam meningkatkan kepatuhan PPA pada dokumentasi rekam medis Penelitian ini merupakan penelitian deskriptif dengan pendekatan kualitatif. Rancangan penelitian menggunakan metode cross sectional. Penelitian ini dilaksanakan di RSUD Panembahan Senopati Bantul. Hasil penelitian menunjuukan RSUD Panembahan Senopati Bantul telah berupaya meningkatkan kepatuhan PPA dengan menetapkan regulasi berupa Pedoman Pelayanan Rekam Medis dan SPO Pengisian Rekam Medis. Upaya dari aspek material dilakukan dengan menyediakan formulir rekam medis berbahan kertas ukuran A4 berat 80 gram berbentuk persegi panjang dengan beberapa warna sesuai kebutuhan pengguna dan diberikan nomor formulir rekam medis. RSUD Panembahan Senopati Bantul  telah melakukan penilaian kinerja setiap tahun sekali di akhir tahun, akan tetapi penilai kinerja berkaitan dengan kepatuhan PPA dalam dokumentasi rekam medis belum tertuang dalam SKP. Dalam upaya meningkatkan kepatuhan PPA dalam dokumentasi rekam medis, maka Tim KMKP menetapkan angka ketidaklengkapan assesmen awal medis dalam 24 jam pada pasien rawat inap melalui Instalasi Gawat Darurat (IGD) sebagai indikator mutu prioritas di RSUD Panembahan Senopati Bantul. Sebaiknya dalam upaya meningkatkan motivasi, budaya kerja dan kepatuhan PPA dalam dokumentasi medis, maka RSUD Panembahan Senopati Bantul dapat menerapkan reward dan punishment, sehingga tercapai kepuasan kerja karyawan
Brainwave assistive system for paralyzed individuals
Authors: Md Ahnaf Shariar  , Syeda Maliha Monowara  , Md. Shafayat Ul Islam  , Muhammed Junaid Noor Jawad  , Saifur Rahman Sabuj
Published: December 2021

The Brain-Computer Interface (BCI) is a system based on brainwaves that can be used to translate and comprehend the innumerable activities of the brain. Brainwave refers to the bioelectric impulses invariably produced in the human brain during neurotransmission, often measured as the action potential. Moreover, BCI essentially uses the widely studied Electroencephalography (EEG) technique to capture brainwave data. Paralysis generally occurs when there is a disturbance in the central nervous system prompted by a neurodegenerative or unforeseen event. To overcome the obstacles associated with paralysis, this paper on the brainwave-assistive system is based on the BCI incorporated with Internet-of-things. BCI can be implemented to achieve control over external devices and applications. For instance, the process of cursor control, motor control, neuroprosthetics and wheelchair control, etc. In this paper, the OpenBCI Cyton-biosensing board has been used for the collection of the EEG data. The accumulated EEG data is executed subsequently to obtain control over the respective systems in real-time. Hence, it can be concluded that the experiments of the paper support the idea of controlling an interfaced system through the real-time application of EEG data.
Electric manifestations and social implications of bacteria aggregation from the Bessel-Keller-Segel equation
Authors: Huber Nieto-Chaupis
Published: December 2021

This paper proposes a fair extension of Keller-Segel equation based in the argument that bacteria exhibit proporties electric in their composition. The new mathematical form of this extension involves the integer-order Bessel functions. With this one can go through the electrodynamics of the representative scenarios in order to understand the social behavior of bacteria. From the theoretical side this paper demonstrates that, charged electrically, aggregation of bacteria would give rise to electric currents that hypothetically are the reasons for social organization and disruption among them. The electrical properties of bacteria from this mathematical proposal might be relevant in a prospective implementation of so-called Internet of Bio-Nano Things network, that aims to be characterized for having a very high signal/noise.
Enabling molecular communication through chirality of enantiomers
Authors: Valeria Loscr�  , Anna Maria Vegni
Published: December 2021

With the advancement of nanotechnology, there has been fervid research activity on new communication paradigms suitable for new challenging contexts, such as biological systems. Among different approaches, the most considered has been artificial Molecular Communication, where entities such as synthetic molecules, enzymes, hormones, bacteria etc. are functionalized in order to implement information exchange with the surrounding system and with other entities. In this context, it is interesting to analyze specific features that could be exploited for effective communication paradigms. In this paper, we focus on chiral molecules (a.k.a. enantiomers) as novel enablers for a molecular communication paradigm. Chirality is an interesting and appealing feature existing in nature and that can be replicated with strong emphasis in new types of materials, such as metasurfaces and metamaterials. A deep knowledge of chirality features and how chiral molecules interact with each other or with achiral molecules provides insights into designing a new molecular communication technique suitable for biological environments. In this contribution, we will highlight the main applications of chiral molecules and we will present chiral features as the viable way for realizing a nanocommunication system.
Figurative Competence of Jordanian Graduate Students of English: An Analysis of Their Errors and Strategies
Authors: Abushunar Majd S.
Published: December 2021

This study uses a translation task consisting of 15 sentences to examine the figurative competence of Jordanian graduate students majoring in English. It also attempts at shedding some lights on their strategies and errors when translating fixed figurative expressions into Arabic. The sample of this study consists of 36 Jordanian graduate students in the English department of two Jordanian universities. Half of the participants are M.A. students, while the other half are Ph.D. students. The findings of the study indicate that Ph.D. students have a slightly higher idiomatic competence than M.A. students, though the two groups perform poorly in the translation task. The findings also suggest that graduate students of English often rely on the context, metaphor, and knowledge of L1 to approach the meaning of English figurative expressions. Furthermore, the findings show that paraphrasing and giving an Arabic equivalent are the most common translation strategies used by graduate students.
استخدام التخطيط و البحوث العلمية في المؤسسات الإعلامية : دراسة وصفية تحليلية على عينة من المؤسسات الإعلامية الاتحادية بولاية الخرطوم في الفترة من أول يناير 2009م إلى 31 ديسمبر 2010م
Authors: عبده عثمان عبده عبد الله إدريس
Published: December 2021

استخدام التخطيط و البحوث العلمية في المؤسسات الإعلامية : دراسة وصفية تحليلية على عينة من المؤسسات الإعلامية الاتحادية بولاية الخرطوم في الفترة من أول يناير 2009م إلى 31 ديسمبر 2010م

The study deals with the use of planning scientific research in some information institutes at Khartoum state in the period 2009- 2010.

The study concentrated on the use of planning in this institutes and do the information instates use the scientific concept of planning , in adition to the institutes information how to use the planning to collect information , data on the scientific research.

For their more the difficulties which face the planning and scientific research in the information in states.

The study summarizes that planning used by these institution sometimes is bsed on scientific research.

These institutions do not use planning continuously, with planner in their general policies, and the use of scientific in bases in their researches one reflected.

The study suggested the necessity of using planning in information institution through scientific principles.

The researches implemented by the information institution must present solution the problems and difficulties they faced , and which are assist and facilitate in using the planning process , in addition to the existence of scientific research assessment and valuation for researches of communication used by these information institution
Asessment of protein energy malnutrition among the 6 to 59 months age children in sinkat locality red sea state
Authors: Tahani Babikir Ilyas
Published: December 2021

Asessment of protein energy malnutrition among the 6 to 59 months age children in sinkat locality red sea state

Poor children feeding practices can lead to malnutrition which is a major public health problem in developing countries including sudan.

This cross sectional study was conducted during May 2011 to May 2012 to measure the prevalence rate of PEM among children of 6-59 months age and to assess the knowledge ,attitudes of mothers towards their children nutrition.

A stratified sampling techniques were used for selected 384 children .

The data collected by questionnaire and anthropometric measurement for weight & height of children and then categorized according to WHO guidelines.

The result revealed that the prevalence rate was 72% ,most infected age range between 1 to 3years,only (27% ) of mothers continue breast feeding when children were infected with diarrhoea, also the result indicated that there is a significant relationship between the protein energy malnutrition and age of the children and family size , also the study indicated that the persistent diarrhea or repeated attacks of acute respirotary infection, malaria and measles were underlying causes of PEM particularly for children in border line.

Therefore , increasing awareness to mothers about the nutrition ,and improvement of economic status of families is recommended.
سيكولوجية الدعاية و الحرب النفسية : دراسة تحليلية تأصيلية
Authors: وداد محيي الدين محمد نور
Published: December 2021

سيكولوجية الدعاية و الحرب النفسية : دراسة تحليلية تأصيلية

This study has aimed at introducing the psychology of propaganda and its means including the conflict administration and its impact on the international and local opinion in addition to the identification of the means of the psychological war practiced against Islam so as to consolidate through analyzing some Islamic battles and invasions which manifested in practicing and applying those reliable means, values and strategies in the analysis by accompanying the technical and technological developments in supporting its usage.

Also this study aims at revealing the aspects of magnitude in the prophets personality with respect to the preparation of the forces and defending the Islam.

The writer has used the approach of the qualitative analysis of some Islamic battles mentioned in the prophets course which denote that the victories achieved were due to the prophet's greatness, bravery, his control over his nerves and the application of all the scientifically known war principles.

The writer has reached several significant results as follows: The study has confirmed the pioneer role played by Islam in determining the international relations and administering the religions and ideological disputes among the civilizations.

The study has shown the extent of the western and Zionist mass media aggression against the Islam through planning to struck the Islam, causes its spread and remove the Islamic consciousness .

The study has revealed that there is an attempt to distort the image of Islam by accusing it of extremism and terrorism alongside with an attempt to weaken the Muslims' confidence in their religion and heritage.

The study has assured the Prophet's application or the means and arts of the psychological war in the Islamic battles and the preparation of the soldiers and fighters.

In that, the study has focused on the Islamic military theory and other social theories to build the Muslim’s character which helps him/her in overcoming the press and ideological campaigns directed against the Islam With regard to the scope of contents review in this paper, it comprised both the concept and means of propaganda and psychological war by handling its objectives and images.

At this point the so- called "Political poisoning" process has been displayed as one of the bases of psychological war.

Similarly, the study reviewed the psychological war and its methods in Islam in the Prophet's regime and the modern regime.

The study has outcome with a number of recommendations which call for confronting the tri-targeting aggression against the Islam by preparing the studied press plans which encounter those challenges and boost the Muslim's self fortification in his / her education according to the religions guides.

So, the study has recommended for the confrontation of secularism by revealing its misleading and overcoming the Christianized movement and neutralizing its methods as well as hindering the achievement of its motives
László Gozmány’s annotated essay on the history of Hungarian lepidopterology published in 1949
Authors: Bálint Zsolt
Published: December 2021

In 1949, the American Lepidopterists’ Society published an essay of nine entries on the history of Hungarian lepidopterology. The principal author of the short paper was the young, 28 years old Dr. László Gozmány. Access of the essay is difficult as early volumes of the News of the Lepidopterists’ Society are rare in libraries and not available on the world-wide-web. The original essay is reproduced here with 38 supplementary annotations giving more historical clarity. The article is a tribute to Dr. László Gozmány on the occasion of the 100th anniversary of his birth. With one figure.
The Political History of Indagru VDC
Authors: Ollieuz Annelies
Published: December 2021

This paper traces how the government policies on land rights have evolved over recent decades in Nepal and analyses the roles of existing power relations and vested interests in shaping their development and implementation. It is shown that historically entrenched power relations existing in the patrimonial political system have led to a highly unequal distribution of land. Ways to reduce inequality in land ownership to provide access to land for real farmers are essential, but due to these same entrenched power relations, they have not been implemented in earnest and land reforms over the last few decades have been unsuccessful. As a result, the same types of pre-capitalist social relations have persisted in rural areas. These relations have not been able to generate an agrarian surplus that can be invested in agriculture or other sectors of the economy. Furthermore, the concept of ‘property rights’ in relation to land has created a new problem in agrarian development in recent years, by fostering an environment in which people invest in land not to increase production but for speculation. As a result, it has become extremely difficult for poor people to purchase land to have a housing lot or for farming. The present democratic politics and institutions in the post 2006 context have still not shown any capacity or the interest to address the issue of land. Accordingly, the prospects for change at the moment seem bleak even though the rhetoric has increased. Moreover, the changed context calls for a new concept of land reform. This would take into account changes in the agrarian structure and an agrarian economy where mobility is high and injection of cash from outside the country has increased. It is finally argued that successful land reform should be led by grassroots political movements, with limited external intervention.
Shifting Conceptions of Social (IN) Justice in Nepal
Authors: Satyal Pravat Poshendra
Published: December 2021

The purpose of this paper is to analyse and situate the changing discourses of social (in)justice in the context of political transition and restructuring process that Nepal has gone through since 2006. This paper discusses the origin and development of the discourse and analyses how its meaning has changed over time. As the paper argues, the earlier discourses of social justice in Nepal can be linked to the Hindu and Buddhist notion of dharma and various other ethnic cultural traditions. After Janandolan-I in 1990, the policy and practice of social justice began to be equated with the principle of equality, which was based on the assumptions of sameness. After Janandolan-II in 2006, the public conception of social justice has shifted towards a more vocal emphasis on social equity, inclusiveness, proportionate representation and participatory decision-making. The article provides empirical manifestations of social injustices in Nepal, linking them with various discourses and traditions of justice in the early and modern historical, socio-cultural and political contexts. It is hoped that a thorough understanding of historical shifting of public conceptions of social (in)justice in Nepal will be useful in guiding the country’s future public policies towards inclusive restructuring and equitable development.
The Influence of the Tharuhat Autonomous State Council (Tasc) In Kailali District in The Far-Western Tarai
Authors: Maycock Matthew
Published: December 2021

The signing of the Comprehensive Peace Accord in 2006 and Nepal entering a post-conflict era have been associated with the emergence of various organisations and movements often formed along ethnic lines. The Tharuhat Autonomous State Council (TASC) is one such movement that is the focus of this paper but more generally has received relatively limited focus within academia. Within the context of Kailali district in far-west Nepal, this paper explores various characteristics and policies of the wider Tharuhat movement focusing on the vision for an autonomous Tharu state. It will highlight some of the successes and problems that the movement faces. Furthermore, this paper will explore a number of tensions between the national Tharuhat discourse and how this finds meaning and resonance at the local level where activists are attempting to engage with the Tharu community. Ultimately this paper examines the extent to which the Tharuhat movement represents a new more political stage in the wider Tharu ethnic movement.
Three Faces of Civil Society Activism in Nepal1
Authors: Basnet Chudamani
Published: December 2021

This article consists of an ethnographically informed analysis of the ‘logic’ guiding civil society activism in Nepal at three distinct points in its recent history. The paper details these ‘logics’ (‘service logic’ (1990 2000), a ‘peace logic’ (2001-2004) and a more radical and egalitarian logic (2005-2006)) and then relates the corresponding types of civil society (civil society I, civil society II and civil society III, respectively) to broader political developments in the country. It is argued that the changes in the logic underpinning civil society activism can clearly be attributed to the changing patterns of macro power configurations and to distinct challenges faced by the urban literate class over the previous two decades.
Land Contestation in Nepal: Indigenous Land Tenure and National Land Policy
Authors: Maharjan Kabin
Published: December 2021

Current contestations over land as a public or private good revolve around the issue of who owns, controls and manages it. Particularly, after the second April uprising of 2006, indigenous people, have emerged as a new actor in land policy demanding equitable rights for state’s power and resources. However, these claims have been countered by non-indigenous people. The disagreements are strong and the institutional bargaining for a share in land ownership has been tough. Currently, the Ministry of Land Reform and Management is in the process of drafting the National Land Policy. While this draft land policy has addressed the issues of the indigenous people to some extent, the larger approach has been piecemeal and short sighted. If we were to look for a long-term solution, it would be essential to think about major concerns of the marginalized and indigenous group and develop a coherent strategy to address their demand. This paper tries to study and analyze the multiple contestations over land in context of the emergence of indigenous group as an important stakeholder and makes an attempt to come up with a policy option that is rational and far-sighted addressing the multiple intra-group claims.
Water Security in Urban Water Governance: A Case Study of Dhulikhel Municipality, Kavrepalanchowk, Nepal
Authors: Pokharel Kushal , Joshi Tikeshwori , Adhikari Jagannath , Neupane Kaustuv Raj
Published: December 2021

This paper locates the issue of water security within the larger discourse of Environmental Justice which has become more encompassing and broader in scope, forms and processes penetrating the issues of political, economic and cultural distribution of resources. The concept of urban governance and water security is inextricably tied as the need of improved water services historically grew with the expansion of cities calling for critical governance arrangements. In light of the above, this paper examines the existing state of water security in Dhulikhel. By examining the power relations between ‘fringe’ and the ‘core’ areas, the paper depicts the growing inequity across the 9 wards of Dhulikhel pertaining to water access and distribution based on caste, class, ethnicity and gender. Two fundamental questions that guide this paper are: 1) Why disparities exist between the core and fringe categories in Dhulikhel Municipality? 2) How does the core-fringe category shape the power of communities in the water governance? The findings clearly show that there is a huge discrimination between the core and the fringe, the poor and the non-poor within the core in water availability, distribution and decision making. Establishing an equitable water justice system calls for uprooting the existing social discrimination in water security to empower the fringe communities.