Review of the Accuracy of Diagnosis Codefication of Obstetric Cases Category Abortion at RSUD X in Cirebon Regency in 2024
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Abstract
Abortion or miscarriage is the death of the fetus when the gestational age is <20 weeks or the fetal weight is <500 grams. Post miscarriage / abortion care is an approach to treating mothers after a miscarriage, either spontaneously or through induction. This is in line with one of the Sustainable Development Goals (SDGs), which is to reduce the maternal mortality ratio (MMR) to 70 per 100,000 live births in Indonesia by 2030. Researchers used a quantitative descriptive method with a total sampling technique of 75 medical record documents of inpatients with abortion cases in 2024. The purpose of this study was to determine the percentage of accuracy of the diagnosis code of obstetric cases in the abortion category at RSUD X, Cirebon Regency. This study used descriptive quantitative with total sampling technique. The samples in this study were 75 medical record documents of inpatient obstetric cases of abortion category in 2024 at RSUD X, Cirebon Regency. Data were collected and then analyzed using univariate analysis or descriptive analysis to describe or describe the data that had been collected. The results showed that 54 documents (72%) with appropriate codes and 21 documents (28% with inappropriate codes). Of the 21 documents with inappropriate codes, 15 documents (71.5%) had incorrect diagnosis writing by DPJP.
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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
References
Dewi, R. K., Nardina, E. A., & Hari, F. (2024). Akurasi Dan Ketepatan Pengkodean Diagnosis Pada Kasus Obstetric Di Rst Dr . Asmir Dkt Salatiga. Jurnal Rekam Medis Dan Manajemen Informasi Kesehatan (JURMIK), 4(1), 37–45. https://doi.org/https://doi.org/10.53416/jurmik.v4i1.262
Habibah, N. A. (2022). Kompetensi yang Harus Dimiliki Perekam Medis dan Informasi Kesehatan. Yankes.Kemkes.Go.Id. https://yankes.kemkes.go.id/view_artikel/1038/kompetensi-yang-harus-dimiliki-perekam-medis-dan-informasi-kesehatan
Heltiani, N., Asroni, N., & Suryani, T. E. (2023). Analisis Ketepatan Kode Diagnosa Obstetri Terhadap Kelancaran Klaim BPJS Rs. X Kota Bengkulu. Jurnal Informasi Kesehatan Indonesia, 9(1), 1–11. https://doi.org/10.31290/jiki.v9i1.3634
Indra, Ilahi, V., & Wisandra, A. (2023). Tinjauan Kejelasan dan Kelengkapan Penulisan Diagnosis dalam Ketepatan Kode Poli Penyakit Dalam di RS Mitra Medika Batanghari. Ensiklopedia of Journal, 4(4), 114–122
Kementerian Kesehatan RI. (2022). Profil Kesehatan Indonesia Tahun 2022. https://kemkes.go.id/id/profil-kesehatan-indonesia-2022
Kementerian Kesehatan RI. (2023). Profil Kesehatan Indonesia Tahun 2023
Naviandi, U., Wahyuni, S., Ikawati, D., Handiyatmo, D., Parwoto, Trisnani, D., Aswarawati, A. N. D., Zoraya, E., Purbowati, A., Synthesa, P., Fahmi, I., Sitorus, U. R., Padini, P. R. A., & Pratama, A. (2020). Mortalitas Di Indonesia Hasil Long Form Sensus Penduduk 2020. In Badan Pusat Statistik. https://doi.org/2203004
Priadana, S., & Sunarsi, D. (2021). Metode Penelitian Kuantitatif. Pascal Books
Putri, Y. W., Saragih, T. R., & Purba, S. H. (2024). Implementasi dan Dampak Penggunaan Sistem Rekam Medis Elektronik (RME) pada Pelayanan Kesehatan. Sehat Rakyat: Jurnal Kesehatan Masyarakat, 3(4), 255–264. https://doi.org/10.54259/sehatrakyat.v3i4.3449
Ritonga, Z. A., & Manurung, R. O. (2019). Tinjauan Kompetensi Petugas Rekam Medis Pada Mutu Pelayanan Kesehatan di UPT. Rumah Sakit Khusus Mata Tahun 2019. Jurnal Ilmiah Perekam Medis Dan Informasi Kesehatan, 4(1), 567–572. https://doi.org/https://doi.org/10.52943/jipiki.v4i1.78
Rohati, E., & Siregar, R. U. P. (2023). Faktor-Faktor yang Berhubungan dengan Kejadian Kematian Ibu pada Masa Kehamilan, Persalinan dan Nifas di Kota Depok Tahun 2021. Jenggala: Jurnal Riset Pengembangan Dan Pelayanan Kesehatan, 2(1), 72–81. https://jurnal.iik.ac.id/
Sri Mulya, Dina Sonia, Daniel Happy Putra, & Noor Yulia. (2024). Analisis Pending Klaim BPJS Kesehatan Pasien Rawat Inap di Rumah Sakit Islam Jakarta Pondok Kopi Tahun 2023. Sehat Rakyat: Jurnal Kesehatan Masyarakat, 3(3), 140–152. https://doi.org/10.54259/sehatrakyat.v3i3.3021
Sugiyono. (2022). METODE PENELITIAN KUANTITATIF (Setiyawami (ed.)). ALFABETA, cv
Tesya, L., & Suryani, A. I. (2024). Dampak Ketepatan Kodefikasi Penyakit Terhadap Klaim Rawat Jalan Peserta BPJS di RSUD Kesehatan Kerja Provinsi Jawa Barat. PREPORTIF: Jurnal Kesehatan Masyarakat, 8(3), 4718–4723.
World Health Organization. (2024). Maternal Mortality
Yeni Tri, U., Linda, W., & Santi. (2024). Analisis Ketepatan Kode Diagnosis dan Tindakan Kasus Obstetri Pasien Rawat Inap di Rsud Waras Wiris Boyolali. Infokes: Jurnal Ilmiah Rekam Medis Dan Informatika Kesehatan, 14(1), 14–21. https://doi.org/https://doi.org/10.47701/infokes.v14i1.3773