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Showing 72 articles found for "Medical"

OVERVIEW OF THE PERCENTAGE OF ACCURACY IN CODING PNEUMONIA DIAGNOSES BASED ON ICD-10 ACCORDING TO PNPK 2023 AT THE UDAYANA TYPE II HOSPITAL IN DENPASAR CITY

Sang Gede Ary Yoga Pratama, Nurul Faidah, I Gusti Agung Ngurah Putra Pradnyantara
Abstract: The accuracy of disease diagnosis coding is an important indicator in the management of medical records and health service claims. This study aims to determine the percentage of accuracy in coding pneumonia diagnoses based… ed on ICD-10 according to the 2023 National Medical Practice Guidelines (PNPK) at Udayana Hospital II in Denpasar. The research method used was quantitative descriptive with a total sampling approach of 72 medical records of pneumonia patients during the period from October 1, 2024, to December 31, 2024. The research instrument was a checklist for assessing the accuracy of diagnosis codes based on the provisions of ICD-10 and PNPK Pneumonia 2023. The results showed that 51 files (70.8%) were coded accurately, while 21 files (29.2%) were coded inaccurately. The inaccuracy in coding was due to a lack of supporting tests, such as microbiological tests, as well as the excessive workload of the coders. These findings indicate the need for an analysis of coders' workload to measure the effectiveness and efficiency of their tasks, time management, and priorities. This study is expected to serve as evaluation material to improve the quality of service and efficiency of hospital administration.

ANALYSIS OF THE COMPLETENESS LEVEL OF EMERGENCY DEPARTMENT MEDICAL RECORDS FOR HYPERTENSIVE PATIENTS AT WANGAYA REGIONAL GENERAL HOSPITAL, DENPASAR

Hijrah Baitu Rahman, Ika Setya Purwanti
Abstract: A complete medical record is a crucial part of healthcare delivery, serving as a communication tool between healthcare professionals, legal evidence, and the basis for evaluating and planning hospital services. The completeness… eteness of medical record documentation, particularly in the emergency department, is an indicator of service quality that requires serious attention. The purpose of this study was to determine the percentage of completeness of identification, authentication, recording, and important reporting in the medical records of emergency patients diagnosed with hypertension at Wangaya Regional Hospital, Denpasar City. This study used a quantitative descriptive method. The population was all 330 medical records of emergency patients diagnosed with hypertension. A sample of 199 files was drawn using a probability sampling technique using a simple random sampling approach. The results showed that completeness of identification reached 100%, authentication reached 176 documents (88.44%), recording reached 174 documents (84.44%), and reporting reached 159 documents (79.90%). It can be concluded that identification had the highest level of completeness, while reporting had the lowest level of completeness. Researchers suggest that hospitals increase outreach and supervision of medical staff, especially in emergency installations, regarding the importance of completeness and timeliness of filling out medical record documents.  

ANALYSIS OF THE IMPLEMENTATION OF THE HOSPITAL MANAGEMENT INFORMATION SYSTEM (SIMRS) ON OPERATIONAL EFFICIENCY AT XYZ HOSPITAL PAMEKASAN

Seto Wahyu Prasetyo
Abstract: This study aims to analyze the implementation of the Hospital Management Information System (HMIS) and its impact on operational efficiency at XYZ Hospital in Pamekasan. In the digital era, hospitals are required to enhance… nce service quality and operational efficiency through the utilization of information technology. HMIS is an innovation designed to integrate managerial and administrative processes within hospitals, including patient data recording, resource management, and other healthcare service procedures. This research adopts a descriptive qualitative approach with purposive sampling techniques, involving informants such as medical personnel, administrative staff, and hospital management who are directly involved in the use of HMIS.The results indicate that the implementation of HMIS has a positive impact on the hospital’s operational efficiency, including the acceleration of administrative processes, improved data accuracy, and easier coordination between work units. However, the implementation also faces several challenges, such as limited technological infrastructure, user resistance to change, and insufficient training for staff. These findings are supported by the HOT-Fit framework and Technology Acceptance Model (TAM), all of which emphasize the importance of technological readiness, human resource competence, and organizational commitment in ensuring the successful adoption of HMIS.  

ANALYSIS OF FACTORS INFLUENCING MEDICINE PURCHASE DECISIONS IN CILEGON

Sofyan Ahmad, Yayan
Abstract: This study examines the impact of four key marketing variables product quality, price, persuasive communication, and incentives on brand image and purchasing decisions among medical practitioners in Cilegon, Indonesia. Drawing… rawing on a sample of 225 physicians, dentists, and pharmacists, data were collected via an online Likert‐scale questionnaire and analyzed using confirmatory factor analysis and structural equation modeling (SEM). Results indicate that product quality and incentives exert statistically significant positive effects on brand image (β = 0.284, p = 0.011; β = 0.291, p = 0.003, respectively), while price and persuasive communication do not achieve significance. Furthermore, incentives also demonstrate a significant positive influence on purchase decisions (β = 0.206, p = 0.047), whereas other independent variables, including brand image, fail to show a direct effect. Model fit indices (CMIN/DF = 1.122; GFI = 0.90; RMSEA = 0.016; p = 0.061) confirm an overall good fit. These findings underscore the critical role of maintaining high product standards and ethical incentive programs in strengthening brand perception and stimulating purchase behavior in a competitive pharmaceutical landscape. Theoretical contributions include the integration of marketing, consumer behavior, and brand management theories within a single SEM framework. Practically, pharmaceutical firms operating in emerging markets should prioritize consistent quality assurance and transparent incentive mechanisms to enhance both brand equity and sales performance.

THE RELATIONSHIP BETWEEN IRON TABLET CONSUMPTION AND ANEMIA IN PREGNANT WOMEN IN SINTANG REGENCY, WEST KALIMANTAN

Juliansyah, Elvi, Haryanti, Yunida, Masan, Lea, Damayanti, Ria
Abstract: Anemia is a medical condition where the number of red blood cells or hemoglobin levels in the blood is below normal, which is a protein in red blood cells that functions to carry oxygen from the lungs to the entire body.… The prevalence of anemia in pregnant women in Sintang Regency showed that in 2017 there were 116 cases, in 2018 there were 121 cases, and in 2019 there were 164 cases. This research method uses a quantitative analytical approach with a cross-sectional design in Sintang Regency. The population is all pregnant women registered as many as 369 respondents within the scope of the Health Center services in Sintang Regency during the data collection period. The simple random sampling technique was used to select respondents, with a sample size of 192 pregnant women after calculating the population size. The results showed that there was a relationship between knowledge with a p value = 0.000 and OR = 6.900, parity with a p value = 0.000 and OR = 5.040, consumption of iron tablets with a p value = 0.000 and OR = 5.271 with the incidence of anemia in pregnant women in Sintang Regency. The most dominant multivariate test result is knowledge with OR = 7.25 followed by consumption of iron tablets with OR = 4.61 and parity with OR = 4.26. The conclusion related to the incidence of anemia in pregnant women is knowledge, parity, and consuming iron tablets and the most dominant is knowledge and followed by consumption of iron tablets, and parity. It is recommended that pregnant women can improve their knowledge, multi and grandi para pregnant women to comply with consuming iron tablets routinely.   

ANALYSIS OF THE COMPLETENESS OF FILLING IN ELECTRONIC MEDICAL RESUMES FOR INPATIENTS AT DHARMA YADNYA GENERAL HOSPITAL

Ni Rai Ayu Tunggal Dewi, Ika Setya Purwanti, Made Wahyu Aditya
Abstract: People really need health services provided by hospitals, health homes and clinics. When registering for health services, each enrolling member will have his or her own medical history which must be seen at a medical clinic… nic or health office. Hospitals must have comprehensive patient data in order to provide health services effectively. Documents regarding patient identity, examinations, treatment, procedures and other services are included in the medical record. In a health facility, implementation takes the form of an administrative order. Characteristics of medical records (General Patients or BPJS). The aim of this research is to determine the completeness of electronic medical resumes seen from fourth aspects, namely, completeness of identification, important reports, authentication and correct documentation . The method used in this research is quantitative analysis with a descriptive approach. The results of this research are that in the Identification component the percentage of completeness is 100% complete, in the Important Report component the percentage of completeness is 99%, in the Authentication component the percentage of completeness is 100%, and in the Correct Documentation component the percentage of completeness is 90%. Based on the results of research that has been carried out regarding completeness When filling out electronic medical resumes for patients in the Inpatients at RSU Dharma Yadnya, it can be concluded that there are still incompleteness in filling out inpatient electronic medical resumes and that the electronic medical resume components are filled in completely.  

INTEGRATING ISLAMIC ETHICS AND CLINICAL SAFETY IN SUNNAH CUPPING THERAPY SERVICES

Isdianto, Andik, Fitrianti, Novariza, Arif, Abdul Hamid, Widada, Wahyudi
Abstract: Sunnah cupping therapy (al-hijamah) is a popular Islamic healing method practiced globally. Despite its spiritual roots, it poses clinical risks, including infections, vasovagal shock, and procedural inconsistencies, often… en due to non-sterile tools and untrained practitioners. This study aims to explore how Islamic ethical values—sincerity (ikhlas), trust (amanah), and halal compliance—can be integrated with clinical responsibilities such as sterilization protocols, informed consent, and therapist competency. A thematic qualitative literature review was conducted using Islamic jurisprudence, fatwas (DSN-MUI), WHO and Ministry of Health (Indonesia) guidelines from 2015–2025. Findings reveal that neglecting the maqashid sharia principle of hifzh an-nafs (protection of life) contradicts both Islamic ethics and medical safety. Sunnah cupping services rooted in both spiritual values and professional protocols are more trusted by Muslim patients and improve therapeutic legitimacy. This study highlights the urgent need for national SOPs, certified training, and the development of Islamic cupping clinics with integrated protocols. These clinics can serve as models of sharia-compliant, clinically responsible health services. The research offers practical recommendations for Islamic medical institutions and policy-makers in strengthening Islamic-based complementary therapies in modern healthcare systems.

INTEGRATING SHARIA VALUES AND MEDICAL STANDARDS IN SAFE AND ETHICAL SUNNAH CUPPING PRACTICES

Isdianto, Andik, Fitrianti, Novariza, Arif, Abdul Hamid, Widada, Wahyudi
Abstract: Sunnah cupping therapy (hijamah) is a form of prophetic medicine that combines spiritual and therapeutic dimensions but often lacks adherence to clinical safety standards. This study aims to analyze the urgency of integrating… ating Sharia values—particularly maqashid shariah (protection of life) and la dharara wa la dhirar—with emergency medical protocols in sunnah cupping practice. The research uses a normative-qualitative literature review method. Data were collected from recent academic sources and analyzed through content analysis to develop an ethical and procedural framework. Findings reveal that sunnah cupping carries clinical risks such as infection, bleeding, and vasovagal shock when performed without medical protocols. The integration of Sharia and medical principles is operationalized through emergency training, Islamic-based SOPs, and education-regulation mechanisms rooted in maqashid. Core Islamic ethics—such as ikhlas (intention), amanah (trust), and tathir al-adawat (sterilization)—are essential moral pillars within the clinical service model. This study concludes that the integration of Sharia values with emergency medical preparedness is a critical need in the practice of sunnah cupping. The study recommends the development of standardized curricula, clinic certification, and first aid (CPR) training for therapists to ensure safety, professionalism, and religious legitimacy.

MITIGATING EMERGENCY RISKS IN SUNNAH CUPPING THROUGH MEDICAL AND SHARIA INTEGRATION

Isdianto, Andik, Fitrianti, Novariza, Arif , Abdul Hamid, Widada , Wahyudi
Abstract: Sunnah cupping therapy is a traditional Islamic health practice increasingly embraced for its spiritual and therapeutic benefits. However, its widespread use, especially by uncertified practitioners, raises serious concerns… rns about patient safety and emergency risks. This study aims to identify key systemic risk factors of medical emergencies related to sunnah cupping and propose an integrative framework combining Islamic jurisprudence (fiqh) with modern clinical standards. A qualitative descriptive approach was employed using a systematic literature review of peer-reviewed journals, clinical reports, Islamic texts, and contemporary fatwas. Thematic analysis revealed five major risk categories: lack of medical screening, unlicensed practitioners, hidden comorbidities, absence of emergency protocols, and poor understanding of medical safety. Reported complications included hypovolemic shock, infections, and prolonged wound healing—especially in patients with undiagnosed diabetes or coagulation disorders. The study also found that public misconceptions equating religious merit with clinical safety further worsen these risks. The research highlights the urgent need for standardized medical and sharia-based training, certification systems, and public education. Collaboration among healthcare professionals, Islamic scholars, and educational institutions is essential to establish a safe, accountable, and spiritually valid model of sunnah cupping. Integrating medical protocols with fiqh compliance can significantly reduce emergency incidents, enhance practitioner competency, and preserve the prophetic nature of the practice within a modern health framework. These findings offer a strategic path for safer implementation of prophetic medicine across Muslim communities.

FACTORS ASSOCIATED WITH NURSES' COMPLIANCE IN DOCUMENTING NURSING CARE IN ELECTRONIC MEDICAL RECORDS AT RSUD PAMEUNGPEUK GARUT

Nurjaman, Iman, Daryana, Ina Saparlina
Abstract: This study aims to analyze the relationship between nurse characteristics and factors associated with nurses’ compliance in documenting nursing care in EMRs at RSUD Pameungpeuk Garut. This research employed an analytic survey… survey with a cross-sectional approach and involved 94 respondents. Primary data were collected using questionnaires on nurses’ characteristics, knowledge, attitude, motivation, and head nurse supervision. Data analysis was conducted using the Chi-Square test. The results showed a significant relationship between head nurse supervision (p = 0.027) and nurses' compliance in documenting nursing care in EMRs. The study concludes that there is a relationship between head nurse supervision and nurses’ compliance in nursing care documentation within EMRs. Nurses who receive regular supervision tend to have higher compliance in documentation compared to those who are not supervised by the head nurse.