EVALUATION OF DOCUMENTATION SEQUENCE CAUSES PERINATAL
DOI:
https://doi.org/10.47701/icohetech.v4i1.3406Keywords:
Accuracy Code, Perinatal Rules, Perinatal DeathsAbstract
The Underlying cause of death is an event or condition without which the patient would not have died. The aim of the research is to determine the accuracy of writing the sequence of causes of perinatal death based on mortality rules
The research method used in this research is descriptive research, with a retrospective approach. Data collection using observation and interviews. The research population was 50 medical record documents of patients who died perinatally in 2018-2022 using a saturated sampling technique.
The percentage of accuracy in writing the sequence of perinatal deaths at PKU Muhammadiyah Hospital Surakarta shows 100% inaccurate. The writing inaccuracy is due to the writing not being in accordance with the existing standart Operating Procedure, the order of perinatal death is still written on the medical certificate for the cause of adult death.
The accuracy of writing the order of perinatal deaths is still relatively low. It would be better if the hospital further increases its outreach activities so that medical personnel can write the order of death on the certificate correctly in accordance with the rules or standards that apply in the hospital.
References
Agustini, H., Kabul, T. dan Purwoko. 2015. Ketepatan Penentuan Diagnosa Penyebab Kematian Pada Sertifikat Medis Penyebab Kematian Di Rumah Sakit Umum Pusat Persahabatan. Jurnal Rekam Medis, 18-27.
Ardhi, P.B. 2022. Tinjauan Keakuratan Kode Diagnosis Berdasarkan ICD-10 Pada Kasus Pasien Meninggal di Rumah Sakit Panti Waluyo Surakarta tahun 2019-2021. Karya Tulis Ilmiah. Surakarta: Universitas Duta Bangsa.
Kusumastuti, S. 2014. Pengaruh Pembuatan Standar Operasiona Prosedur Terhadap Kinerja Karyawan Bagian Produksi DiPT Wangsa Jatra Lestari. Surakarta: Universitas Muhammadiyah Surakarta. Naskah Publikasi
Manuaba, I.B.G. 2007. Pengantar Kuliah Obstetri. Jakarta: EGC
Menteri Kesehatan RI. 2008. Peraturan Menteri Kesehatan RI Nomor 604
/SK/VII/2008 Tentang Pedoman Pelayanan Maternal Perinatal Pada Rumah Sakit Umum Kelas B, Kelas C, dan Kelas D. Jakarta. Kementerian Kesehatan RI.
Nuryati dan Hidayat. 2014. Evaluasi Ketepatan Kode Diagnosis Penyebab Dasar Kematian Berdasarkan ICD-10 Di RS Panti Rapih Yogyakarta. Jurnal Manajemen Informasi KesehatanIndonesia Vol 2 (1)
Prawirohardjo, S. 2016. Buku Ilmu Kebidanan Edisi 4. Jakarta: PT Bina Pustaka Proverawati, A. 2010. Berat Bayi Lahir Rendah. Yogyakarta: NuhaMedika Rahmawati, E.N. dan Lestari, S . 2018. Tinjauan Keakuratan Kode Sebab Dasar Kematian Pada Sertifikat Kematian Di RSUP dr. SOERADJI Tirtonegoro Klaten. Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan, 86-97.
Rosmala, V. 2018. Tinjauan Kesesuaian Sertifikat dan Koding kematian Perinatal Berdasarkan Pedoman Koding Mortalitas ICD 10 di RSUD K.R.M.T. Wongsonegoro Semarang Tahun 2017. Skripsi. Semarang: Politeknik Kesehatan Semarang
Rustiyanto, E. 2012. Etika Profesi Perekam Medis dan Informasi Kesehatan.
Yogyakarta: Graha Ilmu.
Sarimawar dan Suhardi. 2008. Buku Panduan Penentuan Kode Penyebab Kematian Menurut ICD. Jakarta: Badan Penelitian dan Pengembanan Kesehatan Departemen Kesehatan RI
Sugiyono. 2016. Metode Penelitian Kuantitatif, Kualitatif dan R&D. Bandung: PT Alfabet.
Wandira, A.K. dan Indawati, R. 2012. Faktor Penyebab Kematian Bayi di.
Kabupaten Sidoarjo. Jurnal Biometrika dan Kependudukan,Vol 1
Widyaningrum, L. dan Kuntari, T. 2017. Keakuratan Penentuan Kode Underlying Cause of Death Berdasarkan Medical Mortality Data System Di RSUD Kota Salatiga Tahun 2016. Jurnal Riset Kesehatan. Vol 6 (1)
WHO. 2006. Neonatal dan Angka Kematian Perinatal. http://translate.google.co.id/?hl=idhttps://homebirthdebate.blogspot.co m/2007/02/world-health-organization-perinatal.html
Diakses Desember 2022
. 2010. International Classification of Diseasea and Related Health Problems-10 th (Vol I dan Vol III). World Health Organization. Diakses Desember 2022