Perpustakaan Terpadu

ABSTRAK
Latar Belakang: Penerapan dan penggunaan sistem informasi manajemen layanan
kesehatan di fasilitas layanan kesehatan yaitu rekam medis elektronik (EHRs=RME)
baik pada praktek dokter mandiri, praktek dokter bersama, klinik, puskesmas, rumah
sakit, dll, saat ini demikian pesat. Belum diketahui secara pasti khsususnya di RS di
RSJ RS dan RS UMM apakah EHR mengungkit jaminan terhadap patient safety.
Tujuan : Mengeksplorasi kaitan EHR dengan patient safety.
Metode : Penelitian kualitatif eksploratori
yang menggunakan pertanyaan tidak
terstruktur terhadap partisipan-partisipan : 1 pengembang SIMRS, 1 perawat, 1
Apoteker/Ka Instalasi farmasi, dan 2 Ka Instalasi Rekam Medis serta 1 dokter, dan 1
komite medis. Informan berasal dari
rumah sakit swasta (RSU A Malang) dan
rumah sakit milik pemerintah (RS B Kabupaten Malang). Wawancara dilaksanakan
pada Juli – September 2019.
Hasil : Partisipan mengemukakan bahwa sistem informasi manajemen rumah sakit
khususnya Electronic Health Record (EHR) meningkatkan keamanan pasien (patient
safety) dan meningkatkan budaya kerja dan tata kelola rumah sakit.
HER
menguntungkan keselamatan pasien dengan cara-cara: meniadakan hambatan jarak
ruang, alert system, meniadakan problem ketidak-terbacaan tulisan tangan, dan
memperkecil problem identifikasi pasien EHR juga meningkatkan keselatam pasien
dengan perubahan budaya keja dan tatakelola layanan karena digunakannnya HER.
Budaya kerja tersebut adalah konvergensi dan integraasi komunikasi multiprofesi,,
kecepatan layanan antar petugas dan dengan pasien, dan wahana pemantauan dan
penilaian kinerja.
Iinforman menjamin terjadinya kegagalan jauh lebih besar jika
menggunakan SDM eksternal.
Kata kunci :
Patient safety, penelitian kualitatif,

INTRODUCTION
Measles is an acute and contagious viral disease characterized by three stages, the incubation stage, the prodromal stage, and the eruption stage. The disease affects children[1], and the incidence rate of measles in Indonesia is relatively high, with 12,943 measles cases reported in 2014, rising from 11,521 cases in 2013. An unusual incidence of measles in East Java has been reported with about 41 incidents with 187 cases; Banten and South Sumatra had 14 rare incidents of measles.[2]

The implementation of immunization for children has reached 90% of the targets. This high achievement of

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vaccination should be followed by the decline in the number and incidence of diseases. However, a portion of children in Indonesia could not obtain immunization.[2]
In general, during the growing phase of children, they tend to experience more than 100 kinds of infectious diseases, with causal agents such as viruses, bacteria, and other parasites, before becoming an adult. Infectious diseases tend to occur in persons with a lowered immune system. This low state of immunity, especially in children, can be triggered by various factors. One is exposure to high levels of pollution of soil, water, and air in daily life[1] as well as in foods consumed.
The Indonesian eating culture is dominated by the consumption of food that is smoked, partially burned, or baked. This practice is getting more common, including in children. The use of such foods needs to be monitored carefully since they can contain benzo[a]



1Department of Environmental Science, Doctoral Program of Environmental Science, Brawijaya University, Jalan Veteran, Malang, East Java 65145, Indonesia, 2Department of Biology, Faculty of Mathematics and Life Sciences, Brawijaya University, Jalan Veteran, Malang, East Java 65145, Indonesia