Universitas Esa Unggul

DAFTAR ISI

HALAMAN JUDUL ............................................................................................... ii

PERSETUJUAN UJIAN SIDANG AKHIR .......................................................... iii
HALAMAN PERNYATAAN KEASLIAN .......................................................... iv
HALAMAN PENGESAHAN ................................................................................. v
UCAPAN TERIMAKASIH .................................................................................. vi
HALAMAN PERNYATAAN PERSETUJUAN PUBLIKASI ............................ vii
ABSTRAK ........................................................................................................... viii
ABSTRACT ............................................................................................................. ix
DAFTAR ISI ........................................................................................................... x
DAFTAR TABEL ................................................................................................ xiii
DAFTAR GAMBAR ........................................................................................... xiv
BAB I ...................................................................................................................... 1
PENDAHULUAN .................................................................................................. 1
1.1. Latar Belakang .......................................................................................... 1
1.2. Rumusan Masalah ..................................................................................... 4
1.3. Tujuan Penelitian ...................................................................................... 4
1.3.1. Tujuan Umum .................................................................................... 4
1.3.2. Tujuan Khusus ................................................................................... 5
1.4. Manfaat Penelitian .................................................................................... 5
1.4.1. Pengembangan ilmu pengetahuan ..................................................... 5
1.4.2. Kepentingan program pemerintah ..................................................... 5
1.4.3. Tempat penelitian .............................................................................. 5
1.5. Ruang Lingkup Penelitian......................................................................... 5
BAB II ..................................................................................................................... 6
TINJAUAN PUSTAKA ......................................................................................... 6
2.1. Landasan Teori.......................................................................................... 6
2.1.1. Rekam Medis ..................................................................................... 6
2.1.1.1. Pengertian Rekam Medis ............................................................ 6
2.1.1.2. Tujuan Rekam Medis .................................................................. 6
2.1.1.3. Manfaat Rekam Medis ................................................................ 7

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2.1.2. Standar Prosedur Operasional ............................................................ 9

2.1.3. Pengodean Diagnosis ICD 10 ............................................................ 8
2.1.4. Alat Klasifikasi (ICD 10) ................................................................... 9
2.1.5. Fungsi dan Kegunaan ICD ............................................................... 11
2.1.6. Kelengkapan dan Ketepatan ............................................................ 11
2.1.7. Koding External Cause (Penyebab Luar) ........................................ 12
2.1.8. Langkah Menentukan Kode External Cause ................................... 13
2.1.9. Pengodean Kasus Kecelakaan Lalu Lintas ...................................... 13
2.1.10. Manajemen Sumber Daya ................................................................ 14
2.2. Hasil Penelitian lain ................................................................................ 16
2.3. Kerangka berpikir ................................................................................... 20
2.4. Kerangka Konsep .................................................................................... 21
BAB III ................................................................................................................. 22
METODE PENELITIAN ...................................................................................... 22
3.1. Tempat dan Waktu Penelitian ................................................................. 22
3.2. Metode Penelitian ................................................................................... 22
3.3. Populasi dan Sampel ............................................................................... 22
3.3.1. Populasi ............................................................................................ 22
3.3.2. Sampel ............................................................................................. 22
3.2.2.1. Besaran Sampel ........................................................................ 22
3.2.2.2. Cara Pengambilan Sampel ........................................................ 22
3.4. Definisi Operasional Variabel................................................................. 23
3.5. Teknik dan Instrumen Pengumpulan Data .............................................. 24
3.6. Teknik Analisis Data............................................................................... 24
BAB IV ................................................................................................................. 25
HASIL PENELITIAN ........................................................................................... 25
4.1. Keterbatasan Masalah ............................................................................. 25
4.2. Profil Lokasi Penelitian........................................................................... 25
4.2.1 Sejarah Siloam Hospital Kebon Jeruk ............................................. 25
4.2.2 Visi, Misi, dan Nilai Siloam Hospital Kebon Jeruk ........................ 26
4.2.3 Jenis Pelayanan dan Fasilitas ........................................................... 27
4.2.4. Unit Rekam Medis Siloam Hospital Kebon Jeruk ........................... 29

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4.2.4.1. Visi Unit Rekam Medis Rekam Medis Siloam Hospital Kebon
Jeruk .......................................................................................... 29
4.2.4.2. Misi Unit Rekam Medis Rekam Medis Siloam Hospital Kebon
Jeruk .......................................................................................... 29
4.2.4.3. Motto misi Unit Rekam Medis Rekam Medis Siloam Hospital
Kebon Jeruk .............................................................................. 29
4.2.4.4. Struktur Unit Rekam Medis Rekam Medis Siloam Hospital
Kebon Jeruk .............................................................................. 30
4.2.5 Unit Instalasi Gawat Darurat Siloam Hospital Kebon Jeruk .......... 31
4.3. Hasil Penelitian ....................................................................................... 32
4.3.1 Identifikasi Standar Prosedur Operasional (SPO) Pemberian Kode
External Cause Kasus Kecelakaan Lalu Lintas Di Siloam Hospital
Kebon Jeruk ..................................................................................... 32
4.3.2 Perhitungan kelengkapan Penulisan External Cause Kasus
Kecelakaan Lalu Lintas di Siloam Hospital Kebon Jeruk ............... 33
4.3.3 Pengukuran Ketepatan Kode External cause Kasus Kecelakaan Lalu
Lintas di Siloam Hospital Kebon Jeruk ........................................... 34
4.3.4 Faktor Penyebab Ketidaktepatan Kode External Cause Kasus
Kecelakaan Lalu Lintas di Siloam Hospital Kebon Jeruk ............... 36
BAB V................................................................................................................... 38
PEMBAHASAN ................................................................................................... 38
5.1. Identifikasi Standar Prosedur Operasional (SPO) Terkait Kode Kasus
Kecelakaan Lalu Lintas di Siloam Hospital Kebon Jeruk ...................... 38
5.2. Persentase Kelengkapan Penulisan External Cause Kasus Kecelakaan
Lalu Lintas .............................................................................................. 40
5.3. Pengukuran Ketepatan Kode External Cause Kasus Kecelakaan Lalu
Lintas....................................................................................................... 41
5.4. Faktor-Faktor Yang Menyebabkan Ketidaktepatan Pengodean External
Cause Kasus Kecelakaan Lalu Lintas di Siloam Hospital Kebon Jeruk 43
BAB VI ................................................................................................................. 46
PENUTUP ............................................................................................................. 46
6.1. Kesimpulan ............................................................................................. 46
6.2. Saran ....................................................................................................... 46
DAFTAR REFERENSI ........................................................................................ 48
LAMPIRAN .......................................................................................................... 50

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