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Technological advances have given birth to various kinds of innovations, one of which is the Hospital Management Information System (SIMRS). SIMRS is a tool in the process of making medical recaps for patients in hospitals. This is due to the daily activities of PKL (Field Work Practice) students who have to make reports about patient medical recaps.

Background: Diabetes Mellitus (DM) is a disease that is increasing every year in countries around the world. Reports from various regions in Indonesia show that the incidence and complications of DM are widespread, making it a national problem that requires more attention. A frequently encountered complication of DM is diabetic foot, which can manifest as ulcers, infection and gangrene. Actions to treat diabetic foot include preventive measures which include foot care education, diabetic shoes and foot exercises. Foot exercises are exercises carried out by DM sufferers and non-sufferers to prevent injuries and help improve blood circulation in the legs. Apart from their role in providing health education, nurses as members of the medical team can also play a role in teaching foot exercises so that DM patients are able to do foot exercises independently. Objective: To increase the knowledge and skills of DM sufferers by implementing foot exercises in an effort to prevent diabetes complications in the feet (diabetic foot). Method: Foot exercise activities are carried out on DM sufferers who do not have wounds on the feet. The methods used were lectures, questions and answers, and direct demonstrations using newspapers. Results: The results of the activities obtained were an increase in knowledge before and after providing counseling and demonstrations of foot exercises for DM sufferers. Conclusion: After carrying out this community service, the community's ability to do foot exercises has increased and can be done independently, so it is hoped that this can prevent complications in DM sufferers.

Electronic Medical Records (EMR) is one of the health IT applications that is becoming a trend around the world. EMRs are considered to improve the overall quality of care and have an impact on patient safety. EMRs can also help reduce costs, improve accessibility, and improve the quality of hospital services. Therefore, the preparedness analysis of the implementation of EMR with the DOQ-IT approach (Doctor's Office Quality-Information Technology) is the goal of this research. This research uses a type of quantitative descriptive research with a cross sectional approach. The samples were taken from all the officers who were in direct contact with the medical records at AMC Aisyiyah Clinic. Sampling technique using a total sampling of eight officers. Primary data collection is done with a questionnaire. The method of analysis used is descriptive analysis of frequencies, percentages, graphs and tables. From the results of analysis using the DOQ-IT method obtained a total score of 104.75 belongs to category III which shows that human resources, organizational work culture, governance and leadership, IT infrastructure AMC Aisyiyah Clinic is ready to take advantage of EMR as well as overcome the potential challenges for successful adoption of the EMR.

Sugar levels that accumulate in the blood due to not being absorbed well by body cells can cause various organ disorders. If not controlled properly, it can lead to various complications that can be life-threatening. Risk factors that can affect blood sugar levels are food, activity, and weight gain. Therefore, one way to keep blood sugar levels under control is by doing walking therapy activities. The purpose of this study was to determine the effect of walking on the fasting blood sugar levels when in patients with type 2 diabetes mellitus in Tuminting Village, Manado City. This research is a quantitative research with a method used pre-experimental method using a with a pre-test-post test one group design approach. The sample was taken based on the number of respondents obtained as many as 19 people using Purposive sampling. Data collection was done by using blood glucose test tools and observation sheets. The results of data analysis using the Paired sample t-test showed P value of 0.001 or smaller than ≤0.05 which means that the alternative hypothesis Ha is accepted or through walking activities can reduce the fasting blood sugar levels when in patients with type 2 diabetes mellitus.

Introduction : Smart hospital is an emerging and fast-developing innovation in the context of a rapid increase of internet users, an increasing demand for high-quality medical resources, and an aging population worldwide. It generally involves the use of the optimized and automated processes built on an information and communications technology (ICT) environment, especially based on the Internet of things (IoT), to offer assessment, consultation, direct treatment, services, and integrated care. This innovation has the potential and has already gained initial evidence to improve healthcare access, efficiency, or even effectiveness. Yet, along with these positive impacts and promises, a number of issues and challenges also appear.Methods: Study This is study quantitative with design survey research. Study This done on the month of June 2023. Instruments used in study This use questionnaire with the HOT-Fit method consisting of the 47 questions divided in 6 groups question namely: Human, Organization, Technology, Knowledge Users Regulations and Benefits. Subject for this study is hospital managers, administration staff and health workers. Data analysis using analysis multivariate .Result: 22 hospital state that digitization service health to a very smart hospital important one of them is applied For increase quality service House hurts and improves satisfaction patient. In application of smart hospital Sick need integrate between technology, service and regulation.Conclusion : Smart hospitals can influence health and medical policies and create new medical values by defining and quantitatively measuring detailed indicators based on data collected from existing hospitals. Simultaneously, appropriate government incentives, consolidated interdisciplinary research, and active participation by industry are required to foster and facilitate smart hospitals.   Keywords: ,   

Background: Writing a complete diagnosis can produce the right coding because the diagnosis is written in a complete, clear, specific, and consistent manner. Writing clear, complete, and consistent diagnoses can produce quality data (Hatta, 2008). Based on observations made for 1 month from 23 January to 23 February 2023, 39 claim files were returned by the Health Social Security Administering Body due to inaccuracies in the diagnosis code.. This was caused by the doctor's notes that were not clearly legible in 24 (61.5%) claim files and the use of abbreviations in patient diagnoses in 15 (38.5%) claim files, while the purpose of this study was to find out the relationship between doctor's notes that were not clearly legible and the use of abbreviations for patient diagnoses for inaccuracies in the diagnosis code as a condition for filing claims for inpatient patients participating in the Health Social Security Administration at Surya Husadha General Hospital. Methods: The design in this study used a quantitative analytic descriptive research design and porpusive sampling research type, and the sample in this study were all inpatient claim files returned by Health Social Security Administering Body claims for inaccuracies in the diagnosis code totaling 39 claim files. Doctor's notes were illegible in 24 (61.5%) claim files and the use of abbreviations in patient diagnoses in 15 (38.5%) claim files. Result: From the results of this study it was found that there was a relationship between illegible doctor's notes and inaccuracy of the diagnostic code with a p value of 0.001 <0.05 and the use of abbreviations in patient diagnoses for inaccuracy of patient diagnosis codes with a p value of 0.003 <0.05.

Background: Type 2 diabetes mellitus can affect all aspects of the patient's life so that it can be life threatening if not treated properly. The problems experienced by Type 2 Diabetes Mellitus patients can be minimized by having sufficient knowledge and ability to control their disease with self-care. Self Care describes patient behavior carried out consciously and independently with the aim of optimizing and increasing independence in terms of health. Development of an empowerment program for Type 2 Diabetes Mellitus patients through a cadre approach. Purpose: the aim of this activity is to increase cadres' ability to manage self-care for type 2 diabetes mellitus patients. Method: The method of community service activities is cadre empowerment. Activities were carried out in Sembung Village, Mengwi, Badung with 50 health cadres as partners. Result: The result of this activity is that there has been an increase in understanding by 60% and cadres have increased the ability of type 2 Diabetes Mellitus patients to carry out independent care. Conclusion: The conclusion is that health cadres are able to act as motivators and mentors in carrying out comprehensive self-care for Type 2 Diabetes Mellitus patients.

This study focuses on the importance of managing the confidentiality of electronic medical records (EMR) in the digital era as part of patients' privacy rights and the responsibilities of healthcare facilities. In Indonesia, several regulations have been established to protect patient data, such as Law No. 29 of 2004 on Medical Practice, Law No. 44 of 2009 on Hospitals, and the Information and Electronic Transactions Law (ITE) No. 19 of 2016, yet implementation continues to face significant challenges. This study uses secondary data from regulations and related literature to identify obstacles and the effectiveness of EMR data protection. The findings indicate that limited technology, insufficient understanding among healthcare personnel, and low patient awareness of their data protection rights hinder optimal confidentiality safeguards. Additionally, oversight of data access within hospitals is deemed inadequate. Increased education for healthcare workers, heightened patient awareness, and strengthened security infrastructure in healthcare facilities are essential to achieving improved patient data protection.

Background: Non-communicable chronic diseases are currently a global health problem. Treatment of chronic diseases is serious because it can affect the patient's quality of life and consume quite a large amount of treatment funding. However, pharmacological treatment cannot be effective if chronic disease patients are unable to manage stress. For this reason, therapeutic modalities are needed that are able to treat patients as a whole, both bio-psycho-social and spiritual, one of which is the spiritual emotional freedom technique (SEFT). Purpose: This community service activity aims to increase the resilience of chronic disease patients through SEFT training. Method: Activities were provided for posyandu cadres in Kayuputih Village, Sukasada I Community Health Center Working Area. The training method was carried out by giving lectures, demonstrations, guided re-demonstrations, providing media, and evaluation. Results: SEFT is a non-pharmacological therapy that is acceptable to participants. SEFT can be done independently with the guidance of media leaflets and video demonstrations. SEFT is considered a unique way of praying and is modified by healing efforts by tapping specific points on the body. Conclusion: SEFT can be an alternative choice for chronic disease patients to maintain resilience in long-term self-care.

Background: Diarrhea is the biggest contributor to the number one mortality rate among toddlers in Indonesia. Based on data findings from the Denpasar City Health Office, cases of diarrhea under five in Denpasar City from 2020-2022 have increased. Therefore, it is necessary to provide information in the form of a digital map that can be used to find out trends, descriptions of demographic characteristics, and the distribution of cases of diarrhea under five in the city of Denpasar. Methods: This study uses a quantitative descriptive research method. The sample in this study was 354 data from toddler patients with diarrhea. Data collection for arrest is carried out by taking the coordinates of the patient directly in the field. Results: The results of this study indicate that the trend of cases of diarrhea in children under five from 2020-2022 has increased. Based on the incident, the highest cases of diarrhea in toddlers occurred in South Denpasar District and the lowest cases occurred in East Denpasar District. Demographic data shows that diarrhea among toddlers is most common in toddlers aged less than two years and is male and is supported by an unhealthy environment and overcrowding. Conclusion: Therefore the use of the ArcView application can be a solution to make it easier for the Health Office or other health installations to obtain complete information about cases of diarrhea under five from reporting the presentation of statistical data in map form.

Telemedicine, the use of digital technology and communication for remote healthcare services, has seen rapid development and offers potential improvements in accessibility and efficiency in healthcare services. However, the adoption and implementation of telemedicine also face various challenges, including data privacy and security, technological infrastructure readiness, and legal and regulatory barriers. This study aims to evaluate the effectiveness, efficiency, and patient satisfaction in the use of telemedicine based on existing scientific evidence. This study employs a systematic review methodology of related telemedicine studies. The results of this review are summarized and form the basis for further discussion about the effectiveness of telemedicine, challenges in its implementation, and its implications for the healthcare sector and further research. Recommendations are provided based on the findings of this review for future research or practice focusing on enhancing the effectiveness, efficiency, and patient satisfaction in the use of telemedicine and overcoming challenges in its implementation.

K3 system for radiation workers in the conventional radiology room at TK II Pelamonia Makassar. The aim of this research is to determine the completeness and compliance of radiation workers in implementing K3. The K3 system in the Conventional Radiology Room at Tk II Pelamonia Makassar is to use PPE aprons when the radiation is carried out. The PPE apron is used only if the patient requires assistance during the radiation. Radiographers also carry out occupational safety and health training and carry out routine health checks carried out by hospitals. When the radiation is carried out, the radiographer stands behind a wall/screen coated with Pb. Radiographers also always use TLD when on duty or carrying out radiation.

Postpartum mothers with HIV who have problems breastfeeding their babies are at risk of experiencing breast pain and swelling caused by milk dams. Breast care intervention is an important action for postpartum mothers with HIV who have problems breastfeeding. The aim of the intervention is to clean and improve blood circulation around the breasts, prevent breast swelling, and reduce discomfort in the breasts. This research method is a case study with pre-post intervention. The sample of this study was postpartum mothers with HIV on the first day. The measurement instrument uses a Numeric Rating Scale (NRS) measuring instrument to measure the pain scale. Breast care intervention was carried out for 3 days when the patient was hospitalized 2-3 times/day and observations were made to find out complaints of pain and swelling in the breasts. The results showed that there was a decrease in the pain scale from a scale of 5 (moderate) to a scale of 2 (mild) after 3 days of intervention. In conclusion, breast care interventions are effective in reducing the discomfort of pain and swelling in the breasts of postpartum mothers with HIV who have problems breastfeeding.

Background: Medical records at Udayana Denpasar Level II Hospital that exceed capacity are caused by double medical records, misfiles occur during the implementation of retrieval, the retention process has not run optimally and the increasing number of patient visits. The purpose of this study was to determine the impact of medical record storage overload on the response time of medical record provision. Methods: The research design used is a quantitative method with a cross sectional approach. The data analysis used is the Chi Squere test. With a total sample of 16 medical record officers and medical record documents contained in 30 medical record storage shelves where each shelf consists of 5 sections.   Results: The results of the Chi Squere test show that the p value is 0.002, the value is less than 0.05. So it can be concluded that there is an impact of overload of medical record storage on the response time of providing medical records, thus impacting the quality of hospital services, the services provided become long because they wait for medical records to be delivered to the polyclinic. Based on these results, it is necessary to transfer media by scanning medical records then stored in sharing folders and uploaded to the interface system. This media transfer is expected to provide a solution in dealing with the overload of medical record storage so that it can be more efficient in providing medical records.       Conclusion: The conclusion in this study is that there is an impact of overloaded medical record storage on the response time of medical record provision, which has an impact on the quality of hospital services, the services provided will be long because they wait for medical records to be delivered to the polyclinic, so that doctors experience problems in patient examinations because they cannot see the patient's previous examination history.

Abortion is the termination of a pregnancy before 20 weeks of age and can also occur at 12 weeks of gestation or when the fetus weighs less than 500 grams. According to the World Health Organization (WHO), the incidence of abortion in Indonesia is the highest among other Southeast Asian countries, namely 2 million out of 4.2 million people. Incomplete abortion, that is, only part of the conception is removed, what remains is the decidua or placenta. Initially there is bleeding in the decidua basalis, followed by necrosis of the surrounding tissue, then part or all of the products of conception are released. Other complications of incomplete abortion are infection, perforation, and shock. The purpose of this study was to provide nursing care for patients with incomplete abortion in the couch room at Aisyiyah Pariaman Hospital. The research used a descriptive approach in the form of a case study to find out the problem of nursing care in patients with incomplete abortions in the couch room of Aisyiyah Pariaman Hospital with one patient. This research was conducted on 20-24 February 2023, The results of the study after the study found 3 diagnoses, namely: Anxiety related to situational crises,Riskfor hypovolemia related to active fluid lossand Acute pain related to physiological injury,. During the 5 days of the study the patient went home with thesuggestion that the patient could carry out home care and control according to the recommendations from the hospital.

  Puskesmas is health service facilities that are implementing publih health efforts and individual health effort which is also obliged to carry out a medical record. The purpose of this study was to determine the completeness of filling out outpatient forms in terms of health legal aspects at the Semen Health Center, Kediri Regency in 2020. This type of research was descriptive with a retrospective approach. Collecting data by observation and interviews. Sampling used simple random sampling, namely 10 outpatient medical record documents in 2020. The results obtained were from 10 incomplete samples (6%) which were filled in completely (4%) item incompleteness contained in the writing of the icd10 code and the signature of the officer. This is not in accordance with Permenkes number 269 year medical record and Permeneks Number 46 Year 2015 abaout Accreditation of Puskesmas Which requires that in every medical record should be named and signatures a doctor or other health workers directly providing health services. In addition fill forms a medical record complete must be filled because it will become the foundation in giving the diagnosis next and knows the way a patient. Should be done socialization fill forms outpatient done by the head of this, to avoid incompleteness fill forms outpatient.

Nutritional intake plays an important role in optimizing baby's growth and development. The amount of nutritional intake consumed is also influenced by the process of eating activities. The aim of this research is to determine the effect of the Baby Led Weaning Method on baby weight in the Patingalloang Community Health Center Working Area. Quantitative research method with experimental design with a one group pretest-posttest design approach. The research population was toddlers experiencing stunting who met the inclusion and exclusion criteria using purposive sampling techniques. Research results: The intervention group with a sample size of 20 children experienced an average weight gain of 0.85 kg. The control group also experienced an average increase of 0.65 kg with a test value of p value = 0.000, where it was concluded that there was an effect of giving MP-ASI using the Baby Led Weaning Method on the weight of babies aged 9-12 months in the working area of the Patingalloang Community Health Center.    

Drug information services were activities that carried out by pharmacists to provide information about drugs that is impartial, critically evaluated, and with the best evidence in all aspects of drug use to other health professionals, patients, or the public. Providing drug information has an important role in improving the quality of life of patients and providing quality services for them. The purpose of this study was to determine drug information services for outpatients in the pharmaceutical installation of Imelda Pekerja Indonesia Public Hospital. This study used qualitative research methods with a sample of pharmaceutical officers who provided drug information services to outpatients, as many as 100 patients. Data collection was carried out by interview, direct observation, and using a check list sheet of drug information components. The results showed that the percentage of components conveyed when delivering drug information, including the name of the drug, drug dosage, type of preparation, rules of use, how to use, time of use, amount of drug, and efficacy or indications, had a percentage of 100%. While the drug information component that is rarely conveyed is how to store the drug with a percentage of 8%, the drug information component that is not conveyed is the side effects of the drug. The results of this study indicate that drug information services to outpatients carried out by pharmaceutical officers in the pharmaceutical installation of the Imelda Pekerja Indonesia Medan Public Hospital have been well implemented, with a percentage of 80.80%. The results also concluded that the drug information services carried out by the pharmacist of Imelda Pekerja Indonesia Public Hospital, Medan, were in accordance with hospital procedures and Regulation of the Minister of Health of the Republic of Indonesia Number 72 of 2016 concerning Pharmaceutical Service Standards in Hospitals.

The incidence of out-hospital cardiac arrest (OHCA)  continues to increase. The survival rates of out hospital cardiac arrest decrease by 7-10% every minute. Therefore, Emergency medical services (EMS) as a part of the chain of survival needs to implement paramount strategies in order to  increase survival rates. Socialization and discussion to strengthen the strategy  has been conducted on December 2023 which involved pre-hospital team of Manambai Abdulkadir hospital (8 nurses, 1 doctor). It was followed by developing action plans. The pre-hospital team has chosen 2 of 10 action plans (rapid dispatch and community CPR) as main strategy to improve survival rates of out-hospital cardiac arrest patients. The Manambai Hospital are recommended to improve their support to  develop human resources, medical equipment and funding to EMS team in order to improving survival rates of OHCA patients

Technology advancements are inevitable in this day and age, and they have an impact on Islamic education as well. The education industry must keep up-to-date media and instructional strategies in line with information technology advancements in order to effectively implement learning technologies. Given that the current generation's learning preferences differ from those of past generations, it is critical to monitor the advancement of learning technologies. The purpose of this study is to comprehend the definition, advantages, and effects of learning technology on Islamic education. The process of gathering data involves reading and investigating books, journals, and other informational materials about learning technology, particularly as it relates to Islamic education. According to the data gathered, learning technology in Islamic education is a set of activities that are done in order to facilitate effective and efficient Islamic education learning. These activities include design, development, utilization, management, and assessment.