Abstrak . Latar Belakang: Fasilitas layanan kesehatan memegang peranan penting dalam memberikan layanan kesehatan yang bermutu, termasuk pencatatan dan pelaporan rekam medis yang terpadu. Sistem pencatatan dan pelaporan yang andal sangat penting untuk memastikan ketersediaan data medis yang akurat, mendukung evaluasi layanan kesehatan, dan menyederhanakan proses administrasi. Tujuan: Penelitian ini bertujuan untuk menganalisis sistem pencatatan dan pelaporan rekam medis di fasilitas layanan kesehatan, dengan fokus khusus pada struktur dan implementasi sistem tersebut. Metode: Penelitian ini menggunakan pendekatan kajian pustaka naratif. Data dikumpulkan dari 10 artikel ilmiah yang diambil melalui Google Scholar berdasarkan kriteria inklusi dan eksklusi yang telah ditetapkan sebelumnya. Ekstraksi dan sintesis data dilakukan untuk menjawab pertanyaan penelitian. Hasil: Temuan penelitian menunjukkan bahwa sistem pencatatan dan pelaporan rekam medis di fasilitas layanan kesehatan menghadapi berbagai tantangan, termasuk keterbatasan sumber daya manusia, prevalensi dokumentasi manual yang rentan terhadap kehilangan data, dan implementasi teknologi informasi yang belum optimal. Beberapa fasilitas kesehatan telah memulai adopsi sistem digital untuk meningkatkan akurasi dan efisiensi pelaporan. Kesimpulan: Pelatihan yang efektif, regulasi yang lebih kuat, dan peningkatan kapasitas teknologi diperlukan untuk meningkatkan implementasi sistem rekam medis di fasilitas kesehatan.

The implementation of digital medical records in Indonesian hospitals faces various challenges, especially in terms of technological readiness, inadequate regulations, and data security threats that need to be addressed to ensure efficient and safe healthcare services. This study aims to identify the challenges in Digital Medical Record Implementation from the perspective of technology, regulation, and data security. This study used a systematic literature review research approach guided by the Preferred Reposrting Items for Systematic Review and Meta-Analysis (PRISMA). The results showed that the implementation of digital medical records in Indonesian hospitals faces considerable challenges from three main perspectives, namely technology, regulation, and data security. The technology perspective includes several challenges such as 1) System Interoperability, 2) Privacy, 3) IT Infrastructure Limitations, 4) Implementation Costs and 5) Maintenance and Technology Adoption by Medical Staff. The regulatory perspective includes challenges such as 1) Regulatory Compliance, 2) Patient Data Protection, 3) Validity of Medical Records, 4) Long-term Data Retention and 5) System Interoperability. The data security perspective includes challenges such as 1) Infrastructure Security, 2) Data Encryption, 3) Access Control, 4) Incident Response and 5) Regular Security Audits.  Thus, collaborative efforts between the government, hospitals and technology providers are needed to address these challenges and drive safe and effective digital transformation in Indonesia's healthcare sector.

Akreditasi adalah pengakuan atas mutu pelayanarumah sakit setelah rumah sakit dinilai sesuai dengan standar akreditasi. Standar akreditasi merupakan pedoman yang memuat tingkat pencapaian yang harus dipenuhi rumah sakit untuk meningkatkan mutu pelayanan dan keselamatan pasien.Tujuan dari penelitian ini yaitu untuk mengetahui pelaksanaan riview berkas rekam medis di Rumah Sakit Khusus Bedas Hasta Husada sudah sesuai standar manajemen (MRMIK 8.4). Penelitian  ini  menggunakan  metode  penelitian deskriptif  dengan pendekatan kuantitatif. Lokasi penelitian di Rumah Sakit Khusus Bedah Hasta Husada Kepanjen. . Populasi pada penelitian ini diambil dari berkas rekam medis rawat inap pada bulan Maret 2024 dan didapatkan sebanyak 83 sampel yang diambil dari populasi sebanyak 490. Hasil penelitian ketidaktepatan waktu pengembalian terdapat 37,3%, pada riview ketidaklengkapan penulisan identitas yaitu: 14,5% terdapat 12 BRM pada formulir Assesment Awal Medis, Assesment Awal Keperawatan 10,8% terdapat 9 BRM, CPPT 15,6% terdapat 13 BRM, Ringkasan Pulang Pasien 1,2% terdapat 1 BRM, yang mencapai lengkap terdapat 1 formulir yaitu General Consent mencapai 100%. Pada riview pengisian tanggal dan waktu yaitu : Assesment Awal Medis 24% terdapat 20 BRM, Assesment Awal Keperawatan 12% terdapat 10 BRM, Ringkasan Pulang Pasien 17% terdapat 14 BRM, yang mencapai lengkap terdapat 1 formulir yaitu  CPPT mencapai 100% dan Pada riview ketepatan penulisan rekam medis yaitu : Assesmen Awal Medis 6,02% terdapat 5 BRM, Assesmen Awal Keperawatan 10,8% terdapat 9 BRM, CPPT 7,2% terdapat 6 BRM, Ringkasan Pulang Pasien 2,4% terdapat 2 BRM, yang mencapai lengkap terdapat 1 formulir yaitu General Consent mencapai 100%.Berdasarkan penelitian yang telah dilakukan masih terjadi presentasi tertinggi yaitu ketidaktepatan waktu pengembalian sebesar 37,3%, ketidaklengkapan penulisan identitas pada formulir sebesar 15,5%, ketidaklengkapan pengisian tanggal dan waktu penulisan pada formulir sebesar 15,6%, ketidaktepaatan koreksi penulisan rekam medis pada formulir sebesar 10,8%

The self-registration machine helps patients register them selves. The use of APM machines at Wava Husada Hospital has not been carried out properly for several reasons, such as Man, Method and Machine. The aim of this research is to evaluate the performance of APM users to identify the components and effects to increase the effectiveness of APM. Qualitative research methodologies were used in this study. Data was obtained from APM officers and medical records officers. The results of the research show that the presence of APM officers has helped the patient registration process, but there are several things that make the use of APM less effective at Wava Husada Hospital, namely in terms of staff, the lack of APM officers, in terms of the method of using APM is not carried out in accordance with the SOP, in terms of Machine errors or loading often occur. Consequently, there are too many patients, the registration process is thrown off, services are provided non-procedurally, and registration is completed by hand. Efforts made by officers to ensure that the use of APM runs well are adding APM officers, training APM officers on APM use, and improving internet quality so it doesn't load frequently.

The performance of health workers who are in dr. Soepraoen Hospital is supervised by the leadership and carried out byinternal supervision. The purpose of writing this journal is to determine the effectiveness of the leadership and internal supervision carried out by the hospital on the performance of health workers. This research used quantitative with a cross sectional study approach. The location in this study is the Kindergarten Hospital. II dr. Soepraoen Malang which is located atJl. S. Supriadi No.22, Sukun, Kec. Sukun, Malang City, East Java 65112. The study was conducted from October to November 2020. Research The population in this study were all health workers who served in Kindergarten Hospitals. II dr. Soepraoen Malang at the time of the research, the number of health workers was 59 people. Samples were taken using total sampling. Data processing was performed using the SPSS for Windows application. Based on the research that has been done, it can be concluded that there is a positive and significant effect of leadership partially on health workers' performance, there is a positive and partially significant effect of partially internal supervision on health workers' performance, there is a simultaneous positive and significant effect of ethics leadership and internal supervision on health workers performance.

Job satisfaction is one of several factors that are very important to get maximum results. Satisfaction can be influenced by several factors, organizations need to pay attention to these factors to increase employee job satisfaction. The research objective was to determine the influence of workload and organizational culture on work satisfaction of health workers at Tk. II DR. Soepraoen Malang. The number of samples taken was 55 health workerswith the saturated sample method. Methods of datacollection with a survey with a questionnaire as a tool and interviews. Path analysis is used to obtain results so that workload is found to have a positive effect on job satisfaction.

This study aims to examine the effect of independent variables (training and compensation) on health performance in Kindergarten Hospitals. II dr. Soepraoen Malang. Data obtained from questionnaires and interviews. The sample in this study were 90 respondents who were taken using the saturated sample method. The data collectiontechnique used was the questionnaire technique which was distributed directly to the respondents, in this case the healthperformance of the Kindergarten II Dr. Soepraoen Hospital,Malang. The data analysis technique used multiple linear regression analysis. Thisresearch uses reliability test techniques, validation and classical assumptions. The resultsof this study indicate that the independent variables (trainingand compensation) have a positive and significant effect on employee performance.

The child's relationship with his parents is very important and influences the child's development, including how his mental health. In Indonesia in 2011, toddlers who usually temper tantrums this in one year, 23 - 83% of children aged 2 to 4 years. From the preliminary study results obtained population of research is 65 couples parents and children. Purpose: This study aims to determine whether there is a Parent Parenting Relationship Against Temper Tantrum In Pre-School Children In TK PGRI 2 Malang. Method: This research is analytic research and research design that used is cross sectional research design. Sampling technique in this research is using purposive sampling technique, using questionnaire instrument with sample 55 people. This research uses non parametric data analysis method with statistical test used Chi square table and degress of freedom (DF). Result: From statistic analysis using SPSS calculation with Chi square table and degress of freedom (DF) with 5% significance level(13,341 ? 3,481) so that H0 in rejected means there is relation between parenting parenting with temper tantrum in pre school children in TK PGRI 2 Malang City Year 2017. Conclusion: Increase knowledge about parenting parenting and temper taantrum in children through  follow counseling, reading books, brochures and leaflets.

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.

Telemedicine, penggunaan teknologi digital dan komunikasi untuk layanan kesehatan jarak jauh, telah mengalami perkembangan pesat dan menawarkan potensi peningkatan aksesibilitas dan efisiensi dalam layanan kesehatan. Namun, adopsi dan implementasi telemedicine juga menghadapi berbagai tantangan, termasuk privasi dan keamanan data, kesiapan infrastruktur teknologi, dan hambatan hukum dan regulasi. Studi ini bertujuan untuk mengevaluasi efektivitas, efisiensi, dan kepuasan pasien dalam penggunaan telemedicine berdasarkan bukti ilmiah yang ada. Penelitian ini menggunakan metode review sistematis dari studi-studi terkait telemedicine. Hasil review ini dirangkum dan dijadikan dasar untuk diskusi lebih lanjut tentang efektivitas telemedicine, tantangan dalam implementasinya, serta implikasinya bagi sektor kesehatan dan penelitian lebih lanjut. Saran diberikan berdasarkan temuan review ini untuk penelitian atau praktik mendatang yang berfokus pada peningkatan efektivitas, efisiensi, dan kepuasan pasien dalam penggunaan telemedicine serta penyelesaian tantangan dalam implementasinya.