In evaluating the implementation of the Puskesmas Management Information System (SIMPUS) at the puskesmas, it is expected to be able to minimize the accumulation of patients the health service procedures at the puskesmas and also to foster more enthusiasm for the officers at the puskesmas so that services become more effective. So it is necessary to evaluate the implementation of the health center management information system (SIMPUS). Objective: evaluate the implementation of the puskesmas management information system (SIMPUS) to find out what methods are used in evaluating the implementation of the puskesmas management information system (SIMPUS). This study uses the google scholar database in computing a literature review search by using the keyword search for this research journal, namely ” Evaluation of applications (SIMPUS) at the puskesmas. Research results in it can be seen that the most dominant SIMPUS evaluation used is Hot-fit while the least is the cloud-based methods in evaluating the implementation of the puskesmas management information system (SIMPUS). The puskesmas management evaluation information system (SIMPUS) has several methods in implementing the SIMPUS evaluation, namely, web-based, hot-fit, and cloud-based.

Pelaporan mortalitas dilakukan sebagai upaya untuk pencegahan penyakit yang mematikan dan sebagai evaluasi fasilitas pelayanan kesehatan. Dalam memilih kode pada sertifikat medis penyebab kematian perlu diperhatikan agar pelaporan dapat terlaksana secara optimal. Kode yang tepat adalah kode yang sesuai dengan ICD-10 serta dibantu dengan Tabel MMDS. Tujuan dari review ini melihat melihat ketepatan kode diagnosis penyebab dasar kematian dan untuk mengetahui faktor penyebab ketidaktepatan pengodean diagnosis dan pengisian sertifikat medis penyebab kematian di rumah sakit. Metode penelitian ini menggunakan metode literatur review terhadap sejumlah artikel penelitian yang dipublikasikan rentang waktu tahun 2011-2021 dan ditemukan sebanyak 13 artikel jurnal memenuhi kriteria penelitian. Hasil menunjukkan presentasi ketepatan kode diagnosis sebesar 83% dan presentase ketidaktepatan kode diagnosis sebesar 90%. Hasil studi literatur ini juga membahas faktor penyebab ketidaktepatan pengodean diagnosis dan pengisian sertifikat penyebab dasar kematian yaitu faktor Man, Method, Material, Machine, dan Money.

A medical record is a file that contains notes and documents about patient identity, examination, treatment, actions, and other services that have been provided to patients. Medical records in carrying out maintenance and protection so that medical records are protected from damage and can facilitate the service process. This study discusses the process or activities of maintaining medical records at the Tarakan Hospital, Jakarta. The purpose of this study was to find out what factors could trigger the occurrence of damage or dangers to the medical record unit and to find out the preventive actions taken by the hospital in protecting medical records. This type of research uses a qualitative descriptive method, which describes the implementation of the maintenance of medical record files in the filing room in 2021. The implementation of medical record maintenance by medical record unit officers, it does not follow the SOP that has been set by Tarakan Hospital Jakarta. Constraints in maintaining medical records are seen from biological, chemical, environmental, and security factors. These obstacles are often the factors that cause damage to medical records such as dust, fire/coal on cigarettes, pests/insects, and chemical liquids and maintenance of medical records at the Tarakan Hospital.

Medical records are the property of hospitals that must be maintained because they are useful for patients, doctors, and hospitals. Medical record documents are very important in carrying out the quality of medical services provided by hospitals and their medical as well as accurate evidence in court, doctors, nurses, and other health workers who treat patients are required to complete medical records following applicable regulations. This study aims to describe the completeness of filling out inpatient discharge summary form at General Ahmad Yani Hospital Metro in 2021. This study used a descriptive research method. The research location is the Medical Record Unit of General Ahmad Yani General Hospital Metro Lampung. This research was conducted in October 2021. Of the 100 samples of medical records, the completeness of the inpatient discharge summary form was completed. There are 80% complete and 20% incomplete, where the completeness value of 100% is found in the patient identity filling item, and there are no scribbles. Meanwhile, 20% incompleteness is found in important note items (5%) and authentication (15%). In conclusion, standard operating procedures for completeness of medical records already exist and the implementation of completeness of medical record files has been carried out according to applicable standards, but it can be seen that the steps in the SOP are not detailed and less thorough.