Penentu Penyebab Kematian Di Rsud Panembahan Senopati Bantul : Miscoding Berdampak Pada Laporan Statistik Kematian

Abstract

The doctor's explanation of the cause of death form contains the sequence of the disease that caused the patient to die. The determination of the underlying cause of death (UCOD) has been standardized by the WHO. The right UCOD supports decision-makers and health policy, but much of the information is inaccurate, thus affecting death reports. This study aims to measure the quality of UCOD and miscoding in Panembahan Senopati Bantul District Hospital. This research is descriptive. Retrieval of data using observation checklist, interviews and study of medical records of patients and death certificates for the 2018 period were 120 sheets. The results of the UCOD quality analysis are not possible 46 (38%), improper UCOD 39 (33%), there are multiple unrelated conditions reported in one row 15 (13%), there is one condition that is reported as 12 (10%) and UCOD is not specific 8 (7%). A total of 55 diagnoses were reported as UCOD. The highest classification of diagnoses was in the Certain infectious and parasitic diseases group 10 (18%), the Sign group, symptoms, Abnormal Finding were 9 (16%) and the Diseases of the circulatory system group 8 (15%). 374 diagnoses reported in the letter meet the exact coding category (55) and incorrect (311). The results of the interview with the UCOD determination coder are not according to WHO, due to the lack of understanding of the rule and UCOD determination so that it can affect the quality of death reports.

Systematic Review Keakuratan Underlying Cause of Death (UCOD) pada Sertifikat Kematian di Fasilitas Pelayanan Kesehatan

“…Kode yang tepat memiliki peranan penting dalam mencapai tujuan statistic kesehatan. salah satu aspeknya adalah pengaruh ketepatan kode diagnosis untuk menentukan UCOD sehingga berdampak kepada statistik mortalitas (3). Tujuan dari penelitian ini adalah mengukur keakuratan UCOD pada sertifikat kematian yang ada di fasilitas pelayanan kesehatan.…”

Ketepatan Kode Diagnosis Penyebab Dasar Kematian Di Rumah Sakit Di Indonesia : Literatur Review

“…Adanya petugas yang belum mengetahui penggunaan ICD-10 dan tabel MMDS (Rahmawati and Lestari, 2018), kurangnya komunikasi antar tenaga medis ketika diagnosis tidak dapat terbaca dan tidak lengkap (Mardiawati and Akika, 2019), dan tidak adanya audit coding untuk mengevaluasi ketepatan sebab dasar kematian kode yang telah diberikan (Nuryati and Hidayat, 2014) dan beberapa petugas tidak mengikuti pelatihan atau seminar koding khusus kode sebab dasar kematian (Hardono and Ernawati, 2018). Ketersediaan Standar Operasional Prosedur untuk sebab dasar kematian tidak ada sehingga koder hanya melakukan pengodean dari diagnosis yang telah ditulis oleh dokter (Ilmi and Purbobinuko, 2020).…”