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"Sistem informasi keperawatan adalah salah satu elemen penting dalam pelaksanaan asuhan keperawatan. Sistem informasi keperawatan di Indonesia saat ini masih belum optimal dan umumnya masih bersifat manual. Riset dimulai dengan mengidentifikasi dan dilanjutkan pengembangan model sistem informasi manajemen keperawatan oleh Roro ("SIMPRO") yang disesuaikan dengan kondisi rumah sakit. Model "SIMPRO" yang telah dicustomization diujicobakan di dua rumah sakit dengan karakteristik yang berbeda yaitu rumah sakit swasta dan rumah sakit pemerintah. Setelah implementasi, dilaksanakan evaluasi dengan desain pre- post test without control group. Jumlah sampel dokumentasi yang digunakan untuk mengevaluasi kinerja "SIMPRO" adalah 219 dokumentasi dari setiap kelompok rumah sakit. Hasil riset menyampaikan ada perbedaan kinerja sebelum dan sesudah menggunakan "SIMPRO" yang diidentifikasikan dari perbedaan kualitas, kelengkapan, kesinambungan, bukti aspek legal dan fungsi membantu membuat keputusan (p=0.001). Ada perbedaan efisiensi waktu: baik di Rumah Sakit Ibu dan Anak Bunda Jakarta dan RS. Fatmawati (p= 0.01). Setelah menggunakan "SIMPRO" waktu yang diperlukan untuk melaksanakan dokumentasi di RS Fatmawati adalah 40.29 menit atau 25.27% dari total waktu dalam satu shift, sedangkan di RS Ibu dan Anak Bunda Jakarta membutuhkan waktu 24.62 menit atau 9.60% dari total waktu dalam satu shift. "SIMPRO" juga mempengaruhi efisiensi biaya, dimana dengan "SIMPRO" dokumentasi tidak setiap waktu harus dicetak. "SIMPRO" menjamin continuity of care dari asuhan keperawatan, sebagai bukti aspek legal, membantu mengambil keputusan dan meningkatkan keselamatan pasien. "SIMPRO" mengefisiensikan waktu dokumentasi sehingga waktu perawatan langsung ke pasien lebih optimal. "SIMPRO" juga meningkatkan edukasi kesehatan kepada pasien dan keluarga."Pada riset ini "SIMPRO" juga dapat meningkatkan peran manajer keperawatan dalam melaksanakan fungsi manajemen terutama pada peran pemberiaan motivasi, pengarahan, evaluasi dan monitoring terhadap pelaksanaan asuhan keperawatan. Dukungan aspek perawat, aspek manajemen dan teknik dapat mengoptimalkan kinerja "SIMPRO" sehingga dapat meningkatkan kualitas pelayanan keperawatan. Berdasarkan manfaat dari "SIMPRO", maka sistem ini dapat direkomendasikan untuk digunakan di setiap Rumah Sakit serta dapat mendukung peningkatan kualitas mutu pelayanan keperawatan dan kesehatan.

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Nursing Information System is an important element in nursing process. Current nursing system in Indonesia is still manual and less optimal. However, manual system has weaknesses, such as data slip or even lost, which may potentially lead a nurse in the legal risk. This research was an operational research. It was started by problem identification in order to identify needs for development of nursing information system. The second stage was Sistem Informasi Manajemen Keperawatan oleh Roro ("SIMPRO"), in other words, Development of Nursing Management Information System by Roro. "SIMPRO" has been adjusted and customized with the conditions of the hospitals. Coordination of management, human resources, and infrastructure as well as trainings and assistance were conducted prior to trial of "SIMPRO". Then, trial of "SIMPRO" was conducted at two hospitals, which represent the characteristics of both public and private hospitals. Pretest and posttest without control were done after the implementation. Numbers of nursing documentation as samples were 219 documentations from each hospital group. It was used to evaluate the effectiveness of system performance before and after the implementation of "SIMPRO". Result of the research was difference of performance before and after the implementation of "SIMPRO", which was identified by differences on quality, completeness, continuity, aspect legal function and decision support system (p=0.001). Hospital with good management and infrastructure supports demonstrated higher level of effectiveness than another one. There was difference on time effectiveness before and after the implementation of "SIMPRO", both at Bunda Hospital (p=0.010) and Fatmawati General Hospital (p=0.010). Duration of documentation at Fatmawati General Hospital was 40.29 minutes or about 25.27 percent of total duration in one shift. Meanwhile, duration of documentation at Bunda Hospital was 24.62 minutes or about 9.60 percent of total duration in one shift. "SIMPRO" affected cost effectiveness since no printed documentation produced. In addition, "SIMPRO" guaranteed the continuity of nursing process. Thus, it guaranteed legal aspect and enhanced patient safety as well. This research implicated to the enhancement of quality, completeness, relevance, aspect legal function and decision support system. It also implicated to time efficiency on documentation, thus direct care to patients can be more optimal. "SIMPRO" can enhance the quality of nursing care by supports of nurses, management and technical aspects.;Nursing Information System is an important element in nursing process. Current nursing system in Indonesia is still manual and less optimal. However, manual system has weaknesses, such as data slip or even lost, which may potentially lead a nurse in the legal risk. This research was an operational research. It was started by problem identification in order to identify needs for development of nursing information system. The second stage was Sistem Informasi Manajemen Keperawatan oleh Roro ("SIMPRO"), in other words, Development of Nursing Management Information System by Roro. "SIMPRO" has been adjusted and customized with the conditions of the hospitals. Coordination of management, human resources, and infrastructure as well as trainings and assistance were conducted prior to trial of "SIMPRO". Then, trial of "SIMPRO" was conducted at two hospitals, which represent the characteristics of both public and private hospitals. Pretest and posttest without control were done after the implementation. Numbers of nursing documentation as samples were 219 documentations from each hospital group. It was used to evaluate the effectiveness of system performance before and after the implementation of "SIMPRO". Result of the research was difference of performance before and after the implementation of "SIMPRO", which was identified by differences on quality, completeness, continuity, aspect legal function and decision support system (p=0.001). Hospital with good management and infrastructure supports demonstrated higher level of effectiveness than another one. There was difference on time effectiveness before and after the implementation of "SIMPRO", both at Bunda Hospital (p=0.010) and Fatmawati General Hospital (p=0.010). Duration of documentation at Fatmawati General Hospital was 40.29 minutes or about 25.27 percent of total duration in one shift. Meanwhile, duration of documentation at Bunda Hospital was 24.62 minutes or about 9.60 percent of total duration in one shift. "SIMPRO" affected cost effectiveness since no printed documentation produced. In addition, "SIMPRO" guaranteed the continuity of nursing process. Thus, it guaranteed legal aspect and enhanced patient safety as well. This research implicated to the enhancement of quality, completeness, relevance, aspect legal function and decision support system. It also implicated to time efficiency on documentation, thus direct care to patients can be more optimal. "SIMPRO" can enhance the quality of nursing care by supports of nurses, management and technical aspects.;Nursing Information System is an important element in nursing process. Current nursing system in Indonesia is still manual and less optimal. However, manual system has weaknesses, such as data slip or even lost, which may potentially lead a nurse in the legal risk. This research was an operational research. It was started by problem identification in order to identify needs for development of nursing information system. The second stage was Sistem Informasi Manajemen Keperawatan oleh Roro ("SIMPRO"), in other words, Development of Nursing Management Information System by Roro. "SIMPRO" has been adjusted and customized with the conditions of the hospitals. Coordination of management, human resources, and infrastructure as well as trainings and assistance were conducted prior to trial of "SIMPRO". Then, trial of "SIMPRO" was conducted at two hospitals, which represent the characteristics of both public and private hospitals. Pretest and posttest without control were done after the implementation. Numbers of nursing documentation as samples were 219 documentations from each hospital group. It was used to evaluate the effectiveness of system performance before and after the implementation of "SIMPRO". Result of the research was difference of performance before and after the implementation of "SIMPRO", which was identified by differences on quality, completeness, continuity, aspect legal function and decision support system (p=0.001). Hospital with good management and infrastructure supports demonstrated higher level of effectiveness than another one. There was difference on time effectiveness before and after the implementation of "SIMPRO", both at Bunda Hospital (p=0.010) and Fatmawati General Hospital (p=0.010). Duration of documentation at Fatmawati General Hospital was 40.29 minutes or about 25.27 percent of total duration in one shift. Meanwhile, duration of documentation at Bunda Hospital was 24.62 minutes or about 9.60 percent of total duration in one shift. "SIMPRO" affected cost effectiveness since no printed documentation produced. In addition, "SIMPRO" guaranteed the continuity of nursing process. Thus, it guaranteed legal aspect and enhanced patient safety as well. This research implicated to the enhancement of quality, completeness, relevance, aspect legal function and decision support system. It also implicated to time efficiency on documentation, thus direct care to patients can be more optimal. "SIMPRO" can enhance the quality of nursing care by supports of nurses, management and technical aspects.;Nursing Information System is an important element in nursing process. Current nursing system in Indonesia is still manual and less optimal. However, manual system has weaknesses, such as data slip or even lost, which may potentially lead a nurse in the legal risk. This research was an operational research. It was started by problem identification in order to identify needs for development of nursing information system. The second stage was Sistem Informasi Manajemen Keperawatan oleh Roro ("SIMPRO"), in other words, Development of Nursing Management Information System by Roro. "SIMPRO" has been adjusted and customized with the conditions of the hospitals. Coordination of management, human resources, and infrastructure as well as trainings and assistance were conducted prior to trial of "SIMPRO". Then, trial of "SIMPRO" was conducted at two hospitals, which represent the characteristics of both public and private hospitals. Pretest and posttest without control were done after the implementation. Numbers of nursing documentation as samples were 219 documentations from each hospital group. It was used to evaluate the effectiveness of system performance before and after the implementation of "SIMPRO". Result of the research was difference of performance before and after the implementation of "SIMPRO", which was identified by differences on quality, completeness, continuity, aspect legal function and decision support system (p=0.001). Hospital with good management and infrastructure supports demonstrated higher level of effectiveness than another one. There was difference on time effectiveness before and after the implementation of "SIMPRO", both at Bunda Hospital (p=0.010) and Fatmawati General Hospital (p=0.010). Duration of documentation at Fatmawati General Hospital was 40.29 minutes or about 25.27 percent of total duration in one shift. Meanwhile, duration of documentation at Bunda Hospital was 24.62 minutes or about 9.60 percent of total duration in one shift. "SIMPRO" affected cost effectiveness since no printed documentation produced. In addition, "SIMPRO" guaranteed the continuity of nursing process. Thus, it guaranteed legal aspect and enhanced patient safety as well. This research implicated to the enhancement of quality, completeness, relevance, aspect legal function and decision support system. It also implicated to time efficiency on documentation, thus direct care to patients can be more optimal. "SIMPRO" can enhance the quality of nursing care by supports of nurses, management and technical aspects."

"Penelitian Sistem Informasi Manajemen Klinik Gumayun di Kabupaten Tegal dengan Berbasis Web, dilatarbelakangi adanya ketidaksesuaian laporan kegiatan serta laporan keuangan di Klinik Gumayun. Tujuan penelitian adalah sistem informasi manajemen untuk pelayanan kesehatan di klinik Gumayun. Variabel penelitian ini adalah pada aspek ketersediaan data dan informasi, relevansi data dan informasi, kecepatan laporan dan akurasi data. Hasil penelitian menunjukkan bahwa sistem informasi di klinik Gumayun sebelum pengembangan sistem belum dapat menghasilkan informasi secara mudah, tepat waktu, akurat dan relevan. Dengan demikian diharapkan pengembangan sistem informasi manajemen dapat meningkatkan kualitas data dan informasi di Klinik Gumayun. Kesimpulanya adalah sistem informasi yang terkomputerisasi dapat memudahkan pencatatan dan pelaporan distribusi obat, laporan kunjungan pasien dan juga laporan keuangan serta dapat memberikan informasi kepada masyarakat. Saran yang dapat diberikan adalah perlu adanya petugas yang bertanggung jawab untuk memelihara dan mengembangkan sistem, petugas klinik yang ada dapat dimanfaatkan pada masing - masing ruang pelayanan sesuai dengan tugas dan fungsinya,.Selain itu, sistem informasi manajemen ini dalam implementasi kedepan, masih dapat dikembangkan sesuai dengan kebutuhan dan diharapkan dapat diintegrasikan terhadap pelaporan dari klinik swasta ke instansi pemerintah seperti Puskesmas dan Dinas Kesehatan.

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Clinical Research Management Information System Gumayun in Tegal district based on web highlighted with in order to avoiding the discrepancy of the activity reports and financial reports at that clinic. The purpose of this research is to develop a management information system for health care services in the clinic. The variables of this research based on the aspects of the availability of data and information, the relevance of data and information, the speed of report and also the accuracy of data. The results of this research showed that the information system at the Gumayun clinic before the development of the system has not been able to generate information in an easy, timely, accurate and relevance. Hopefully, by the development of the management information system will improve the quality of data and information at the Gumayun clinic from the element of convenience, timeliness, accuracy, and relevancy. The conclusion of this research is by using the computerized information system services that can establish it easier to recording and reporting of the drug distribution, reporting patiens and also on the report about financial results and information to many people. Advice that can be given is to deploy the system into the services at the clinic activities at the Gumayun clinic, and also it needs the health care personnel who can be responsible for maintaining and developing the system so that when the system is needed, the system can be used easily. The existing clinic personnel can be utilized on every services area based on the function. In addition, the management information system in the implementation of the future, they can be developed according to the needs and are expected to be integrated to the reporting of private clinics to health centers and government agencies such as the Department of Health."

"SP3 yang berjalan selama ini belum menghasilkan data/informasi program kesehatan yang lengkap, cepat dan keakurasiannya masih diragukan, oleh karenanya pemanfaatan hasil luaran SP3 oleh pengelola program di tingkat Dinas Kesehatan Kabupaten belum optimal.SP3 bukan merupakan satu-satunya pelaporan yang harus dibuat oleh Puskesmas, tetapi masih terdapat laporan lain dari para pengelola program Dinas Kesehatan. Hal ini disamping menjadi beban bagi Puskesmas, juga menyebabkan pelaporan tidak lengkap, tidak tepat waktu dan adanya duplikasi data antra pengelola program dengan data pada pengelola SP3. Hal lain yaitu tidak berjalannya mekanisme umpan balik dari tingkat Dinas Kesehatan kepada Puskesmas.Sejalan dengan era desentralisasi, maka Dinas Kesehatan Kabupaten mempunyai kewenangan dalam pengembangan Sistem Kesehatan di tingkat Kabupaten maupun dalam pengembangan Sistem Informasi Kesehatannya. Kebijakan organisasi dan komitmen yang tinggi dari Kepala Dinas Kesehatan Kabupaten Tangerang beserta jajarannya, serta dukungan sumber daya yang memadai dalam pengembangan Sistem Informasi Kesehatan di wilayahnya. Sistem Informasi Program Kesehatan (SIPK) berbasis data Puskesmas merupakan pengembangan dari SP3, yang diharapkan menghasilkan data/informasi mengenai program kesehatan di Puskesmas sehingga dapat mendukung pelaksanaan manajemen program kesehatan di tingkat Dinas Kesehatan Kabupaten, baik perencanaan, monitoring dan evaluasi program.Pengembangan SIPK berbasis data Puskesmas ini, dimulai dengan menetapkan informasi, indikator dan data yang dibutuhkan, mendesain sistem pengumpulan, pengolahan dan penyajian data, mendesain format input dan output laporan, serta perancangan program aplikasinya. Kebijaksanaan satu pintu keluar-masuk data pada Sub Bagian Perencanaan, yang mempunyai tugas dan fungsi dalam pengelolaan data program kesehatan, serta pelaksanaan mekanisme umpan balik akan lebih mengoptimalkan pelaksanaan sistem ini dalam menghasilkan data/informasi program kesehatan yang berkualitas.

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The existing Public Health Center Recording and Reporting System has not yet sufficient and satisfy our need to gather a complete health program data and information, in fact the speed and accuracy is still questionable. Therefore the output utilization by the Program Manager in the Health Office Tangerang District is far from optimum.

The major problem of Public Health Center Recording and Reporting System is on its data collection, in which it is not the only report should prepared by the Public Health Center, but there are many other reports required by the Program Manager in the Health Department as well. It is more often becoming an additional workload to them and resulting incomplete reports made and not submitted on time. It is also containing data duplications between the report received by the Program Manager in the Health Department with another one delivered to the Recording and Reporting System Manager. Another problem is the inaccuracy information will affect the feedback mechanism from Chief Executive of Health District Office to the Public Health Center. Along with decentralization era, the Health District Office has an authority to develop the health system in the level of district and to develop the health information system as necessary. Policy and strong commitments of the organization supported by adequate human resources to maintain the development of health information system in the District.

The Health Program Information System is an outcome of Public Health Center Recording and Reporting System development. The expectation is to produce data and information concerning health program in the Public Health Center, and to have the ability to support managing the health program management in the Health Office Tangerang District. The development of Health Program System Information begins with verifying the information, data and indicator required, designing the collection system, processing and data presentation, designing the output and input format of reports, and application program design.

The one gate policy of data in the Planning Section which has task and function in handling health program data, and maintaining a feedback mechanism which will optimizing the system achievement to produce high quality health program data and information."