Admission Informatics System of In-patient as Administrative and Clinical Decision Support System in Badan RSUD dr. H Soewondo Kabupaten Kendal

Abstract

Background : Appropriateness in Admission represent quality of medical services. Appropriateness Evaluation Protocol (AEP) is protocol that used to evaluate inpatient admission according to medical indications. Preliminary study shows that there are some problem due to admission informatics system in Badan RSUD dr. H Soewondo Kabupaten. i.e. difficulty to access clinical examination information, admission procedure not use AEP yet so there is 40 % misadmission of all inpatient and there are no access to information of medical services appropriateness. Objective : The research was carried out to design admission informatics system of in-patient as administrative and clinical decision support system in Badan RSUD dr. H Soewondo Kabupaten Kendal. Methods : The research was done in two step. First step was qualitative study applied Framework for Application of System Technique (FAST) to design informatics system. Second step used one group pretest – posttest design, trying informatics system that built comparing acceptability, accessibility, sensitivity, representativeness and timely. Result : The result of this research was admission informatics system design consist of input design, output design, data base design and interface design continuing to build AEP based admission informatics system. Trial result shows that respondent give their agreement in old and new system for acceptability (2.20 and 3.18), accessibility (2.25 and 3.19), sensitivity (2.30 and 3,10), representativeness (2,40 and 3,13), and timely (2.13 and 3.13) and it was statistically significant (p : 0.0001) Sumber Utama : www.mikm.undip.ac.id