Monitoring Ketepatan Kode Diagnosis Penyakit Rawat Inap Dalam Menunjang Akreditasi Versi STARKES Di RSUD Kanjuruhan Tahun 2022

  • Eiska Zein Poltekkes Kemenkes Malang
Keywords: Monitoring; Accuracy; Accreditation version STARKES


Monitoring the accuracy of the disease diagnosis code is a very risky thing in the implementation of a hospital where the resulting data will be very influential for patients and hospitals, a good accuracy value can be used as an indicator of evidence of the implementation of medical record unit activities having good quality quality, and good quality quality is very influential for the quality of hospital quality. In maintaining quality quality, hospitals always try to be able to obtain recognition of the quality of service after being assessed and able to meet accreditation standards approved by the government. Therefore, in fulfilling one aspect of the accreditation standard assessment of the Starkes MIRM 9 version, hospitals must carry out monitoring activities on the accuracy of diagnosis codes which aim to be used as evaluation material as well as material for improvement in disease coding activities at Kanjuruhan Hospital. This study uses quantitative methods where researchers can use data in the form of numbers and numerical in research and the data collection method used is observation while the instrument used is an observation sheet to assess the accuracy and inaccuracy of a diagnosis in medical record documents. Based on the results of research from a total of 354 samples taken, the percentage of accurate disease code accuracy was 83% and inaccurate was 16%. The inaccuracy of code writing that occurred at Kanjuruhan Hospital was caused by incorrect codes that were not in accordance with the diagnosis, diagnoses that were not coded and codes that were crossed out and not justified.