KELENGKAPAN INFORMASI DAN KETEPATAN KODE DIAGNOSA CEDERA DAN PENYEBAB LUAR PADA KASUS KECELAKAAN LALU LINTAS DI TINJAU DARI BEBERAPA LITERATUR

Retno Suryaningsih; Rani Fauziah

doi:10.59300/mjrm.v8i1.74

Retno Suryaningsih
Rani Fauziah

DOI: https://doi.org/10.59300/mjrm.v8i1.74

Abstract

KELENGKAPAN INFORMASI DAN KETEPATAN KODE DIAGNOSA
CEDERA DAN PENYEBAB LUAR PADA KASUS KECELAKAAN
LALU LINTAS DI TINJAU DARI BEBERAPA LITERATUR
Rani1 ; Retno.S2
12APIKES Bhumi Husada
retno.suryaningsih.sucipto@gmail.com2
ABSTRACT
Injury cases must be accompanied by an external cause of injury. So that the accuracy of the injury code and the
external cause is correct, the ER doctors and nurses record information on the patient's condition, and the coder
sets the code. This review aims to analyze the completeness of the information and the accuracy of the injury
diagnosis code and external causes in the case of traffic accidents based on ICD-10, and to find out the causes of
incomplete and inaccurate injury codes and external causes. The method used in this study is a literature review
and analytical descriptive. The results of the research on the five previous journals found that the completeness
of the writing of external causes was the best percentage of the Koja Regional General Hospital 87.5% with the
worst percentage of the Regional General Hospital Dr. Chasbullah Abdul Majid Bekasi City 52.6%. While the
accuracy of the injury code is the best percentage of Fatmawati Central General Hospital 100% with the worst
percentage of the Indonesian Christian University General Hospital 12%, and the accuracy of the external cause
code is the best percentage of Gatot Subroto Army Central Hospital 73.9% with the worst percentage of Regional
General Hospital Koja 0%. Factors that cause incomplete and inaccurate injury codes and external causes are
Man, Method, Material, Machine, and Money. The injury code will be said to be correct if the writing of the injury
and external cause is complete and correct according to ICD-10. Completeness of information and accuracy of
injury codes and external causes in cases of traffic accidents is required by the Hospital and the local police.