Keakuratan Pemilihan UCoD Kasus Perinatal di Rumah Sakit X Tahun 2024

Authors

  • Rizkiyatul Amalia Poltekkes Kemenkes Semarang
  • Gaetsa Nurul Aulia Poltekkes Kemenkes Semarang

DOI:

https://doi.org/10.25047/j-remi.v5i4.4915

Keywords:

Rule of P, Accuracy, Underlying Causes of Death, Perinatal, Case Study

Abstract

In 2023, there were 20 cases of perinatal death at Hospital X. Among these cases, 11 (55%) were reported with UCoD as asphyxia, 6 (30%) as low birth weight, 1 (5%) as anencephaly, 1 (5%) as pulmonary hypoplasia, and 1 (5%) as pulmonary aplasia. According to the perinatal mortality coding rules in ICD-10 volume 2, diagnoses of asphyxia and low birth weight or prematurity cannot be selected as the UCoD. This affects the accuracy of mortality reporting. The aim of this study is to describe the accuracy of UCoD selection in perinatal cases and the use of the Perinatal Mortality Surveillance System (SMPK) at Hospital X in 2024. This study uses a descriptive quantitative approach with a case study method. Data were collected through observations, document reviews, and interviews. The results show that 80% of UCoD selections were inaccurate, while 20% were accurate according to the perinatal mortality coding rules in ICD-10 volume 2. It can be concluded that the inaccuracy in UCoD selection for perinatal cases is due to the lack of proper implementation of mortality coding and the incomplete use of the SMPK.

References

WHO, International Statistical Classification of Diseases and Related Health Problems 10th Revision, Vol 2. Geneva: World Health Organization, 2010.

WHO, International Statistical Classification of Diseases and Related Health Problems, 10th Revision, Fifth Edition. Geneva: World Health Organization, 2016.

K. Inoue, S. Abe, and T. Fukunaga, “Current state of cause of death determinations in Japan and the need to list the precise underlying cause of death,” Med. Sci. Law, vol. 63, no. 2, pp. 114–119, Apr. 2023, doi: 10.1177/00258024221102203.

H. J. Upadhyay, P. G. Ninama, and M. A. Shah, “A study of perinatal mortality with obstetrics point of view with etiological factors and preventive approach,” Int. J. Reprod. Contraception, Obstet. Gynecol., vol. 11, no. 12, pp. 3368–3371, Nov. 2022, doi: 10.18203/2320-1770.ijrcog20223133.

A. Misra, G. Menon, A. P. Sinha, S. Singh, M. V. V. Rao, and S. Sharma, “Risk factors for perinatal mortality in India: a systematic review of observational studies,” Int. J. Community Med. Public Heal., vol. 9, no. 10, p. 3849, Sep. 2022, doi: 10.18203/2394-6040.ijcmph20222582.

T. A. Ogunlesi and O. O. Adetoro, Contemporary Obstetrics and Gynecology for Developing Countries. Cham: Springer International Publishing, 2021. doi: 10.1007/978-3-030-75385-6.

A. J. Rusdi, R. D. Prisusanti, and R. A. R. Ularan, “Systematic Review Keakuratan Underlying Cause of Death (UCOD) pada Sertifikat Kematian di Fasilitas Pelayanan Kesehatan,” Indones. Heal. Inf. Manag. J., vol. 10, no. 1, pp. 57–65, Jun. 2022, doi: 10.47007/inohim.v10i1.414.

V. Della Mea, M. H. Popescu, and K. Roitero, “Underlying cause of death identification from death certificates using reverse coding to text and a NLP based deep learning approach,” Informatics Med. Unlocked, vol. 21, p. 100456, 2020, doi: 10.1016/j.imu.2020.100456.

S. Massad, H. Dalloul, A. Ramlawi, I. Rayyan, R. Salman, and L. A. Johansson, “Accuracy of mortality statistics in Palestine: a retrospective cohort study,” BMJ Open, vol. 9, no. 4, p. e026640, Apr. 2019, doi: 10.1136/bmjopen-2018-026640.

S. L. Fahmi and R. Amalia, “Keakuratan Kode Underlying Cause of Death (UCoD) pada Perinatal Menurut Perinatal Mortality Rules pada Sertifikat Kematian di RSUD Kota Salatiga,” Indones. Heal. Inf. Manag. J., vol. 11, no. 2, pp. 90–94, Jan. 2024, doi: 10.47007/inohim.v11i2.501.

U. S. H. Gamage et al., “The impact of errors in medical certification on the accuracy of the underlying cause of death,” PLoS One, vol. 16, no. 11, p. e0259667, Nov. 2021, doi: 10.1371/journal.pone.0259667.

R. Amalia, S. Lestari, A. Ferdianto, P. S. Akbar, and N. Fardilan, “Determinan Pengembalian Berkas Klaim Berdasarkan Akurasi Kode Diagnosis Pasien Rawat Inap BPJS Kesehatan di RSI Sultan Agung Semarang),” J. Rekam Medis dan Inf. Kesehat., vol. 6, no. 2, pp. 98–104, Oct. 2023, doi: 10.31983/jrmik.v6i2.10633.

W. D. Susilawati et al., “Hubungan Kelengkapan Informasi Klinis dengan Ketepatan Kode Diagnosis Berdasarkan ICD-10 pada Kasus Fracture,” J-REMI J. Rekam Med. dan Inf. Kesehat., vol. 4, no. 4, pp. 196–202, Aug. 2023, doi: 10.25047/j-remi.v4i4.3784.

R. Patricia, D. R. Dewi, P. Fannya, and D. H. Putra, “Ketepatan Kodifikasi Penyebab Dasa Kematian pada Resume Medis di RSKD Duren Sawit Tahun 2022,” SEHATMAS J. Ilm. Kesehat. Masy., vol. 2, no. 4, pp. 966–975, Oct. 2023, doi: 10.55123/sehatmas.v2i4.2545.

Kementerian Kesehatan Republik Indonesia, Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/214/2019 tentang Pedoman Nasional Pelayanan Tata Laksana Asfiksia. Jakarta: Kementerian Kesehatan Republik Indonesia, 2019.

I. A. M. Mahayani, “Hubungan Antara Lama Ketuban Pecah Dini Aterm Dengan Kejadian Infeksi Pada Neonatus Periode 1 Januari s/d 31 Desember 2010 Di RSU Provinsi NTB,” J. Kedokt., vol. 4, no. 1, pp. 671–678, Feb. 2019, doi: 10.36679/kedokteran.v4i1.56.

I. S. Sefin, “Hubungan Antara Ketuban Pecah Dini Dengan Kejadian Asfiksia Dan Sepsis Neonatorum,” JMH J. Med. Hutama, vol. 3, no. 3, pp. 2650–2655, 2022.

L. Murniati, F. Taherong, and S. Syatirah, “Manajemen Asuhan Kebidanan Pada Bayi Baru Lahir Dengan Asfiksia (Literatur Review),” J. Midwifery, vol. 3, no. 1, pp. 32–41, Feb. 2021, doi: 10.24252/jmw.v3i1.21028.

P. Balasundaram and V. Dumpa, Neonatal Hyperglycemia. StatPearls Publishing, 2024.

D. H. Adamkin, “Neonatal hypoglycemia,” Semin. Fetal Neonatal Med., vol. 22, no. 1, pp. 36–41, Feb. 2017, doi: 10.1016/j.siny.2016.08.007.

D. S. H. Putra and B. D. D. Khalifatulloh, “Desain Ulang Formulir Sertifikat Kematian Di Rumah Sakit Baladhika Husada Jember Tahun 2019,” J-REMI J. Rekam Med. dan Inf. Kesehat., vol. 2, no. 3, pp. 450–460, Dec. 2021, doi: 10.25047/j-remi.v2i3.2226.

T. Wasim, N. Bushra, H. I. Iqbal, A. Mumtaz, and K. S. Khan, “Maternal condition as an underlying cause of perinatal mortality: Prospective cohort study,” J. Obstet. Gynaecol. Res., vol. 47, no. 2, pp. 544–550, Feb. 2021, doi: 10.1111/jog.14551.

J. Alipour and A. Payandeh, “Common errors in reporting cause-of-death statement on death certificates: A systematic review and meta-analysis,” J. Forensic Leg. Med., vol. 82, p. 102220, Aug. 2021, doi: 10.1016/j.jflm.2021.102220.

J. Alipour, A. Karimi, G. Miri‐Aliabad, F. Baloochzahei‐Shahbakhsh, A. Payandeh, and R. Sharifian, “Quality of death certificates completion for COVID‐19 cases in the southeast of Iran: A cross‐sectional study,” Heal. Sci. Reports, vol. 5, no. 5, pp. 1–9, Sep. 2022, doi: 10.1002/hsr2.802.

M. Madadin et al., “Common errors in writing the cause of death certificate in the Middle East,” J. Forensic Leg. Med., vol. 68, p. 101864, Nov. 2019, doi: 10.1016/j.jflm.2019.101864.

U. S. H. Gamage et al., “Effectiveness of training interventions to improve quality of medical certification of cause of death: systematic review and meta-analysis,” BMC Med., vol. 18, no. 1, pp. 1–22, Dec. 2020, doi: 10.1186/s12916-020-01840-2.

S. Chung, S.-H. Kim, B.-J. Park, and S. Park, “Factors Associated with Major Errors on Death Certificates,” Healthcare, vol. 10, no. 4, pp. 1–11, Apr. 2022, doi: 10.3390/healthcare10040726.

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Published

2024-09-13

How to Cite

Amalia, R., & Aulia, G. N. (2024). Keakuratan Pemilihan UCoD Kasus Perinatal di Rumah Sakit X Tahun 2024. J-REMI : Jurnal Rekam Medik Dan Informasi Kesehatan, 5(4), 345–352. https://doi.org/10.25047/j-remi.v5i4.4915

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