Keakuratan Pemilihan UCoD Kasus Perinatal di Rumah Sakit X Tahun 2024
DOI:
https://doi.org/10.25047/j-remi.v5i4.4915Kata Kunci:
Rule of P, Accuracy, Underlying Causes of Death, Perinatal, Case StudyAbstrak
Pada tahun 2023 di Rumah Sakit X terdapat 20 kasus kematian perinatal. Dari kasus kematian perinatal tersebut dilaporkan UCoD asfiksia sebanyak 11 kasus (55%), berat bayi lahir ringan 6 kasus (30%), anencephale 1 kasus (5%), hypoplasia paru 1 kasus (5%), dan aplasia paru 1 kasus (5%). Sesuai aturan pengkodean mortalitas perinatal dalam ICD-10 volume 2 diagnosis asfiksia dan berat bayi lahir ringan atau prematuritas tidak dapat dipilih sebagai UCoD. Sehingga hal ini berdampak pada pelaporan mortalitas. Penelitian ini bertujuan mendeskripsikan keakuratan pemilihan UCoD kasus perinatal dan penggunaan SMPK di Rumah Sakit X Tahun 2024. Penelitian ini menggunakan dengan pendekatan kuantitatif deskriptif dengan metode penelitian studi kasus. Data diperoleh dari hasil observasi, studi dokumentasi, dan wawancara. Hasil penelitian menunjukkan sebanyak 80% pemilihan UCoD dinyatakan tidak akurat dan 20% akurat berdasarkan aturan pengkodean mortalitas peronatal dalam ICD-10 volume 2. Dapat disimpulkan bahwa ketidakakuratan dalam pemilihan UCoD perinatal disebabkan oleh belum diterapkannya pengkodean mortalitas dan penggunaan SMPK yang belum sesuai.
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