Pengembanagan dan Validiasi Isi Instrumen Audit Rekam Medis  Melalui Penilaian Pakar: Development And Content Validation of A Medical Record Audit Instrument Through Expert Assessment

sri sugiarsi; Astri Sri Wariyanti; Sarwastutik

doi:10.54877/ijhim.v3i1.315

Pengembanagan dan Validiasi Isi Instrumen Audit Rekam Medis Melalui Penilaian Pakar

Development And Content Validation of A Medical Record Audit Instrument Through Expert Assessment

Authors

sri sugiarsi Program Studi Manajemen Informasi Kesehatan
Astri Sri Wariyanti STIKes Mitra Husada Karanganyar
Sarwastutik RSUD Karanganyar

DOI:

https://doi.org/10.54877/ijhim.v3i1.315

Keywords:

medical record audit; content validity; I-CVI; S-CVI/Ave; Aiken’s V; clinical documentation

Abstract

Latar belakang: Audit kualitatif rekam medis memerlukan indikator terstruktur untuk menilai konsistensi dokumentasi klinis. Tujuan: Mengembangkan instrumen audit rekam medis dan mengevaluasi validitas isinya melalui penilaian pakar, disertai penerapan awal. Metode: Pengembangan indikator berdasarkan kajian literatur, validasi relevansi oleh enam pakar menggunakan skala empat tingkat, penyempurnaan redaksi, dan penerapan awal pada 88 dokumen rekam medis pasien kanker payudara yang menjalani modified radical mastectomy di RSUD Kartini Karanganyar. Validitas isi dianalisis dengan I-CVI, S-CVI/Ave, dan Aiken’s V. Hasil: Instrumen memuat 22 indikator dalam lima komponen. Seluruh indikator memiliki I-CVI 1,000; S-CVI/Ave 1,000; dan rata-rata Aiken’s V 0,949 (rentang 0,722–1,000). Rata-rata skor lima komponen audit pada penerapan awal berkisar 81,25%–100,00%. Kesimpulan: Penilaian pakar mendukung validitas isi instrumen. Pengujian reliabilitas antarpenilai dan evaluasi lintas konteks pelayanan masih diperlukan.

References

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Published

2023-02-13

How to Cite

sugiarsi, sri, Sri Wariyanti, A., & Sarwastutik. (2023). Pengembanagan dan Validiasi Isi Instrumen Audit Rekam Medis Melalui Penilaian Pakar: Development And Content Validation of A Medical Record Audit Instrument Through Expert Assessment. Indonesian Journal of Health Information Management , 3(1). https://doi.org/10.54877/ijhim.v3i1.315