Keakuratan Pemilihan UCoD Kasus Perinatal di Rumah Sakit X Tahun 2024

Abstract

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.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.