Pelatihan Pengisian Sertifikat Kematian Dan Penentuan Kode Penyebab Kematian Berdasarkan Icd-10 Untuk Meningkatkan Kualitas Laporan Mortalitas Di Rsud X

Abstract

Mortality reports serve as a crucial indicator within health information systems, forming the basis for evaluating service quality, program planning, and health-related decision-making. The quality of these reports depends heavily on the accurate completion of death certificates (Medical Certificate of Cause of Death/MCCD) and the precise coding of causes of death using the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10). Assessments at Dr. M. Yunus Regional General Hospital (RSUD) in Bengkulu City revealed inaccuracies in death certificate completion and cause-of-death coding, which could compromise mortality data quality. This community service initiative aimed to enhance the knowledge and skills of physicians and medical record staff regarding death certificate completion and ICD-10 cause-of-death coding. The project partnered with X RSUD, involving physicians and medical record personnel as participants. Implementation methods included partner coordination, problem identification, module development, pre-testing, material presentation, interactive discussions, death certificate completion simulations, ICD-10 coding practice, post-testing, evaluation, and ongoing support. Results showed improved participant knowledge, evidenced by an increase in the average score from 62.4 (pre-test) to 86.7 (post-test). Furthermore, accuracy in death certificate completion rose from 45% to 85%, while accuracy in ICD-10 cause-of-death coding improved from 48% to 82%. This activity positively impacted healthcare worker competence and supported the production of mortality reports that are more accurate, complete, and compliant with national and international standards.