Analysis of the Accuracy of Underlying Cause of Death Determination Using the IRIS Application at Dr. Saiful Anwar Hospital in 2025
Analisis Efektivitas Aplikasi Iris Dalam Menentukan Penyebab Dasar Kematian Di Rsud Dr. Saiful Anwar Tahun 2025
DOI:
https://doi.org/10.21070/ups.11817Keywords:
underlying cause of death, Mortality, IRISAbstract
Accurate determination of the underlying cause of death (UCOD) is essential for reliable mortality statistics. This study aimed to analyze the effectiveness of IRIS in determining UCOD at Dr. Saiful Anwar Hospital in 2025. A descriptive case-study approach was conducted using medical records and death certificates from 102 patients who died during the second semester of 2025. UCOD results from manual coding and IRIS were compared and assessed through triangulation with the attending physician and Head of the Medical Records Unit. The manual method showed 49.02% concordance, while IRIS showed 88.24%. Although IRIS demonstrated a 39.22-percentage-point higher concordance, Pearson’s chi-square test showed no statistically significant difference (χ²=1.6948; df=1; p=0.193). Thus, IRIS showed descriptive potential for improving UCOD consistency, but its effectiveness was not statistically established. Further studies with larger samples and appropriate paired-data analysis are recommended.
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