Analysis of the Inpatient Medical Records Management System at Sandi Karsa Hospital Makassar

Abstract

Objectives: Management of medical records at Sandi Karsa Hospital Makassar is still lacking in the process of assembling, reporting, and filing. This study aims to analyze the inpatient medical record management system at Sandi Karsa Hospital, Makassar. Methods: The type of research used in this research is qualitative research and data collection using interviews, observation, and documentation with key informants and supporting informants using purposive sampling techniques. Result: There is a shortage of medical records officers, and they have not received training. There are fewer computers available, SIMRS is only integrated with patient registration, and the management room is combined with the filing room. The assembly process has not been carried out in the last few months, reporting has been delayed, and there is a backlog of files. Implementation of management SOPs has not been optimal, and socialization activities have not been carried out. Completeness and returns are not up to standard. Medical record quality indicators are low, and there are no feedback activities. Conclusion: Lack of staff they have never participated in training and socialization regarding SOPs. There is a lack of facilities such as computers, the medical record room has lots of files, SIMRS is not yet integrated with medical record management, and there are delays in returns and incomplete filling out of medical record files. The hospital can provide outreach and hold regularly scheduled meetings to evaluate or assess officers' performance managing medical records. Keywords: Management, Medical Records, Hospital, System, Inpatient.