Challenges and Limitations

Oct 13, 2025 by talynt.org 87 views

Introduction

The management of medical records is a crucial aspect of health services that plays a vital role in ensuring the accuracy and efficiency of patient care. In the Regional General Hospital (RSUD) H. Sahudin Kutacane, the management of medical records is a complex process that requires careful planning, organization, and execution. This article aims to provide an in-depth analysis of the management of medical records in RSUD H. Sahudin Kutacane, highlighting the strengths and weaknesses of the current system and providing recommendations for improvement.

Background

The management of medical records in RSUD H. Sahudin Kutacane is governed by the Standard Operating Procedure (SOP) of the Medical Record Unit. The SOP outlines the procedures for storing, retrieving, and maintaining medical records, ensuring that all records are accurately and efficiently managed. The hospital's medical record system is designed to provide easy and fast access to patient data, allowing healthcare professionals to make informed decisions about patient care.

Methodology

This study employed a descriptive qualitative approach to collect data on the management of medical records in RSUD H. Sahudin Kutacane. In-depth interviews were conducted with the Head of the Medical Record Installation and two medical record officers at the hospital. The data collected was analyzed to identify the strengths and weaknesses of the current system and to provide recommendations for improvement.

Results

The results of the study showed that RSUD H. Sahudin Kutacane refers to the SOP of the Medical Record Unit in each of its activities. The hospital's storage system is designed to be efficient, with the application of direct numerical filling system systems allowing for decentralized storage of medical records. This system enables easier and faster access to patient data, facilitating informed decision-making about patient care.

The process of storing medical records in the hospital is carried out based on the number, with the system used being the final number system. Officers are responsible for taking medical records, while the meeting process is again carried out using a patient treatment card. This shows a fairly good systematization, but also holds potential challenges, especially in managing medical records whose status is no longer active.

Challenges and Limitations

Despite the hospital's efforts to manage medical records efficiently, there are still many shortcomings in the facilities available in the Medical Record Unit. The minimal facilities can hamper the work productivity of medical record employees, ultimately affecting the quality of services provided to patients. In this case, the hospital needs to evaluate and improve facilities in the medical record unit to support employee performance.

Recommendations

Based on the findings of this study, the following recommendations are made:

Conduct routine training for medical record officers: This training will not only increase the competence of officers but also ensure that they understand the importance of managing effective and efficient medical records.
Improve facilities in the medical record unit: The hospital needs to evaluate and improve facilities in the medical record unit to support employee performance and improve the quality of services provided to patients.
Strengthen the system: The hospital needs to strengthen the system by implementing a more efficient and effective medical record management system.

Conclusion

The management of medical records at RSUD H. Sahudin Kutacane requires more attention to improve the quality of health services. Through strengthening the system and improving facilities, it is expected that hospitals can be better in meeting the needs of patients and providing optimal services. The recommendations made in this study aim to improve the management of medical records in RSUD H. Sahudin Kutacane, ultimately enhancing the quality of patient care.

Implications for Practice

The findings of this study have implications for practice in the management of medical records in RSUD H. Sahudin Kutacane. The hospital needs to prioritize the management of medical records, ensuring that all records are accurately and efficiently managed. The hospital also needs to improve facilities in the medical record unit to support employee performance and improve the quality of services provided to patients.

Limitations of the Study

This study has several limitations. The study employed a descriptive qualitative approach, which may not provide a comprehensive understanding of the management of medical records in RSUD H. Sahudin Kutacane. The study also relied on in-depth interviews with a small sample of participants, which may not be representative of the entire hospital.

Future Research Directions

Future research should aim to investigate the management of medical records in RSUD H. Sahudin Kutacane in more depth. This could involve conducting a larger-scale study with a more diverse sample of participants. Future research should also aim to investigate the impact of the management of medical records on patient care and outcomes.

References

[1] Standard Operating Procedure (SOP) of the Medical Record Unit, RSUD H. Sahudin Kutacane.
[2] Direct Numerical Filling System Systems, RSUD H. Sahudin Kutacane.
[3] Final Number System, RSUD H. Sahudin Kutacane.
[4] Patient Treatment Card, RSUD H. Sahudin Kutacane.

Note: The references provided are fictional and for demonstration purposes only. In a real-world scenario, you would need to provide actual references to support your arguments.

Q: What is the importance of managing medical records in RSUD H. Sahudin Kutacane?

A: The management of medical records is crucial in RSUD H. Sahudin Kutacane as it ensures the accuracy and efficiency of patient care. Accurate and up-to-date medical records are essential for healthcare professionals to make informed decisions about patient care.

Q: What is the current system of managing medical records in RSUD H. Sahudin Kutacane?

A: The current system of managing medical records in RSUD H. Sahudin Kutacane is governed by the Standard Operating Procedure (SOP) of the Medical Record Unit. The SOP outlines the procedures for storing, retrieving, and maintaining medical records, ensuring that all records are accurately and efficiently managed.

Q: What are the challenges faced by the hospital in managing medical records?

A: The hospital faces several challenges in managing medical records, including the minimal facilities available in the Medical Record Unit, which can hamper the work productivity of medical record employees and ultimately affect the quality of services provided to patients.

Q: What recommendations are made to improve the management of medical records in RSUD H. Sahudin Kutacane?

A: The following recommendations are made to improve the management of medical records in RSUD H. Sahudin Kutacane:

Conduct routine training for medical record officers: This training will not only increase the competence of officers but also ensure that they understand the importance of managing effective and efficient medical records.
Improve facilities in the medical record unit: The hospital needs to evaluate and improve facilities in the medical record unit to support employee performance and improve the quality of services provided to patients.
Strengthen the system: The hospital needs to strengthen the system by implementing a more efficient and effective medical record management system.

Q: What are the implications of the study for practice in RSUD H. Sahudin Kutacane?

A: The findings of this study have implications for practice in the management of medical records in RSUD H. Sahudin Kutacane. The hospital needs to prioritize the management of medical records, ensuring that all records are accurately and efficiently managed. The hospital also needs to improve facilities in the medical record unit to support employee performance and improve the quality of services provided to patients.

Q: What are the limitations of the study?

A: This study has several limitations. The study employed a descriptive qualitative approach, which may not provide a comprehensive understanding of the management of medical records in RSUD H. Sahudin Kutacane. The study also relied on in-depth interviews with a small sample of participants, which may not be representative of the entire hospital.

Q: What are the future research directions?

A: Future research should aim to investigate the management of medical records in RSUD H. Sahudin Kutacane in more depth. This could involve conducting a larger-scale study with a more diverse sample of participants. Future research should also aim to investigate the impact of the management of medical records on patient care and outcomes.

Q: What are the references used in this study?

A: The references used in this study are:

[1] Standard Operating Procedure (SOP) of the Medical Record Unit, RSUD H. Sahudin Kutacane.
[2] Direct Numerical Filling System Systems, RSUD H. Sahudin Kutacane.
[3] Final Number System, RSUD H. Sahudin Kutacane.
[4] Patient Treatment Card, RSUD H. Sahudin Kutacane.

Note: The references provided are fictional and for demonstration purposes only. In a real-world scenario, you would need to provide actual references to support your arguments.