Evaluasi Sistem Pengelolaan Rekam Medis Pasien Rawat Inap Study Kualitatif di RSKIA UMI KHASANAH

Abstract

Good management of medical records to support hospital services and useful if the information
contained therein is complete and accurate. Medical record data is needed in the process of recording
and reporting routine hospitals. The purpose of this research is to treat and manage medical records of
inpatients at RSKIA Umi Khasanah Bantul. descriptive research with a qualitative approach. Research
subjects Director, medical record personnel, midwives and doctors. Data collection using in-depth
interview techniques supported by documentation. Data analysis technique with reduction,
presentation, conclusion. The results of the patient's medical research using a manual system. Medical
records are more than 2 x 24 hours because the medical record documents are not completely filled,
the storage space is not sufficient, the SOP for medical records is not complete, the length of providing
medical records according to the law is <15 minutes, supervision medical records seen from the
assessment indicators. The problem is that there is still a lack of medical record personnel, insufficient
infrastructure.
Keywords: Evaluation, Management, Medical Records