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All Journal Jurnal Teras Kesehatan Tedc International Journal of Health, Engineering and Technology
Intan Pujilestari
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Journal : International Journal of Health, Engineering and Technology

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Review of the Implementation of Electronic Medical Records Using the HOT-FIT (Human, Organization, Technology, Benefit) Method at Bhayangkara Hospital TK II Sartika Asih Bandung Nailah Rifdah Ramadhani; Intan Pujilestari
International Journal of Health Engineering and Technology Vol. 4 No. 3 (2025): IJHET SEPTEMBER 2025
Publisher : CV. AFDIFAL MAJU BERKAH

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The rapid digitalization of healthcare systems has accelerated the adoption of Electronic Medical Records (EMRs) globally, yet implementation challenges persist across diverse healthcare settings. This study evaluates EMR implementation at RS Bhayangkara TK II Sartika Asih Bandung using the HOT-FIT (Human, Organization, Technology, Benefit) model to assess whether the hospital meets the criteria for effective digital transformation. A descriptive qualitative research design was employed, utilizing observation and semi-structured interviews as primary data collection methods. The study population comprised 25 medical record information officers (PMIK) from outpatient registration, inpatient registration, emergency department, and casemix units, with key informants selected through purposive sampling. Data were analyzed using thematic analysis to identify patterns across the HOT-FIT framework components. Results revealed strong performance in Human and Organization aspects, characterized by high user adaptability, positive acceptance rates, effective "learning by doing" approaches, and robust managerial support through comprehensive training programs. However, the Technology component demonstrated significant vulnerabilities, including persistent system errors, severe lag during peak hours, unstable internet connectivity, and frequent power outages necessitating manual fallbacks. These technological challenges substantially compromised EMR benefit realization, creating operational inefficiencies and data integrity risks. The study concludes that while human and organizational readiness are exemplary, technological infrastructure improvements are critical for achieving optimal EMR implementation outcomes and unlocking the system's full potential for enhanced healthcare delivery.
Evaluation of the Completeness of Inpatient Medical Records Based on the Strengths, Weaknesses, Opportunities, Threats (SWOT) Method at Welas Asih General Hospital Elsa Fitriah; Intan Pujilestari; Matoeari Soelistijaningroem
International Journal of Health Engineering and Technology Vol. 4 No. 3 (2025): IJHET SEPTEMBER 2025
Publisher : CV. AFDIFAL MAJU BERKAH

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Abstract

Incomplete medical documentation at hospitals poses a significant risk to patient safety and service quality. This study aimed to evaluate the completeness of inpatient medical records at Welas Asih General Hospital using a SWOT (Strengths, Weaknesses, Opportunities, Threats) analysis to formulate strategic recommendations. Employing a qualitative descriptive method, the research focused on inpatient medical records and key personnel, including medical record officers and clinical staff. Data were collected through observation, documentation review, and interviews, and analyzed by grouping findings into the four SWOT categories. Results revealed that the overall completeness rate was 64%, with critical forms such as surgical informed consent and Attending Physician forms showing particularly low rates (41% and 42%, respectively). The analysis identified key challenges, including a hybrid documentation system, low digital literacy, and high staff workload. In conclusion, the hospital's medical record completeness is suboptimal due to internal weaknesses and external threats, despite its existing strengths and opportunities. The findings underscore the urgent need for a systematic improvement plan focusing on structured digitalization and continuous staff training to enhance accountability and quality of care.
Co-Authors Apriani Arshad Ayu Hendrati Rahayu Elsa Fitriah Hasna Khoenunisa Matoeari Soelistijaningroem Nailah Rifdah Ramadhani Neni Rohaeni Rizqy Dimas Monica Rizqy Dimas Monica Sapta Lestariyowidodo Siti Nurmin Idayanti