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Implementation of Physical Medical Record Storage System as the Basis for Integration with the Electronic Medical Record System (RME) Sri Inti; Riska Faraswati; Nikmatul Firdaus; Futri Januarti Aspandi; Enjelita Rambu
Research and Evidence on Knowledge in Administration and Management — Medical Electronic Data and Information Systems Vol. 1 No. 1 (2025): March, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/rekammedis.v1i1.291

Abstract

In the digitalization era, transforming Hospital Information Systems presents challenges in managing physical medical records, including limited digital infrastructure, unprepared human resources, and difficulties integrating manual systems with digital technologies. These challenges pose risks to data accuracy, accessibility, and patient safety during the shift toward more efficient and secure digital systems. Purpose: This study aims to evaluate the storage and management system of physical medical records amid the digitalization process and identify barriers and potential integration with digital systems. Method: A qualitative approach was used through a case study in a regional public hospital. Data were collected via in-depth interviews, observations, and document analysis. Results: Findings indicate that hospitals still rely on physical medical records due to limited infrastructure, cybersecurity concerns, and insufficient staff training. About 65% of respondents identified patient data protection as a major issue, while limited training reduced the effectiveness of electronic system implementation. Implications: The findings emphasize the need to strengthen IT capacity and provide ongoing staff training, supported by budgets for infrastructure and skill development. Conclusion: Although digitalization is inevitable, physical medical records remain essential during the transition. Integration can be achieved through hybrid systems using technologies such as barcode scanning to enhance data accuracy, efficiency, and security.
Correlation between Medical Record Completeness and Inpatient Length of Stay Efficiency Based on Secondary Data from Vertical Hospitals Sri Inti; Erike Yunicha Viridula; Rini Damayanti; Alfiah Ramadhani Amran
Research and Evidence on Knowledge in Administration and Management — Medical Electronic Data and Information Systems Vol. 1 No. 2 (2025): September, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/rekammedis.v1i2.303

Abstract

This study investigates the relationship between medical record completeness and inpatient Length of Stay (LOS) efficiency in Indonesian vertical hospitals managed by the Ministry of Health. Using a quantitative descriptive correlational design, data from 150 hospitals collected during 2023–2024 were analyzed. Pearson’s correlation analysis revealed a significant negative relationship (r = −0.62; p < 0.001), indicating that higher levels of medical record completeness are associated with shorter LOS. These results underscore the essential role of accurate and comprehensive documentation in improving clinical workflow, expediting decision-making, and enhancing hospital efficiency. The findings also highlight the importance of adopting Electronic Medical Records (EMR) and implementing continuous data audits to support quality improvement. Policymakers are encouraged to strengthen infrastructure, training, and digital transformation initiatives to ensure sustained improvements in national hospital performance.