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Journal : Formosa Journal of Multidisciplinary Research (FJMR)

Health Retention: Health Regulations and Archive Management Lilik Afifah; Rokhman Handoyo; Kalia Labitta Putri Alivia
Formosa Journal of Multidisciplinary Research Vol. 3 No. 6 (2024): June 2024
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/fjmr.v3i6.9463

Abstract

Medical records are documents containing patient identification data, examinations, treatments, actions, and other services provided to patients. The storage of medical records, which includes the creation and archiving of medical information, is considered crucial for improving service quality. In managing medical records, the destruction of medical records becomes one of the most important elements. Conventional medical record files are no longer efficient to use; therefore, the destruction of these medical record files is necessary. This study aims to analyze the legal aspects of destroying conventional medical record files in accordance with applicable regulations. The method used is descriptive qualitative with a normative legal research type, referring to the applicable regulatory approach. Results: Retention implementation according to health regulations and archive management still needs to be carried out to prevent accumulation and improve the quality of health services in hospitals. Conclusion: In the health ministerial regulations, laws, and archive regulations, there is an emphasis on the storage of medical records up to the retention activities. However, regulations regarding the retention of conventional medical record files are still limited or not detailed in the current regulations. Therefore, a clearer and more explicit regulation related to the retention or destruction of conventional medical records and their legal protection is needed.
Analysis of Factors Inhibiting the Implementation of Patient Medical Record Retention and Destruction Activities at Waluyo Jati Hospital Afifah, Lilik; Fitriyani, Endang; Pertiwi, Yunita Dwi
Formosa Journal of Multidisciplinary Research Vol. 3 No. 8 (2024): August 2024
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/fjmr.v3i8.10530

Abstract

Retention and destruction of medical record documents is a management aspect in health archives to reduce files that have been stored on the filling rack for a long time. This study aims to analyze the factors that hinder the implementation of retention and destruction of medical record documents at RSUD Waluyo Jati. Qualitative descriptive method was used to analyze these factors with data collection using the 5M approach. The results showed that the main obstacles were the lack of D3 Medical Record graduates and the lack of training related to document retention and destruction. RSUD Waluyo Jati does not have an SPO (Standard Operating Procedure) related to retention and planning document retention and destruction schedules and still uses the old ICU room to store inactive documents. Other problems include the lack of shredding and file transfer equipment, and the absence of a dedicated budget for these activities. The conclusion of this study emphasizes the importance of implementing retention and destruction of medical record documents in managing efficient archives. As a solution, efforts such as increased education and training for staff, the development of comprehensive SOPs, planning document retention schedules, improving infrastructure, collaboration with third parties, and proper budget allocation are needed to ensure the effectiveness of the medical record retention and destruction process.