PENGARUH IMPLEMENTASI REKAM MEDIS ELEKTRONIK TERHADAP WAKTU TUNGGU RAWAT JALAN REGULER DI RS HERMINA SOLO

Fitri Ayu Rachmawati (Program Pascasarjana Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada)
Guardian Yoki Sanjaya (Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada)
Firman (Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada)

Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management)
Vol 26 No 2 (2023)

Background: Patient complaints related to the long waiting time for medical record files in the outpatient installation of regular polyclinics at Hermina Solo Hospital increased from January to June 2022, and the average patient waiting time was 3 hours and 30 minutes in the same period. There were delays in sending patient data. There are medical record files that are not found during searches and cause doctor complaints; these also impact doctor services related to illegible data or writing, which risks causing patient safety incidents. Objectives: The general objective of this study was to identify the effect of electronic medical record implementation on polyclinic outpatient waiting times. The specific objectives were to identify the effect of electronic medical records on waiting time, waiting time for doctor’s examination, and waiting time for drugs at the pharmacy.Methods: This quantitative research with an analytic observational design through a retrospective cohort approach using the t-test. With the stratified random sampling method, the number of samples before 207 and after 207 samples were carried out from May 2, 2023, to June 5, 2023, at Hermina Solo Hospital in 12 outpatient examination rooms. The research variables were total outpatient waiting time, pharmacy waiting time, and doctor waiting time.Results: Total waiting time after EMR implementation is better than before, namely before 200,21 minutes after 140,87 minutes (p-value 0.000<0.05). Waiting time for doctors before 97,96 minutes and after 88,30 minutes (p-value 0.000<0.05) and waiting time for pharmaceutical services before 72,42 minutes and after 66,97 minutes (p-value 0.035<0.05). The results of the t-test statistical test showed that the effect of EMR on waiting time was significant. Ophthalmologic, urology, orthopedic, and dental departments have a longer waiting time, averaging 105,64 minutes. Conclusion: EMR reduces total outpatient waiting time for doctors and pharmacies. The effect of EMR implementation in outpatient can reduce the number of complaints and increase patient satisfaction.