Optimization of Medical Record Services Based on the Preparation of Standard Operating Procedures at Dr. Hudiono Air Force Hospital, Indonesia

Abstract

The impact of improving health status can only be achieved, if the inpatient medical record administration service system is in accordance with the principal elements which must be passed and based on the implementation design which has been developed. This was a qualitative descriptive research with some data collection techniques, such as interviews, observations, and supporting data. The data analysis consisted of 3 stages; they were data reduction, data presentation, and conclusion drawing/verification. Good management of medical record services was ont only for being able to provide appropriate services to patient expectations, but also for providing a service information system based on certainty, accuracy and speed. Dr. Hudiono Air force Hospital is still using manual systems to record, number and store medical records and having an impact on tracing documents.