Management of inactive medical record document storage in accordance with the provisions of the Archival Law number 43 of 2009 Article 48 is an active archive that is stored for 2 years and the archive is inactive for 5 years, destruction of files outside of the procedure is an inappropriate act. Inactive medical record document sorting for general disease groups in dr. H. Soewondo Kendal experienced a file loss of 4.41%, the default file was miss 0%. This study aims to analyze the management of inactive medical record documents for the preparation of legal use values. This type of research is qualitative research with a cross-sectional approach through observation and interviews. The results showed that the arrangement of inactive medical record documents was grouped by type of disease according to the archive retention schedule so that they could be easily and quickly tracked and retrieved. While the archive retention schedule per disease group is to determine the length of storage so that the standard procedure for organizing medical record documents that are not actively reviewed is legally useful. Management of inactive medical record documents needs to be supported by resources in the form of standard structuring procedures in addition to archive retention schedules. This procedure should be set forth in the input, process and output standards as a guideline for filing officers. Technical guidance is needed so that the archivist's understanding of inactive file management is uniform, so as to reduce the incidence of misfiles.
Objective: Hospitals are legally responsible for the excellent service quality provided to patients based on statutory provisions. Hospital responsibilities in health services include criminal, civil and administrative liability. This study aims to determine the responsibility of the hospital in documenting medical resumes. Methods: The research method used is literature review, through review of research journals related to the completeness of medical resumes that have been published on accredited journal platforms in 2010-2020. This research was conducted in August-October 2020. Results: Analysis of 20 research journals relating to the completeness of medical resumes in the reviewed hospitals, it is known that the completeness of medical resume documents in the hospital is on average 75.80% Only 2 hospitals out of 20 hospitals documented medical resumes in accordance with the minimum hospital service standards. Based on the prevailing laws and regulations, the hospital is not criminally responsible for the incomplete documentation of medical resume, but the hospital is responsible civilian based on the principle of representative responsibility and administratively. Conclusion: The hospital has not optimally documented medical resumes in accordance with the minimum hospital service standards. As a result, the hospital is both civilly and administratively liable. Supervision of the doctor's performance in documenting medical resumes and the role of the medical record committee in ensuring medical staff complete all medical records of patients served is required.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.