| dc.description.abstract | The management of medical records is a crucial component of the hospital information system, especially in the file loan process, which supports the continuity of healthcare services and legal aspects. This Final Project was conducted at the Archives Unit of Universitas Sumatera Utara Hospital. The objective of this research is to examine the procedure for borrowing medical records carried out at the hospital, specifically concerning workflow, documentation, tracking, encountered challenges, as well as staff understanding of the Standard Operating Procedures (SOP). The research method used is a qualitative descriptive method with data collection techniques in the form of interviews, observation, and documentation. The research findings indicate that: 1) The loan procedure still utilizes a manual system using a register book and tracer forms. 2) The loan process flow involves requests from relevant units, a record search by the staff, documentation, and the return of the documents. 3) The main challenges found are delayed returns, lost files, and the absence of a digital tracking system. 4) Staff strive to follow procedures in accordance with the SOP; however, regular training and periodic evaluations are not yet available. 5) Document security is maintained through a system of accountability and a requirement for notarized power of attorney letters from external parties. Therefore, the medical record loan procedure at Universitas Sumatra Utara Hospital requires system strengthening and improved human resource capacity to enhance service effectiveness. | en_US |
