An Assessment of Medical Records in the San Juan Medical Center: A Basis for Improved Patients Care and Treatment

Abstract

Assessment of Medical Records Management in San Juan Medical Center: Basis for Improved Patient Care and Treatment Medical Records are essential assets in ensuring that hospitals are run effectively and efficiently. The clinical support decision-making, provide an attestation of policies and support the hospitals in cases of legal action. The study explained the concept, types, and significance of medical records, taking into consideration the challenges affecting the files as a whole. Hospitals deal with the life and health of their patient. Without accurate, comprehensive, up-to-date, and accessible medical records, medical personnel may not offer the best treatment or may misdiagnose a condition, which can have serious consequences. This research mainly aims to assess the current medical records management in the San Juan Medical Center based on the perceptions and problems encountered by the respondents. It also seeks to identify the readiness of the City Government of San Juan, the acceptability, effectivity, and efficiency of adopting new medical records management system. Moreover, it seeks to recommend solutions to formulate a better policy that will assess the current medical records management in SJMC, to solve the existing problems and to improve the medical records management. The researcher used the descriptive qualitative and quantitative method of research tosatisfy the objectives of this study. The researcher began with quantitative data gathering by way of conducting a survey. The result of the survey was processed by computing the percentage and weighted mean. For data interpretation, the results were thencompared through the Likert Scale. Findings revealed that there are existing problems with the current medical records management system of San Juan Medical Center that needs to be attended for the improvement.