(KTI) REVIEW OF THE QUANTITATIVE ANALYSIS OF THE AUTHENTICATION COMPONENT OF ELECTRONIC MEDICAL RECORDS ON OUTPATIENTS AT CIREBON MUHAMMADIYAH HOSPITAL

Electronic Medical Records (EMRs) are essential systems that support fast,
accurate, and secure healthcare services. One of the key elements in EMRs is
authentication, which serves as proof of the legitimacy of medical data entries by
authorized healthcare professionals. This study aimed to conduct a quantitative analysis
review of authentication components in EMRs for outpatients at Muhammadiyah Hospital
Cirebon.
The study employed a descriptive quantitative method by observing 87 EMR
documents collected from January to March 2025 using a structured checklist. The
authentication components assessed include the doctor’s name, doctor’s
barcode/signature, and service date. The results showed that 71.3% of documents had
complete authentication, while 28.7% were incomplete. The components of the doctor’s
name and barcode/signature achieved 100% completeness, while the service date
component was only 71.8%.
Incomplete authentication may impact the legal validity of the document, hinder
hospital administrative processes, and lead to rejections in BPJS claim submissions.
Contributing factors to incompleteness include high workload among medical staff and
lack of awareness regarding proper documentation practices. This study highlights the
need for better compliance in completing authentication components in EMRs. It is
expected to serve as a reference for improving hospital documentation systems and
ensuring that medical records are accurate, complete, and timely, in support of patient
safety and hospital accreditation standards.
The conclusion of this study indicates that the completeness of authentication in
electronic medical record documents has not yet reached 100%. It is recommended that
Healthcare Providers (HCPs) comply with authentication procedures when completing
the medical resume section of electronic medical records to minimize incomplete
documentation and enhance the quality of hospital services.