Kelengkapan Pengisian Informed Consent Pada Delinguent Medical Record Pasien Rawat Inap Di RS X Jakarta

Authors

  • Rianta Sari Gultom Universitas Esa Unggul
  • Laela Indawati Universitas Esa Unggul
  • Deasy Rosmala Dewi Universitas Esa Unggul
  • Nanda Aula Romana Universitas Esa Unggul

DOI:

https://doi.org/10.55123/sehatmas.v1i2.106

Keywords:

Informed Consent, Completeness, Quantitative

Abstract

Informed consent is the consent that a patient gives to a doctor to perform a medical action after the patient receives a complete and understood explanation of the medical action. The purpose of this study is to find out the completeness of filling informed consent of inpatients at Hospital X South Jakarta, the type of research used is quantitative descriptive with a population of 353 and a sample of 78 inpatient medical records in the period October-December 2020. The method of data collection is Observation and Interview, following the results of research that has been conducted at Hospital X South Jakarta on 78 medical records known percentage average value based on 4 components, namely completeness 82% and incomplete 18%. Filling of patient identification components averages the percentage of completeness (89%), completeness of filling important report components 90%, completeness of filling the author authentication component (73%), completeness of filling of good note components (63%). Factors causing the incompleteness of informed consent are, the absence of standards of special operational procedures governing the filling of informed consent, doctors and nurses are busy due to the number of patients so that it is not fully filled, and the number of patients who do not have or bring witnesses / families when going to approve medical actions, this makes incompleteness in informed consent. With this, it is expected that the creation of SPO and socialization about filling the completeness of informed consent to be improved again.

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References

Arimbi, Aditya Dwi, Indah Muflihatin, and Niyalatul Muna. 2012. “Analisis Kuantitatif Kelengkapan Pengisian Formulir Informed Consent Rumkital Dr. Ramelan Surabaya.” Rekam Medik Dan Informasi Kesehatan 2(2):221–29.

Depkes RI. 2008. “Keputusan Kementerian Kesehatan Nomor 129 Tahun 2008.”

Herfiyanti, Leni. 2015. “Kelengkapan Informed Consent Tindakan Bedah Menunjang Akreditasi Jci Standar Hpk 6 Pasien Orthopedi.” Jurnal Manajemen Informasi Kesehatan Indonesia 3(2):81–88.

Kemenkes RI. 2008a. “Peraturan Menteri Kesehatan Republik Indonesia Nomor 269/Menkes/Per/III/2008 Tentang Rekam Medis.”

Kemenkes RI. 2008b. “Persetujuan Tindakan Kedokteran.” Peraturan Menteri Kesehatan Republik Indonesia Nomor 290/MENKES/PER/III/2008 Tentang Persetujuan Tindakan Kedokteran 10.

Pemerintahan Indonesia. 2009. “Tentang Rumah Sakit.” Undang - Undang Republik Indonesia Nomor 44 Tahun 2009 Tentang Rumah Sakit.

Ulfa, H. M. 2018. “Analisa Kelengkapan Informed Consent Tindakan Operasi Di Rumah Sakit Sansani Pekanbaru.” Indonesian of Health Information Management (13).

Widjaja, Lily. 2018. “Manajemen Mutu Informasi Kesehatan.” 283.

Astutik, R.Y. (2014) Payudaradan Laktasi. Jakarta : Salemba Medika

Astuti Sri.(2015). Asuhan Nifas dan Menyusui. Erlangga. Jakarta

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Published

2022-04-27

How to Cite

Sari Gultom, R., Laela Indawati, Deasy Rosmala Dewi, & Nanda Aula Romana. (2022). Kelengkapan Pengisian Informed Consent Pada Delinguent Medical Record Pasien Rawat Inap Di RS X Jakarta. SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat, 1(2), 151–156. https://doi.org/10.55123/sehatmas.v1i2.106

Issue

Vol. 1 No. 2 (2022): April 2022

Section

Articles

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Copyright (c) 2022 Rianta Sari Gultom

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