Analisis Ketidaklengkapan Pengisian Lembar Informed Consent Pasien Bedah di Rumah Sakit Tk. III dr. Reksodiwiryo Padang

Dewi Oktavia
2020 Jurnal Manajemen Informasi Kesehatan Indonesia  
One indicator of the minimum standards service medical record is the complete filling of an informed consent sheet of 100%. Based on the initial survey at the 3rd Level Hospital of Dr.Reksodiwiryo Padang, it was found that from the 20 informed consent sheets, the average number of incomplete informed consent forms was 29%. The purpose of this study was to determine the number of completeness and causes of incomplete filling of surgical patients' informed consent sheets at the 3rd Level Hospital
more » ... 3rd Level Hospital of Dr.Reksodiwiryo Padang. This study is a mixed methods research with sequential explanatory design carried out at the 3rd Level Hospital of Dr.Reksodiwiryo Padang in March to July 2017. In quantitative research, the sampling technique was simply random sampling, sample number 67, and the analysis used was descriptive. While the qualitative research technique for determining informants was used by purposive sampling, the number of informants was 15 people, and the analysis used content analysis techniques. The results of quantitative research obtained an average informed consent score of 66,3% optimal and the process in the implementation of the medical record has not been implemented properly. The conclusion of this study is the number of completeness in filling out the information sheet of the medical record has not reached the SPM medical record in the hospital. This is because the implementation of the medical record service system is not optimal. Abstrak Salah satu indikator Standar Pelayanan Minimal (SPM) rekam medis adalah kelengkapan pengisian lembar informed consent sebesar 100%. Berdasarkan survey awal di Rumah Sakit Tk.III dr.Reksodiwiryo Padang ditemukan bahwa dari 20 lembar informed consent rata-rata angka ketidaklengkapan pengisian lembar informed consent sebesar 29%. Tujuan penelitian ini adalah untuk mengetahui angka kelengkapan dan penyebab ketidaklengkapan pengisian lembar Informed consent pasien bedah di Rumah Sakit Tingkat III. dr.Reksodiwiryo Padang. Penelitian ini merupakan penelitian kombinasi (mixed methods research) dengan desain sequential explanatory yang dilaksanakan di Rumah Sakit Tk.III dr. Reksodiwiryo Padang pada bulan Maret sampai dengan Juli 2017. Pada penelitian kuantitatif, teknik pengambilan sampel dengan simple random sampling, jumlah sampel 67, dan analisis yang digunakan deskriptif. Sedangkan penelitian kualitatif teknik penentuan informan yang digunakan secara purposive sampling, jumlah informan 15 orang, dan analisis yang digunakan tekhnik analisis isi. Hasil penelitian kuantitatif diperoleh rata-rata angka kelengkapan informed consent diperoleh 66,3%. Hasil Penelitian kualitatif diperoleh input penyelenggaraan sistem pelayanan rekam medis belum optimal dan proses dalam pelaksanaan rekam medis belum terlaksana dengan baik. Kesimpulan penelitian ini adalah angka kelengkapan pengisian lembar Informed Consent rekam medis belum mencapai SPM rekam medis di rumah sakit. Hal ini disebabkan karena penyelenggaraan sistem pelayanan rekam medis belum optimal.
doi:10.33560/jmiki.v8i1.246 fatcat:np42apitznhuvew2d6bhexvgry