IMPLEMENTATION OF FULFILLING IN THE INPATIENT INFORMED CONSENT FORM TO SUPPORT THE SNARS HPK 6.4

Abstract

The implementation of filling out medical record files based on the Minister of Health Regulation must be complete and clear as well as filling out the informed consent form. Prior to examination, treatment, and medical action, the patient must first request consent. It is very important to have informed consent because it relates to the right of each person to self-determination, the right to health and the right to information, but in practice there is an incomplete form of informed consent. The purpose of this study was to obtain an overview of the implementation of filling out the informed consent form in inpatients to support the SNARS HPK 6.4 assessment at Hospital X. The research method used was descriptive research with a quantitative approach. Data collection techniques used were interviews, questionnaires, and literature study related to the subject matter. The population in the first quarter was 237 files with a sample size of 70 medical record files and 33 medical personnel. The results showed that the completeness of the patient's identity was 100%, while the incomplete identity of the person in charge was 11.42%, the contents of the information were 8.57%, the doctor's signature was 5.71%, the patient's signature was 4.28%, the patient's witness signature was as much as 27.14% and the signature of the hospital witnesses as much as 7.14%. The assessment of the HPK 6.4 accreditation standard was obtained by 75%, there were 2 elements that were not completely fulfilled. This can be caused by several factors, namely still not in accordance with standard operating procedures (SOP) and then still not completely filled in, namely the identity of the person in charge of the patient, the contents of information, and authentication. So it can be concluded that the implementation of filling out the informed consent form for inpatients to support the assessment of SNARS HPK 6.4 at Hospital X is not in accordance with the standards listed in the Minister of Health Regulation, because there are still components that are not completely filled in, and the SNARS assessment for HPK 6.4 elements is new. partially accomplished.