Review Of Completeness in Filling Out the General Consent Form for Oncological Surgery Polyclinic Patients at Prof. Dr. I.G.N.G. Ngoerah Hospital

Main Article Content

I Nyoman Kuta Susila
Made Wahyu Aditya
I G.A.N. Putra Pradnyantara

Abstract

General consent is a general agreement given by a patient or their family to receive health services, which plays an important role in ensuring the validity of informed consent and legal protection for the hospital. Completeness of this form is crucial so that the information can be clearly understood by the patient and their family, and supports the accountability of health services. This study uses a quantitative method with a descriptive approach. The population used is the general consent documents of outpatients at the Oncology Surgery Clinic of Prof. Dr. I.G.N.G. Ngoerah General Hospital in October - December 2024, totaling 251 documents. The results showed that in the identification aspect, 245 documents (97.6%) were completely filled out. In the authentication aspect, 240 documents (95.6%) were completely filled out, but many still did not include the name of the registration officer. In the recording aspect, only 181 documents (72.1%) were completely filled out, especially the relationship variable with the patient which was often not filled out. Meanwhile, the reporting aspect showed 147 documents (68.6%) were complete, but the recording of the date variable was incomplete. The completeness of the general consent form for outpatients at the Surgical Oncology Clinic of Prof. Dr. I.G.N.G. Ngoerah General Hospital varies. The identification and authentication aspects have been completed well, but recording and reporting aspects require more attention to improve documentation quality and legal protection for the hospital.

Downloads

Download data is not yet available.

Article Details

How to Cite
I Nyoman Kuta Susila, Made Wahyu Aditya, & I G.A.N. Putra Pradnyantara. (2025). Review Of Completeness in Filling Out the General Consent Form for Oncological Surgery Polyclinic Patients at Prof. Dr. I.G.N.G. Ngoerah Hospital. International Journal of Health Engineering and Technology, 4(3). https://doi.org/10.55227/ijhet.v4i3.380
Section
Health

References

Peraturan Menteri RI.,”Peraturan Menteri Kesehatan Republik Indonesia Tentang Rekam Medis Nomor 24 Tahun 2022.”Jakarta,2022.

Kemenkes RI.,”Peraturan Menteri Kesehatan Republik Indonesia Nomor 3 Tahun 2020.”Jakarta,2020

Peraturan Menteri RI.,”Peraturan Menteri Kesehatan Republik Indonesia Tentang Rekam Medis Nomor 24 Tahun 2022.”Jakarta,2022.

Purnomo, M.,”Hubungan Kondisi Psikologis Penerima Persetujuan General Consent Dengan Pemahaman Tentang Hak Pasien Rumah Sakit Sesuai Undang-Undang Nomor 44 Tahun 2009 Pasal 32 di RS Aisyiyah Kudus Tahun 2016.” Indonesia Jurnal Perawat, 2(I), pp. 1–13,2017.

Presiden RI.,”Undang Undang Perlindungan Data Pribadi Tahun 2022.”Jakarta,2022.

Yadav, D.,”Criteria for good qualitative research : A comprehensive review.”The Asia-Pacific Education Researcher, 31(6), 679-689,2021.

Sugiyono.”Metode Penelitian Kuantitatif, Kualitatif, dan R&D.”Bandung: Alfabeta,2019.

Giyatno, & Rizkika, M.Y.,” Analisis Kuantitatif Kelengkapan Dokumen Rekam Medis Pasien Rawat Inap Dengan Diagnosa Fracture Femur Di RSUD DR. R.M. Djoelham Binjai.”Jurnal Ilmiah Perekam Dan Informasi Kesehatan Imelda (JIPIKI), 5(1), 62–71,2020.

Apriliani, L., & Gunawan, E.,”Analisis Kelengkapan Pengisian Rekam Medis Pasien Rawat Jalan Di PUSKESMAS Nagrak. Prepotif.”Jurnal Kesehatan Masyarakat, 8(3), 4744–4748,2024.

Wirajaya, Made Karma Maha and Dewi, Ni Made Umi Kartika.,”Analisis Ketidaklengkapan Rekam Medis Pasien Rawat Inap di Rumah Sakit Dharma Kerti Tabanan.”Jurnal ARSI : Administrasi Rumah Sakit Indonesia: Vol. 6: No. 1, Article 2,2019.