Internal Transfer Form aims to source important information data when transferring patients from a service unit or room to another room. Incomplete information input can cause communication errors between health workers in providing services to patients. This study used a quantitative method where researchers looked at the completeness of filling out the internal transfer form at the Imelda Pekerja Indonesia Medan General Hospital and how it conformed to Hospital Accreditation Standard No.1128, Year 2022 with a sample of 99 forms. This study starts from April to September 2023. The sampling technique used is probabiity sampling by means of simple random sampling using a check-list sheet instrument. The lowest percentage of form filling incompleteness was found in the "Procedures Performed" component, as many as 7 forms with a percentage (7.1%) of 99 forms, followed by the component "Reasons for Admission and Other Care Patients Have Received", as many as 5 forms (5.1%), the "Significant Findings" component as many as 2 forms (2%), and the "Medicines" component as many as 1 form (1%). The completeness of filling out forms with the highest percentage was found in the component "Diagnosis and Condition of Patients at Transfer", as many as 99 forms with a percentage (100%). Of the 99 samples of internal transfer forms at Imelda Medan Hospital, 18 forms were found to be incomplete with a percentage (18.2%) and 81 forms that were filled out completely (81.8%).
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