Jurnal An-Najat: Jurnal Ilmu Farmasi dan Kesehatan
Vol. 4 No. 2 (2026): Mei : An-Najat: Jurnal Ilmu Farmasi dan Kesehatan

ANALISIS KEPATUHAN PENGISIAN REKAM MEDIS ELEKTRONIK PADA FORMULIR INFORMED CONSENT PASIEN OPERASI DI RUMAH SAKIT AZRA

Sheftyzuani Minur (Politeknik Piksi Ganesha)
Irda Sari (Politeknik Piksi Ganesha)



Article Info

Publish Date
30 May 2026

Abstract

Completion of surgical informed consent forms is an important component of the Electronic Medical Record (EMR) because it relates to administrative aspects, quality of care, and legal protection. However, incomplete entries in several components of the surgical informed consent form were still found at Azra Hospital. This study aimed to determine the compliance rate of surgical informed consent form completion in the EMR at Azra Hospital for the period January – March 2026 based on the completeness of each form component. A descriptive quantitative method with total sampling was used, including 131 surgical informed consent forms. Data were obtained from form recapitulation in Microsoft Excel and the Teramedik application. The results showed that the compliance rate for completing surgical informed consent forms was categorized as good. The component with the highest completeness rate was the patient’s signature at 97,71%, while the lowest completeness rate was found in the family witness name at 78,63%. The study concluded that compliance in completing surgical informed consent forms at Azra Hospital is generally good, but improvement is needed for certain components, particularly the name and signature of the family witness, so that all forms are fully completed according to regulations.

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Journal Info

Abbrev

an-Najat

Publisher

Subject

Dentistry Health Professions Nursing Public Health Veterinary

Description

Farmasi Klinis; Farmasi Sosial;Farmasi Klinikal;Farmasi Industri;Farmasi Kesehatan Masyarakat;Farmasi Klinik;Farmasi Komunitas;Farmasi Klinikal dan Sosial;Ilmu Biomedis;Epidemiologi;Kesehatan Masyarakat;Kedokteran;Gizi;Psikologi Kesehatan;K3;Manajemen ...