Monitoring Analysis of Filling The Informed Consent of Blood Transfusion
Ati Rusyda Ruhana(1*), Vivi Yosafianti Pohan(2), Tri Hartiti(3)
(1) Master of Nursing, Universitas Muhammadiyah Semarang (2) Universitas Muhammadiyah Semarang (3) Universitas Muhammadiyah Semarang (*) Corresponding Author
Abstract
Informed consent is evidence of the accountability of health service providers in the hospital. it is carried out in every carrying out the procedure of actions that have the risk of causing disability or death. Incomplete documentation of patient informed consent can reduce the quality of hospital services. the implementation of informed consent documentation in hospitals often faces obstacles. this is due to the lack of human resources and the high workload available. This case study aims to determine the filling of informed consent documentation in the patient's blood transfusion. This study uses interviews, observation and document study by developing approaches to the nursing management function, organizing functions, personnel, direction, supervision, care management, logistics management, quality assurance programs and patient safety. The results showed that in one month there were 20 patients with blood transfusions, and 11 out of 20 patients did not have informed consent. The problem that arises is the incomplete documentation of medical records at the time of carrying out blood transfusions to patients. Supervision that is not optimal is the cause of this problem.
Depkes. Standar Tenaga Keperawatan di Rumah Sakit. Edisi ke-1. RI DD, editor. Direktorat Pelayanan Medik; 2002.
Priharjo R. Praktek Keperawatan Profesional : Konsep Dasar dan Hukum. Jakarta: EGC; 2008.
Gillies D. Nursing Management : a System Approach. Philadhelpia: W.B. Saunders; 2004.
Samino S. Kelengkapan Pengisian Dokumen Informed Consent Di Provinsi Lampung 2013. J Dunia Kesmas. 2015;4(1).
Purnama SA, Sary L. Perspektif Hukum: Kelengkapan Pengisian Formulir Informed Consent Di Ruang Rawat Inap Bedah RSUD Menggala Kabupaten Tulang Bawang Provinsi Lampung Tahun 2014. J Dunia Kesmas. 2015;4(1).
Gong N, Zhou Y, Cheng Y, Chen X, Li X, Wang X, et al. Practice of informed consent in Guangdong, China: A qualitative study from the perspective of in-hospital patients. BMJ Open. 2018 Oct;8(10):20658.
Bowers N, Eisenberg N, Jaskolka J, Roche-Nagle G. Using a Multimedia Presentation to Improve Patient Understanding and Satisfaction With Informed Consent for Minimally Invasive Vascular Procedures: A Pilot Study. J Vasc Surg. 2013 May;57(5):59S-60S.
Hasibuan AS, Sasmita D. Faktor-Faktor Penyebab Ketidaklengkapan Pengisian Informed Consent Di Rumah Sakit Kesrem Binjai Tahun 2017. JIPKI. 2017;
Susanto DP, Pratama BS, Hariyanto T. Analisis Faktor -Faktor yang Mempengaruhi Pemahaman Pasien terhadap Informed Consent di Rumah Sakit. J Manaj Kesehat Indones. 2017 Aug;5(2):73–81.
Fatihah DC, Darmawanti N. Pengaruh Kepemimpinan Dan Komunikasi Terhadap Motivasi Serta Dampaknya Pada Kinerja Perawat Di RS AMN Subang PTPN VIII. J E-Bis. 2018 Jul;2(1):35–52.