Kontribusi Kelengkapan Pengisian Formulir Rekonsiliasi Obat terhadap Penggunaan Obat Rasional pada Pasien Rawat Inap di RSU X Bekasi

Abstract

Drug reconciliation is needed to get rational treatment therapy. The purpose of this study was to analyze the relationship between the completeness of filling out the form of drug reconciliation and rational drug use at Bekasi X Hospital. The study design used a cross-sectional comparative study to compare between 56 completed drug reconciliation forms and 133 incomplete drug reconciliation forms. Sampling is done in total sampling. The research sample that fulfilled the inclusion criteria was 189 forms (40.6%) of all (466) drug reconciliation forms in November 2015-end April 2016 at X Hospital Bekasi. Data was analyzed using Chi-square test. The results showed that the largest percentage of filling out drug reconciliation forms was incomplete (70.4%), carried out by the pharmacist (56.1%) and not signed by a doctor (63.5%). Percentage of rational drug use by 7.9%, with details: correct diagnosis 53.4%, correct indication 53.4%, correct selection of medicine 33.9%, correct dosage 8.5%, exactly how to administer 37.6%, on time giving 13.8% and correct time giving 14.8%. There is no significant relationship between the completeness of filling out the drug reconciliation form, the types of health workers, the presence/absence of a doctor's signature and rational drug use in inpatients (p> 0.05).Tthere is no significant relationship between the completeness of filling out the reconciliation form and rational drug use in inpatients at Bekasi X Hospital (p> 0.05)

Factors of Incomplete Inpatient Medical Records Filling at Dr. H. Slamet Martodirdjo Regional General Hospital Pamekasan

“…The medication sheet/drug reconciliation is the part of the medical record that is most often incomplete. Similar to the research at X Hospital Bekasi, the incompleteness of drug reconciliation forms was as much as 70.4% (10). Likewise, research at Husada Hospital Jakarta showed 89% incompleteness in the drug reconciliation section (11).…”

“…Meanwhile, based on the Regulation of the Minister of Health Number 269 of 2008 article 2 concerning medical records, medical records must be made in handwriting or electronically, complete, and clear. Referring to the article, the completeness rate of medical records should reach 100% (5,(10)(11)(12).…”

“…It echoes the research results at Muhammadiyah Hospital Lamongan that the cause of the incomplete filling of medical records is the absence of monitoring and evaluation, so supervision on the process of medical record filling in the treatment room is not available. Research in a hospital in Ethiopia shows an increase in the percentage of completeness of medical record filling after intervention in the form of monitoring the medical record filling for health workers (10,12). According to the handbook on monitoring and evaluating for results, monitoring aims to measure or assess the performance process to achieve the expected output.…”