<p>How to Optimize Integrated Patient Progress Notes: A Multidisciplinary Focus Group Study in Indonesia</p>

Abstract

Introduction: Hospitals in Indonesia are obligated to implement Integrated Patient Progress Notes (IPPNs), also known as the "Catatan Perkembangan Pasien Terintegrasi". A progress note contains the entire interaction between patients and health professionals, including physicians, nurses, pharmacists, dietitians, and physiotherapists. However, since the first launch in 2012, obstacles and problems in completing this integrated documentation remains nationwide. Aim: The objective of this investigation was to identify health professional's perspectives on obstacles and problems using IPPNs and facilitators that may optimize their use. Methods: Five focus group discussions (FGDs) involving 37 participants took place. All FGDs were recorded, translated, and transcribed verbatim. A thematic analysis was used to interpret the data. Results: The thematic analysis of the material revealed three main categories for each of the two topics; Topic 1. Perceived problems hindering integrated documentation: lack of supervision, competence, workload; topic 2: perceived strategies to optimize integrated documentation: organizational support, joint practices, integrating technology with IPPN. Conclusion: The results indicate that health professionals see the importance of using IPPNs but only if implemented with educational and organizational support and that the use of an electronic patient record may be more effective than a paper record. To continue the implementation of IPPNs, it is suggested that it is preceded by educational and organizational support.

Adjustment of In-Depth Interview and Focus Group Discussion Guidelines for Disaster Victims Evacuation Model Development with Corona Virus Disease 2019 Pandemic

“…Guidelines for collecting qualitative research data as a product of this study were made to be a reference and guide for researchers in the process of collecting data in finding content. (Kamil, H;at., al, 2020) which is the target of exploration (Raingruber, 2014). In practice, the researcher will consistently improve the questions until the data collection process reaches saturation (Achmad Rizal H. Bisjoe, 2018) and in accordance with the concept of data collection (Renz, Carrington, & Badger, 2018).…”

<p>Exploring Health Professionals’ Perceptions on Health-ID, an Electronic Integrated Patient Progress Documentation System: A Qualitative Study in Indonesia</p>

“…Hospital staff stated that the responsibilities they have for patients made them less likely to have time to do proper documentation. 8 In addition, inadequate competencies, lack of supervision, inaccuracy of timely documentation, and inconclusive yet irrelevant notes between health providers were among the issues found during the implementation of the integrated patient progress documentation sheets. [8][9][10] The issues presented here with the use of paper-based patient documentation are prevalent in the literature.…”

“…8 In addition, inadequate competencies, lack of supervision, inaccuracy of timely documentation, and inconclusive yet irrelevant notes between health providers were among the issues found during the implementation of the integrated patient progress documentation sheets. [8][9][10] The issues presented here with the use of paper-based patient documentation are prevalent in the literature. With paper-based documentation, standards and requirements for high-quality documentation and communication among health professionals are lacking.…”

“…In addition, mistakes such as incorrect procedure, missing names and signatures of the care provider, and delayed time of verification were also prevalent in the patient progress documentation sheets that were evaluated. 8,10 Possible solutions using technology were agreed upon among the health professionals to tackle such problems. 8 Before the software system design stage, several focus group discussions (FGDs) and interviews took place with various health professionals.…”

“…8,10 Possible solutions using technology were agreed upon among the health professionals to tackle such problems. 8 Before the software system design stage, several focus group discussions (FGDs) and interviews took place with various health professionals. We developed the system using a bottom-up approach, in preference to a top-down approach, to ensure that the software met the needs of the end users, the health professionals themselves.…”