Analysis of Pharmacist Integrated Patient Progress Notes (IPPN) on Community-Acquired Pneumonia (CAP) Hospitalized Patients in the Pulmonary Department at Hospital X

Monitoring drug therapy is one part of the standard of pharmaceutical services in hospitals which is the responsibility of pharmacists in their documentation efforts through Integrated Patient Progress Notes (IPPN). The method of writing patient development notes in the form of subjective, objective, assessment, and plan data. The suitability of filling Subjective, Objective, Assessment, and Plan (SOAP) is essential because it is a means of communication, coordination, or collaboration between health professionals in providing services to patients, to prevent errors and repetition of information, and also help health professionals in time management. This study aims to analyze the completeness and accuracy of IPPN filling by pharmacists in patients with Community-Acquired Pneumonia (CAP) in the Pulmonary Department of Hospital X in Padang City, West Sumatra, Indonesia. This research method was conducted descriptively and qualitatively with a case study approach and retrospective. Data collection from patient medical records during 2018. The results showed, from a total of 141 medical records from the pulmonary department, only 31 met the inclusion criteria. The results analysis of the completeness of IPPN writing by pharmacists, namely 7 IPPN (22.6%) were written completely. The results of study accuracy of IPPN writing by pharmacists, namely there is no IPPN (0%) written correctly.