Abstract

Upper respiratory tract infections are generally caused by viruses, while lower respiratory tract infections can be caused by bacteria, viruses, and mycoplasma which sometimes require patients to be hospitalized. This study aims to study the completeness and accuracy of writing Integrated Patients Progress Notes(IPPN) with the Subjective Objective Assessment Plan (SOAP) method made by hospital pharmacists. This study is a retrospective study, with a purposive sampling technique and results are analyzed descriptively. Data were taken from the medical records of patients with lower respiratory tract infections who were hospitalized in the Very Important People (VIP) room of Hospital X in Kampar Regency, Riau Province, Indonesia from 2019 to May 2020. 20 IPPNs were obtained, but only 16 met the inclusion criteria. The results showed that there were 3 (18.75%) IPPN data that were filled in completely, and the accuracy of writing that was declared correct was 2 (12.5%). It is hoped that pharmacists can improve their knowledge of writing SOAP in IPPN better.

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