INDIKATOR MUTU
INDIKATOR MUTU RUMAH SAKIT JANUARI SD JUNI 2023
| No | INDIKATOR | NILAI STANDAR | JAN | FEB | MAR | APR | MEI | JUN | RERATA | KRITERIA |
|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Kepatuhan identifikasi pasien | 100% | 100% | 100% | 100% | 96% | 100% | 100% | 99.2% | Belum Tercapai |
| 2 | Waktu tanggap pelayanan dokter gawat darurat pada pasien maternal-neontaln | 100% | 98% | 98% | 100% | 100% | 100% | 100% | 99.2% | Belum Tercapai |
| 3 | Kepatuhan dokter spesialis terhadap jam visit | > 80% | 76% | 76% | 100% | 54% | 52% | 88% | 71.6% | Belum Tercapai |
| 4 | Kepatuhan Pasien | > 76,6% | 100% | 100% | 100% | 100% | 99% | 85% | 99.8% | Tercapai |
| 5 | Kesesuaian stok obat dengan fisik obat | > 80% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | Tercapai |
INDIKATOR MUTU NASIONAL JANUARI SD JUNI 2023
| No | INDIKATOR | NILAI STANDAR | JAN | FEB | MAR | APR | MEI | JUN | RERATA | KRITERIA |
|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Kepatuhan identifikasi pasien | 100% | 100% | 100% | 100% | 98% | 100% | 100% | 99.6% | Tercapai |
| 2 | Waktu Tanggap Operasi SeksioSesarea Emergensi | > 80% | 80% | 100% | 100% | 100% | 80% | 80% | 92% | Tercapai |
| 3 | Waktu Tunggu Rawat Jalan | >= 80% | 100% | 100% | 100% | 100% | 20% | 88% | 84% | Tercapai |
| 4 | Penundaan Operasi Elektif | < 5% | 0% | 0% | 0% | 0% | 0% | 0% | 0% | Tercapai |
| 5 | Kepatuhan Visit Dokter Spesialis | >= 80% | 76% | 76% | 36% | 32% | 43% | 88% | 52.6% | Belum Tercapai |
| 6 | Pelaporan Hasil Kritis Laboratorium | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | Tercapai |
| 7 | Kepatuhan Penggunaan Formularium Nasional | > 80% | 100% | 100% | 100% | 80% | 100% | 100% | 96% | Tercapai |
| 8 | Kepatuhan Kebersihan Tangan | >= 85% | 100% | 100% | 100% | 0% | 100% | 100% | 80% | Belum Tercapai |
| 9 | Kepatuhan Terhadap Clinical Pathway (KTCP) | >= 80% | 100% | 100% | 100% | 52% | 60% | 88% | 82.4% | Tercapai |
| 10 | Kepatuhan Upaya Pencegahan Resiko Pasien Jatuh | 100% | 100% | 100% | 100% | 0% | 100% | 100% | 80% | Belum Tercapai |
| 11 | Kepuasan Pasien dan Keluarga | > 76,6% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | Tercapai |
| 12 | Kecepatan Waktu Tanggap Komplain | >= 80% | 45% | 67% | 80% | 0% | 100% | 83% | 58.4% | Belum Tercapai |
| 13 | Kepatuhan Penggunaan Alat Pelindung Diri (APD) | 100% | 98% | 100% | 100% | 99% | 100% | 100% | 99.4% | Tercapai |
