AUDIT KEPATUHAN PEMBERSIHAN, DESINFEKSI

STERILISASI INSTRUMEN
JULI 2015
NO

TANGGAL

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38

1/7/2017
1/7/2015
2/7/2015
2/7/2015
3/7/2015
3/7/2015
4/7/2015
4/7/2015
6/7/2015
6/7/2015
8/7/2015
8/7/2015
9/7/2015
9/7/2015
10/7/2015
10/7/2015
11/7/2015
11/7/2015
13/7/2015
13/7/2015
14/7/2015
14/7/2015
15/7/2015
15/7/2015
16/7/2015
16/7/2015
16/7/2015
16/7/2015
21/7/2015
21/7/2015
22/7/2015
22/7/2015
23/7/2015
23/7/2015
24/7/2015
24/7/2015
25/7/2015
25/7/2015

RUANGAN
CSSD
P Bedah
p gigi
IGD
IMC
marwah
multazam
CSSD
ibnu sina
marwah
poli gigi
IMC
shofa
ICU
muzdalifah
sakinah
marwah
zam zam
sakinah
arafah
poli bedah
CSSD
arafah
ibnu sina
multazam
IGD
marwah
arafah
marwah
poli bedah
multazam
poli gigi
CSSD
raudah
ibnu sina
sakinah
muzdalifah
shofa

HASIL (%)

I
88,8 66,9
59
89
86
86
64
62
81
62
67,5
89
89
86,4
75
67
62
59
75
62
67,5
83,5
83,5
81
78,4
75,5
73
70.3
73
70
64.5
56.5
75.6
89
78
75.6
70
70.2
67.5

MINGGU (%)
II
III
IV

66,9

71,8

39
40
41
42
43
44
45
46
47
48
49
50

27/7/2015
27/7/2015
28/7/2015
28/7/2015
29/7/2015
29/7/2015
30/7/2015
30/7/2015
31/7/2015
31/7/2015
31/7/2015
31/7/2015

zam zam
ICU
IGD
poli kulit
poli mata
arafah
raudah
multazam
IMC
kamar bayi
sakinah
zam zam

67
59
72
45
43
70
59.5
59
70
57
48
51

58,4

AUDIT KEPATUHAN PEMBERSIHAN, DESINFEKSI

STERILISASI INSTRUMEN
AGUSTUS 2015
NO
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24

TANGGAL
1/8/2015
1/8/2015
2/8/2015
2/8/2015
3/8/2015
3/8/2015
4/8/2015
4/8/2015
5/8/2015
5/8/2015
6/8/2015
6/8/2015
7/8/2015
7/8/2015
8/8/2015
8/8/2015
9/8/2015
9/8/2015
10/8/2015
10/8/2015
11/8/2015
11/8/2015
12/8/2015
12/8/2015

RUANGAN

HASIL (%)

shofa
sakinah
arafah
multazam
ICU
sakinah
poli bedah
IGD
IMC
kamar bayi
IBS
poli kulit
marwah
poli mata
muzdalifah
zam zam
marwah
IMC
raudah
sakinah
arafah
muzdalifah
marwah
shofa

75
83
89
56
67
67
67
67
78
67
86
62
70
70
70
81
59.4
81
62
64.8
64.8
62
62.1
89

MINGGU (%)
II
III
IV

I
72

70,5

25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50

13/8/2015
13/8/2015
14/8/2015
14/8/2015
15/8/2015
15/8/2015
16/8/2015
16/8/2015
17/8/2015
17/8/2015
18/8/2015
18/8/2015
19/8/2015
19/8/2015
20/8/2015
20/8/2015
21/8/2015
21/8/2015
22/8/2015
22/8/2015
23/8/2015
24/8/2015
25/8/2015
26/8/2015
27/8/2015
28/8/2015

zam zam
IGD
IBS
zam zam
multazam
poli gigi
muzdalifah
poli THT
raudah
arafah
sakinah
poli mata
multazam
VK
IBS
poli bedah
ibnu sina
sakinah
IMC
multazam
muzdalifah
CSSD
raudah
IMC
ibnu sina
sakinah

86
65
89
89
51
86
68
70
62.1
67.5
70.2
67.5
64.8
84
89
64,8
78
70.2
84
67.5
67.5
96
67.5
81
84
67.5

72,4

71

AUDIT KEPATUHAN PEMBERSIHAN, DESINFEKSI

STERILISASI INSTRUMEN
Sep-15
NO
1
2
3
4
5
6
7
8
9
10

TANGGAL
1/9/2015
1/9/2015
2/9/2015
2/9/2015
3/9/2015
3/9/2015
4/9/2015
4/9/2015
5/9/2015
5/9/2015

RUANGAN
marwah
poli THT
shofa
poli bedah
raudah
ibnu sina
CSSD
zam zam
sakinah
ibnu sina

HASIL (%)

I
56.7 68,1
56.7
83.7
57
56
59
92
62
64.8
91.8

MINGGU (%)
II
III
IV

11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50

7/9/2015
7/9/2015
8/9/2015
8/9/2015
9/9/2015
9/9/2015
10/9/2015
10/9/2015
11/9/2015
11/9/2015
12/9/2015
12/9/2015
14/9/2015
14/9/2015
15/9/2015
15/9/2015
16/9/2015
16/9/2015
17/9/2015
17/9/2015
18/9/2015
18/9/2015
19/9/2015
19/9/2015
21/9/2015
21/9/2015
22/9/2015
23/9/2015
23/9/2015
25/9/2015
25/9/2015
26/9/2015
27/9/2015
28/9/2015
28/9/2015
29/9/2015
29/9/2015
30/9/2015
30/9/2015
30/9/2015

marwah
arafah
ICU
IGD
muzdalifah
shofa
IBS
poli kulit
raudah
poli bedah
sakinah
shofa
marwah
ibnu sina
IMC
ICU
IMC
sakinah
raudah
multazam
shofa
CSSD
marwah
arafah
shofa
IBS
sakinah
poli THT
poli bedah
IBS
muzdalifah
IMC
CSSD
marwah
muzdalifah
IBS
poli THT
muzdalifah
poli bedah
poli kulit

56.7
81.8
64.8
83.7
62.1
89.1
83.7
56.7
56.7
54
64.8
83.7
56.7
83.7
83.7
64.8
86.4
67.5
64.8
70
83.7
81
62.1
86.4
86.4
89.1
62.1
59.4
64.8
86.4
62.1
86.4
86.4
64.8
86.4
86.4
56.7
89.1
56.7
59.4

70.5

74.9

73.8

SI

RATA2
66

SI

RATA2
71,4

SI

RATA2
71.8

juli
mgg
mgg
mgg
mgg

I
II
III
IV

agustus
66.9
66.9
71.8
58.4

72
70.5
72.4
71

september

standar
68.1
70.5
74.9
73.8

Grafik Audit Kepatuhan Pe

80
80
80
80

standar

september

28%

28%

24%

24%

25%

24%

23%

23%

mgg I

mgg II

Grafik Rata -rata Au

juli
rata rata
standar

66
80

agustus
september
71.4
71.8
80
80

stand
55%

45%

juli

Grafik Audit Kepatuhan Pembersihan, Desinfeksi dan Sterilisasi RS PKU Muhammadiyah Yogyakarta
Bulan Juli-September 2015
standar

september

agustus

juli

28%

28%

27%

24%

24%

25%

26%

25%

24%

24%

25%

23%

23%

24%

21%

gg I

mgg II

mgg III

mgg IV

Grafik Rata -rata Audit Kepatuhan Pembersihan, Desinfeksi dan Sterilisasi RS PKU Muhammadiyah Yogyakarta
Bulan Juli-September 2015

standar

rata rata

55%

53%

53%

45%

47%

47%

juli

agustus

september