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  • REKAPITULASI INDIKATOR MUTU UNIT RAWAT INAP

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    ricky_rexi
    19 tayangan6 halaman
    This document summarizes key quality indicators for inpatient care at PRINGGONDANI unit from January to March. It includes 13 indicators such as doctor visit time, infection rates, mortality rates, and patient satisfaction. Most indicators met their targets for the three months. The only issue was a slightly higher than target inpatient mortality rate at 1.57%. To address this, the unit plans to take follow-up actions focused on infection control and patient monitoring.

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    This document summarizes key quality indicators for inpatient care at PRINGGONDANI unit from January to March. It includes 13 indicators such as doctor visit time, infection rates, mortality rates, and patient satisfaction. Most indicators met their targets for the three months. The only issue was a slightly higher than target inpatient mortality rate at 1.57%. To address this, the unit plans to take follow-up actions focused on infection control and patient monitoring.

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    19 tayangan6 halaman

    REKAPITULASI INDIKATOR MUTU UNIT RAWAT INAP

    Diunggah oleh

    ricky_rexi
    This document summarizes key quality indicators for inpatient care at PRINGGONDANI unit from January to March. It includes 13 indicators such as doctor visit time, infection rates, mortality rates, and patient satisfaction. Most indicators met their targets for the three months. The only issue was a slightly higher than target inpatient mortality rate at 1.57%. To address this, the unit plans to take follow-up actions focused on infection control and patient monitoring.

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    dari 6

    REKAPITULASI INDIKATOR MUTU DARI UNIT KE PMRS

    Unit : …..PRINGGONDANI.............................................................................................

    No JL JIM F T CAPAIAN BULAN KE ∑HCT MSLH ATB TL


    I II III
    N D H N D H N D H
    1 ranap DPJP ranap (N x 100% 157 157 100% 116 116 100% 127 127 100% 100%
    100%)
    /D
    2 ranap Jam visite (N x 100% 157 157 100% 116 116 100% 127 127 100% 100%
    dokter 100%)
    spesialis /D
    3 ranap Kejadian (N x <2% 0 14 0% 0 15 0% 0 21 0% 0%
    infeksi 100%)
    pasca /D
    operasi
    4 ranap Kejadian (N x <12 x 2 157 1,27% 1 116 0,86% 0 127 0% 0,71% Infeksi
    infeksi 100%) /th jarum
    jarum infus /D infus/flebitis
    lebih
    beresiko
    terjadi pada
    pasien post
    tranfusi
    darah

    5 ranap Kejadian (N x <10% 0 13 0 0 8 0% 0 11 0% 0%


    ISK 100%)
    /D
    6 ranap Kematian (N x <0,5% 1 157 0,63% 2 116 1,72% 3 127 2,36% 1,57%
    pasien >48 100%)
    jam /D

    7 ranap Tidak (N x 100% 0 157 100% 0 116 100% 0 127 100% 0%


    adanya 100%)
    pasien yang /D
    jatuh
    beakibat
    kecacatan/
    kematian

    8 ranap Pulang (N x < 3% 5 157 3,18% 0 116 0% 5 127 3,93% 2,37%


    paksa 100%)
    /D
    9 ranap Kepuasan (N x >90%
    pelanggan 100%)
    /D
    10 ranap Kegiatan (N x 100%
    penegakan 100%)
    diagnosis /D
    Tuberculosis
    (TB)

    11 ranap kegiatan (N x 100%


    pencatatan 100%)
    dan /D
    pelaporan
    Tuberculosis
    (TB) di RS

    12 ranap Angka Min 96,31% 93,33% 96,15% 95,26%


    kelengkapan 80%
    pengkajian
    keperawatan

    13 ranap Kejadian (N x 0% 0 11 0% 0 4 0% 0 7 0% 0%
    reaksi 100%)
    transfusi /D

    Jenis Indikator Mutu :  Indikator Mutu Utama  Indikator Mutu Unit *( Pilih Salah Satu)
    Keterangan :

    JL : Jenis Layanan ∑ HCT : Rerata Hasil Capaian Target

    JIM : Judul Indikator Mutu H : Hasil


    F : Formula (cara pengukuran) MSLH : Masalah
    T : Target ATB : Analisa Tri Bulan
    N : Numerator TL : Tindak Lanjut
    D : Denumerator

    Unit pelapor
    Nama terang dan tanda tangan

    (...............................)
    GRAFIK TRIWULAN BESERTA ANALISA GRAFIK DAN RENCANA TINDAK LANJUT

    250%

    200%

    150%
    ILO
    jam visite
    100%
    dpjp

    50%

    0%
    januari februari maret

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