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FORM EVALUASI PPK

SECTIO CAESAREA

Bulan : APRIL 2018


Kriteria
RM
1 2 3 4 5
63862 ✓ ✓ ✓ ✓ ✓
56344 ✓ ✗ ✓ ✓ ✓
119171 ✓ ✗ ✓ ✓ ✓
47979 ✓ ✗ ✓ ✓ ✓
123404 ✓ ✓ ✓ ✓ ✓
123610 ✓ ✗ ✓ ✓ ✓
32748 ✓ ✗ ✓ ✓ ✓
121696 ✓ ✓ ✓ ✓ ✗
87269 ✓ ✗ ✓ ✓ ✗
123657 ✓ ✓ ✓ ✓ ✓
TOTAL

Laporan udit Medis T


hasil audit april mei jun
89%
84% 88% 88%
88%

87%

86%

85%

84% 84%

83%

82%
a pri l

Jul-18 Agst 18 Sep-18


93% 100% 98%
Adherence Keterangan
1. Penegakan diagnosis
100% 2. Pemeriksaan penunjang
80% 3. Terapi antibiotik
80% 4. terapi uteretonika
80% 5. Length of stay
100%
80%
80%
80%
60%
100%
84%

Laporan udit Medis TW 2 Aprl s/d Juni 2018

88% 88%

mei jun
FORM EVALUASI PPK
SECTIO CAESAREA

Bulan : MEI 2018


Kriteria
RM Adherence
1 2 3 4 5
114403 ✓ ✗ ✓ ✓ ✓ 80%
124817 ✓ ✗ ✓ ✓ ✓ 80%
106106 ✓ ✓ ✓ ✓ ✓ 100%
40070 ✓ ✗ ✓ ✓ ✓ 80%
125501 ✓ ✗ ✓ ✓ ✓ 80%
67259 ✓ ✓ ✓ ✓ ✓ 100%
125982 ✓ ✓ ✓ ✓ ✓ 100%
102040 ✓ ✗ ✓ ✓ ✓ 80%
103177 ✓ ✗ ✓ ✓ ✓ 80%
61503 ✓ ✓ ✓ ✓ ✓ 100%
TOTAL 88%
Keterangan
1. Penegakan diagnosis
2. Pemeriksaan penunjang
3. Terapi antibiotik
4. terapi uteretonika
5. Length of stay
FORM EVALUASI PPK
SECTIO CAESAREA

Bulan : JUNI 2018


Kriteria
RM
1 2 3 4 5
105821 ✓ ✗ ✓ ✓ ✓
118574 ✓ ✗ ✓ ✓ ✓
54172 ✓ ✗ ✓ ✓ ✓
126388 ✓ ✓ ✓ ✓ ✓
114512 ✓ ✓ ✓ ✓ ✓
118835 ✓ ✗ ✓ ✓ ✓
125079 ✓ ✓ ✓ ✓ ✓
125507 ✓ ✓ ✓ ✓ ✓
126784 ✓ ✗ ✓ ✓ ✓
81794 ✓ ✗ ✓ ✓ ✓
TOTAL

0
Adherence Keterangan
1. Penegakan diagnosis
80% 2. Pemeriksaan penunjang
80% 3. Terapi antibiotik
80% 4. terapi uteretonika
100% 5. Length of stay
100%
80%
100%
100%
80%
80%
88%
FORM EVALUASI PPK
SECTIO CAESAREA

BULAN: JULI 2018


KRITERIA
RM
1 2 3 4 5
117339 ✓ ✓ ✓ ✓ ✓
120604 ✓ ✓ ✓ ✓ ✗
107420 ✓ ✗ ✓ ✓ ✓
119339 ✓ ✓ ✓ ✓ ✓
127670 ✓ ✗ ✓ ✓ ✓
120877 ✓ ✓ ✓ ✓ ✓
72198 ✓ ✗ ✓ ✓ ✓
125081 ✓ ✓ ✓ ✓ ✓
122788 ✓ ✓ ✓ ✓ ✓ Laporan TW 3 jul s/d S
123749 ✓ ✓ ✓ ✓102% ✓
TOTAL 100% 100%

98%

96%
Jul-18 Agst 18 Sep-18
94%
93%
93% 100% 98%
92%

90%

88%
Jul -18 Agst 18
Adherence Keterangan

100% 1. Penegakan diagnosis


80% AO (+) Tramal 2. Pemeriksaan penunjang
80% 3. Terapi antibiotik
100% 4. terapi uteretonika
80% 5. Length of stay
100%
80%
100%
Laporan TW 3 100%
jul s/d Sept 2018
100%
93%100%

98%

Agst 18 Sep-18
FORM EVALUASI PPK
SECTIO CAESAREA

Bulan: Agustus 2018


KRITERIA
RM
1 2 3 4
128504 ✓ ✓ ✓ ✓
96711 ✓ ✓ ✓ ✓
52572 ✓ ✓ ✓ ✓
126695 ✓ ✓ ✓ ✓
120424 ✓ ✓ ✓ ✓
129107 ✓ ✓ ✓ ✓
128063 ✓ ✓ ✓ ✓
118675 ✓ ✓ ✓ ✓
TOTAL
PPK
EA

Adherence Keterangan
5
✓ 100%
✓ 100%
✓ 100%
✓ 100%
✓ 100%
✓ 100%
✓ 100%
✓ 100%
100%
FORM EVALUASI PPK
SECTIO CAESAREA

FORM EVALUASI PPK


SECTIO CAESAREA

BULAN: SEPTEMBER 2018


KRITERIA
RM
1 2 3
124536 ✓ ✓ ✓
124811 ✓ ✓ ✓
132244 ✓ ✓ ✓
129242 ✓ ✓ ✓
129582 ✓ ✓ ✓
105332 ✓ ✓ ✓
33268 ✓ ✓ ✓
84244 ✓ ✓ ✓
37986 ✓ ✓ ✓
117677 ✓ ✓ ✓
TOTAL
FORM EVALUASI PPK
SECTIO CAESAREA

ORM EVALUASI PPK


SECTIO CAESAREA

RITERIA
Adherence Keterangan
4 5
✓ ✓ 100%
✓ ✓ 100%
✓ ✗ 80% LOS 4 hari
✓ ✓ 100%
✓ ✓ 100%
✓ ✓ 100%
✓ ✓ 100%
✓ ✓ 100%
✓ ✓ 100%
✓ ✓ 100%
98%
Action Plan/ Re
Recommendation Actions Required

Resosialisasi Evalusi PPK CP yg si Kumpul tim KSM ObsGyn


pantau
Diskusi PPK CP Sectio Cesarea
Buat Kesepakatan
Disahkan
Implementasi
Evaluasi
on Plan/ Rencana Tindakan PreAudit
Possible Barriers to Implementation

Adanya data data pemeriksaan penunjang yang tidak terlampir


Kurangnya kesepakatan pemeriksaan penunjang pada pasien antar anggota tim
Variasi pada kondisi pasien
Responsible Person Timescale

Kepala KSM ObsGyn 3 bulan


ReAudit

Result
Topic
Number Percentage Rating
Sectio Cesarea 23/28 82% BIRU
Result of Previous Audit Trend

63% ↑