LAPORAN INDI

LAPORAN INDIKATOR MUTU

INSTALASI / BAGIAN :
BULAN/TAHUN : JUNI

dr. Sadiman, Sp B
dr. Suwaryo, Sp OG
dr. Rusnandar Sp D

dr. Lukman , Sp OT
dr. Yusniar Sp Paru

dr. Wahyu, Sp KK
dr. Hari K, Sp OG
dr. Dharma Sp A

dr. Faisal, Sp OG
dr. Suluri, Sp A

dr. Novia Sp D
dr. Iqbal, Sp S
TANGGAL

dr. Arief, Sp B
dr. Sardji Sp D
NO IDENTITAS PASIEN UMUR/RM
ALAMAT

1 3-Jun-19 Eguh Suroso, Tn 37236 Perum Graha Sentosa 1

2 3-Jun-19 Siti Amini, Ny 13862 Jl Diponegoro Cepu 1
3 3-Jun-19 Ibnu Fajar Gunadi, Ny 33387 Menggung no 27 1
4 3-Jun-19 Buniah, Ny 38051 Hargomulyo Rt/Rw 07/01 1
5 3-Jun-19 Marti Hartuti, Ny 42878 Ngelo rt/02/05 1
6 3-Jun-19 Sukarni, Ny 50602 Gang Unyer no 13 A 1
7 3-Jun-19 Alif Mindra, An 55193 sogo 2/5 1
8 3-Jun-19 Anyta R, Ny 55400 Jl SMP 2 gang Mnggis 1
9 3-Jun-19 Siti Suwarni, Ny 56610 Batokan rt 02/01 1
10 3-Jun-19 Sukapti, Ny 63554 Jl Raya 31D 1
11 3-Jun-19 Sunarjo, Tn 63708 Dengok Tengah Rt 10/2 1
12 3-Jun-19 Samini, Ny 64116 Balun Lr VI No 32 1
13 3-Jun-19 Sukadi, Tn 65953 Jl Pemuda 47A 1
14 3-Jun-19 Kiswono, Tn 82738 Wulung 1/3 1
15 3-Jun-19 Tasrip, Tn 84508 Bakalan 1/5 tambakrejo 1
16 3-Jun-19 Edy Purwanto, Tn 90403 Balun Srikaton lr IX 1
17 3-Jun-19 Magnus Margiono 90569 Ngareng sawahan 4/1 1
18 3-Jun-19 Sri Lestari 91743 pojokwatu 1/1 sambong 1
19 3-Jun-19 Eva Yulianti, Ny 91932 Jl sSurabaya 1/7 1
20 3-Jun-19 Wanti Yemiarti, Ny 92668 jl mutiara 3/30 ngelo 1
21 4-Jun-19 Beti Dian, Ny 144293 Ketapang Selatan 1
22 4-Jun-19 Sunarsih, Ny 144581 Tahunan rt 4/1 1
23 4-Jun-19 Hidayati, Ny 78807 Nglajo lr IV/16 1
24 4-Jun-19 Anna Lovia, Ny 84782 Nglelo rt 3/3 1
25 4-Jun-19 Mgnus Margiono, Tn 90569 Ngareng sawahan 4/1 1
26 4-Jun-19 Mardevi, Ny 47101 Jl Gatot Subroto 52 1
27 7-Jun-19 Hidayati, Ny 78807 Nglajo lr IV/16 1
28 4-Jun-19 Anna Lovia, Ny 84782 Nglelo rt 3/3 1
29 10-Jun-19 Siti Sudarmini, ny 144694 Jl Balun Gendeng No 9 1
30 10-Jun-19 Renada, Ny 144731 Jl Arya Jipang gang 1 1
31 10-Jun-19 Sarjan, Tn 144793 sambong rt 3/1 1
32 10-Jun-19 Suryatminingsih, Ny 142944 ngareng sawahan rt 4/1 1
31 10-Jun-19 Sugiyarti, Ny 143056 Kedungtalang 1
32 10-Jun-19 Darti, Ny 143212 Kalirejo rt 2/1 1
33 10-Jun-19 Jumiran, Ny 143470 Jl Cepu rdb 1
34 10-Jun-19 Joko Susilo, Tn 143674 cepu 1
35 10-Jun-19 Titus Hadiyanto 133251 Jl Mawar no 5 mentul 1
36 10-Jun-19 Purwati, Ny 133499 Dk Bulungan rt 6/1 1
37 10-Jun-19 Ahmad Dimiyati, Tn 135305 Jl Surabaya no 89 1
38 10-Jun-19 Ebri Krisdiyanto, Tn 129599 Perum GKGA FA 19 1
39 10-Jun-19 Sunarti, Ny 129908 Pelem 1/5 blora 1
40 10-Jun-19 Suti, Ny 130381 Ngloram 2/2 1
41 10-Jun-19 Rina Leksanawati, ny 130777 WadoKedungrtuban 1
42 10-Jun-19 Hertutik, Ny 130897 Pojokwatu Sambong 1
43 10-Jun-19 Samini, Ny 123096 Kentong 1/1 1
44 10-Jun-19 Sumiyatun, Ny 123641 Jeruk rt 1/2 1
45 10-Jun-19 Lie Kwi Lan, Ny 103427 Jl Raya Lr Bengawan III 1
46 10-Jun-19 Margiono, Tn 103967 Sambeng 19/6 Kasiman 1
47 11-Jun-19 Een Tulus P, Tn 10405 Nglandeyan rt 4/2 1
48 11-Jun-19 Indarwati, Ny 20649 Ngasinan rt 11/03 1
49 11-Jun-19 Supriyati, Ny 21821 Balun Graha Gang 1 1
50 11-Jun-19 Lilis Puasani, Ny 37282 Dengok 1/1 Padangan 1
51 11-Jun-19 Rafi Ardiyansyah, Tn 38107 Purwosari 1/4 1
52 11-Jun-19 Angela Wahyu, Ny 57223 Jl Pusri No 59 1
53 11-Jun-19 Kasi, Tn 59783 Pojok Watu 1/1 sambong 1
54 11-Jun-19 Inna Noor, Ny 80662 Sidorejo 2/3 1
55 11-Jun-19 Slamet Mulyanto, Tn 84378 Kentong 2/1 1
56 11-Jun-19 Nyamiatien, Ny 84721 Dengok 7/2 Padangan 1
57 11-Jun-19 Anna Lovia, Ny 84782 Ngelo 3/3 cepu 1
58 12-Jun-19 Kasirin, Tn 38719 Wulung 2/3 1
59 12-Jun-19 Novia Lutfiah, Nn 39886 Balun Sawahan Lr 5 1
60 12-Jun-19 Hariyati, Ny 42025 Sambeng 13/2 1
61 12-Jun-19 Siti Suwarni, Ny 56610 Batokan rt 2/1 1
62 12-Jun-19 Sukiran Hadi, Tn 56876 Tanjung 10/02 1
63 12-Jun-19 Sunarjo, Tn 63708 Dengok Tengah 10/2 1
64 12-Jun-19 Sri Astutik, Ny 76114 Jl Nglajo Lr IV 1
65 12-Jun-19 Paijem, Ny 77197 Sogo Kedungtuban 1
66 12-Jun-19 Endang Suparmi, Ny 77716 Sumberejo 1/1 1
67 12-Jun-19 Sidik, Tn 80857 Gadu 1/1 Sambong 1
68 12-Jun-19 Murtini, Ny 86688 Kedungtuban 2/1 1
69 12-Jun-19 Supardi, Tn 88362 Sitimulyo Lr Va 1
70 12-Jun-19 Sumirah, Ny 99650 Nglelo 3/6 1
71 12-Jun-19 Jumiatun, Ny 101515 Bodeh 1/4 1
72 12-Jun-19 Yustinus K, Tn 105397 Balun Trikarya 4/6 1
73 12-Jun-19 Maemonah, Ny 112181 Ngalnjuk 2/2 1
74 12-Jun-19 Kabul, TN 113008 Balun Sidorukun 2/6 1
75 12-Jun-19 Singgih, Tn 115411 Jl Surabaya 602 1
76 12-Jun-19 Budi Priyandoko, Tn 121372 Jl Blora Sarirejo No 101 1
77 12-Jun-19 Kundari, Tn 122511 Balun Daudagaran 1/8 balun 1
78 12-Jun-19 Suparti, Ny 122831 Nglajo Lr 5A 1
79 13-Jun-19 Paiman, Tn 13220 Ngraho 5/3 1
 80 13-Jun-19 Sundari, Ny 25139 Balun Kesehatan Lr 2 1
81 13-Jun-19 Sugiarto, Tn 38873 Wonorejo 3/13 1
82 13-Jun-19 Agung Purwono, Tn 44858 Dengok 13/2 1
83 13-Jun-19 Rani, Ny 64964 Gagakan Sambong Blora 1
84 13-Jun-19 Djamil Ismail, Tn 71318 Peting 56/2 Kutukan 1
85 13-Jun-19 Ermita, Ny 74084 Balun Kandangdoro 3/10 1
86 13-Jun-19 Ramendan, Ny 75235 Tanjung 4/4 1
87 13-Jun-19 Aty Patrikah, Ny 86401 Gnag Sadewa No 13 Balun 1
88 13-Jun-19 Nur Shofiatun , Ny 87500 Getas 01/02 1
89 13-Jun-19 Slamet, Tn 87628 Alastuwo 3/1 1
90 13-Jun-19 Sutiah, Ny 98063 Kampung Baru Rt 5/3 Karangboyo 1
91 13-Jun-19 Sumarni, Ny 99764 Bantengan 7/1 1
92 13-Jun-19 Purwarsini, Ny 100059 Sambeng 18/3 Kasiman 1
93 13-Jun-19 Haryatiningsuih, Ny 102072 Sudung 6/6
94 13-Jun-19 SupI, Ny 113435 Ketuwan 3/2 1
95 13-Jun-19 Siti Komariyah, Ny 113681 Gang Unyer A/2 1
96 13-Jun-19 Citra Anita, Ny 114746 Ngalajo Lr 5 No 5
97 13-Jun-19 Arifatin, ny 116931 Padangan 18/5 1
98 13-Jun-19 Lukardono, Tn 144047 Dk Sambong 1
99 13-Jun-19 Erliana, Ny 144473 Pilang 5/2 1
100 13-Jun-19 Ana Zuhrotus, Ny 144474 Pojokwatu Sambong 1
101 13-Jun-19 Kinza Galih, An 144475 Sumberejo Malo 1
102 13-Jun-19 Eniwarti, Ny 139833 Cepu 2/15 1
103 13-Jun-19 Faeza Alfazi, An 140407 Ds Pelem Jepon Blora
104 13-Jun-19 Mujirah, Ny 132080 Ds Belun Temayang 1
105 14-Jun-19 Khambali, Tn 139531 Pojokwatu 6/3
106 14-Jun-19 Sudharsono, Tn 140097 Sa,bong 3/1 1
107 14-Jun-19 Masfuk, Tn 141568 Gang Pasar No 7 1
108 14-Jun-19 Siti Aminah, Ny 142137 Jl Baypass Balun Cepu 1
109 14-Jun-19 Diego Alland, An 125573 Cepu Kidul 4/7 1
110 14-Jun-19 Ahmad Nawai, Tn 127565 Dengok 12/2 1
111 14-Jun-19 Umi Nuryati, Tn 129591 Menggung 3/7 1
112 14-Jun-19 Agus Pinandito, TN 132501 Balun Grahha 4/16 1
113 14-Jun-19 Sutinem, Ny 103943 Dusun Blimbing 4/2 1
114 14-Jun-19 Endang S, Ny 104096 Jl Surabaya No 602 1
115 14-Jun-19 Warsit, Ny 93760 Wado 2/3 1
116 14-Jun-19 Bunandar, Tn 94005 Wulung 1/1 1
117 14-Jun-19 Pamuji, Tn 96707 Ledok 3/6 1
118 14-Jun-19 Soewartini, Ny 71923 Pojokwatu 2/1 1
119 15-Jun-19 Sutikmi, Ny 141705 Bleboh Rt 03/02 jiken Blora 1
120 15-Jun-19 Dasoep, Tn 142698 Jl Giyanti no 32 ngelo 1
121 15-Jun-19 Widodo, Tn 142934 Kedungtalang Rt 01/02 1
122 15-Jun-19 Intan Noor, ByNy 143135 Balun Graha Permai 1
123 15-Jun-19 Yuliani, Ny 144583 Ds Nglanjuk 01/03 nglanjuk 1
124 15-Jun-19 Sawini, Ny 138435 Jl Dumai 98 4/15 1
125 15-Jun-19 Soewarsih, Ny 138436 Jl Dumai 72 rt 3/15 1
126 15-Jun-19 Ely Dwi, Ny 139073 Tambakromo 1/3 1
127 15-Jun-19 Winarti, Ny 109502 Klepo 11/3 Kasiman 1
128 15-Jun-19 Soesilo Harsono, Ny 111529 Sidodadi Lr II/07 1
129 15-Jun-19 Ahmad Wildan, An 88269 Purwosari 1/4
130 15-Jun-19 Supardi, Tn 88362 Sitimulyo Lr VA/18 1
131 15-Jun-19 Setiawati, Ny 91855 jl pasar no 12 cepu blora 1
132 15-Jun-19 Mariyani, Ny 92659 Jl Diponegoro 2/14 1
133 15-Jun-19 Hasyim, Tn 38914 Kuncen 6/2 Padangan 1
134 15-Jun-19 Giyarni, Ny 41476 Kentong 1/2 Cepu
135 15-Jun-19 Ngaisah, Ny 42997 Tegalrejo Timur 7/11 1
136 17-Jun-19 17-Jun-19
137 17-Jun-19 17-Jun-19
138 17-Jun-19 17-Jun-19
139 17-Jun-19 17-Jun-19
140 17-Jun-19 17-Jun-19
141 17-Jun-19 17-Jun-19
142 17-Jun-19 17-Jun-19
142 17-Jun-19
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155 17-Jun-19
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Stok Opname
10/4/2018
 dr. Netiana, Sp THT
dr. Aditya, Sp An
Angka kepuasan pasien
dan keluarga

Kejadian kesalahan
pemberian obat

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Angka Kesesuaian
Peresepan Obat Dengan
Formularium

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Angka obat yang tidak masuk
kategori Stok Mati (death
stock)di Instalasi Farmasi
Angka Obat Tidak
Kadaluwarsa (Expired Date)
INDIKATOR UNIT

Instalasi Farmasi

Angka Respon Time

Komplain terkait perbekalan
farmasi dari supplier ≤ 30 hari
Angka Kepatuhan
Pelaksanaan Penyimpanan
Obat Yang Perlu Diwaspadai

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

TOTAL

CAPAIAN

STANDAR
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
 0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
1 0 1 1
0 1 1
0 1 1
1 0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
1 0 1 1
0 1 1
1 0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
 0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
1 0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
1 0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 0 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
 0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 1 1
0 0 0