DAFTAR ISI

Halaman judul..........................................................................................................................i

SK Direktur.............................................................................................................................ii

Kata pengantar.......................................................................................................................iv

Daftar isi ................................................................................................................................v

BAB I DEFINISI

A. Latar belakang ...........................................................................................................1

B. Tujuan ......................................................................................................................1

BAB II RUANG LINGKUP

A. Ruang lingkup identifikasi pasien .................................................................................2
B. Prinsip........................................................................................................................2
C. Kewajiban dan tanggung jawab...................................................................................2

BAB III TATA LAKSANA

A. Prinsip dan kebijakan .................................................................................................3
B. Prosedur identifikasi ...................................................................................................3
C. Warna pada gelang pasien ..........................................................................................4
D. Petugas yang bertanggung jawab ...............................................................................5
E. Prosedur identifikasi yang benar .................................................................................5
F. Identifikasi pasien kondisi khusus.................................................................................6
G. Macam macam gelang pasien .....................................................................................8
H. Gelang identifikasi yang hilang ....................................................................................8
I. Pelepasan gelang identifikasi ......................................................................................8

BAB IV DOKUMENTASI
A. Monitoring kepatuhan identifikasi pasien di rawat inap ...............................................10
B. Pelaporan insiden / kejadian kesalahan identifikasi .....................................................10
C. Analisa dan revisi .....................................................................................................11

DAFTAR PUSTAKA ................................................................................................................13