LAPORAN PENGUMPULAN DATA MUTU DAN VALIDASI DATA MUTU

UNIT POLI RAWAT JALAN

BULAN JUNI 2021

INDIKATOR MUTU PRIORITAS UNIT : KEJADIAN INFEKSI LUKA OPERASI

BULAN Numerator Denomerator Standart Hasil

Juni 7 67 ≤2% 10%

Tabel 1.1 Tabel hasil pengukuran indikator mutu Kejadian infeksi luka Operasi di Poli rawat jalan bulan Juni
2022

Analisa

Berdasarkan tabel diatas diketahui bahwa hasil pengukuran mutu indikator prioritas
klinis kejadian infeksi luka operasi di poli rawat jalan masih tidak memenuhi srtandart
pengukuran mutu yaitu 10 %.

Data tersebut telah dilakukan analisa data setelah dilkukan perubahan pada alat
instrumen monitoring nya dengan menambahkan antibiotik propilaksis yang digunakan.
Sehingga pada pada tersebut dilakukan validasi data kembali dengan metode statistik
menggunakan SPSS.

Penanggung Jawab data/ KA. Unit Pengumpul

(Dwi Wulan sari, Amd . Kep ) ( Nuria Zakiyatus Sholikhah, Amd. Kep )

Ketua Komite PMKP RSU Ananda

dr. Tanti Sri Gita Ramdhani

 LAPORAN HASIL VALIDASI DATA MUTU

BULAN JUNI 2021

Indikator Mutu KEJADIAN INFEKSI LUKA OPERASI

Justifikasi Dilakukan revisi pada intrumen monitoring pengumpulan data dengan
validassi menambhkan variabel antibiotik propilaKsis
Numerator 7
Denumerator 67
Hasil capaian 10 %
Standart ≤ 2%
Metode validasi Menggunakan SPSS –pearson Corelation
Distribusi nilai R, signifikansi 5% untuk N=65 adalah 0.244
Jika Cronbach’s Alpha >0.244, maka valid

Hasil validasi
Cronbach’s Alpha = 298, maka valid

Kesimpulan
Hasil pengukuran mutu Indikator kejadian luka operasi valid

Penanggung Jawab data/ KA. Unit Ketua Komite PMKP RSU Ananda

(Dwi Wulan sari, Amd . Kep ) ( dr. Tanti Sri Gita Ramdhani)

Mengetahui,
Direktur RSU Ananda Srenngat

(dr.Dedi Ismiranto, SH., MH. Sp. PD )

BUKTI VALIDASI DATA MUTU DENGAN SPSS
CORRELATIONS
/VARIABLES=Antibiotik ILO Total
/PRINT=TWOTAIL NOSIG
/MISSING=PAIRWISE.

Correlations

Correlations
Antibiotik ILO Total
Antibiotik Pearson Correlation 1 .183 .844**
Sig. (2-tailed) .137 .000
N 67 67 67
ILO Pearson Correlation .183 1 .682**
Sig. (2-tailed) .137 .000
N 67 67 67
Total Pearson Correlation .844** .682** 1
Sig. (2-tailed) .000 .000
N 67 67 67
**. Correlation is significant at the 0.01 level (2-tailed).

RELIABILITY
/VARIABLES=Antibiotik ILO
/SCALE('ALL VARIABLES') ALL
/MODEL=ALPHA
/SUMMARY=TOTAL.

Reliability

Scale: ALL VARIABLES

Case Processing Summary

N %
Cases Valid 67 100.0
Excludeda 0 .0
Total 67 100.0
a. Listwise deletion based on all variables in
the procedure.

Reliability Statistics
Cronbach's
Alpha N of Items
.298 2

Item-Total Statistics
Scale Corrected Cronbach's
Scale Mean if Variance if Item-Total Alpha if Item
Item Deleted Item Deleted Correlation Deleted
Antibiotik .1045 .095 .183 .
ILO .7761 .176 .183 .

Distribusi nilai R, signifikansi 5% untuk N=65 adalah 0.244

Jika Cronbach’s Alpha >0.244, maka valid

Cronbach’s Alpha = 298, maka valid

LAMPIRAN 1 :FORMULIR PEMANATUAN ILO

BULAN JUNI

no nama pasien jenis operasi Antibiotic kejadian ILO

1 Nn. Syifa Salma bedah umum Cefazolin 0
2 Tn. Asrori/733602 bedah umum Cefazolin 0
3 tn. Wagian bedah umum Cefazolin 0
4 Ny. Fatimah/65 th bedah umum Cefazolin 0
5 Ny. Istianah/55th bedah umum Cefazolin 0
6 Tn. Imam Bukhori/34th bedah umum Cefazolin 0
7 Sdr.Ricky/15th bedah umum Cefazolin 0
8 Tn. Sugianto/48th bedah umum Cefazolin 0
9 Ny. Sumini/71th bedah umum Cefazolin 0
10 Ny. Mirati/61th bedah umum Cefazolin 0
11 An. Jesica putri/3th bedah umum Cefazolin 0
12 Tn. Amarullah Agus/36th bedah umum Cefazolin 0
13 Nn. Hei Vironica/26th bedah umum Cefazolin 0
14 Ny. Siti fatimah/55th bedah umum Cefazolin 0
15 Ny. Sudarsih/49 th bedah umum Cefazolin 0
16 Ny. Siti Masitoh/57th bedah umum Cefazolin 0
17 Tn. Turmuji/47th bedah umum Cefazolin 0
18 Sdr. Hendra Hermawan/19th bedah umum Cefazolin 0
19 Tn. Mukari/80th bedah umum Cefazolin 0
20 Tn. Saroni/47th bedah umum Cefazolin 0
21 Tn. Sucipto/53th bedah umum Cefazolin 0
22 Ny. Umi Salamah/71th mata 0 0
23 Tn. Hernani/68th mata 0 0
24 Ny. Alfiyah/51th mata 0 0
25 Tn. MIswanto/58th mata 0 0
26 Ny. Tentrem/78th mata 0 0
27 Tn. Mukrom/61th mata 0 0
28 Ny. Painah/63th mata 0 0
29 Ny. wiwik/43th mata 0 0
30 Tn. Arif H./ 44th mata 0 0
31 Tn. Kasiran/72th mata 0 0
32 Ny. Maisaroh/59th mata 0 0
33 Ny. Minten/53th mata 0 0
34 Ny. Hartatik/53th mata 0 0
35 Tn. Rohmat Hariadi/62th mata 0 0
36 Ny. Husnia Naili/34th mata 0 0
37 Ny. Sucik Midawati/30th obg Cefazolin 1
38 Ny. Ema Nikmatul/23th obg Cefazolin 1
39 Ny. Yuniar/22th obg Ceftriaxon 1
40 Ny. Sundari/24th obg Ceftriaxon 1
41 Ny. Titin Andriani/22th obg Cefazolin 0
42 Ny. Indah Wahyu S./ 27th obg Ceftriaxon 1
43 Ny. Siti A./ 33TH obg Cefazolin 0
44 Ny. Ayu Dwi/24th obg Cefazolin 0
45 Ny. Reza Ratna/32th obg Cefazolin 0
46 NY. Putri Salis/25th obg Cefazolin 0
47 Ny. umi choisaroh/25th obg Cefazolin 1
48 Ny. Farid Khodijaroh/28th obg Cefazolin 0
49 Ny. Elin Siti/ 42 th obg Cefazolin 0
50 Ny. Melinda obg Cefazolin 0
51 Ny. Dwi H./ 35th obg Ceftriaxon 1
52 Ny. Faidatul/23 th obg Cefazolin 0
53 Ny. Yeni irawati/24th obg Cefazolin 0
54 Ny. Sunarti/23th obg Cefazolin 0
55 Ny. Dwi nur/21th obg Cefazolin 0
56 Ny. Anik mARYATI/27TH obg Cefazolin 0
 57 Ny. Muslimatut/29th obg Cefazolin 0
58 Ny. Lilik Sunarti/41TH obg Cefazolin 0
59 Ny. Khusnul/28th obg Cefazolin 0
60 Ny. Khoirul N./31th obg Cefazolin 0
61 Ny. Katinah/ obg Cefazolin 0
62 Sdr. M. Najib/17th obg Cefazolin 0
63 Sdr. Gerindra/19th obg Cefazolin 0
64 An. Moh Bilal/3th obg Ceftriaxon 0
65 Sdr. Ricky/15th obg Ceftriaxon 0
66 Ny. Yanti/52th obg Cefazolin 0
67 Ny. Katinah/ obg Cefazolin 0
skor 1 7
Skor 0 60
Total skor 67
Keterangan :

Skor ; 0 tidak terdapat ILO

Skot 1terdapat ILO

Penanggung Jawab data/ KA. Unit Pengumpul

(Dwi Wulan sari, Amd . Kep ) ( Nuria Zakiyatus Sholikhah, Amd. Kep )
 PEMANTAUAN ILO BULAN
MEI 2022
NO NAMA JENIS OP KEJADIAN ILO
1 Ny. Aninatul/38th OBGYN 0
2 Ny. Muasri/32th OBGYN 0
3 Ny. Relawati/38th OBGYN 0
4 Ny. Sinta Mawati/33th OBGYN 0
5 Ny. Eka Hadi/35th OBGYN 0
6 Ny. Ema F/30TH OBGYN 0
7 Ny. Setyowati/33th OBGYN 1
8 Ny. Uswatul R/33TH OBGYN 0
9 Ny. Lilik A/34TH OBGYN 0
10 Ny. Elli Sudarmi/26th OBGYN 1
11 Ny. Nor Vitasari/21th OBGYN 0
12 Ny. Hariati/33th OBGYN 0
13 Ny. Delina Ismawati/27th OBGYN 0
14 Ny. Mutmainah/30th OBGYN 1
Ny. Niswatul
15 Hasanah/47th OBGYN 0
16 Ny. Irawati/26th OBGYN 0
17 Ny. Candra Krisna/32th OBGYN 0
18 Ny. NIkmatu Rohmah OBGYN 0
19 Ny. Mariana/22th OBGYN 0
20 Ny. TRi Meni/41th OBGYN 0
21 Ny. SRi Handayani/41th OBGYN 0
22 Ny. Muji Rahayu/30th OBGYN 0
23 Ny. Yuliani/33th OBGYN 0
24 Tn. Suprianto/53th MATA 0
25 Tn. Supriono/38th MATA 0
26 Tn. Sukanto/72 MATA 0
27 Ny. Siti JUriyah/51th MATA 0
28 Ny. Painah/63th MATA 0
29 Ny. Kustini/67th MATA 0
30 Tn. TRimo/66th MATA 0
31 Tn. Subandi/56th MATA 0
32 Nn. Megi / 23th BEDAH UMUM 0
33 Tn. Adris Sugeng/38th BEDAH UMUM 0
34 Tn. EDi Purnomo/52th BEDAH UMUM 0
35 NY. Mutnatin/67th BEDAH UMUM 0
36 Tn. Muslimin/54th BEDAH UMUM 0
37 Tn. Tri Cahyo/40th BEDAH UMUM 0
38 Ny. Sukarti/55th BEDAH UMUM 0
39 Tn. Komari/47th BEDAH UMUM 0
40 Tn. Komari/47th BEDAH UMUM 0
41 Tn. Eko Sutrisno/54th BEDAH UMUM 0
42 NY. Mutnatin/67th BEDAH UMUM 0
43 Ny. Muji Aminah/61th BEDAH UMUM 0
44 Ny. Binti Istifadah/51th BEDAH UMUM 0
45 Ny. Arina A./30th BEDAH UMUM 0
46 Ny. Candra DEwi A./29th BEDAH UMUM 0
47 Ny. Erlis E./35th BEDAH UMUM 0
48 Sdr. Dimas.A./20th ORTHO 0
49 Tn. Zainul A/54th ORTHO 0
50 NN. Anindya/14th ORTHO 0
51 Nn. Fitria S ORTHO 0
52 An. Qalesya Airana/4th ORTHO 0
TOTAL SKORT 0 49
TOTAL SKOR 1 3
 TOTAL PASIEN 52
Keterangan :
Skor ; 0 tidak terdapat ILO, Skot 1terdapat ILO

Penanggung Jawab data/ KA. Unit Pengumpul

(Dwi Wulan sari, Amd . Kep ) ( Nuria Zakiyatus Sholikhah, Amd. Kep )