pmkp - rskartikahusada.net
TRANSCRIPT
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PMKPPeningkatan Mutu Keselamatan Pasien
KUBU RAYA, 16 SEPTEMBER 2021
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Indikator Mutu Nasional
0
10
20
30
40
50
60
70
80
90
100
APRIL MEI JUNI
STANDAR 100 100 100
CAPAIAN 100 100 100
Kepatuhan Identifikasi Pasien
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80
82
84
86
88
90
92
94
96
98
100
APRIL MEI JUNI
STANDAR 100 100 100
CAPAIAN 87,27 90,91 87,5
Emergency Response Time (Waktu Tanggap Pelayanan Gawat Darurat ≤ 5 menit)
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88
90
92
94
96
98
100
APRIL MEI JUNI
STANDAR 100 100 100
CAPAIAN 93 100 100
Waktu Tunggu Rawat Jalan
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0
0,1
0,2
0,3
0,4
0,5
0,6
0,7
0,8
0,9
1
APRIL MEI JUNI
STANDAR 0 0 0
CAPAIAN 0 0 0
Penundaan Operasi Elektif
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0
10
20
30
40
50
60
70
80
90
100
APRIL MEI JUNI
STANDAR 100 100 100
CAPAIAN 100 100 100
Kepatuhan Jam Visite Dokter Spesialis
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0
10
20
30
40
50
60
70
80
90
100
APRIL MEI JUNI
STANDAR 100 100 100
CAPAIAN 100 100 100
Waktu Lapor Hasil Tes Kritis Laboratorium
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78
79
80
81
82
83
84
APRIL MEI JUNI
STANDAR 80 80 80
CAPAIAN 84 82 84
Kepatuhan Penggunaan Formularium Nasional
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78
80
82
84
86
88
90
92
94
96
APRIL MEI JUNI
STANDAR 85 85 85
CAPAIAN 96 95 96
Kepatuhan Cuci Tangan* 5 MOMENT
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78
80
82
84
86
88
90
92
94
96
APRIL MEI JUNI
STANDAR 85 85 85
96 96 96
Kepatuhan Cuci Tangan* 6 LANGKAH
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0
10
20
30
40
50
60
70
80
90
100
APRIL MEI JUNI
STANDAR 100 100 100
CAPAIAN 100 100 100
Kepatuhan Upaya Pencegahan Risiko Pasien Jatuh
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0
10
20
30
40
50
60
70
80
90
100
APRIL MEI JUNI
STANDAR 100 100 100 0
CAPAIAN 100 100 100 0
Kepatuhan Terhadap Clinical Pathway
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83,5
84
84,5
85
85,5
86
86,5
87
87,5
88
APRIL MEI JUNI
STANDAR 85 85 85
CAPAIAN 86 88 87,6
Kepuasan Pasien dan Keluarga
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0
10
20
30
40
50
60
70
80
90
100
APRIL MEI JUNI
STANDAR 100 100 100
CAPAIAN 0 0 0
Kecepatan Waktu Tanggap Komplaintidak dapat di laksanakan (TDD)
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Indikator Area Klinik
0
0,2
0,4
0,6
0,8
1
1,2
1,4
1,6
1,8
2
APRIL MEI JUNI
STANDAR 2 2 2
CAPAIAN 0 0 0
Infeksi Daerah Operasi
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0
0,5
1
1,5
2
2,5
3
3,5
4
4,5
5
APRIL MEI JUNI
STANDAR 4,7 4,7 4,7
CAPAIAN 0 0 0
Infeksi Saluran Kemih
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0
0,5
1
1,5
2
2,5
3
3,5
4
4,5
5
APRIL MEI JUNI
STANDAR 5 5 5 0
CAPAIAN 0 0 0 0
Plebitis
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76
78
80
82
84
86
88
APRIL MEI JUNI
STANDAR 80 80 80
CAPAIAN 84 84 88
Kepatuhan Penggunaan Formularium Nasional (Fornas)
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Indikator Mutu Area Manajemen
78
79
80
81
82
83
84
APRIL MEI JUNI
STANDAR 80 80 80
CAPAIAN 80 83 84
Ketersediaan Bekkes
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0
10
20
30
40
50
60
70
80
90
100
JAN FEB MAR
STANDAR 100 100 100
CAPAIAN 100 100 100
KEPATUHAN PENGGUNAAN APD
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0
10
20
30
40
50
60
70
80
90
100
APRIL MEI JUNI
STANDAR 100 100 100
CAPAIAN 90 81 78
Kepatuhan pelaksanaan Informed concent
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74
76
78
80
82
84
86
88
90
APRIL MEI JUNI
STANDAR 80 80 80
CAPAIAN 82 90 84
Kepatuhan Penggunaan Formularium Nasional (Fornas)
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83,4
83,6
83,8
84
84,2
84,4
84,6
84,8
85
APRIL MEI JUNI
STANDAR 85 85 85
CAPAIAN 84 84 85
Ketidak lengkapan catatan medis pasien (KLPCM)
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Indikator Sasaran Keselamatan Pasien
0
10
20
30
40
50
60
70
80
90
100
APRIL MEI JUNI
STANDAR 100 100 100
CAPAIAN 100 100 100
Kepatuhan Identifikasi Pasien*
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0
10
20
30
40
50
60
70
80
90
100
APRIL MEI JUNI
STANDAR 100 100 100
CAPAIAN 100 100 100
Komunikasi efektif
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0
10
20
30
40
50
60
70
80
90
100
APRIL MEI JUNI
STANDAR 100 100 100
CAPAIAN 100 100 100
Kepatuhan Pelabelan Obat High Alert
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0
10
20
30
40
50
60
70
80
90
100
APRIL MEI JUNI
STANDAR 100 100 100
CAPAIAN 100 100 100
Kepatuhan site Marking
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78
80
82
84
86
88
90
92
94
96
APRIL MEI JUNI
STANDAR 85 85 85
CAPAIAN 96 95 96
Kepatuhan Cuci Tangan* 5 MOMENT
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78
80
82
84
86
88
90
92
94
96
APRIL MEI JUNI
STANDAR 85 85 85
CAPAIAN 96 96 96
Kepatuhan Cuci Tangan* 6 LANGKAH
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0
10
20
30
40
50
60
70
80
90
100
APRIL MEI JUNI
STANDAR 100 100 100
CAPAIAN 100 100 100
Kepatuhan Upaya Pencegahan Resiko Cedera Akibat Pasien Jatuh*
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0
1
2
3
4
5
6
JAN FEB MAR APR MEI JUN JLH
KPC 0 0 0 0 0 0 0
KNC 0 0 0 0 0 0 0
KTD 1 0 2 0 0 3 6
KTC 0 0 0 0 0 0 0
SENTINEL 0 0 1 0 0 0 1
IKP SEMESTER I TAHUN 2021
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0
10
20
30
40
50
60
70
80
90
100
44197 44228 44256 44287 44317 44348
Jan-21 Feb-21 Mar-21 Apr-21 May-21 Jun-21
Persentase (%) 71,42 73,33 79,79 91,52 92,73 94,05
Target (%) 100% 100% 100% 100% 100% 100%
Kepatuhan Clinical Pathway Bulan Jan – Jun 2021
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THANK YOU ☺