Indikator Mutu Prioritas Rumah Sakit (IMP RS) RSUD dr. Soeselo Tahun 2026 sebagai berikut:
| No | Unit | Judul Indikator Mutu | Standar | % Capaian | ||||||||
| Jan | Feb | Maret | April | Mei | Juni | Juli | Agustus | September | ||||
| 1 | Unit Pelayanan | Kepatuhan Kebersihan Tangan | ≥ 85% | 63.51% | 63.59% | 67.45% | 69.87% | 70.66% | 72.07% | 79.18% | 71.02% | 70.27% |
| 2 | Unit Pelayanan | Kepatuhan Penggunaan APD | 100% | 96.15% | 86.52% | 82.18% | 81.62% | 84.82% | 94.03% | 95.59% | 88.55% | 88.61% |
| 3 | Unit Pelayanan | Kepatuhan Identifikasi Pasien | 100% | 99.70% | 99.78% | 99.97% | 99.99% | 99.97% | 99.97% | 99.86% | 99.98% | 99.99% |
| 4 | IBS | Waktu Tanggap Seksio Sesarea Emergensi | 80% | 100.00% | 100.00% | 100.00% | 100.00% | 100.00% | 100.00% | 100.00% | 100.00% | 100.00% |
| 5 | Rawat Jalan | Waktu Tunggu Rawat Jalan ≤ 60 menit | ≥ 80% | 54.44% | 52.29% | 56.69% | 51.73% | 47.23% | 49.74% | 60.74% | 57.00% | 55.30% |
| 6 | IBS | Penundaan Operasi Elektif | ≤ 5% | 0.00% | 3.65% | 2.88% | 4.69% | 4.44% | 6.07% | 0.00% | 0.00% | 0.00% |
| 7 | Rawat Inap | Kepatuhan Waktu Visite Dokter | ≥ 80% | 91.62% | 82.62% | 91.65% | 91.22% | 89.41% | 84.25% | 88.04% | 92.23% | 88.88% |
| 8 | Laboratorium | Pelaporan Hasil Kritis Laboratorium ≤30 Menit | 100% | 100.00% | 100.00% | 100.00% | 100.00% | 100.00% | 100.00% | 100.00% | 100.00% | 95.62% |
| 9 | Farmasi | Kepatuhan Penggunaan Formularium Nasional | ≥ 80% | 80.23% | 81.84% | 81.04% | 80.51% | 81.49% | 81.15% | 80.53% | 81.71% | 80.71% |
| 10 | Rawat Inap | Kepatuhan Terhadap Alur Klinis (Clinical Pathway) | ≥ 80% | 92.79% | 99.82% | 94.19% | 91.47% | 95.55% | 93.25% | 93.81% | 98.56% | 98.41% |
| 11 | Rawat Inap | Kepatuhan Upaya Pencegahan Risiko Pasien Jatuh | 100% | 100.00% | 100.00% | 100.00% | 100.00% | 100.00% | 100.00% | 100.00% | 99.28% | 99.84% |
| 12 | Humas | Kecepatan Waktu Tanggap Komplain | ≥ 80% | 100.00% | 100.00% | 100.00% | 100.00% | 100.00% | 100.00% | 100.00% | 100.00% | 100.00% |
| 13 | Semua Unit | Kepuasan Pasien | ≥ 76,6% | 87.92% | 87.92% | 87.92% | 89.53% | 89.53% | 89.53% | 8816% | 88.16% | 88.16% |
