A. HASIL CAPAIAN INDIKATOR NASIONAL MUTU RSUD dr. SOESELO KABUPATEN TEGAL TAHUN 2022
|
NO |
Judul Indikator Mutu |
Target capaian |
Januari |
Februari |
Maret |
April |
Mei |
Juni |
Juli |
Agustus |
September |
|
1 |
Kepatuhan Kebersihan Tangan |
≥ 85% |
64,25% |
71,21% |
71,20% |
72,79% |
74,48% |
80,23% |
81,77% |
82,61% |
81,95% |
|
2 |
Kepatuhan Penggunaan APD |
100% |
72,39% |
76,24% |
81,18% |
83,17% |
87,14% |
90,42% |
91,87% |
93,20% |
93,50% |
|
3 |
Kepatuhan Identifikasi Pasien |
100% |
99% |
100% |
98,89% |
100% |
100% |
100% |
98,78% |
96,65% |
96,79% |
|
4 |
Waktu Tanggap Seksio Sesarea Emergensi |
80% |
81,82% |
85,71% |
74,19% |
81,82% |
73,08% |
90,48% |
83,33% |
86,84% |
89,29% |
|
5 |
Waktu Tunggu Rawat Jalan |
≥ 80% |
67,40% |
70,92% |
77,65% |
74,47% |
73,01% |
70,51% |
78,65% |
75,81% |
76,22% |
|
6 |
Penundaan Operasi Elektif |
≤ 5% |
4,47% |
8,14% |
8,14% |
2,30% |
4,65% |
3,22% |
6,96% |
8,47% |
7,69% |
|
7 |
Kepatuhan Waktu Visite Dokter |
≥ 80% |
93,01% |
92,17% |
91,16% |
98,52% |
93,25% |
95,55% |
93,45% |
93,21% |
92,08% |
|
8 |
Pelaporan Hasil Kritis Laboratorium |
100% |
98,06% |
97,54% |
98,06% |
97,28% |
100% |
99,20% |
93,83% |
95,90% |
93,67% |
|
9 |
Kepatuhan Penggunaan Formularium Nasional |
≥ 80% |
74,63% |
66,77% |
66,77% |
62,90% |
63,90% |
64,49% |
87,21% |
94,97% |
95,51% |
|
10 |
Kepatuhan Terhadap Alur Klinis (Clinical Pathway) |
≥ 80% |
81,98% |
68,16% |
77,30% |
85,71% |
100% |
100% |
80,38% |
78,38% |
72,77% |
|
11 |
Kepatuhan Upaya Pencegahan Resiko Pasien Jatuh |
100% |
99,95% |
100% |
100% |
99,87% |
99,96% |
100% |
100% |
99,10% |
97,89% |
|
12 |
Kecepatan Waktu Tanggap Komplain |
≥ 80% |
100% |
100% |
100% |
100% |
100% |
100% |
100% |
100% |
100% |
|
13 |
Kepuasan Pasien |
≥ 76,6% |
76,70% |
76,70% |
76,70% |
76,70% |
76,70% |
77,08% |
77,08% |
77,08% |
77,08% |
B. HASIL CAPAIAN INDIKATOR MUTU PRIORITAS RSUD dr. SOESELO KABUPATEN TEGAL TAHUN 2022
|
NO |
Judul Indikator Mutu |
Target capaian |
Januari |
Februari |
Maret |
April |
Mei |
Juni |
Juli |
Agustus |
September |
|
1 |
Kepatuhan Pemasangan Gelang Identitas Pasien di Instalasi Gawat Darurat |
100% |
98,62% |
97,36% |
98,15% |
100% |
99,56% |
100% |
100% |
100% |
100% |
|
2 |
Kepatuhan Perawat Pemberi Asuhan (PPA) Melakukan Serah Terima (Hand Over) Pasien di Unit Perawatan Pasien Rawat Inap |
100% |
97,89% |
98,50% |
99,21% |
100% |
100% |
99,80% |
100% |
100% |
100% |
|
3 |
Kepatuhan Melakukan Double Checking pada Penggunaan High Alert Medication di Ruang Rawat Inap |
100% |
82,06% |
86,43% |
83,89% |
89,00% |
87,12% |
90,40% |
95,31% |
94,68% |
93,24% |
|
4 |
Kepatuhan Operator Melakukan Set Marking pada Pasien Pembedahan |
100% |
86,38% |
89,19% |
84,83% |
85,16% |
89,67% |
92,01% |
100% |
100% |
100% |
|
5 |
Kepatuhan Kebersihan Tangan |
80% |
64,00% |
71,00% |
71,00% |
73,00% |
74,00% |
80,00% |
89,33% |
92,10% |
95,44% |
|
6 |
Kepatuhan Melakukan Assessment Risiko Pasien Jatuh pada pasien di rawat inap |
100% |
95,62% |
94,38% |
89,00% |
90,86% |
92,78% |
95,67% |
97,99% |
98,74% |
98,83% |
|
7 |
Terlaksananya pelayanan pasien Haemodialisa yang mendapat pelayanan HD 2x dalam seminggu |
≥80% |
85,19% |
83,53% |
81,61% |
81,92% |
76,92% |
75,00% |
70,90% |
71,74% |
72,10% |
|
8 |
Terlaksananya Pengembangan layanan Haemodialisa di Rumah Sakit Umum Daerah dr Soeselo. |
≥80% |
60,76% |
76,20% |
78,30% |
78,30% |
78,30% |
78,30% |
76,56% |
77,30% |
78,29% |
|
9 |
Terlaksananya Sistem Rekam Medis Elektronik di Klinik Instalasi Rawat jalan |
100% |
95,60% |
95,40% |
95,40% |
95,20% |
95,60% |
95,30% |
95,78% |
95,92% |
96,24% |
|
10 |
Angka Dispute dan pending Klem pembayaran perawatan pasien jaminan BPJS |
0% |
2,86% |
9,79% |
3,35% |
2,60% |
2,57% |
1,59% |
3,25% |
3,11% |
2,79% |
|
11 |
Kelengkapan Ethical Clearence pada penelitian intervensi dengn subyek pasien di RS dr Soeselo |
100% |
100% |
– |
100% |
– |
– |
– |
– |
100% |
– |
|
12 |
Terselenggaranya orientasi umum pada peserta didik yang melakukan Praktek Klinis Di Rumah Sakit Umum Dokter Soeselo Kabupaten Tegal. |
100% |
100% |
100% |
100% |
100% |
100% |
100% |
100% |
100% |
100% |
