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IGD 24 Jam Poliklinik 08.00 - 20.00 WIB

Indikator Mutu

Capaian Indikator Mutu Tahun 2025
No Judul Indikator Standar Capaian (%) Rata-rata
Jan Feb Mar Apr Mei Juni Juli Agst Sept Okt Nov Des
1 Kepatuhan Kebersihan Tangan ≥85% 89% 90% 87% 98% 90% 92% 93% 98% 97% 96% 98% 97,41% 94%
2 Kepatuhan Alat Pelindung Diri 100% 97% 97% 94% 97% 96% 96% 96% 97% 97% 98% 98% 98,85% 97%
3 Kepatuhan Identifikasi Pasien 100% 97% 96% 97% 96% 97% 98% 99% 98% 96% 95% 92.7% 98.07% 97%
4 Waktu tanggap seksio sesarea emergensi ≥80% Nihil Nihil Nihil Nihil Nihil Nihil Nihil Nihil Nihil Nihil 100% Nihil Nihil
5 Waktu tunggu rawat jalan (≤60 Menit) ≥80% 82% 74% 86% 93% 78% 85% 99% 81% 78% 79% 72.48% 77.34% 82%
6 Penundaan Operasi Elektif <5% 1.2% 1.1% 0.0% 4.0% 1.0% 2.0% 1.0% 0.0% 0.3% 0.9% 0.3% 0.34% 1%
7 Kepatuhan Waktu Visite Dokter ≥80% 77% 72% 76% 82% 78% 77% 79% 80% 79% 78% 82% 89.32% 79%
8 Pelaporan Hasil Kritis Laboratorium 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
9 Kepatuhan Penggunaan Formularium Nasional ≥80% 97.9% 98.9% 98.6% 99.0% 99.0% 99.0% 99.4% 99.3% 99.3% 99.6% 98.1% 99.85% 99%
10 Kepatuhan Terhadap Alur Klinis (Clinical Pathway) ≥80% 92% 87% 97% 98% 98% 73% 73% 98% 85% 96.2% 97.37% 98.89% 91%
11 Kepatuhan Upaya Pencegahan Risiko Pasien Jatuh 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
12 Kecepatan Waktu Tanggap Komplain ≥80% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
13 Kepuasan Pasien ≥76.61% - - - - - 88% - - - - - 80% -