No.

Sasaran Unit
Januari Februari Maret

TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL

Px KESALAH Px KESALAH Px KESALAH
AN AN AN
1 Ketepatan Identifikasi Pasien BP 1404 1262 1326
GIGI 457 383 400
P2P 294 341 422
KIA 158 115 172
LANSIA 0 0 0
LOKET 2313 2101 2320
LAB 374 355 455
KORJ 1191 1198 1308
UGD 538 561 555
RANAP 39 54 29
KO RANAP 432 485 461
GIZI 38 10 14
TOTAL 7238 6865 7462
KESALAHAN 5 2 5

2 Peningkatan Komunikasi yang efektif BP 7 0 4 0 0 0

GIGI 3 0 1 0 4 0
P2P 3 0 1 0 0 0
KO. RJL 3 0 1 0 1 0
KO RANAP 1 0 1 0 0 0
UGD 3 0 1 0 1 0
RANAP 1 0 0 0 1 0
KIA 0 0 0 0 0 0
LAB 0 0 0 0 0 0
LOKET 0 0 0 0 0 0
GIZI 0 0 0 0 0 0
TOTAL 21 0 9 0 7 0
KESALAHAN 0 0 0

3 Peningkatan keamanan obat yang perlu KO. RJL 5 0 5 0 5 0

diwaspadai KO RANAP 8 0 8 0 8 0
 TOTAL Px 13 0 13 0 13 0
TOTAL KESALAHAN 0 0 2

4 Kepastian tepat lokasi, tepat prosedur dan SIRKUM 0 0 0 0 0 0

tepat pasien operasi
CROS INCISI 15 0 10 0 5 0
EKS. KUKU 2 0 2 0 10 0
HEATING 26 0 15 0 20 0
KIA 0 0 1 0 2 0
CABUT PER. 138 0 110 0 92 0
CABUT SUL. 67 0 88 0 85 0
TOTAL Px 248 0 226 0 214 0
TOTAL KESALAHAN 0 0 0

5 Pengurangan resiko infeksi terkait pelayanan ∑hr x ∑petugas (26) (23) (25)
kesehatan
BP (5) 130 7 115 7 125 6
GIGI (3) 78 3 69 0 75 4
P2P (5) 130 5 115 0 125 7
LAB (3) 78 5 69 3 75 0
KO. RJL (5) 130 8 115 7 125 4
KO.RANAP (8) 144 11 128 8 144 8
KIA (5) 130 6 115 0 125 5
UGD/RANAP (18) 264 15 231 17 252 11
TOTAL Px 1084 957 1046
TOTAL KESALAHAN 60 42 45

6 Pengurangan resiko pasien jatuh BP 0 0 0 0 0 0

GIGI 0 0 0 0 0 0
P2P 0 0 0 0 0 0
KIH 0 0 0 0 0 0
LANSIA 0 0 0 0 0 0
LOKET 0 0 0 0 0 0
LAB 0 0 0 0 0 0
KORJ 0 0 0 0 0 0
UGD 0 0 0 0 0 0
RANAP 0 0 0 0 0 0
KO RANAP 0 0 0 0 0 0
GIZI 0 0 0 0 0 0
TOTAL Px 0 0 0 0 0 0
TOTAL KESALAHAN 0 0 0 0 0 0
 Jumlah Kunjungan Pasien (dalam Bulan)

April Mei Juni Juli Agustus September Oktober November

TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL
Px KESALAH Px KESALAH Px KESALAH Px KESALAH Px KESALAH Px KESALAH Px KESALAH Px
AN AN AN AN AN AN AN

960 859 678

417 339 351
392 265 176
171 141 130
0 0 0
1940 1604 1335
278 286 182
1131 836 640
466 370 448
17 9 9
342 294 391
2 7 9
6116 5010 4349
4 2 0

3 0 3 0 0 0
0 0 2 0 1 0
1 0 0 0 0 0
1 0 1 0 0 0
1 0 0 0 2 0
0 0 1 0 0 0
1 0 0 0 0 0
1 0 0 0 0 0
0 0 1 0 0 0
0 0 0 0 1 0
0 0 0 0 0 0
8 0 8 0 4 0
0 0 0

5 0 5 0 5 0
8 0 8 0 8 0
 13 0 13 0 13 0
0 1 0

1 0 2 0 1 0
16 0 15 0 12 0
6 0 3 0 5 0
26 0 24 0 26 0
0 0 0 0 0 0
155 0 70 0 83 0
130 0 52 0 61 0
334 0 166 0 188 0
0 0 0

(24) (26) (18)

120 8 130 8 90 5
72 2 78 2 54 3
120 5 130 8 90 4
72 6 78 1 54 0
120 5 130 6 90 2
144 7 144 6 144 3
120 2 130 3 90 0
260 9 249 7 254 5
1028 1069 866
44 41 22

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
November Desember

TOTAL TOTAL TOTAL

KESALAH Px KESALAH
AN AN