FORMAT PEMANTAUAN INDIKATOR MUTU

AREA STANDARD PELAYANAN MINIMAL (SPM)

UNIT PENJAMIN MUTU RUMAH SAKIT PRIMA PEKANBARU

Standard
Judul Indikator SKP. 1 Jumlah Pasien Rawat Inap Terpasang Gelang 100%
Ruangan Infant
Bulan Juli 2019

GELANG IDENTITAS
NO TANGGAL NAMA PASIEN DIAGNOSA
YA TIDAK
1 7/1/2019 Siti Novita Ningsih, by √ BBL SC
2 Marini Manalu, by √ BBL SC
3 Hanna Rauli, by √ BBL SC
4 Radhatul Khaira, by √ BBL SC
5 Mita Oktavia, by √ BBL SC
6 Nurhayati, by √ BBL SC
7 Ida Farida, by √ BBL SC
8 Ani Misdia, by √ BBL SC
9 7/2/2019 Sumarni, by √ BBL Spontan
10 Jumari Hasibuan, by √ BBL Spontan
11 Depi Yusriana √ BBL SC
12 Aprilita Apriani, by √ BBL SC
13 7/3/2019 Ninik, by √ BBL SC
14 Lara Sefti, by √ BBL SC
15 Mindo, by √ BBL SC
16 Ilse Fatimah, by √ BBL SC
17 Endang Budi Harta, by √ BBL SC
18 Laylatus, by √ BBL SC
19 Tri Handayani, by √ BBL Spontan
20 Irena Yulinar, by √ BBL SC
21 Ayu Permata S, by √ BBL SC
22 7/4/2019 widya Astuti, by √ BBL Spontan
23 Fara Fadilah Ayu, by √ BBL Spontan
24 Fatchatun, by √ BBL Spontan
25 Eka Karla, by √ BBL SC
26 Yonni, by √ BBL SC
27 7/5/2019 Ermawati, by √ BBL SC
28 Mulidar, by √ BBL SC
29 Hetty Kusuma, by √ BBL SC
30 Yetty Murni, by √ BBL SC
31 Purnama S, by √ BBL SC
32 Lisa, by √ BBL SC
33 Gustini Rahayu, by √ BBL Spontan
34 Rozalina, by √ BBL SC
35 Dewi Susanti, by √ BBL SC
36 Melsi, by √ BBL SC
37 7/6/2019 Nur Hasni, by √ BBL SC
38 Nina Yulia Nasti, by √ BBL SC
39 Fenni Wahyuni, by √ BBL Spontan
40 Mike Yulianti, by √ BBL SC
41 Leni Marlina, by √ BBL SC
42 Vina Ade Gusti, by √ BBL SC
43 Napsiah, by √ BBL SC
44 Desi Gustina, by √ BBL SC
45 Kiki Rianti, by √ BBL SC
46 Aisyah Murni, by √ BBL Spontan + Ve
47 Risha Olivia, by √ BBL SC
48 7/7/2019 Fitsusnita, by √ BBL Spontan
49 Elmirawati, by √ BBL SC
50 Siti Juhana,, by √ BBL Spontan
51 Mutia Pratiwi, by √ BBL SC
52 Rohaya Tamba, by √ BBL SC
53 Nadia Nanda, by √ BBL SC
54 Mega Berliana, by √ BBL SC
55 Nova Novita, by √ BBL SC
56 Ayu Andira, by √ BBL SC
57 Winar, by √ BBL SC
58 Noerdiva, by √ BBL SC
59 7/8/2019 Eva Restuti, by √ BBL SC
60 Indah, by √ BBL SC
61 Yuni Rahayu, by √ BBL Spontan
62 9/9/2019 Jaisi, by √ BBL SC
63 Silviana Pohan, by √ BBL Spontan
64 Iis Harianti, by √ BBL SC
65 Plorida, by √ BBL SC
66 Masba, by √ BBL SC
67 Elvira, by √ BBL SC
68 Erna Widya, by √ BBL Spontan
69 Asni Yunita, by √ BBL SC
70 Sekarmi, by √ BBL SC
71 Erasiska, by √ BBL Spontan
72 10/10/2019 Sutiatik, by √ BBL SC
73 Murni, by √ BBL SC
74 Leni Julita, by √ BBL SC
75 7/11/2019 Riana andri, by √ BBL SC
76 Puji Rahayu, by √ BBL SC
77 Yossi Darwin, by √ BBL SC
78 Masrizah, by √ BBL SC
79 Vicha Rahmadila, by √ BBL SC
 80 Tika Masriani, by √ BBL SC
81 Martha Martina, by √ BBL SC
82 7/12/2019 Fitria Harini, by √ BBL SC
83 Sri Wahyuni, by √ BBL SC
84 Misra Linda, by √ BBL Spontan
85 7/13/2019 Eva Susanti, by √ BBL Spontan
86 Siti Suparmi A, by √ BBL SC
87 Siti Suparmi B, by √ BBL SC
88 Wiwi Yuliansan, by √ BBL SC
89 Rita Armuna, by √ BBL SC
90 7/14/2019 Fitriyana, by √ BBL SC
91 Rika Rahayu, by √ BBL Spontan
92 Wenny Pitri, by √ BBL SC
93 Rise Purnama, by √ BBL SC
94 Surnaini, by √ BBL SC
95 Suri Indrawan, by √ BBL Spontan
96 7/15/2019 Murniwati, by √ BBL Spontan
97 Nirwana, by √ BBL Spontan
98 Devi Permatasari, by √ BBL Spontan
99 Sri Wahyuni, by √ BBL SC
100 Nur Hasanah, by √ BBL SC
101 Anis sundari, by √ BBL Spontan
102 7/16/2019 Sukma, by √ BBL Spontan
103 Sri Wisma, by √ BBL SC
104 Dwi Indah Lestari, by √ BBL SC
105 Eka Septiawati, by √ BBL SC
106 Wirda Murni, by √ BBL SC
107 Nurlia sari, by √ BBL SC
108 Ilmatiana, by √ BBL SC
109 7/17/2019 Siti Rahayu, by √ BBL Spontan
110 Indah Yani, by √ BBL SC
111 Asmita Ramadani, by √ BBL SC
112 Kiki Depita, by √ BBL SC
113 Swastry, by √ BBL SC
114 7/18/2019 Nurasiah, by √ BBL SC
115 Eka Nova, by √ BBL SC
116 Silvia, by √ BBL SC
117 Natalia, by √ BBL SC
118 Satiyem, by √ BBL SC
119 Ita binti Nasri, by √ BBL SC
120 Febriza, by √ BBL Spontan
121 Julia, by √ BBL Spontan + Ve
122 Sri Guntari, by √ BBL Spontan + Ve
123 7/19/2019 Rita Lestari, by √ BBL Spontan
124 Syaila, by √ BBL SC
125 Mirna Wati, by √ BBL SC
126 Sugiana A, by √ BBL SC
127 Sugiana B, by √ BBL SC
128 Rahmawati, by √ BBL SC
129 Lisnawati, by √ BBL Spontan
130 Sesiliana Gulo, by √ BBL SC
131 Mislah, by √ BBL SC
132 7/20/2019 Syerli Eka, by √ BBL Spontan
133 Desmita, by √ BBL Spontan + Ve
134 Sri wulandari, by √ BBL SC
135 Siti Kholijah, by √ BBL SC
136 Gokria Nadeak, by √ BBL SC
137 Elminar Purba, by √ BBL SC
138 Selfajar Asyara, by √ BBL SC
139 Suryaningsih, by √ BBL SC
140 Putri Nabila, by √ BBL SC
141 Yulia Wahyu, by √ BBL Spontan
142 Lisda br. Pasaribu, by √ BBL SC
143 Ika Marlina, by √ BBL SC
144 7/21/2019 Mariana, by √ BBL SC
145 Rini Silvia Ningsih, by √ BBL Spontan
146 Romi Binti Ali, by √ BBL SC
147 7/22/2019 Fitri Handayani, by √ BBL SC
148 Putri Ramadhani, by √ BBL SC
149 Rita Pasaribu, by √ BBL SC
150 Siti Nurmayani, by √ BBL Spontan
151 Sri Utami, by √ BBL SC
152 Faidar Magdalena, by √ BBL SC
153 Yusmawati, by √ BBL Spontan + Ve
154 Evi Suhaini, by √ BBL Spontan
155 7/23/2019 Nelly sitohang, by √ BBL SC
156 Agus, by √ BBL SC
157 Reza Alfionita, by √ BBL SC
158 Ria Purnama, by √ BBL SC
159 Wita Kumala Sari, by √ BBL SC
160 Naomi Masneni, by √ BBL SC
161 Ernawati Tambunan, by √ BBL SC
162 7/24/2019 Herning Sri Rahayu, by √ BBL SC
163 Lovina Sitompul, by √ BBL SC
164 Sinur Manik, by √ BBL SC
165 Siti Sa'adah, by √ BBL SC
166 Elbina Simanjuntak, by √ BBL SC
167 Putri Silau Purba, by √ BBL SC
168 Winda ariana, by √ BBL Spontan
169 Ari Widiya, by √ BBL SC
170 25/07/2019 Desi, by √ BBL SC
171 Nursanti, by √ BBL Spontan
172 Irma Dayana, by √ BBL SC
173 Esmelia, by √ BBL SC
174 Yuni Rahmi, by √ BBL SC
175 Juminarti, by √ BBL SC
176 Lili Teresia, by √ BBL SC
177 Partik, by √ BBL SC
178 Rahimati, by √ BBL Spontan
179 26/07/2019 Siti Rodiyah, by √ BBL SC
180 Yesi Sri Dewi, by √ BBL SC
181 Endang, by √ BBL SC
182 Anggiswita √ BBL Spontan
183 Ema Emelia, by √ BBL SC
184 Halimah Tusa'diah, by √ BBL SC
185 Siti Fatimah, by √ BBL SC
186 27/07/2019 Putri ayu, by √ BBL SC
187 Neti Marlina, by √ BBL SC
188 Fipi Arianti, by √ BBL SC
189 Sri Rahayu, by √ BBL Spontan
190 Rahmawati Karnia, by √ BBL Spontan
191 Mustika, by √ BBL SC
192 Roidah Munte, by √ BBL SC
193 Yanti, by √ BBL SC
194 Lidia Ramadona, by √ BBL Spontan
195 Kristina Harianja, by √ BBL Spontan
196 Kurniati, by √ BBL SC
197 28/07/2019 Yeni, by √ BBL Spontan
198 Vina Delfiana, by √ BBL SC
199 Nurlisna, by √ BBL SC
200 Rama, by √ BBL SC
201 Rika, by √ BBL SC
202 Eka Nuri, by √ BBL Spontan
203 29/07/2019 Salbiah, by √ BBL Spontan
204 Santi Aritonang, by √ BBL SC
205 Elperida, by √ BBL SC
206 Nelli Ida, by √ BBL Spontan
207 Ayuni Miantika, by √ BBL SC
208 Trisna Yenti, by √ BBL SC
209 Rina Deswita, by √ BBL SC
210 Lidia Ustina Hariani, by √ BBL SC
211 Siti Rahma, by √ BBL Spontan
212 30/07/2019 Weni, by √ BBL SC
213 Umi Kalsum, by √ BBL SC
214 Rosmaida, by √ BBL SC
215 Helnidawati, by √ BBL SC
216 Nurita, by √ BBL SC
217 Aminah Dewi, by √ BBL SC
218 31/07/2019 Sepriani, by √ BBL Spontan
219 Yozi Osnelawati, by √ BBL SC
220 Ira Milanta, by √ BBL SC

Numerator x 100 = % 220 x 100 % = 100%

Denumerator 220

Dilaporkan Oleh,

Repi Yant
 FORMAT PEMANTAUAN INDIKATOR MUTU
AREA STANDARD PELAYANAN MINIMAL (SPM)
UNIT PENJAMIN MUTU RUMAH SAKIT PRIMA PEKANBARU

Standard
Judul Indikator SKP. 1 Jumlah Pasien Rawat Inap Terpasang Gelang 100%
Ruangan Infant
Bulan Agustus 2019

GELANG IDENTITAS
NO TANGGAL NAMA PASIEN DIAGNOSA
YA TIDAK
1 1/8/2019 Eka Januarti, by √ BBL Spontan
2 Rina Herawati, by √ BBL SC
3 Yunita Ginarti, by √ BBL SC
4 Wan Zurahmi, by √ BBL SC
5 Anita Prima, by √ BBL SC
6 Yulia Binti Legimo, by √ BBL SC
7 Maniarti Laia, by √ BBL SC
8 Rina Vera, by √ BBL SC
9 Ani Saptira, by √ BBL SC
10 Fitri Yenti, by √ BBL SC
11 Nila Yuliani, by √ BBL SC
12 Nurhayati binti Tarjo, by √ BBL SC
13 Yuni Sundari, by √ BBL SC
14 Dori Omas, by √ BBL SC
15 Jumiati, by √ BBL SC
16 2/8/2019 Waizah, by √ BBL SPONTAN + VE
17 Wiwid Rahayu, by √ BBL SC
18 Yami, by √ BBL Spontan
19 Fera Diana, by √ BBL SC
20 Handayani, by √ BBL SC
21 3/8/2019 Sepri Ningsih, by √ BBL SC
22 Susilawati, by √ BBL SC
23 Vhania Oktaviani, by √ BBL SC
24 Rini Binti Islami, by √ BBL SC
25 Mita Erni, by √ BBL SC
26 Pepi, by √ BBL SC
27 Mardiana, by √ BBL SC
28 Nurmita Daulay, by √ BBL SC
29 4/8/2019 Rita Angelina, by √ BBL Spontan
30 Yunita Mariza, by √ BBL SC
31 Dahat Wiyati, by √ BBL SC
32 Vera Susana, by √ BBL SC
33 5/8/2019 Sulikha, by √ BBL Spontan
34 Eperini, by √ BBL SC
35 Dewi Nasib, by √ BBL SC
36 Enni Lovika, by √ BBL SC
37 Lilik, by √ BBL SC
38 Jamilah, by √ BBL Spontan
39 6/8/2019 Monalisa, by √ BBL Spontan
40 Nur Apni, by √ BBL SC
41 7/8/2019 Reyhelina, by √ BBL Spontan
42 Ayu Selviyana, by √ BBL SC
43 Ade Thiany, by √ BBL SC
44 Selly Vanessa, by √ BBL SC
45 Rina Ramadhani, by √ BBL SC
46 Martania, by √ BBL SC
47 8/8/2019 Linda Wati, by √ BBL SC
48 Fitri Siahaan, by √ BBL Spontan
49 Fitri Wirdayeni, by √ BBL SC
50 Bismasari, by √ BBL Spontan
51 Rina Binti Syafruddin I, by √ BBL SC
52 Rina Binti Syafruddin II, by √ BBL SC
53 chusnul khotima I,by √ BBL SC
54 chusnul khotima II,by √ BBL SC
55 selamat riyani ,by √ BBL SC
56 9/8/2019 Lastika ,by √ BBL Spontan
57 Seventrianti,by √ BBL SC
58 Hotmaida,by √ BBL SC
59 Julianti,by √ BBL SC
60 10/8/2019 Anggi mainawati,by √ BBL SC
61 Nurlela sianturi,by √ BBL SC
62 Sri susanti I ,by √ BBL SC
63 Sri susanti II,by √ BBL SC
64 Andita,by √ BBL Spontan
65 Indah Permata Sari,by √ BBL SC
66 Nova Putri Chaniago √ BBL SC
67 11/8/2019 Yuniati,by √ BBL Spontan + VE
68 Rachel fachira ,by √ BBL SC
69 12/8/2019 Epra Siahaan, by √ BBL SC
70 Sri lestari,by √ BBL SC
71 Marni ,by √ BBL SC
72 Sulaikah ,by √ BBL SC
73 Mesra Rita ,by √ BBL Spontan
74 Nilma ,by √ BBL SC
75 Arovika,by √ BBL SC
76 Yenti , by √ BBL SC
77 13/08/2018 Risma Sitohang ,by √ BBL Spontan
78 Sri Wulan ,by √ BBL SC
79 Ino Trio ,by √ BBL SC
 80 Dalima Simbolon,by √ BBL SC
81 Delima ,by √ BBL Spontan
82 Dewi Astuti ,by √ BBL Spontan
83 Anggi Ayu,by √ BBL SC
84 14/08/2019 Salma ,by √ BBL SC
85 Sumarni,by √ BBL Spontan
86 Maria Junita ,by √ BBL Spontan
87 Caskilah,by √ BBL SC
88 Utung Martupa √ BBL SC
89 Ira Maya ,by √ BBL SC
90 Novi lili,by √ BBL SC
91 15/08/2019 Noni sapitri,by √ BBL SC
92 Tiara Marisa,by √ BBL SC
93 Rosdiana,by √ BBL SC
94 Rina novi eka ,by √ BBL SC
95 Hasnawati,by √ BBL SC
96 Mairi erni,by √ BBL SC
97 Yuni hurniasari,by √ BBL SC
98 Yusmiati,by √ BBL SC
99 16/08/2019 Dewi sonari ,by √ BBL Spontan
100 Jumiati ,by √ BBL Spontan
101 Sumiarni ,by √ BBL Spontan
102 17/08/2019 Mariana Tambolon ,by √ BBL SC
103 Fifin ,by √ BBL SC
104 Jalty Pasaribu ,by √ BBL SC
105 Mutia Maretha ,by √ BBL SC
106 Julmayanti ,by √ BBL SC
107 Elisa Riau,by √ BBL SC
108 Muriati ,by √ BBL SC
109 Murni ,by √ BBL SC
110 Nahda annisa ,by √ BBL SC
111 Efni yunita ,by √ BBL SC
112 Selvia desti,by √ BBL SC
113 Naftalia,by √ BBL SC
114 Yelsi saditri ,by √ BBL SC
115 Erita ,by √ BBL SC
116 Nurhayati ,by √ BBL Spontan
117 Yuliana wati ,by √ BBL SC
118 Juliatik,by √ BBL Spontan
119 Yanti yulia,by √ BBL SC
120 Nurhasanah ,by √ BBL SC
121 Imelva,by √ BBL SC
122 18/08/2019 Nurazizah,by √ BBL SC
123 Vera irna yeni ,by √ BBL SC
124 19/08/2019 Arni waruwu ,by √ BBL SC
125 erlina suraini,by √ BBL SC
124 mariani ,by √ BBL SC
125 Pitriyani,by √ BBL SC
126 Karti,by √ BBL Spontan
127 20/08/2019 Fifin lestari,by √ BBL SC
128 Roh ardiani,by √ BBL Spontan
129 Yusnita ,by √ BBL SC
130 Septiana Sinaga ,by √ BBL SC
131 21/08/2019 Nurliana Hutabarat ,by √ BBL Spontan
132 Nurasiah ,by √ BBL SC
133 Peni Yulita ,by √ BBL Spontan
134 Elfitri,by √ BBL SC
135 Eka trisna ,by √ BBL SC
136 22/08/2019 Risda ,by I √ BBL SC
137 Enung ,by I √ BBL SC
138 Enung ,by II √ BBL SC
139 Ajeng ardasita ,by √ BBL Spontan
140 T. Fika Sari ,by √ BBL SC
141 Siti Hajar ,by √ BBL SC
142 Apriani ,by √ BBL SC
143 Mury,by √ BBL Spontan
144 Yulhemidawati,by √ BBL SC
145 Isti sundari,by √ BBL SC
146 Nova Yulita ,by √ BBL SC
147 Fitri anda dewi ,by √ BBL SC
148 Anita Sari ,by √ BBL Spontan
149 Lisa Landari,by √ BBL SC
150 Anggraini,by √ BBL SC
151 Gadis miranda ,by √ BBL SC
152 Rosmeri ,by √ BBL SC
153 23/08/2019 Ika Handayani,by √ BBL Spontan
154 Nurasiah,by √ BBL SC
155 Murti,by √ BBL SC
156 Ida Haryanti ,by √ BBL SC
157 Krisnawati,by √ BBL SC
158 Resma Yulis ,by √ BBL SC
159 Sri surya ningsih ,by √ BBL SC
160 24/08/2019 Yasintha Nainahas ,by √ BBL Spontan
161 Cuti rahman ,by √ BBL SC
162 Helena ,by √ BBL SC
163 25/08/2019 Siti hodijah ,by √ BBL SC
164 Diana ,by √ BBL Spontan
165 Erlinda ,by √ BBL SC
166 Mutiara ,by √ BBL SC
167 Mayanti Sibarani ,by √ BBL SC
168 26/08/2019 Masrani,by √ BBL SC
169 Andriani,by √ BBL SC
170 Dewi Haryani ,by √ BBL SC
171 Leni silaban ,by √ BBL SC
172 Siti masyita,by √ BBL SC
173 Suryani,by √ BBL SC
174 Karin lie ,by √ BBL SC
175 √ BBL SC
176 √ BBL SC
177 √ BBL SC
178 √ BBL SC
179 √ BBL SC
180 √ BBL SC
181 √ BBL SC
182 √ BBL SC
183 √ BBL SC
184 √ BBL SC
185 √ BBL SC
186 √ BBL SC
187 √ BBL SC
188 √ BBL SC
189 √ BBL SC
190 √ BBL SC
191 √ BBL SC
192 √ BBL SC
193 √ BBL SC
194 √ BBL SC
195 √ BBL SC
196 √ BBL SC
197 √ BBL SC
198 √ BBL SC
199 √ BBL SC
200 √ BBL SC
201 √ BBL SC
202 √ BBL SC
203 √ BBL SC
204 √ BBL SC
205 √ BBL SC
206 √ BBL SC
207 √ BBL SC
208 √ BBL SC
209 √ BBL SC
210 √ BBL SC
211 √ BBL SC
212 √ BBL SC
213 √ BBL SC
214 √ BBL SC
215 √ BBL SC
216 √ BBL SC
217 √ BBL SC
218 √ BBL Spontan
219 √ BBL SC
220 √ BBL SC

Numerator x 100 = % 220 x 100 % = 100%

Denumerator 220

Dilaporkan Oleh,

Repi Yant