Imu Ko

INDIKATOR MUTU UNIT KAMAR OPERASI
BULAN JANUARI
INDIKATOR MUTU ANASTESI INDIKATOR MUTU BEDAH INDIKATOR MUTU NASIONAL
No Penundaan
NO Nama Asesment Monitoring Monitoring Surgical
RM Konversi Asesment Site Diskrepansi Operasi
Pra Durante Pasca Safety KETERANGAN
Anestesi Pra Bedah Marking Diagnosis Elektif Lebih
Anestesi Anestesi Anestesi Ceklist Dari 2 Hari
1 Irin indriyani 90742 1 1 1 0 1 1 0 0 0

2 liaroh 90862 1 1 1 0 1 1 0 0 0
3 huzaemah 90873 1 1 1 0 1 1 1 0 0
4 siti nurlelah 90851 1 1 1 0 1 1 1 0 0
5 sawiyah 90991 1 1 1 0 1 1 1 0 0
6 salmah 88747 1 1 1 0 1 1 1 0 0
7 lia 91091 1 1 1 0 1 1 1 0 0
8 siti nurhayati 91112 1 1 1 0 1 1 1 0 0
9 ani bt nata 911167 1 1 1 0 1 1 0 0 0
10 nopia rachmawati 84300 1 1 1 0 1 1 0 0 0
11 hayati 77385 1 1 1 1 1 1 0 0 0
12 sartini 91305 1 1 1 0 1 1 0 0 0
13 rinah 53957 1 1 1 0 1 1 0 0 0
14 meiyana suyanto 86211 1 1 1 0 1 1 0 0 0
15 lissanah 79729 1 1 1 0 1 1 0 0 0
16 suti 91681 1 1 1 0 1 1 1 0 0
17 kokom komariah 68091 1 1 1 0 1 1 1 0 0
18 cita mariana 91646 1 1 1 0 1 1 1 0 0
19 rahma aryanih 91780 1 1 1 0 1 1 1 0 0
20 megawati 91233 1 1 1 1 1 1 1 0 0
21 elvis 37794 1 1 1 0 1 1 1 0 0
22 siti fatmawati 91938 1 1 1 0 1 1 1 0 0
23 siti robiah 88879 1 1 1 0 1 0 1 0 0
24 kulsum 15673 1 1 1 0 1 0 1 0 0
25 arcicin 88618 1 1 1 0 1 0 1 0 0
26 nopita aryanti 91999 1 1 1 1 1 1 1 0 0
27 siti fatimah 92099 1 1 1 0 1 0 1 0 0
28 lindasari 57006 1 1 1 0 1 0 1 0 0
29 dahlia 69917 1 1 1 0 1 0 1 0 0
30 riawati 90052 1 1 1 0 1 0 1 0 0
31 neneng octavianti 28625 1 1 1 0 1 1 1 0 0
32 suhati 87703 1 1 1 0 1 0 1 0 0
33 nurhaeni 90706 1 1 1 0 1 0 1 0 0
34 rohati 88843 1 1 1 0 1 0 1 0 0
35 dewi sulastri 81267 1 1 1 0 1 0 1 0 0
36 umaya 90192 1 1 1 0 1 0 1 0 0
37 siti nur romadhon 58027 1 1 1 0 1 1 1 0 0
38 ipah sidah 19919 1 1 1 0 1 1 1 0 0
39 eva rosita 89402 1 1 1 0 1 1 1 0 0
40 sari mulyati 91188 1 1 1 0 1 1 1 0 0
41 dawati 91321 1 1 1 0 1 1 1 0 0
42 renida aziz 87228 1 1 1 0 1 0 1 0 0
43 siti nurhasanah 91589 1 1 1 0 1 0 1 0 0
44 umroh 91602 1 1 1 1 1 1 0 0 0
45 vika fitriani 91965 1 1 1 0 1 1 0 0 0
46 rohaya 86795 1 1 1 0 1 1 0 0 0
47 ria nipiyani 91613 1 1 1 0 1 1 0 0 0
48 siti choirunnisa 71778 1 1 1 0 1 1 0 0 0
49 tini martini 91805 1 1 1 0 1 1 0 0 0
50 yayu 92061 1 1 1 0 1 0 0 0 0
51 samah 89976 1 1 1 0 1 0 0 0 0
52 siti suhenah 92087 1 1 1 0 1 0 0 0 0
53 roinah 92082 1 1 1 0 1 0 0 0 0
54 desi w 85781 1 1 1 0 1 0 1 0 0
55 linah bt nisan 92095 1 1 1 0 1 0 1 0 0
56 linda 80762 1 1 1 1 1 0 1 0 0
57 selvie apriliyantie 92302 1 1 1 0 1 0 1 0 0
58 siti jamilah 92334 1 1 1 0 1 0 0 0 0
59 siti rosita 92420 1 1 1 0 1 0 0 0 0
60 sinta nurama 64617 1 1 1 0 1 0 0 0 0
61 rika maharani 86019 1 1 1 0 1 1 0 0 0
62 siti maryani 92488 1 1 1 0 1 0 0 0 0
63 heni ariyani 72874 1 1 1 0 1 0 0 0 0
64 winda apriyani 89250 1 1 1 0 1 1 1 0 0
65 vivi karlina 89757 1 1 1 0 1 1 1 0 0
66 sumarni 84240 1 1 1 0 1 1 1 0 0
67 murdianah 75391 1 1 1 0 1 1 1 0 0
68 ocih bt arban alam 89911 1 1 1 0 1 0 0 0 0
69 ajeng setiawati 87922 1 1 1 0 1 0 0 0 0
70 irma komalasari 58933 1 1 1 0 1 0 0 0 0
71 neti 91004 1 1 1 0 1 0 0 0 0
72 sarimila 90276 1 1 1 0 1 0 0 0 0
73 diana 91021 1 1 1 0 1 0 0 0 0
74 tar komariah 91028 1 1 1 1 1 0 1 0 0
75 kamilah 91000 1 1 1 0 1 1 1 0 0
76 nasiah 90042 1 1 1 0 1 0 1 0 0
77 reni ayu bt mait 70553 1 1 1 0 1 0 1 0 0
78 letin 81022 1 1 1 0 1 0 1 0 0
79 sukarmah 75348 1 1 1 0 1 0 1 0 0
80 neneng 91022 1 1 1 0 1 0 1 0 0
81 siti okah 91331 1 1 1 1 1 1 1 0 0
82 siti nurhasanah 58065 1 1 1 0 1 1 1 0 0
83 jini 86746 1 1 1 0 1 0 1 0 0
84 sri ningsih 78802 1 1 1 0 1 0 1 0 0
85 dita dianah 91721 1 1 1 0 1 0 1 0 0
86 dinah 52099 1 1 1 0 1 0 1 0 0
87 siti awanah 91622 1 1 1 0 1 0 0 0 0
88 neneng safitri 21293 1 1 1 0 1 0 0 0 0
89 maulidah 91965 1 1 1 0 1 0 0 0 0
90 leonita agustina 83094 1 1 1 0 1 0 0 0 0
91 yunita wulandari 50491 1 1 1 1 1 0 0 0 0
92 neneng aryanti 91792 1 1 1 0 1 0 0 0 0
93 sarah 88266 1 1 1 0 1 0 0 0 0
94 shella tirtana 91218 1 1 1 0 1 0 0 0 0
95 atikah 91965 1 1 1 0 1 1 1 0 0
96 indah aryanti 92010 1 1 1 0 1 0 1 0 0
97 suhesih 92041 1 1 1 0 1 0 1 0 0
98 sutriah 80975 1 1 1 0 1 0 1 0 0
99 iis 92157 1 1 1 1 1 0 1 0 0
100 destiara putri dwi 91372 1 1 1 0 1 1 1 0 0
101 misi bt anin 92174 1 1 1 0 1 1 1 0 0
102 marhamah 92111 1 1 1 0 1 1 1 0 0
103 esty lusianah 77059 1 1 1 0 1 1 0 0 0
104 murati 87469 1 1 1 0 1 0 0 0 0
105 nurhayati 92204 1 1 1 0 1 0 0 0 0
106 sarni 92220 1 1 1 1 1 0 0 0 0
107 sumi wijayanti 90734 1 1 1 0 1 0 0 0 0
108 astinah 92021 1 1 1 0 1 0 0 0 0
109 juroh 89971 1 1 1 0 1 1 0 0 0
110 sugiati 88655 1 1 1 0 1 1 0 0 0
111 delvi rihayati 57289 1 1 1 0 1 1 1 0 0
112 saefitri 91339 1 1 1 0 1 0 1 0 0
113 sukiyati 90668 1 1 1 0 1 0 1 0 0
114 nur sidik 86098 1 1 1 1 1 0 1 0 0
115 ariki 90846 1 1 1 0 1 0 1 0 0
116 fitria firdaus 91536 1 1 1 0 1 0 1 0 0
117 asan peyang 86223 1 1 1 0 1 0 1 0 0
118 mustopa 91968 1 1 1 0 1 0 1 0 0
119 marno 90498 1 1 1 0 1 0 1 0 0
120 tb. Sunarya 90446 1 1 1 0 1 0 1 0 0
121 unus 16711 1 1 1 0 1 1 1 0 0
122 nur azis fardani 91030 1 1 1 0 1 0 0 0 0
123 siti maysaroh 29827 1 1 1 1 1 0 0 0 0
124 kembar 89086 1 1 1 0 1 0 0 0 0
125 nacing bin masan 40800 1 1 1 0 1 0 0 0 0
126 sri pungki 64466 1 1 1 0 1 0 0 0 0
127 m. Putra 63739 1 1 1 0 1 1 0 0 0
128 ade widiyanti 91997 1 1 1 1 1 1 0 0 0
129 suhaebah bt suhaem 92036 1 1 1 0 1 1 1 0 0
130 kresna yusup 92042 1 1 1 0 1 0 0 0 0
131 kunding 90953 1 1 1 0 1 0 0 0 0
132 jimmy sujatmiko 90777 1 1 1 0 1 0 0 0 0
133 bustomi 90765 1 1 1 0 1 0 0 0 0
134 iswahyudi 90804 1 1 1 0 1 0 0 0 0
135 sri wijayanti 90793 1 1 1 1 1 0 0 0 0
136 tek in 90859 1 1 1 0 1 0 1 0 0
137 mursid 90902 1 1 1 0 1 0 1 0 0
138 tati 90926 1 1 1 0 1 0 1 0 0
139 ahmadi saputra 7023 1 1 1 0 1 0 0 0 0
140 yumnah hanum a 50057 1 1 1 0 1 1 0 0 0
141 hamizah 90833 1 1 1 0 1 1 1 0 0
142 marudin 9093 1 1 1 0 1 1 1 0 0
143 rini purnamawati 90663 1 1 1 1 1 0 1 0 0
144 murti 80328 1 1 1 0 1 0 0 0 0
145 endan suginem 90828 1 1 1 0 1 0 0 0 0
146 rani 90899 1 1 1 0 1 0 0 0 0
147 unin bin alim 9057 1 1 1 0 1 0 0 0 0
148 hj. Juhaeriah 89056 1 1 1 0 1 0 1 0 0
149 the kimsan 91134 1 1 1 0 1 1 0 0 0
150 aep saepudin 91183 1 1 1 0 1 0 0 0 0
151 lutfi indra pratama 64974 1 1 1 0 1 1 1 0 0
152 lulu perdita 91249 1 1 1 0 1 1 1 0 0
153 eka sulastri 9267 1 1 1 1 1 0 1 0 0
154 tamsir 9257 1 1 1 0 1 1 1 0 0
155 ferry yanto 91339 1 1 1 0 1 0 1 0 0
156 moh hadi 91181 1 1 1 0 1 0 0 0 0
157 maria amoy 91373 1 1 1 0 1 0 0 0 0
158 iis aspiyah 42898 1 1 1 0 1 0 1 0 0
159 rohim 9460 1 1 1 0 1 1 1 0 0
160 azril fauzan rassya 74258 1 1 1 1 1 1 1 0 0
161 sardi bin hartowi y 91473 1 1 1 0 1 1 1 0 0
162 mellia 91603 1 1 1 0 1 0 1 0 0
163 ahmad mukhrozi 89904 1 1 1 0 1 0 1 0 0
164 s. yardi 91588 1 1 1 0 1 0 1 0 0
165 mulyanah 91587 1 1 1 0 1 1 1 0 0
166 khairul rizal 91635 1 1 1 0 1 0 0 0 0
167 asih 91667 1 1 1 0 1 0 0 0 0
168 zahwa k 91718 1 1 1 0 1 0 0 0 0
169 vina oktaviani 81722 1 1 1 0 1 0 1 0 0
170 mohamad sobri 91787 1 1 1 0 1 0 1 0 0
171 hermanto 91865 1 1 1 0 1 0 1 0 0
172 nurlinah 89306 1 1 1 1 1 0 1 0 0
173 mumi lestari 91911 1 1 1 0 1 1 1 0 0
174 novita sari 85446 1 1 1 0 1 0 0 0 0
175 nuraini 91650 1 1 1 0 1 0 0 0 0
176 linah 91972 1 1 1 0 1 0 0 0 0
177 ipah 92379 1 1 1 0 1 0 0 0 0
178 dewi septiana 63528 1 1 1 0 1 0 1 0 0
179 mulyanih 92394 1 1 1 1 1 0 0 0 0
180 nursanah 65773 1 1 1 0 1 1 0 0 0
181 siti munawaroh 86782 1 1 1 0 1 0 1 0 0
182 atin kartini 83254 1 1 1 0 1 0 0 0 0
183 suryani 9083 1 1 1 0 1 0 0 0 0
184 devi muliawati 89297 1 1 1 0 1 1 1 0 0
185 tri wijayanti 61581 1 1 1 1 1 1 1 0 0
186 siti nur aini 91875 1 1 1 0 1 1 1 0 0
187 indar haulasari 91492 1 1 1 0 1 0 1 0 0
188 yanti 90720 1 1 1 0 1 0 1 0 0
189 lailah bt uca 90442 1 1 1 0 1 0 0 0 0
190 milah 87620 1 1 1 0 1 0 0 0 0
191 ika 91153 1 1 1 0 1 0 0 0 0
192 marsiti 82125 1 1 1 1 1 0 1 0 0
193 meina 91465 1 1 1 0 1 0 1 0 0
194 yuyun 91481 1 1 1 0 1 0 1 0 0
195 siti maulani 91633 1 1 1 0 1 0 1 0 0
196 roahani 89227 1 1 1 0 1 0 1 0 0
197 siti saroyah 66741 1 1 1 0 1 0 0 0 0
198 mayati 92212 1 1 1 0 1 1 0 0 0
199 kasim 5249 1 1 1 0 1 1 0 0 0
200 jaenal abidin 92322 1 1 1 0 1 1 1 0 0
201 tacang 6449 1 1 1 0 1 1 1 0 0
202 nani 92449 1 1 1 1 1 0 1 0 0
203 ayu lestari 7203 1 1 1 0 1 0 1 0 0
204 ilham kusuma 92472 1 1 1 1 1 0 1 0 0
205 tuti 92079 1 1 1 0 1 0 1 0 0
206 sarmah 78650 1 1 1 0 1 0 1 0 0
207 nurhasanah 78670 1 1 1 0 1 0 0 0 0
208 muhaamad sultan i 92172 1 1 1 0 1 0 0 0 0
209 nasiti 92160 1 1 1 1 1 0 0 0 0
210 ahmad fiqih 92187 1 1 1 0 1 0 0 0 0
211 h. tolib 92120 1 1 1 0 1 0 1 0 0
212 abdul khamid 77062 1 1 1 0 1 0 1 0 0
213 m. aditya 92288 1 1 1 1 1 0 1 0 0
214 sahfiyyatul 92316 1 1 1 0 1 0 1 0 0
215 puput indriyati 91798 1 1 1 0 1 0 0 0 0
216 bong kong choi 91919 1 1 1 0 1 0 0 0 0
217 irwan 91959 1 1 1 0 1 0 0 0 0
218 maulana ibrahim 91898 1 1 1 1 1 1 1 0 0
219 aan fauziah 91976 1 1 1 0 1 1 1 0 0
220 atih 91910 1 1 1 0 1 1 1 0 0
221 tapi bin asman 91531 1 1 1 1 1 1 1 0 0
222 sunni 91979 1 1 1 0 1 0 1 0 0
223 irwan 91890 1 1 1 0 1 0 1 0 0
JUMLAH 223 223 223 27 223 79 129 0 0
KETERANGAN :
0 = tidak dilakukan
1 = dilakukan
KA. INSTALASI
KAMAR OPERASI PIC I PIC II
dr. Husnul, Sp.An.,M.Kes Yurike, Amd. Keb NS. Ega Juliansyah, S.Kep
BULAN FEBRUARI 2020

No Penundaan
NO Nama Monitoring Monitoring Surgical
RM Asesment Konversi Asesment Site Diskrepansi Operasi
Durante Pasca Safety KETERANGAN
Pra Anestesi Anestesi Pra Bedah Marking Diagnosis Elektif Lebih
Anestesi Anestesi Ceklist
Dari 2 Hari
1 siti opih 92605 1 1 1 0 1 1 0 0 0
2 latifah 51691 1 1 1 0 1 1 0 0 0
3 lasmini 87876 1 1 1 1 1 1 1 0 0
4 asnaya 92623 1 1 1 0 1 1 1 0 0
5 dian octavianah 50988 1 1 1 0 1 1 1 0 0
6 adinda mariana 86015 1 1 1 0 1 1 1 0 0
7 nuryanah 92983 1 1 1 0 1 1 1 0 0
8 yulia ningsih 93398 1 1 1 1 1 1 1 0 0
9 rohaya 93273 1 1 1 0 1 1 0 0 0
10 dian hadigianti 93514 1 1 1 0 1 1 0 0 0
11 nasih 91272 1 1 1 0 1 1 0 0 0
12 ohiriah 92985 1 1 1 0 1 1 0 0 0
13 saodah 93775 1 1 1 0 1 1 0 0 0
14 yeni novianti 93790 1 1 1 1 1 1 0 0 0
15 atikah 90217 1 1 1 0 1 1 0 0 0
16 fatmawati tohiroh 93982 1 1 1 0 1 1 1 0 0
17 lenah octoviana 93981 1 1 1 0 1 1 1 0 0
18 indayu stevani 78030 1 1 1 0 1 1 1 0 0
19 helni rahayu 41512 1 1 1 0 1 1 1 0 0
20 fani listiani 56269 1 1 1 0 1 1 1 0 0
21 munah bt temu 46999 1 1 1 0 1 1 1 0 0
22 ika putri yanah sari 92060 1 1 1 0 1 1 1 0 0
23 dwi indriyati 94079 1 1 1 0 1 0 1 0 0
24 dianti 94150 1 1 1 0 1 0 1 0 0
25 maryati 94163 1 1 1 0 1 0 1 0 0
26 jumiasih 71944 1 1 1 0 1 1 1 0 0
27 sumiyati 90834 1 1 1 0 1 0 1 0 0
28 diana tri pratiwi 92575 1 1 1 0 1 0 1 0 0
29 rasna 92641 1 1 1 0 1 0 1 0 0
30 siti hofifah susilawati 92507 1 1 1 0 1 0 1 0 0
31 maya angraini 77377 1 1 1 0 1 0 1 0 0
32 widya fungki diana 81744 1 1 1 1 1 0 1 0 0
33 sofi sutiari 51756 1 1 1 0 1 0 1 0 0
34 sri mulandari 91826 1 1 1 0 1 0 1 0 0
35 riski fitriyani 75347 1 1 1 0 1 0 1 0 0
36 sri wanengsih 93031 1 1 1 0 1 0 1 0 0
37 siti rohani 93008 1 1 1 0 1 0 1 0 0
38 siti humairoh 87786 1 1 1 0 1 1 1 0 0
39 siti apprila 91939 1 1 1 0 1 1 1 0 0
40 rukiyah 46262 1 1 1 0 1 1 1 0 0
41 fitri 92643 1 1 1 0 1 1 1 0 0
42 nurlela 93253 1 1 1 0 1 1 1 0 0
43 sartika dewi 93296 1 1 1 0 1 0 1 0 0
44 siti hotifah 86284 1 1 1 0 1 0 1 0 0
45 siti maemunah 81206 1 1 1 1 1 1 0 0 0
46 iis subagiarti 93368 1 1 1 0 1 1 0 0 0
47 nuridatayi 93370 1 1 1 0 1 1 0 0 0
48 eli rosita 93366 1 1 1 0 1 1 0 0 0
49 aisah 93367 1 1 1 0 1 1 0 0 0
50 anisa febriasah 81970 1 1 1 0 1 1 0 0 0
51 sati ridha hapsari 93478 1 1 1 0 1 1 0 0 0
52 rohaya 92503 1 1 1 0 1 1 0 0 0
53 dede 80613 1 1 1 0 1 1 0 0 0
54 siti arfah 56495 1 1 1 1 1 1 0 0 0
55 enjum 93735 1 1 1 0 1 1 0 0 0
56 henlih syakira sanjaya 92051 1 1 1 0 1 1 0 0 0
57 eis trisnawati 93139 1 1 1 0 1 0 0 0 0
58 elis 93197 1 1 1 0 1 0 0 0 0
59 nurhasanah 93949 1 1 1 0 1 0 0 0 0
60 casmiti 93963 1 1 1 0 1 0 0 0 0
61 marwiyah 89666 1 1 1 0 1 0 0 0 0
62 warnih 93969 1 1 1 0 1 0 0 0 0
63 sri puji lestari 94036 1 1 1 0 1 0 0 0 0
64 rusni 94892 1 1 1 0 1 0 0 0 0
65 susi susanti 93939 1 1 1 0 1 0 0 0 0
66 anita 91216 1 1 1 0 1 0 0 0 0
67 linda sahfitri 62580 1 1 1 1 1 0 0 0 0
68 desi apriyanti 53860 1 1 1 0 1 0 0 0 0
69 rusniawati 83856 1 1 1 0 1 0 0 0 0
70 napsiah 91923 1 1 1 0 1 0 0 0 0
71 atih 87270 1 1 1 0 1 1 1 0 0
72 ifah 92738 1 1 1 0 1 1 1 0 0
73 siti rohmayati 92789 1 1 1 0 1 1 1 0 0
74 siti nurhayati 91490 1 1 1 0 1 1 1 0 0
75 warnih 92715 1 1 1 0 1 1 1 0 0
76 yuni astuti 92922 1 1 1 0 1 0 1 0 0
77 siti ayunah 72969 1 1 1 1 1 0 1 0 0
78 kokom komala 93166 1 1 1 0 1 0 1 0 0
79 lilis bt yamin 89598 1 1 1 0 1 0 1 0 0
80 siti aisah 93222 1 1 1 0 1 0 0 0 0
81 diyana 93055 1 1 1 0 1 0 0 0 0
82 siti nurkholifah 75665 1 1 1 0 1 0 1 0 0
83 rosita bt asmar 92127 1 1 1 1 1 0 1 0 0
84 sri noviyanti 52795 1 1 1 0 1 0 1 0 0
85 neni 93204 1 1 1 0 1 0 1 0 0
86 subur 92911 1 1 1 0 1 0 1 0 0
87 latifah 93576 1 1 1 0 1 1 1 0 0
88 yosihlawati 91920 1 1 1 0 1 1 1 0 0
89 nela yumarsih 91928 1 1 1 0 1 1 1 0 0
90 nanda 93157 1 1 1 0 1 1 1 0 0
91 sarah 88032 1 1 1 0 1 1 1 0 0
92 abni 92932 1 1 1 0 1 1 1 0 0
93 asih 93154 1 1 1 0 1 1 1 0 0
94 intan rahayu 93734 1 1 1 0 1 0 1 0 0
95 sari 93746 1 1 1 0 1 0 1 0 0
96 nursinih 93760 1 1 1 0 1 0 1 0 0
97 fitri yanti 91149 1 1 1 0 1 0 1 0 0
98 noviya 89508 1 1 1 0 1 0 1 0 0
99 irma yuningsih 93929 1 1 1 0 1 0 1 0 0
100 siti nurjanah 67298 1 1 1 0 1 0 0 0 0
101 sinta bela 93950 1 1 1 0 1 0 0 0 0
102 sarni 67926 1 1 1 0 1 0 0 0 0
103 saharah anisah 94019 1 1 1 0 1 0 0 0 0
104 mulyanah 92681 1 1 1 0 1 0 1 0 0
105 lathifah 89458 1 1 1 0 1 0 1 0 0
106 nurhayati 48699 1 1 1 0 1 1 1 0 0
107 suryanah 91189 1 1 1 0 1 1 1 0 0
108 yulia 92842 1 1 1 0 1 1 1 0 0
109 supiyati 36391 1 1 1 0 1 1 1 0 0
110 syifa fauziah 92875 1 1 1 0 1 1 1 0 0
111 masiyah 92857 1 1 1 1 1 1 0 0 0
112 nurmala sari 92861 1 1 1 0 1 1 0 0 0
113 enok dahlia 92969 1 1 1 0 1 1 0 0 0
114 murni bt timur 82262 1 1 1 0 1 1 0 0 0
115 indah susanti 92970 1 1 1 0 1 1 0 0 0
116 novi jayanti m 3727 1 1 1 0 1 1 0 0 0
117 sri rahayu 92440 1 1 1 0 1 0 0 0 0
118 Eda Rusmiati 90132 1 1 1 0 1 0 0 0 0
119 siti komariah 93346 1 1 1 0 1 0 1 0 0
120 Siti maemunah 93357 1 1 1 0 1 0 1 0 0
121 juju 93392 1 1 1 0 1 0 1 0 0
122 ita paramita 83588 1 1 1 1 1 0 1 0 0
123 titin suhartinah 87799 1 1 1 0 1 0 1 0 0
124 eno lerian 93020 1 1 1 0 1 0 1 0 0
125 amnah 93527 1 1 1 0 1 0 1 0 0
126 siti nurjanah 82507 1 1 1 0 1 1 0 0 0
127 romlah 82133 1 1 1 0 1 1 0 0 0
128 tera dilla 93647 1 1 1 0 1 1 0 0 0
129 devita 89983 1 1 1 0 1 1 0 0 0
130 rosanah 64082 1 1 1 0 1 1 0 0 0
131 dewi anggraeni 93272 1 1 1 0 1 1 0 0 0
132 nunung nuryati 93705 1 1 1 0 1 1 0 0 0
133 siti mutiya k 93794 1 1 1 0 1 1 0 0 0
134 isnawati 48378 1 1 1 0 1 1 1 0 0
135 uci 28555 1 1 1 0 1 1 1 0 0
136 iin gustianah 27837 1 1 1 0 1 1 1 0 0
137 nurlestari 94063 1 1 1 0 1 1 1 0 0
138 lutpiah 35612 1 1 1 0 1 0 1 0 0
139 yanita 94057 1 1 1 0 1 0 1 0 0
140 rohiyah 94058 1 1 1 0 1 0 1 0 0
141 jujung hayati 9475 1 1 1 0 1 0 1 0 0
142 dahlia 86195 1 1 1 1 1 0 1 0 0
143 siti nurbaiti 93140 1 1 1 0 1 0 1 0 0
144 holimah 94133 1 1 1 0 1 0 0 0 0
145 aryatni 94231 1 1 1 0 1 0 0 0 0
146 halimah 64217 1 1 1 0 1 0 0 0 0
147 anti 90890 1 1 1 0 1 0 0 0 0
148 gunawan 93391 1 1 1 0 1 0 0 0 0
149 napsiah 69380 1 1 1 0 1 0 0 0 0
150 satria 90349 1 1 1 0 1 1 0 0 0
151 dwi astuti 84550 1 1 1 0 1 1 1 0 0
152 melasari 48399 1 1 1 0 1 1 1 0 0
153 rodiah 92251 1 1 1 0 1 1 1 0 0
154 muhidin 92667 1 1 1 0 1 1 1 0 0
155 didi bin miig 36361 1 1 1 0 1 1 1 0 0
156 subain 93035 1 1 1 0 1 1 1 0 0
157 mista bin saiin 93024 1 1 1 0 1 1 1 0 0
158 syahroni 92752 1 1 1 0 1 1 1 0 0
159 suryadi 92820 1 1 1 0 1 1 1 0 0
160 marsuni 92483 1 1 1 0 1 1 1 0 0
161 adi rusyana 93089 1 1 1 0 1 0 0 0 0
162 sanlawi 93489 1 1 1 0 1 1 1 0 0
163 lilis suhaedah 93450 1 1 1 0 1 1 1 0 0
164 mutiamah 93081 1 1 1 0 1 1 1 0 0
165 minah 93833 1 1 1 0 1 1 1 0 0
166 lili 93593 1 1 1 0 1 0 1 0 0
167 dahlia 93448 1 1 1 0 1 0 1 0 0
168 misnah 92431 1 1 1 0 1 0 1 0 0
169 siti fitria komala 92564 1 1 1 0 1 0 1 0 0
170 hamim 81956 1 1 1 0 1 0 1 0 0
171 saodah 67859 1 1 1 0 1 1 0 0 0
172 esan 90095 1 1 1 0 1 1 0 0 0
173 sri wulan 92588 1 1 1 0 1 1 0 0 0
174 pardi rojak 92490 1 1 1 0 1 1 0 0 0
175 usni permatasari 6794 1 1 1 0 1 1 0 0 0
176 sulastri 92581 1 1 1 0 1 1 0 0 0
177 tiara kristianti 92314 1 1 1 0 1 1 0 0 0
178 sutrisno 92536 1 1 1 0 1 1 0 0 0
179 rohimi 92812 1 1 1 0 1 0 0 0 0
180 tiara junita 92843 1 1 1 0 1 0 0 0 0
181 yuli andri yani p 92910 1 1 1 0 1 0 0 0 0
182 dede kurniawati 92860 1 1 1 0 1 1 1 0 0
183 siti nurmaleha 2805 1 1 1 0 1 1 1 0 0
184 s. yardi 91588 1 1 1 0 1 1 1 0 0
185 jamiludin 92811 1 1 1 0 1 1 1 0 0
186 nety hermawati 68181 1 1 1 0 1 1 1 0 0
187 ratni 68799 1 1 1 0 1 1 1 0 0
188 ecin bin nesih 92950 1 1 1 0 1 1 1 0 0
189 maya angraini 75738 1 1 1 0 1 1 1 0 0
190 pit cin 92856 1 1 1 0 1 1 1 0 0
191 rohani binti rohadi 92847 1 1 1 0 1 0 1 0 0
192 andi bin a rasid 92913 1 1 1 0 1 0 0 0 0
193 hasan 92321 1 1 1 0 1 0 0 0 0
194 micang bin eman 93006 1 1 1 0 1 0 0 0 0
195 culia 92999 1 1 1 0 1 0 0 0 0
196 gratesa nurul f. c 93039 1 1 1 0 1 0 0 0 0
197 rini bt h. rijan 92949 1 1 1 0 1 0 0 0 0
198 mirana sari 51253 1 1 1 0 1 0 1 0 0
199 Jahadih 93129 1 1 1 1 1 0 1 0 0
200 cahyadi 93119 1 1 1 0 1 0 1 0 0
201 dita raju 93036 1 1 1 0 1 0 1 0 0
202 wawan 93152 1 1 1 0 1 0 1 0 0
203 nina rizky yanti 93122 1 1 1 0 1 0 1 0 0
204 radim 93029 1 1 1 0 1 0 1 0 0
205 endi 93277 1 1 1 0 1 0 1 0 0
206 achmad rizki s 93230 1 1 1 0 1 0 0 0 0
207 mardiono 93124 1 1 1 0 1 0 0 0 0
208 mutiara 93103 1 1 1 0 1 0 0 0 0
209 m. arsya 92383 1 1 1 0 1 0 0 0 0
210 nurfazilah 8685 1 1 1 0 1 0 0 0 0
211 budianto 93301 1 1 1 0 1 0 0 0 0
212 ramijah 36816 1 1 1 0 1 0 1 0 0
213 vicky alvian 93328 1 1 1 0 1 0 1 0 0
214 hery gusnawan 93338 1 1 1 0 1 0 1 0 0
215 anton hartono 93332 1 1 1 0 1 0 1 0 0
216 murni2 25015 1 1 1 0 1 0 1 0 0
217 angga pratama p 93361 1 1 1 0 1 1 1 0 0
218 cecep saepuloh 93447 1 1 1 0 1 1 1 0 0
219 oey kimsan 93549 1 1 1 0 1 1 1 0 0
220 arianto 93236 1 1 1 0 1 1 1 0 0
221 sugiman 93565 1 1 1 0 1 1 1 0 0
222 asih 91667 1 1 1 0 1 1 0 0 0
223 sujana bin kidi 49111 1 1 1 0 1 1 0 0 0
224 supiyanto 93446 1 1 1 0 1 1 0 0 0
225 mardani 45112 1 1 1 0 1 1 0 0 0
JUMLAH 225 225 225 13 225 116 133 0 0
KETERANGAN :
0 = tidak dilakukan
1 = dilakukan
KA. INSTALASI
PIC I PIC II
KAMAR OPERASI
BULAN MARET 2020
Nama No Penundaan
NO Monitoring Monitoring Surgical
Pasien RM Asesment Konversi Asesment Site Diskrepansi Operasi
Durante Pasca Safety KETERANGAN
Pra Anastesi Anastesi Pra Bedah Marking Diagnosis Elektif Lebih
Anastesi Anastesi Ceklist
Dari 2 Hari
1 Dede mulyani 94152 1 1 1 0 1 1 0 0 0

2 Suryanih 94259 1 1 1 0 1 1 0 0 0
3 Kurniasih cempaka 89814 1 1 1 0 1 1 1 0 0
4 Kurnia Ningsih A 94268 1 1 1 0 1 1 1 0 0
5 surahman 94032 1 1 1 0 1 1 1 0 0
6 karyati 93192 1 1 1 0 1 1 1 0 0
7 Eet 93418 1 1 1 0 1 1 1 0 0
8 suhartini 91477 1 1 1 0 1 1 1 0 0
9 rohani 94294 1 1 1 0 1 1 0 0 0
10 Atikah irawati 91796 1 1 1 0 1 1 0 0 0
11 tansah 73026 1 1 1 0 1 1 0 0 0
12 warni 86867 1 1 1 0 1 1 0 0 0
13 vivi haryati 54476 1 1 1 0 1 1 0 0 0
14 siti sri rahayu 94247 1 1 1 0 1 1 0 0 0
15 diana evanasari 23166 1 1 1 0 1 1 0 0 0
16 yati herawati 93940 1 1 1 0 1 1 1 0 0
17 siti harum 94344 1 1 1 0 1 1 1 0 0
18 miftahul jannah 94282 1 1 1 0 1 1 1 0 0
19 saepudin 94307 1 1 1 0 1 1 1 0 0
20 vicky adita w 94324 1 1 1 0 1 1 1 0 0
21 juleha 94331 1 1 1 0 1 1 1 0 0
22 erlina 94309 1 1 1 0 1 1 1 0 0
23 Titi munijat 93417 1 1 1 0 1 0 1 0 0
24 Masturo Bt Tejo 94385 1 1 1 0 1 1 0 0 0
25 Nurdiana Safitri 93505 1 1 1 0 1 0 1 0 0
26 siti nurjanah 93375 1 1 1 0 1 1 1 0 0
27 dian 60931 1 1 1 0 1 0 1 0 0
28 amang 94314 1 1 1 0 1 1 1 0 0
29 supriyadi 65985 1 1 1 0 1 1 1 0 0
30 fatmawati 94428 1 1 1 0 1 0 1 0 0
31 m.iming 94242 1 1 1 0 1 1 1 0 0
32 sunita 94474 1 1 1 0 1 1 1 0 0
33 Mimi 94483 1 1 1 0 1 1 1 0 0
34 nurholipah 94477 1 1 1 0 1 1 1 0 0
35 rani susanti 93946 1 1 1 0 1 1 1 0 0
36 Siti Shodliah 92034 1 1 1 0 1 0 0 0 0
37 Mirna Apriyanti 94426 1 1 1 0 1 0 1 0 0
38 Juriah 82322 1 1 1 0 1 1 1 0 0
39 Muryati 92955 1 1 1 0 1 1 1 0 0
40 tukijo 63455 1 1 1 0 1 1 0 0 0
41 ahmad baihaki 69413 1 1 1 0 1 1 1 0 0
42 fitri apriyani 94440 1 1 1 0 1 1 1 0 0
43 Amdah 94429 1 1 1 0 1 0 1 0 0
44 Dinah 94484 1 1 1 0 1 0 0 0 0
45 Wahyuningsih 63340 1 1 1 0 1 0 1 0 0
46 Rindi Atika 94031 1 1 1 0 1 1 1 0 0
47 saeni 94481 1 1 1 0 1 1 0 0 0
48 inang 94392 1 1 1 0 1 1 1 0 0
49 Minah 94464 1 1 1 0 1 1 1 0 0
50 Suti Setiawati 94537 1 1 1 0 1 1 1 0 0
51 Nuni F 94253 1 1 1 0 1 1 1 0 0
52 Royanih 94553 1 1 1 0 1 1 1 0 0
53 Agus Prianto 94469 1 1 1 1 1 1 1 0 0
54 Diah Nuraidah 85286 1 1 1 0 1 1 1 0 0
55 Lina Munia 91424 1 1 1 0 1 0 1 0 0
56 Janih Bt Jana 94612 1 1 1 0 1 1 1 0 0
57 Mohamad Husein Rifai 94539 1 1 1 0 1 1 0 0 0
58 Irom 94391 1 1 1 0 1 1 1 0 0
59 Maruf 94330 1 1 1 0 1 1 0 0 0
60 Uti Maryati 94295 1 1 1 0 1 1 1 0 0
61 Susanti 94587 1 1 1 0 1 1 1 0 0
62 Dian Lestari 60931 1 1 1 0 1 1 1 0 0
63 Nurul Falah 94523 1 1 1 0 1 1 1 0 0
64 Siti Aminah 94599 1 1 1 0 1 1 1 0 0
65 Evi Rahayu 94592 1 1 1 0 1 1 0 0 0
66 Siti Khofifah 81634 1 1 1 0 1 0 1 0 0
67 Sri Rahayu Hermawati 57805 1 1 1 1 1 0 1 0 0
68 Maria 92919 1 1 1 0 1 1 0 0 0
69 Rika Siti Paujiah 94733 1 1 1 0 1 1 0 0 0
70 Lili Herawati 94736 1 1 1 0 1 1 0 0 0
71 Sulasmi 86775 1 1 1 0 1 0 0 0 0
72 Siti Amalia 94460 1 1 1 0 1 1 0 0 0
73 Siti Nuraliah 93425 1 1 1 0 1 1 0 0 0
74 Matriyati 22213 1 1 1 0 1 1 0 0 0
75 Suryanah 94909 1 1 1 0 1 1 1 0 0
76 Yanti 94698 1 1 1 0 1 0 1 0 0
77 Aminah 94873 1 1 1 0 1 0 0 0 0
78 Nurlaela 94954 1 1 1 0 1 1 0 0 0
79 Denci Sakan 77393 1 1 1 0 1 1 1 0 0
80 Nurhamidah 93145 1 1 1 0 1 1 1 0 0
81 Kholilah 94647 1 1 1 0 1 1 1 0 0
82 Halisah 77741 1 1 1 0 1 1 1 0 0
83 Siti Humaeroh 95124 1 1 1 0 1 1 1 0 0
84 Siti Alpiah 88773 1 1 1 0 1 1 1 0 0
85 Priska 92630 1 1 1 0 1 1 1 0 0
86 Nuryani 95285 1 1 1 0 1 1 1 0 0
87 Fatimah 95282 1 1 1 0 1 1 1 0 0
88 Santi 34762 1 1 1 0 1 1 1 0 0
89 Sainah 95300 1 1 1 0 1 1 0 0 0
90 Siti Saadah 95308 1 1 1 0 1 0 1 0 0
91 Maryati 93337 1 1 1 0 1 1 1 0 0
92 Siti Nurmilah 89128 1 1 1 0 1 1 1 0 0
93 Siti Arni 95360 1 1 1 0 1 1 1 0 0
94 Tuti 95367 1 1 1 0 1 0 1 0 0
95 Titi Ariyanti 94223 1 1 1 0 1 1 0 0 0
96 Badiyatul Musyarofah 95333 1 1 1 0 1 1 1 0 0
97 Dewi 83379 1 1 1 0 1 1 1 0 0
98 Siti Mardiah 95375 1 1 1 0 1 1 1 0 0
99 Nur Fikriyah 94531 1 1 1 0 1 1 1 0 0
100 Jumilah 75366 1 1 1 0 1 1 0 0 0
101 Nuraulia 92733 1 1 1 0 1 1 1 0 0
102 Sintia 76067 1 1 1 0 1 1 0 0 0
103 Dewi Sapitri 86669 1 1 1 0 1 1 1 0 0
104 Hidayatus Saniyah 95369 1 1 1 0 1 0 1 0 0
105 Anita Yuliana 93454 1 1 1 0 1 0 1 0 0
106 Saefudin 94307 1 1 1 0 1 1 1 0 0
107 Bunjali 94475 1 1 1 0 1 1 1 0 0
108 Jasa 64208 1 1 1 1 1 1 1 0 0
109 Raja Mardian 94604 1 1 1 0 1 1 1 0 0
110 Nani 92449 1 1 1 0 1 1 1 0 0
111 Jana 83578 1 1 1 0 1 0 0 0 0
112 Tumiran 94889 1 1 1 0 1 0 1 0 0
113 Ririn Puspita Manasari 73475 1 1 1 0 1 0 0 0 0
114 Muhammad Zakariya 94982 1 1 1 0 1 1 1 0 0
115 Ilal Idul Fitri 94888 1 1 1 0 1 1 1 0 0
116 Siti Laelatul Kodriyah 92937 1 1 1 0 1 1 1 0 0
117 Luki Nuryadin 94948 1 1 1 0 1 1 1 0 0
118 Sugino 94896 1 1 1 0 1 1 1 0 0
119 Monica Heri Triyani 86525 1 1 1 0 1 1 1 0 0
120 Maesyaroh 95015 1 1 1 0 1 1 1 0 0
121 Abizar Rasyid 95036 1 1 1 0 1 1 1 0 0
122 Sarah saraswati 95000 1 1 1 0 1 1 1 0 0
123 Eti Haryanti 95018 1 1 1 0 1 1 1 0 0
124 Suheri 44371 1 1 1 0 1 1 1 0 0
125 Isah 95011 1 1 1 0 1 0 1 0 0
126 Hesni Ariyanti 95166 1 1 1 0 1 1 0 0 0
127 Sayuti 74276 1 1 1 0 1 1 0 0 0
128 Novi Hendri 94894 1 1 1 0 1 0 1 0 0
129 Amsin Bin Rosip 95330 1 1 1 0 1 0 1 0 0
130 Wahyudin 94482 1 1 1 0 1 1 1 0 0
131 Marhadi 62758 1 1 1 0 1 1 1 0 0
132 Muhamad Nasrul 95359 1 1 1 0 1 1 1 0 0
133 Ahmad Abdul Ajis 95429 1 1 1 0 1 0 1 0 0
134 Dahlia 23277 1 1 1 0 1 1 1 0 0
135 Muhamad bin Sadung 95418 1 1 1 0 1 1 1 0 0
136 Yaya 59431 1 1 1 0 1 1 1 0 0
137 Mulianti 91849 1 1 1 0 1 1 0 0 0
138 Eliani 94700 1 1 1 0 1 0 1 0 0
139 Romlah 34344 1 1 1 0 1 1 1 0 0
140 Masih 88827 1 1 1 0 1 1 1 0 0
141 Siti Hodijah 86078 1 1 1 0 1 1 1 0 0
142 Nurlela 92658 1 1 1 0 1 1 0 0 0
143 Sarfiah 84823 1 1 1 0 1 1 1 0 0
144 Yayu Astuti 62311 1 1 1 0 1 1 1 0 0
145 Haela Purwantih 63613 1 1 1 0 1 1 1 0 0
146 Adi Susanti 94907 1 1 1 0 1 1 1 0 0
147 Anis April Tinawati RN 94987 1 1 1 0 1 1 0 0 0
148 Sarah saraswati 94992 1 1 1 0 1 1 1 0 0
149 Arnila 94989 1 1 1 0 1 1 1 0 0
150 Badriah 56036 1 1 1 0 1 0 0 0 0
151 Roinah 92404 1 1 1 0 1 1 0 0 0
152 Vinanda 95081 1 1 1 0 1 1 1 0 0
153 Alda Wanda 95092 1 1 1 0 1 1 1 0 0
154 Khanipah 83742 1 1 1 0 1 1 1 0 0
155 Indri 94173 1 1 1 0 1 1 1 0 0
156 Sanah 91430 1 1 1 0 1 1 1 0 0
157 Tuti 94413 1 1 1 0 1 1 1 0 0
158 Iin Indah Wati 86793 1 1 1 0 1 1 1 0 0
159 Siti Pujariyah 92878 1 1 1 0 1 1 1 0 0
160 Royana 88030 1 1 1 0 1 1 1 0 0
161 Martini 87283 1 1 1 0 1 0 1 0 0
162 Budiman Yusuf 94655 1 1 1 0 1 1 0 0 0
163 Awang 94832 1 1 1 0 1 1 0 0 0
164 Abdul Rohman 94843 1 1 1 0 1 1 1 0 0
165 Jumali 94549 1 1 1 0 1 1 1 0 0
166 Rika Afrilka 94841 1 1 1 0 1 1 1 0 0
167 Mancin 94840 1 1 1 0 1 1 1 0 0
168 Gunawan 83417 1 1 1 0 1 1 1 0 0
169 Arjun Apriyani 95086 1 1 1 0 1 1 1 0 0
170 Eka Faudziah Wati 95251 1 1 1 0 1 1 0 0 0
171 Saipuloh 47673 1 1 1 0 1 1 1 0 0
172 Jainul Hasan 95385 1 1 1 0 1 1 1 0 0
173 Ahmad ridwan Kamil 95382 1 1 1 0 1 1 0 0 0
174 Andi Bin Sija 69013 1 1 1 0 1 1 1 0 0
175 Sami 57283 1 1 1 0 1 1 1 0 0
176 Wati 91550 1 1 1 0 1 1 1 0 0
177 Dita Amalia 89670 1 1 1 0 1 0 1 0 0
178 Wati Marwati 84732 1 1 1 0 1 0 1 0 0
179 Sutriyanah 94671 1 1 1 0 1 1 1 0 0
180 Wakhyuni Lestari 87176 1 1 1 0 1 1 1 0 0
181 Sri Mulyanih 60885 1 1 1 1 1 1 1 0 0
182 Maryanah 94743 1 1 1 0 1 1 0 0 0
183 Muliyah 94810 1 1 1 0 1 1 1 0 0
184 Nurhalimah Bt Ambih 94873 1 1 1 0 1 1 1 0 0
185 Siti Miftahul Zanah 82666 1 1 1 0 1 0 1 0 0
186 Lince 95038 1 1 1 0 1 0 0 0 0
187 Fitri Wahyuningsih 87603 1 1 1 0 1 1 1 0 0
188 Anita Sapitri 53530 1 1 1 0 1 1 1 0 0
189 Nuriyah Bt amun 86345 1 1 1 0 1 1 1 0 0
190 Romlah 93808 1 1 1 0 1 1 1 0 0
191 Yanah 94361 1 1 1 0 1 1 1 0 0
192 Uni Suryani 51507 1 1 1 0 1 1 0 0 0
193 Lulu Lutviana 95256 1 1 1 0 1 0 1 0 0
194 Muryati 95268 1 1 1 0 1 1 1 0 0
195 Yessie Yanita 95392 1 1 1 0 1 1 0 0 0
196 Nispu Holilah 95439 1 1 1 0 1 0 1 0 0
197 Silfa putri rahayu 94347 1 1 1 0 1 1 0 0 0
198 Ika 89089 1 1 1 0 1 1 1 0 0
199 Siti Huriatul Kamilah 68644 1 1 1 0 1 1 1 0 0
200 Napsihi 94127 1 1 1 0 1 0 1 0 0
201 Wiwi Kartiwi 89308 1 1 1 0 1 1 1 0 0
202 Karminah Sari 94834 1 1 1 0 1 0 0 0 0
203 Yanti 77615 1 1 1 0 1 0 1 0 0
204 Fitri Andriani 72213 1 1 1 0 1 0 0 0 0
205 Bela 59391 1 1 1 0 1 1 1 0 0
206 Eli Purnama Susanti 94962 1 1 1 0 1 1 1 0 0
207 Nurhasanah 95244 1 1 1 0 1 1 0 0 0
208 Neneng Eti 43901 1 1 1 0 1 0 1 0 0
209 Ofiyah 95365 1 1 1 0 1 1 1 0 0
210 Hardiansyah 94684 1 1 1 0 1 1 1 0 0
211 Jasmani 91893 1 1 1 0 1 1 1 0 0
212 Yuli yanti 95513 1 1 1 0 0 0 1 0 0
213 Esum 93027 1 1 1 0 0 0 1 0 0
214 Supinah 93542 1 1 1 0 1 0 1 0 0
215 Mika 90092 1 1 1 0 1 1 1 0 0
216 Aryati Bt Yanto 95456 1 1 1 0 1 1 1 0 0
217 Siti Nurhalimah 95498 1 1 1 0 1 1 1 0 0
218 Holipah 95492 1 1 1 0 1 1 1 0 0
219 Nurhayati 89360 1 1 1 0 1 1 0 0 0
220 Maryati 94343 1 1 1 0 1 1 0 0 0
221 Anisa Kurniasih 95012 1 1 1 0 1 1 0 0 0
222 Dedeh Haryanti 83881 1 1 1 0 1 1 0 0 0
223 Muhammad Naji 95522 1 1 1 1 1 0 1 0 0
224 Erni 52540 1 1 1 0 1 1 1 0 0
225 Siska 95524 1 1 1 0 1 1 1 0 0
226 Anita 84941 1 1 1 0 1 1 1 0 0
227 Pitriah 95579 1 1 1 0 1 1 1 0 0
228 Siti Pujariyah 92878 1 1 1 0 1 1 1 0 0
229 Elsa Lestiana 75395 1 1 1 0 1 0 1 0 0
230 Melanie Bt Soleh 91803 1 1 1 0 1 0 1 0 0
231 Lilis Kurniasih 93865 1 1 1 0 1 0 1 0 0
232 Linawati 95618 1 1 1 0 1 0 1 0 0
233 Nur Ayati 95632 1 1 1 0 1 0 1 0 0
234 Een Suhaini 66435 1 1 1 0 1 0 1 0 0
235 Susi Susanti 95631 1 1 1 0 1 0 1 0 0
236 Asnati Bt Asip 95645 1 1 1 0 1 0 0 0 0
237 Dahlia Bt Izar 95561 1 1 1 0 1 0 0 0 0
238 Tarlila 95556 1 1 1 0 1 0 1 0 0
239 Asnawati 84360 1 1 1 0 1 0 1 0 0
240 Maryana 76499 1 1 1 0 1 1 0 0 0
241 Hamidah 95685 1 1 1 0 1 1 0 0 0
242 Dahlia Suryani 54336 1 1 1 0 1 1 1 0 0
243 Royati 95697 1 1 1 0 1 1 1 0 0
244 Hindun Elisa Citra 95462 1 1 1 0 1 1 1 0 0
245 Herniyanti 95738 1 1 1 0 1 1 1 0 0
246 Aneng Laras 31236 1 1 1 0 1 1 0 0 0
247 Rasem Susilawati 95748 1 1 1 0 1 1 1 0 0
248 Helyana 95709 1 1 1 0 1 1 1 0 0
249 Hodijah 94078 1 1 1 0 1 1 1 0 0
250 Jayanti Mandasari 95658 1 1 1 0 1 1 1 0 0
251 Yakib Abdullah 95701 1 1 1 1 1 1 1 0 0
252 Antis 95778 1 1 1 0 1 0 1 0 0
253 Lasmih 95787 1 1 1 0 1 0 1 0 0
254 Ratna Bt Ranta 94069 1 1 1 0 1 1 1 0 0
255 Sartika Sari 88273 1 1 1 0 1 1 1 0 0
256 Halipah 94437 1 1 1 0 1 1 1 0 0
257 Ninah Krusita 88779 1 1 1 0 1 1 1 0 0
258 Putri Keukeu S 95737 1 1 1 0 1 1 1 0 0
259 Muhamad Fajar Rizki 95762 1 1 1 0 1 1 0 0 0
260 Siti Halimah 95780 1 1 1 0 1 1 1 0 0
261 Siti Sudili 95844 1 1 1 0 1 1 1 0 0
262 Dahlia Bt Ombak 67766 1 1 1 0 1 1 1 0 0
263 Siti Yardoh Bt Ahmad 95839 1 1 1 0 1 1 1 0 0
264 Siti Hikmatul Hasanah 40242 1 1 1 0 1 1 1 0 0
265 Sukati Bt Subari 49116 1 1 1 0 1 1 1 0 0
266 Dede Vivi 95847 1 1 1 0 1 0 1 0 0
267 Suryati 95845 1 1 1 0 1 1 1 0 0
268 Mursiah 2950 1 1 1 0 1 1 0 0 0
269 Ikromah 95913 1 1 1 0 1 1 1 0 0
270 Arlina 95915 1 1 1 0 1 1 1 0 0
271 Tutinah 95892 1 1 1 0 1 0 1 0 0
272 Juheriyah 95894 1 1 1 0 1 1 1 0 0
273 Siti Haroh 94887 1 1 1 0 1 1 0 0 0
274 Emi Bt Aca 95939 1 1 1 0 1 1 1 0 0
275 Sri Wahyuni 90492 1 1 1 0 1 1 1 0 0
276 Fitriah 54000 1 1 1 0 1 1 0 0 0
277 Nurhalimah 95978 1 1 1 0 1 1 1 0 0
278 Asiska Andriani 95950 1 1 1 0 1 1 1 0 0
279 Siti Khodriyah 95935 1 1 1 0 0 1 1 0 0
280 Siti Rahayu 55608 1 1 1 0 0 1 1 0 0
281 Lia Yulyanah 88213 1 1 1 0 0 1 1 0 0
282 Didi Bin Miing 36361 1 1 1 0 1 0 0 0 0
283 Muhidin 95889 1 1 1 0 1 1 1 0 0
284 Supriyanto Bin Jarim 95942 1 1 1 0 1 1 1 0 0
285 Muhamad Andri M 95989 1 1 1 0 1 1 0 0 0
286 Tuti Susilawati 95996 1 1 1 0 1 1 1 0 0
287 Nurlela 85466 1 1 1 0 1 0 1 0 0
288 Jariah 46704 1 1 1 0 1 1 0 0 0
289 Siti Patimah 96007 1 1 1 0 1 1 1 0 0
290 Sinah 95170 1 1 1 0 1 1 1 0 0
291 Mulyanah 90914 1 1 1 0 1 1 1 0 0
JUMLAH 291 291 291 6 286 230 224 0 0
KETERANGAN :
0 = tidak dilakukan
1 = dilakukan
KA. INSTALASI PIC I PIC II

KAMAR OPERASI
BULAN APRIL 2020

PENUNDAAN
NO Nama No. RM Monitoring
Asesment Monitoring Konversi Asesment Site Surgical Diskrepansi OPERASI
Durante KETERANGAN
Pra Anastesi Pasca Anastesi Anastesi Pra Bedah Marking Safety Ceklist Diagnosis ELEKTIF LEBIH
Anastesi
2 HARI
1 MULYANAH 90914 1 1 1 0 1 0 1 0 0
2 SITI PATIMAH 96007 1 1 1 0 1 0 1 0 0
3 SUSI 52832 1 1 1 0 0 0 1 0 0
4 SITI AISAH 95968 1 1 1 0 0 0 1 0 0
5 M. ISA 96001 1 1 1 0 1 1 0 0 0
6 IROM BINTI ROIP 94391 1 1 1 1 1 1 0 0 0
7 UNI 88121 1 1 1 0 1 0 0 0 0
8 ELDINA THALIA O 96050 1 1 1 0 1 0 1 0 0
9 DETI HERMAWATI 39729 1 1 1 0 1 1 1 0 0
10 SANTI ERNAWATI 95232 1 1 1 0 1 0 1 0 0
11 AMANG 96074 1 1 1 0 1 1 1 0 0
12 DEWI RATNA SARI 96043 1 1 1 0 1 0 1 0 0
13 EVA DWIARIANTI 54650 1 1 1 0 1 1 1 0 0
14 SAFITRI MARYANTI 92943 1 1 1 0 1 1 1 0 0
15 DEWI RATNA SARI 96043 1 1 1 0 1 1 1 0 0
16 SUNAENI 94892 1 1 1 0 1 0 1 0 0
17 NURHIDAYAH 93625 1 1 1 0 1 0 1 0 0
18 SUSI BT HENDRA 96132 1 1 1 0 1 0 0 0 0
19 CHOIRUL AZZAM 96091 1 1 1 0 1 1 0 0 0
20 HANIFAH 96139 1 1 1 0 1 0 1 0 0
21 FAIZATUN MUKAROMAH 96129 1 1 1 0 0 0 1 0 0
22 ERNA SRI DAMAYANTI 96149 1 1 1 0 1 0 1 0 0
23 NURHASANAH 95244 1 1 1 0 1 0 1 0 0
24 IYON BT IYANG 96110 1 1 1 0 1 1 0 0 0
25 SITI AMANAH 96124 1 1 1 0 1 1 0 0 0
26 SANI 96162 1 1 1 0 1 0 0 0 0
27 IWAN GUNAWAN 61209 1 1 1 0 1 1 1 0 0
28 NURAENI 38365 1 1 1 0 1 0 1 0 0
29 ERVIANIH 93295 1 1 1 0 1 0 1 0 0
30 SITI MUDRIKA 95465 1 1 1 0 1 0 1 0 0
31 LUCIA OKTAVIANA 95761 1 1 1 0 1 0 1 0 0
32 YENI SUSANTI 96166 1 1 1 0 1 0 1 0 0
33 NURJANAH 87916 1 1 1 0 0 0 1 0 0
34 PRATIWI BERNADET H 56805 1 1 1 0 1 0 1 0 0
35 LINDA PAPILAYA 51016 1 1 1 0 1 0 1 0 0
36 NALI SUSANTI 96232 1 1 1 0 1 0 1 0 0
37 ABDUL LATIP 96240 1 1 1 0 1 0 0 0 0
38 DWI PURWANTI 96220 1 1 1 0 1 0 0 0 0
39 INDRIA SEPTIANI 94848 1 1 1 0 1 0 0 0 0
40 LILIS 93896 1 1 1 0 1 0 1 0 0
41 SURYATI 96182 1 1 1 0 1 1 1 0 0
42 BUDI BIN NAPIS 96190 1 1 1 0 1 1 1 0 0
43 SITI WIDIA 93018 1 1 1 1 1 0 0 0 0
44 SUMIRAH 72301 1 1 1 0 1 0 0 0 0
45 SISKA YULI WULANDARI 93080 1 1 1 0 1 0 0 0 0
46 ADE SITI HAMIDAH 96271 1 1 1 0 0 0 1 0 0
47 PANCIR 96260 1 1 1 0 1 1 1 0 0
48 HIKMAH FAUZIAH 66109 1 1 1 0 1 0 1 0 0
49 ASIH 91667 1 1 1 0 1 1 1 0 0
50 DIAN DAMAYANTI 95273 1 1 1 0 1 0 0 0 0
51 PENITRA SELY 73615 1 1 1 0 1 0 0 0 0
52 DEWI INDRIYANI 96282 1 1 1 0 1 0 1 0 0
53 LAILA MUBAROKAH 96300 1 1 1 0 0 0 1 0 0
54 OEY TJO KAY 22927 1 1 1 0 1 1 1 0 0
55 MIDAH 96297 1 1 1 0 1 0 1 0 0
56 ARTI 91971 1 1 1 0 1 0 1 0 0
57 LISTYA 88833 1 1 1 0 1 0 0 0 0
58 RUSNI 96302 1 1 1 0 1 0 0 0 0
59 DEWI INDRIYANI 96282 1 1 1 0 1 0 0 0 0
60 SITI WILIYAH 96299 1 1 1 0 1 0 0 0 0
61 NANI MULHAYATI 96251 1 1 1 0 1 0 1 0 0
62 LINAH ADIH 93944 1 1 1 0 1 0 1 0 0
63 HERNA 45772 1 1 1 0 1 0 1 0 0
64 SARITA 70623 1 1 1 0 1 0 0 0 0
65 LIA 96337 1 1 1 0 1 0 1 0 0
66 MISNI 34004 1 1 1 0 1 1 1 0 0
67 FERI 96245 1 1 1 0 1 0 1 0 0
68 SITI AISAH 96298 1 1 1 0 1 0 1 0 0
69 YULISTINI 42526 1 1 1 0 1 0 1 0 0
70 ROSNAWATI 96388 1 1 1 0 1 0 1 0 0
71 SITI WAHYUNI 96386 1 1 1 0 1 0 1 0 0
72 NURHAYANAH 96037 1 1 1 0 1 0 1 0 0
73 NURMA YUNITA 84563 1 1 1 0 1 0 1 0 0
74 SURYANIH 94256 1 1 1 0 1 0 0 0 0
75 LISTIKA MULYAWATI 73199 1 1 1 0 1 0 0 0 0
76 RATINI 86896 1 1 1 0 1 0 0 0 0
77 SURYATI 58678 1 1 1 0 1 0 0 0 0
78 SUHILLAH WATI 96413 1 1 1 0 1 0 1 0 0
79 RUSYANTO 26715 1 1 1 0 1 0 1 0 0
80 SYAHRES APRINAH 96383 1 1 1 0 1 0 1 0 0
81 ASIYAH 91986 1 1 1 0 1 0 1 0 0
82 TIA 67022 1 1 1 0 1 0 1 0 0
83 JAELANI 96425 1 1 1 0 1 1 1 0 0
84 ELI MUSLIPAH 69223 1 1 1 0 1 0 1 0 0
85 DEWY PUSPITA SARI 96436 1 1 1 0 1 0 1 0 0
86 ASTUTI 80425 1 1 1 0 1 0 1 0 0
87 IYUM 93125 1 1 1 0 1 0 0 0 0
88 KEBOT 96405 1 1 1 0 1 1 1 0 0
89 IIS DAHLIA 96465 1 1 1 0 1 0 0 0 0
90 ANIS FITRIANI 96453 1 1 1 0 1 0 1 0 0
91 MAEMUNAH BT JUMARI 96431 1 1 1 1 0 0 1 0 0
92 SITI RAHAYU 24980 1 1 1 0 1 0 1 0 0
93 TANTI 96449 1 1 1 0 1 0 1 0 0
94 SURYANI 66245 1 1 1 0 1 0 1 0 0
95 JURIAH 96473 1 1 1 0 1 0 0 0 0
96 HERNAWATI 96487 1 1 1 0 1 0 1 0 0
97 YULIANI 96469 1 1 1 0 1 0 1 0 0
98 EKA NGALIYAH 96483 1 1 1 0 0 0 1 0 0
99 SITI MIRADIAH 96481 1 1 1 0 1 0 1 0 0
100 MARYANA 96500 1 1 1 0 1 0 1 0 0
101 ROHMAH 96498 1 1 1 0 1 0 1 0 0
102 FITRIYANAH 96452 1 1 1 0 1 0 1 0 0
103 SITI KAMELIA 71727 1 1 1 1 0 0 1 0 0
104 HELDA ERLIYANTI 96534 1 1 1 0 1 0 1 0 0
105 SURYANAH 96539 1 1 1 0 1 0 1 0 0
106 JUWANAH 96511 1 1 1 0 1 0 1 0 0
107 SITI RUKMINI 73154 1 1 1 0 1 0 0 0 0
108 ELI SUKAESIH 96556 1 1 1 0 1 0 1 0 0
109 NENGSIH 96492 1 1 1 1 1 1 1 0 0
110 SITI MUDIYATUL ADRIKA 94899 1 1 1 0 1 0 1 0 0
111 DEWI RATNA BT NANAM 96555 1 1 1 0 1 0 1 0 0
112 DIANAH 28198 1 1 1 0 1 0 1 0 0
113 ENI MARYANA 96601 1 1 1 0 1 0 0 0 0
114 SITI HOLIPAH 96599 1 1 1 0 1 0 0 0 0
115 HAMIM 96501 1 1 1 1 1 1 1 0 0
116 MERDA SUSANTI 93766 1 1 1 0 1 0 1 0 0
117 LATIFUL HIDAYATI 95078 1 1 1 0 1 0 1 0 0
118 ULFI YULIANI 8953 1 1 1 0 1 0 1 0 0
119 ROHANI 90670 1 1 1 0 1 0 1 0 0
120 T.SITI AISYAH,SPD 96634 1 1 1 0 1 0 1 0 0
121 SADIYAH HIDAYATUN 83937 1 1 1 0 1 0 1 0 0
122 ROSIYAH 96624 1 1 1 0 1 0 0 0 0
123 SILVI RIJKIA 96628 1 1 1 0 1 0 0 0 0
124 AYUNI MARTIA SARI 96617 1 1 1 0 1 0 0 0 0
125 AMINAH 95310 1 1 1 0 1 0 0 0 0
126 ATMAHWATI 74369 1 1 1 0 1 1 1 0 0
127 HENI 95974 1 1 1 0 1 1 0 0 0
128 SITI AISAH 95829 1 1 1 0 1 0 1 0 0
129 RISIN CAMBANG 96593 1 1 1 0 1 1 1 0 0
130 AWIT RESIANA DEWI 60323 1 1 1 1 1 0 1 0 0
131 ASIH 85802 1 1 1 0 1 1 1 0 0
132 NUR INDRI EKAWATI 96708 1 1 1 0 1 0 1 0 0
133 BUNYATI 93941 1 1 1 0 1 0 1 0 0
134 EMBOT 96730 1 1 1 0 1 0 1 0 0
135 IKA NURIKA 96734 1 1 1 0 1 0 1 0 0
136 UNAH KURNIA 96706 1 1 1 0 1 0 0 0 0
137 SUMANTRI 96707 1 1 1 0 1 1 0 0 0
138 SURYADI 93863 1 1 1 0 1 1 0 0 0
139 MUJIAWATI 96693 1 1 1 0 1 0 1 0 0
140 DEWI SHINTA 41493 1 1 1 1 1 0 1 0 0
141 NURLELA 96713 1 1 1 0 1 0 0 0 0
142 WITIYA 90171 1 1 1 0 1 0 0 0 0
143 MARIYAM BT ARDANI 96711 1 1 1 0 1 0 0 0 0
144 TOYIBAH 85606 1 1 1 0 1 0 1 0 0
145 LENI 96703 1 1 1 0 1 0 0 0 0
146 MURBAIDAH 95014 1 1 1 0 1 0 1 0 0
147 SITI TOYIBAH 93422 1 1 1 0 1 0 1 0 0
148 EKO HIDAYAT 96760 1 1 1 0 1 1 0 0 0
149 SUMIYATI 96777 1 1 1 0 1 0 1 0 0
150 DIVA MAHA PUTRI 94169 1 1 1 0 1 0 1 0 0
151 MURDIAH 87025 1 1 1 0 1 0 1 0 0
152 MUNAYA 96732 1 1 1 0 1 1 1 0 0
153 RANGGA DWIPAYANA 95927 1 1 1 0 1 1 1 0 0
154 DINA 96782 1 1 1 0 1 0 1 0 0
155 ERLINA 96822 1 1 1 0 1 0 1 0 0
156 DEWI SULASTRI 96817 1 1 1 0 1 0 1 0 0
157 FIFI ROSYIDAH 96823 1 1 1 0 1 0 1 0 0
158 ARSANI 90949 1 1 1 0 1 0 1 0 0
159 MIDAS 96650 1 1 1 0 1 1 1 0 0
160 UUM BT AMSORI 96792 1 1 1 0 1 1 0 0 0
161 INEM 96831 1 1 1 0 1 1 1 0 0
162 SRI SENJA WAHYUNI 96714 1 1 1 0 1 1 0 0 0
163 ESAH 71021 1 1 1 0 1 1 1 0 0
164 LINDA RAMADANTI 93167 1 1 1 0 1 0 1 0 0
165 EPI VIOLASARI 96833 1 1 1 0 1 0 1 0 0
166 NENENG 69518 1 1 1 0 1 0 0 0 0
167 SUSILAWATI 94800 1 1 1 0 1 0 1 0 0
168 DEDE BT AMANG 96851 1 1 1 0 1 0 1 0 0
169 SITI FATONAH 96859 1 1 1 0 1 0 1 0 0
170 AMSINAH 96837 1 1 1 0 1 0 1 0 0
171 WITI 96238 1 1 1 0 1 0 1 0 0
172 NUR AZIZAH 43490 1 1 1 0 1 0 1 0 0
173 ROFIKOH IRAWATI 96891 1 1 1 0 1 0 0 0 0
174 SITI JULAEHA 96178 1 1 1 0 1 0 1 0 0
175 JULIYA 96381 1 1 1 0 1 0 1 0 0
176 SITI MARHAMAH 93736 1 1 1 0 1 0 0 0 0
177 WIWI INDRIYANIH 83961 1 1 1 0 1 0 1 0 0
178 SIRUM 68708 1 1 1 0 1 1 1 0 0
179 SUWANAH 96873 1 1 1 0 1 0 1 0 0
180 YAYAH AYANI 83503 1 1 1 0 1 0 1 0 0
181 YULI LUSIANAH 96914 1 1 1 0 1 0 1 0 0
182 MELI YANAH 96928 1 1 1 0 1 0 1 0 0
183 LENA HANDAYANI 96681 1 1 1 0 1 0 1 0 0
184 ROSA NINGSIH 94782 1 1 1 0 1 0 1 0 0
185 ROSANAH 96922 1 1 1 0 1 0 1 0 0
186 MAYSAROH 96957 1 1 1 0 1 0 1 0 0
187 MARDIYAH 96910 1 1 1 0 1 1 1 0 0
188 SITI HABIBAH 96944 1 1 1 0 1 0 1 0 0
189 LYLIK MURSIAH 39208 1 1 1 0 1 1 0 0 0
190 MARTI 94778 1 1 1 0 1 0 1 0 0
191 FINESCA SORAYA PUTRI 96615 1 1 1 0 1 0 1 0 0
192 NENGSIH 96945 1 1 1 0 1 0 0 0 0
193 LISNAWATI 93022 1 1 1 1 1 0 1 0 0
194 NENGSIH BT NEIN 96979 1 1 1 0 1 0 1 0 0
195 LISNAWATI BINTI MINAR 96981 1 1 1 0 1 0 1 0 0
196 NYIMAS ROHUR QODARIAH 96940 1 1 1 0 1 1 1 0 0
197 RONNA NATALIA PANJAITAN 58833 1 1 1 0 1 0 1 0 0
198 RITA 97000 1 1 1 0 1 0 1 0 0
199 DANIES GOUWTAMA 33401 1 1 1 0 1 0 1 0 0
200 SULAN 93033 1 1 1 0 1 0 1 0 0
201 DINA 95562 1 1 1 0 1 0 1 0 0
202 MEYLANIE EKASARI 96993 1 1 1 0 1 0 1 0 0
203 NAPSIAH 97015 1 1 1 0 1 0 1 0 0
204 ALUL SYAHRUDIN 89008 1 1 1 1 1 1 1 0 0
205 INAWATI 94062 1 1 1 0 1 0 0 0 0
206 SITI ROSIDAH 97026 1 1 1 0 1 0 1 0 0
207 HESTI SITI MARYANA 86351 1 1 1 0 1 0 1 0 0
208 MARNI 94656 1 1 1 0 1 0 0 0 0
209 EKA SUSANTI 67525 1 1 1 0 1 0 1 0 0
210 AMANAH 45645 1 1 1 0 1 0 1 0 0
211 WAHYUNI 97046 1 1 1 0 1 0 1 0 0
212 MUNAYA 97061 1 1 1 0 1 0 1 0 0
213 RATU NURUL HIDAYAH 84485 1 1 1 0 1 0 0 0 0
214 CIKA SRI UTAMI 70509 1 1 1 0 1 0 1 0 0
215 NIA 97047 1 1 1 0 1 0 1 0 0
216 QHISQAILA UMAIZA NASYA 68956 1 1 1 0 1 1 1 0 0
217 NURYATI 97084 1 1 1 1 1 0 1 0 0
218 SITI AMALIAH 97022 1 1 1 0 1 0 0 0 0
219 MAYA SAGITA 97078 1 1 1 0 1 0 1 0 0
220 PUTRI NUROHAENI 72196 1 1 1 0 1 0 1 0 0
221 MAY MUNAH 97005 1 1 1 0 1 0 1 0 0
222 KOKOM KOMARIAH 97109 1 1 1 0 1 0 0 0 0
223 SURYANTI 97064 1 1 1 0 1 0 1 0 0
224 ITA ASAROH 97045 1 1 1 0 1 0 1 0 0
225 WINAH 97053 1 1 1 0 1 1 1 0 0
226 MUNAYA 97133 1 1 1 0 1 0 0 0 0
227 KHODIJAH 94322 1 1 1 0 1 0 1 0 0
228 MURDIYANA 97118 1 1 1 0 1 0 1 0 0
229 DEVI YENNI 96858 1 1 1 0 1 0 1 0 0
230 SELLA SAGITA 31235 1 1 1 1 1 0 1 0 0
231 SUNTA 39095 1 1 1 0 1 1 1 0 0
232 ANDI 97138 1 1 1 0 1 1 1 0 0
233 SINTIA 97159 1 1 1 0 1 0 1 0 0
234 INDRI ANDRIANI 55544 1 1 1 0 1 0 1 0 0
235 KOMARIAH 95202 1 1 1 0 1 0 1 0 0
236 WINDI DWI ASTUTI 88011 1 1 1 0 1 0 1 0 0
JUMLAH 236 236 236 12 227 44 179 0 0
KETERANGAN :
0 = tidak dilakukan
1 = dilakukan
KA. INSTALASI
PIC I PIC II
KAMAR OPERASI
BULAN MEI 2020

PENUNDAAN
NO Nama No. RM Asesment Monitoring Monitoring Konversi Asesment Site Surgical Diskrepansi OPERASI
Pra Anastesi Durante Pasca Anastesi Pra Bedah Marking Safety Diagnosis ELEKTIF LEBIH 2 KETERANGAN
Anastesi Anastesi Ceklist HARI
1 LACIH 93136 1 1 1 0 1 0 0 0 0
2 SULU KAYLUL YASHIR S 97176 1 1 1 0 1 1 1 0 0
3 ROHAYANI 97185 1 1 1 0 1 0 1 0 0
4 PRIHATIN SOBERI 75382 1 1 1 0 1 0 1 0 0
5 DEVI YANTI 95552 1 1 1 0 1 0 1 0 0
6 MILAH 97199 1 1 1 0 1 0 0 0 0
7 NARUM 77378 1 1 1 0 1 0 1 0 0
8 AYU NINGSIH 97183 1 1 1 0 1 0 0 0 0
9 MASNI ISNAENI 97209 1 1 1 0 1 0 0 0 0
10 HAIRUN NISA 86626 1 1 1 0 1 0 1 0 0
11 ROSITA 96657 1 1 1 0 1 0 1 0 0
12 SITI MARISAH 96023 1 1 1 0 1 0 1 0 0
13 IFAH AFIFAH 93424 1 1 1 0 1 0 0 0 0
14 MARPUAH BT MARKUM 95032 1 1 1 0 1 0 0 0 0
15 TITIN SURYANI 96685 1 1 1 0 1 0 0 0 0
16 ROYANAH 96021 1 1 1 0 1 0 1 0 0
17 NURUL FITRI 97249 1 1 1 0 1 0 1 0 0
18 ROBBIYATUL HADAWIAH 97181 1 1 1 0 1 0 0 0 0
19 NURMAYANI DAMANIK 97254 1 1 1 0 1 0 1 0 0
20 EPAH SOLIPAH 96209 1 1 1 0 1 0 1 0 0
21 YANI ELA 97263 1 1 1 0 1 0 0 0 0
22 MILAH APRIYANTI 97278 1 1 1 0 1 0 1 0 0
23 MARYATI 97274 1 1 1 0 1 0 1 0 0
24 ROHIMAH 96721 1 1 1 0 1 0 0 0 0
25 NURLELA 97277 1 1 1 0 1 0 1 0 0
26 SURIYATI 94901 1 1 1 0 1 0 1 0 0
27 ELDA ROPIKA 94227 1 1 1 0 1 0 0 0 0
28 SALBIAH 96018 1 1 1 0 1 0 1 0 0
29 SARTIKA 96921 1 1 1 0 1 0 0 0 0
30 DIAN EKAWATI 97298 1 1 1 0 1 0 0 0 0
31 SITI ROSITA 96988 1 1 1 0 1 0 1 0 0
32 SYEHABUDIN 97272 1 1 1 0 1 1 1 0 0
33 SRI SUNDARI KUMALA D 97301 1 1 1 0 1 0 0 0 0
34 WAIS AL-QURNI 33118 1 1 1 0 1 1 1 0 0
35 LUSIYANA 97333 1 1 1 0 1 0 1 0 0
36 ELIAH 95309 1 1 1 0 1 0 0 0 0
37 HERI ZULHIZAH 97336 1 1 1 0 1 0 1 0 0
38 NURYANA 97351 1 1 1 0 1 0 1 0 0
39 IIN INDRAYANI 70370 1 1 1 0 1 0 1 0 0
40 ROHAYA 97350 1 1 1 0 1 0 1 0 0
41 ELI BIN JAINI 97310 1 1 1 0 1 1 1 0 0
42 SRI WULAN HANDAYANI 72491 1 1 1 0 1 0 0 0 0
43 ENENG SULASTRI 97356 1 1 1 0 1 0 0 0 0
44 YUSNIA BT IYANG 85467 1 1 1 0 1 0 0 0 0
45 ROSITA 96991 1 1 1 0 1 0 0 0 0
46 FITRI HANDAYANI 63727 1 1 1 0 1 0 1 0 0
47 MUROH 92818 1 1 1 0 1 0 1 0 0
48 YOENINGSIH 96351 1 1 1 0 1 0 1 0 0
49 SURYADI 93863 1 1 1 0 1 1 1 0 0
50 NASOGI 97348 1 1 1 0 1 1 0 0 0
51 ANIGUSMIYATI 97394 1 1 1 0 1 0 0 0 0
52 IIN PERMATA SARI 97344 1 1 1 0 1 0 1 0 0
53 JINI 97330 1 1 1 0 1 0 1 0 0
54 MAIMUNAH 97404 1 1 1 0 1 0 1 0 0
55 TOIFAH 97403 1 1 1 0 1 0 1 0 0
56 NOVIA DWI YANTI 97367 1 1 1 0 1 0 1 0 0
57 MAUFUS 97406 1 1 1 0 1 0 1 0 0
58 NENIH 96999 1 1 1 0 1 0 1 0 0
59 MALA AULIA RAHMA 78567 1 1 1 0 1 1 1 0 0
60 MELANI 93506 1 1 1 0 1 0 1 0 0
61 DINI SAFITRI 95934 1 1 1 0 1 0 0 0 0
62 SARTI BINTI ASAH 97424 1 1 1 0 1 0 0 0 0
63 BUDIYANTO BIN ACING 97423 1 1 1 0 1 1 0 0 0
64 JULFAH 96934 1 1 1 0 1 0 0 0 0
65 RATIH 88936 1 1 1 0 1 0 1 0 0
66 SITI WAHYUNI 77362 1 1 1 0 1 0 1 0 0
67 IBNU ASHARI 97448 1 1 1 0 1 1 1 0 0
68 KOMARIYA 74721 1 1 1 0 1 1 1 0 0
69 IDA FARIDA 14378 1 1 1 0 1 0 1 0 0
70 SAMI BINTI SAMAT 97418 1 1 1 0 1 0 1 0 0
71 MULYANI 93710 1 1 1 0 1 0 1 0 0
72 UMANAH 18768 1 1 1 0 1 0 1 0 0
73 SITI SOLEHA 97482 1 1 1 0 1 0 1 0 0
74 NURYAMAH 94493 1 1 1 0 1 0 0 0 0
75 MILA SARI 9745 1 1 1 0 1 0 0 0 0
76 ROMLAH 94801 1 1 1 0 1 0 0 0 0
77 YULINAR 23731 1 1 1 0 1 0 1 0 0
78 ECIH 97488 1 1 1 0 1 1 1 0 0
79 NELLA RATNA PURY 90822 1 1 1 0 1 0 0 0 0
80 YULINAH 97444 1 1 1 0 1 0 1 0 0
81 RATU NURUL HIDAYAH 84485 1 1 1 0 1 0 1 0 0
82 JUMIATI 87856 1 1 1 0 1 0 1 0 0
83 ENUR ASIYAH 97422 1 1 1 0 1 0 0 0 0
84 NORHAYATI 97487 1 1 1 0 1 0 1 0 0
85 IIS ISMAWATI 96664 1 1 1 0 1 0 1 0 0
86 HUSNAWATI 7351 1 1 1 0 1 0 1 0 0
87 ASTRIYANTI 96466 1 1 1 0 1 0 0 0 0
88 INDAH LESTARI 97509 1 1 1 0 1 0 1 0 0
89 YULIYANI 96679 1 1 1 0 1 0 1 0 0
90 SITI NURJANAH 93090 1 1 1 0 1 0 1 0 0
91 NITA RUSNITA 93090 1 1 1 0 1 0 1 0 0
92 IIN NADIA 97502 1 1 1 0 1 0 0 0 0
93 SUNNI 91979 1 1 1 0 1 1 0 0 0
94 LIM LIAN NIO 97316 1 1 1 0 1 1 0 0 0
95 JUNAH 97525 1 1 1 0 1 1 0 0 0
96 MASNI 97541 1 1 1 0 1 0 1 0 0
97 KIKI PURWATIH 91917 1 1 1 0 1 0 1 0 0
98 IKA SEPTIA 85734 1 1 1 0 1 0 1 0 0
99 AGUS TRIYANTO 97557 1 1 1 0 1 1 0 0 0
100 INDRI YANTI 96382 1 1 1 0 1 0 0 0 0
101 SITI ASYATUN 97565 1 1 1 0 1 0 1 0 0
102 NINA SURYANI 91547 1 1 1 0 1 0 1 0 0
103 IKA NURLINAH 97548 1 1 1 0 1 0 1 0 0
104 ROHILA 97598 1 1 1 0 1 0 0 0 0
105 RIO RINALDY 97579 1 1 1 0 1 1 0 0 0
106 ARNI ZAENAH 97619 1 1 1 0 1 0 1 0 0
107 KHAERUN NISA 76663 1 1 1 0 1 1 1 0 0
108 NURHASANAH DEWI 97580 1 1 1 0 1 1 0 0 0
109 IIN BINTI INAN 97569 1 1 1 0 1 0 1 0 0
110 IIN INDAH 96211 1 1 1 0 1 0 1 0 0
111 EMI 97624 1 1 1 0 1 0 0 0 0
112 NURAENI 95195 1 1 1 0 1 0 1 0 0
113 DEWI PIRDA YANTI 86295 1 1 1 0 1 0 1 0 0
114 WINDA YATI 91082 1 1 1 0 1 0 1 0 0
115 SUMIATI 97486 1 1 1 0 1 1 0 0 0
116 MULYANI 97663 1 1 1 0 1 0 1 0 0
117 SITI JUBAEDAH 97644 1 1 1 0 1 0 1 0 0
118 WIWIN DIAN NISA 91491 1 1 1 0 1 0 1 0 0
119 RESTY SEPTIANI 97620 1 1 1 0 1 0 0 0 0
120 ANNISA MEYLIANA 85682 1 1 1 0 1 0 1 0 0
121 ARI YANTI 57726 1 1 1 0 1 0 1 0 0
122 NADIA OCTAVIA JOYO M 96422 1 1 1 0 0 0 1 0 0
123 ANITA 97625 1 1 1 0 0 0 0 0 0
124 YULIANA 97686 1 1 1 0 0 0 0 0 0
125 ROYANAH EVILAH 97677 1 1 1 0 0 0 0 0 0
126 RISKA AGUSTINA 97646 1 1 1 0 0 0 1 0 0
127 YUYUN NUR KHOIR 97707 1 1 1 0 0 0 1 0 0
128 YANTI 97670 1 1 1 0 1 0 1 0 0
129 NOVITA ROSALINA 97103 1 1 1 0 1 0 1 0 0
130 SUHARYANA 97691 1 1 1 0 1 1 0 0 0
131 DESTI ELISANDI 93619 1 1 1 0 1 0 0 0 0
132 TRIYANI 97733 1 1 1 0 1 0 1 0 0
133 INDAH PERMATA SARI 86929 1 1 1 0 1 0 1 0 0
134 SITI SURYANIH 91974 1 1 1 0 1 0 1 0 0
135 IIM FATIMAH 97748 1 1 1 0 1 0 1 0 0
136 WIDASITI KOMALA 97724 1 1 1 0 1 0 1 0 0
137 HOLILAH 60047 1 1 1 0 1 0 1 0 0
138 FARIDA 97729 1 1 1 0 1 0 0 0 0
139 SITI MUNAWAROH 88741 1 1 1 0 1 0 0 0 0
140 NOVI KHAERIYAH 97347 1 1 1 0 1 0 0 0 0
141 W.E IRIYANTO 97436 1 1 1 0 1 1 1 0 0
142 YULI YANA 97546 1 1 1 0 1 0 1 0 0
143 MIRA 93509 1 1 1 0 1 0 1 0 0
144 MUMUN 97751 1 1 1 0 1 0 0 0 0
145 USNIYATI 94949 1 1 1 0 1 0 1 0 0
146 WIWIN 75701 1 1 1 0 1 0 0 0 0
147 SURYANIH BT SARUN 96920 1 1 1 0 1 0 0 0 0
148 SULASIH 62785 1 1 1 0 1 1 1 0 0
149 RAHYU RAHMAWATI 97698 1 1 1 0 1 0 1 0 0
150 SITI HOLIYAH 96763 1 1 1 0 1 0 1 0 0
151 NURAINI 97187 1 1 1 0 1 0 1 0 0
152 SITI INTAN 97688 1 1 1 0 1 0 1 0 0
153 RATI 96063 1 1 1 0 1 0 0 0 0
154 NURAENI 97794 1 1 1 0 1 0 0 0 0
155 IDA ROSIDAH 10749 1 1 1 0 1 0 0 0 0
156 NURUL UMMI K 97739 1 1 1 0 1 0 1 0 0
157 SITI ROHILAH 65009 1 1 1 0 1 0 1 0 0
158 ALVIANAH 76880 1 1 1 0 1 0 1 0 0
159 AYANAH 97804 1 1 1 0 1 0 1 0 0
160 RINA ASARI 93570 1 1 1 0 1 0 1 0 0
161 YAING 97801 1 1 1 0 1 1 1 0 0
162 FARIDATUN NAFIAH 97605 1 1 1 0 1 0 0 0 0
163 CHOLIFAH 90882 1 1 1 0 1 0 0 0 0
164 SITI MULYANTI 65695 1 1 1 0 1 0 1 0 0
165 SITI SUTARSIH 97830 1 1 1 0 1 0 1 0 0
166 IIN HERLINA 89436 1 1 1 0 1 0 1 0 0
167 HAERIAH 97829 1 1 1 0 1 0 1 0 0
168 SARTIKA 97632 1 1 1 0 1 0 0 0 0
169 AYU SORAYA 97709 1 1 1 0 1 0 0 0 0
170 SITI NURJANAH 97847 1 1 1 0 1 0 1 0 0
171 SRI HANDAYANI 97848 1 1 1 0 1 0 1 0 0
172 ITA MULYATI 97852 1 1 1 0 1 0 1 0 0
173 MIMIN 49206 1 1 1 0 1 0 1 0 0
174 SITI HOLILAH 4720 1 1 1 0 1 0 1 0 0
175 JAMILAH 97102 1 1 1 0 1 0 0 0 0
176 AFRIANI MAHADI 97871 1 1 1 0 1 0 1 0 0
177 SOPIAH 96992 1 1 1 0 1 0 1 0 0
178 ERAM 97472 1 1 1 0 1 0 1 0 0
179 SUCI RAHMAWATI 17136 1 1 1 0 1 0 1 0 0
180 SINAH WATI 97902 1 1 1 0 1 0 1 0 0
181 NURHAYATI 92496 1 1 1 0 1 0 0 0 0
182 AAN ALMIAH 94780 1 1 1 0 1 0 0 0 0
183 RISKA ROMADHON 97861 1 1 1 0 1 1 1 0 0
184 WAHYUDI 97906 1 1 1 0 1 1 1 0 0
185 PITRIYAH 97905 1 1 1 0 1 0 1 0 0
186 AYANIH 97126 1 1 1 0 1 0 1 0 0
187 NUR SAKILAH 51376 1 1 1 0 1 1 0 0 0
188 LINDA 97930 1 1 1 0 1 0 0 0 0
189 SITI SALAMAH 97933 1 1 1 0 1 0 1 0 0
190 YUNI SARA 56445 1 1 1 0 1 0 1 0 0
191 MIMIH 97932 1 1 1 0 1 0 1 0 0
192 FITRI ATMANIA 7705 1 1 1 0 1 0 1 0 0
193 YANTI AULIA 2902 1 1 1 0 1 0 1 0 0
194 MARIAH 97842 1 1 1 0 1 0 1 0 0
195 SOLEHA 93144 1 1 1 0 1 0 1 0 0
196 VERONIKA 70178 1 1 1 0 1 0 0 0 0
197 LEGINI 89493 1 1 1 0 1 1 0 0 0
198 NURHAYATI 94662 1 1 1 0 1 0 1 0 0
199 UUN NURSIAH 97980 1 1 1 0 1 1 1 0 0
200 ANITA 97625 1 1 1 0 1 0 1 0 0
201 SITI MARONAH 97988 1 1 1 0 1 0 0 0 0
202 MULYATI 97983 1 1 1 0 1 0 0 0 0
203 TIARA SAVITRI 97544 1 1 1 0 1 0 1 0 0
204 ALIAH 96349 1 1 1 0 1 0 1 0 0
205 RENI SETIYOWATI 62555 1 1 1 0 1 0 1 0 0
206 NURHAPIPIH RUSMANIA 95846 1 1 1 0 1 0 1 0 0
207 NENENG KURNIATI 97942 1 1 1 0 1 0 1 0 0
208 ESAH 71021 1 1 1 0 1 1 1 0 0
209 LIA 96852 1 1 1 0 1 0 0 0 0
210 ONYING BIN OROK 98002 1 1 1 0 1 1 0 0 0
211 LAILANI 97981 1 1 1 0 1 0 1 0 0
212 SITI YAMI BT EKONG 97990 1 1 1 0 1 0 1 0 0
213 ERNA LODIANA 92504 1 1 1 0 1 0 1 0 0
214 NAMI 92473 1 1 1 0 1 0 1 0 0
215 SITI RAHAYU 32447 1 1 1 0 1 0 0 0 0
216 ROSMIATI 47759 1 1 1 0 1 0 0 0 0
217 MELDA RINA SIANTURI 86607 1 1 1 0 1 0 0 0 0
218 VERA VITRIANI 98030 1 1 1 0 0 0 0 0 0
219 MURNI 97355 1 1 1 0 0 0 1 0 0
220 ARYATI BT ARMAN 98062 1 1 1 0 0 0 1 0 0
221 SITI AFRIYANI 98023 1 1 1 0 0 0 1 0 0
222 PIPIT 98026 1 1 1 0 0 0 1 0 0
223 ANITA 98064 1 1 1 0 0 0 1 0 0
224 ADRIANTO 98045 1 1 1 0 1 1 1 0 0
225 ERNIH 98093 1 1 1 0 1 0 1 0 0
226 NOVI ASTARI 97900 1 1 1 0 1 0 1 0 0
227 SARAH SARASWATI BY NY 95000 1 1 1 0 1 1 1 0 0
228 MURNI 98066 1 1 1 0 1 0 1 0 0
229 YAYA NURHAYATI 88309 1 1 1 0 1 0 0 0 0
230 ANITA BT H.ANJAT 98092 1 1 1 0 1 0 0 0 0
231 SITI ARA 98101 1 1 1 0 1 0 1 0 0
232 ROSIDAH 66768 1 1 1 0 1 0 1 0 0
233 MINAH 98074 1 1 1 0 1 0 1 0 0
234 REREN WARDIANA 98100 1 1 1 0 1 0 0 0 0
235 RINA KURNIA 31425 1 1 1 0 1 0 0 0 0
236 TAN MEI HWA 97846 1 1 1 0 1 1 1 0 0
237 MARSELINAH 58041 1 1 1 0 1 0 1 0 0
238 HENI 98128 1 1 1 0 1 0 1 0 0
239 LENAH 97079 1 1 1 0 1 0 1 0 0
240 SRI AYUDIA 97946 1 1 1 0 1 0 0 0 0
241 FIKI FADILAH 97948 1 1 1 0 1 0 0 0 0
242 ELYANIH 97193 1 1 1 0 1 0 1 0 0
243 YULINDA 98150 1 1 1 0 1 0 1 0 0
244 RIAN DWI ARMANTO 98148 1 1 1 0 1 1 1 0 0
245 MUNAH 92089 1 1 1 0 1 0 1 0 0
246 DAHLENAH 53523 1 1 1 0 0 0 0 0 0
247 AMAH 90098 1 1 1 0 0 0 0 0 0
248 MAIMUNAH 96235 1 1 1 0 0 0 1 0 0
249 ADE JAELANALI 98153 1 1 1 0 1 1 1 0 0
250 AYUB 94187 1 1 1 0 1 1 1 0 0
251 MARSIAH 97862 1 1 1 0 1 0 1 0 0
252 SITI NURJANAH 93090 1 1 1 0 1 0 1 0 0
253 LIANTI 98165 1 1 1 0 1 0 1 0 0
254 MAYA LESTARI 98201 1 1 1 0 1 0 1 0 0
255 SITI HODIJAH 95587 1 1 1 0 1 0 1 0 0
256 SRI WAHYUNI 98213 1 1 1 0 1 0 1 0 0
257 SYNTA AWALIGA 98212 1 1 1 0 1 0 0 0 0
258 NURSIDA 98177 1 1 1 0 1 0 1 0 0
259 SURYANI 98224 1 1 1 0 1 0 1 0 0
260 AYU 98170 1 1 1 0 1 0 1 0 0
261 ENDANG 98200 1 1 1 0 1 0 1 0 0
262 DAHLIA 98248 1 1 1 0 1 0 1 0 0
263 MASYITOH 42128 1 1 1 0 1 1 0 0 0
264 EVA 98254 1 1 1 0 1 0 0 0 0
265 MARLINAH 98249 1 1 1 0 1 0 1 0 0
266 SULHA 98336 1 1 1 0 1 0 1 0 0
267 DIAN HIDAYANTI 40455 1 1 1 0 0 0 1 0 0
268 IRNAH 98195 1 1 1 0 0 0 1 0 0
269 YULINDA SARI BY NY 97959 1 1 1 0 0 1 1 0 0
270 HUSNUL HOLILAH 50111 1 1 1 0 0 0 1 0 0
271 SITI LATIFAH 98227 1 1 1 0 0 0 1 0 0
272 ROSITA BINTI IDA 40458 1 1 1 0 1 0 1 0 0
273 YASIN 98169 1 1 1 0 1 1 1 0 0
274 ANI SURYANI 98289 1 1 1 0 1 0 1 0 0
275 SADIAH 98296 1 1 1 0 1 0 0 0 0
276 SUSAN SUSANTI 95127 1 1 1 0 1 0 0 0 0
277 RIZQI NURFADILAH 98292 1 1 1 0 1 0 0 0 0
278 AMPENG 98290 1 1 1 0 1 1 0 0 0
279 SYLVIA ELIS 65946 1 1 1 0 1 0 1 0 0
280 TATI 89802 1 1 1 0 1 0 1 0 0
281 RUMSANI 98076 1 1 1 0 1 1 1 0 0
282 JAYA 98174 1 1 1 0 1 1 0 0 0
283 LIDIYAH 96228 1 1 1 0 1 0 0 0 0
284 SYARIFUDIN 98333 1 1 1 0 1 1 0 0 0
285 ENTUN BT ENUY 87624 1 1 1 0 1 1 1 0 0
286 DIAN KURNIATI 98073 1 1 1 0 1 0 1 0 0
287 SUSANTI PUSPITASARI 43991 1 1 1 0 1 0 1 0 0
288 MARLENAH 95682 1 1 1 0 1 0 0 0 0
289 SANTI PURNAMA DEWI 97690 1 1 1 0 0 0 0 0 0
290 SITI LELAH 66805 1 1 1 0 0 0 1 0 0
291 KWE LIE 86232 1 1 1 0 0 0 1 0 0
292 SARITA IMEL SAHARA 88180 1 1 1 0 0 0 1 0 0
293 ANISA LAELATUL K 98084 1 1 1 0 1 0 1 0 0
294 MURTI 94792 1 1 1 0 1 0 1 0 0
295 MURSIN 96317 1 1 1 0 1 1 1 0 0
296 GUSTINAWATI 98402 1 1 1 0 1 0 1 0 0
297 SITI NAPSIYAH 98365 1 1 1 0 1 0 1 0 0
298 YANAH 98359 1 1 1 0 1 0 1 0 0
299 BUTET BT MUNAPIS 96553 1 1 1 0 1 0 1 0 0
300 TRIWI DIASTUTI 98403 1 1 1 0 1 0 0 0 0
301 SITI NURAENI 98272 1 1 1 0 1 0 0 0 0
302 MOGA ANNAH 98413 1 1 1 0 1 0 0 0 0
303 AISYAH 98381 1 1 1 0 1 0 1 0 0
304 ROHMANI 98428 1 1 1 0 1 0 1 0 0
305 WARSITI 96363 1 1 1 0 1 0 1 0 0
306 ANITA 98438 1 1 1 0 1 0 1 0 0
307 IFAH FATONAH 98437 1 1 1 0 1 0 1 0 0
308 HALIMATU SYA'DIYAH 96675 1 1 1 0 0 0 1 0 0
309 SUSI 65474 1 1 1 0 0 0 1 0 0
310 SITI MARIA ULFA 93663 1 1 1 0 0 0 0 0 0
311 WANAH 98464 1 1 1 0 0 0 0 0 0
312 NUR 81651 1 1 1 0 0 0 1 0 0
313 SADIAH NOOR 93132 1 1 1 0 0 0 1 0 0
JUMLAH 313 313 313 0 283 45 212 0 0
KETERANGAN :
0 = tidak dilakukan
1 = dilakukan
KAMAR OPERASI
BULAN JUNI 2020
NO Nama No. RM PENUNDAAN

Monitoring Monitoring Surgical
Asesment Konversi Asesment Site Diskrepansi OPERASI
Pra Anastesi Durante Pasca Anastesi Pra Bedah Marking Safety Diagnosis ELEKTIF LEBIH 2 KETERANGAN
Anastesi Anastesi Ceklist
HARI
1 FITRIAH 98492 1 1 1 0 1 0 1 0 0
2 YULIASTUTI 88965 1 1 1 0 1 0 1 0 0
3 ISDAH YANTI 98468 1 1 1 0 1 1 1 0 0
4 SITI ROSITA 98225 1 1 1 0 1 0 1 0 0
5 ELI 98508 1 1 1 0 1 0 0 0 0
6 YOYO ROKAYAH 98510 1 1 1 0 1 0 0 0 0
7 SUSILAWATI 98461 1 1 1 1 1 0 1 0 0
8 NISAN 98505 1 1 1 0 1 1 1 0 0
9 IIN SANTIKA 63768 1 1 1 0 1 0 1 0 0
10 SITI MUNIROH 98527 1 1 1 0 1 0 1 0 0
11 LIA DAHLIA 98526 1 1 1 0 1 0 0 0 0
12 NURUL SEPTIANI 98352 1 1 1 0 1 0 1 0 0
13 MAYZARINA MAULIA 98524 1 1 1 0 1 0 1 0 0
14 SITI DIANA 98314 1 1 1 0 1 0 1 0 0
15 TIRAH 98525 1 1 1 0 1 0 1 0 0
16 IDA PARIDAH 98551 1 1 1 0 1 0 0 0 0
17 DEWI SANTIYA 80099 1 1 1 0 1 0 1 0 0
18 SRI ASTUTI 63173 1 1 1 0 1 0 1 0 0
19 NOVI INDRIANI 98585 1 1 1 0 1 0 0 0 0
20 HERFIANA 98618 1 1 1 0 1 0 1 0 0
21 YULIANAH 98587 1 1 1 0 1 0 0 0 0
22 SITI ROMA 98577 1 1 1 0 1 0 1 0 0
23 FITRI ARIDHA 98567 1 1 1 0 1 0 1 0 0
24 SITI MAEMUNAH J 98573 1 1 1 0 1 0 0 0 0
25 FAJAR GILANG A 98048 1 1 1 0 1 1 1 0 0
26 NURYANAH 98180 1 1 1 0 1 0 1 0 0
27 YUNI ANNISA 64345 1 1 1 0 1 0 0 0 0
28 ATRIAH ANDRIANI 97911 1 1 1 0 1 0 0 0 0
29 NUNUNG 97596 1 1 1 0 1 0 1 0 0
30 SAIN 98579 1 1 1 0 1 1 0 0 0
31 BELAN 98369 1 1 1 0 1 0 0 0 0
32 TIKA 98580 1 1 1 0 1 1 1 0 0
33 VIVI KARTINI 98661 1 1 1 0 1 0 1 0 0
34 MIDAH 94182 1 1 1 0 1 0 1 0 0
35 NUR SELY 97866 1 1 1 0 1 0 1 0 0
36 NURHAYATI 98680 1 1 1 0 1 0 1 0 0
37 SAHLAN 98640 1 1 1 0 1 1 0 0 0
38 EMI OKTAVIANI 98602 1 1 1 0 1 0 0 0 0
39 SISKA WULANDARI 87979 1 1 1 0 1 0 0 0 0
40 NURSIAH 98127 1 1 1 0 1 0 1 0 0
41 SUMILAH 98681 1 1 1 0 1 0 1 0 0
42 MUNAYA 98358 1 1 1 0 1 0 1 0 0
43 IDA SUKARIDA 97922 1 1 1 0 1 0 1 0 0
44 NURASIYAH 98554 1 1 1 0 1 0 1 0 0
45 SURAYA 88172 1 1 1 0 1 0 0 0 0
46 NURHATIKA 98654 1 1 1 0 1 0 0 0 0
47 SUHAEBAH 96959 1 1 1 0 1 0 1 0 0
48 SANTI 98718 1 1 1 0 1 0 1 0 0
49 SUHIDA 98726 1 1 1 0 1 0 1 0 0
50 MAMAT 98593 1 1 1 0 1 1 0 0 0
51 MUHAMAD UNGUT 98694 1 1 1 0 1 1 1 0 0
52 JESSICA CHRISTIANI 98757 1 1 1 0 1 0 0 0 0
53 ANITA 98699 1 1 1 0 1 0 1 0 0
54 WINDA FUJIAH 98659 1 1 1 0 1 0 1 0 0
55 NENENG ANDRIYAN 91666 1 1 1 0 1 0 1 0 0
56 KARTINI 92844 1 1 1 0 1 0 1 0 0
57 SARI YUNITA 98568 1 1 1 0 1 0 1 0 0
58 SUWARTO 98724 1 1 1 0 1 1 0 0 0
59 ANITA 98699 1 1 1 0 1 0 0 0 0
60 YANTI ANDRIA 76613 1 1 1 0 1 0 0 0 0
61 IKKAH NURAINI 76249 1 1 1 0 1 0 1 0 0
62 MILAH 98749 1 1 1 0 1 0 1 0 0
63 ASIH KURNIASIH 98779 1 1 1 0 1 0 1 0 0
64 KOMARIA 98780 1 1 1 0 1 0 1 0 0
65 EMAR 35928 1 1 1 0 1 1 1 0 0
66 ROWIYAH 98772 1 1 1 0 1 0 0 0 0
67 YUDI WAHYUDI 98805 1 1 1 0 1 1 1 0 0
68 MAEMUNAH 98808 1 1 1 0 1 0 1 0 0
69 SOLEHA 98706 1 1 1 0 1 0 1 0 0
70 ERNI TRIWAHYUNI 98804 1 1 1 0 1 0 1 0 0
71 SITI AISYAH 98542 1 1 1 0 1 1 1 0 0
72 MAYA 98545 1 1 1 0 1 0 1 0 0
73 ENJUM 93735 1 1 1 0 1 0 0 0 0
74 AMELIA 98742 1 1 1 0 1 1 1 0 0
75 NURMAYANAH 89149 1 1 1 0 1 0 1 0 0
76 OMI 98692 1 1 1 0 1 0 1 0 0
77 ICE KOMALA 90263 1 1 1 0 1 0 0 0 0
78 SIFA FAUZIAH 88275 1 1 1 0 1 0 0 0 0
79 NUR APRIANI 90912 1 1 1 0 1 0 0 0 0
80 KASIANI 87034 1 1 1 0 1 0 1 0 0
81 SITI ROGAYA 98891 1 1 1 0 1 0 1 0 0
82 MEY CEN 98871 1 1 1 0 1 0 1 0 0
83 KARTI 98890 1 1 1 0 1 0 1 0 0
84 NOVI YANTI 93252 1 1 1 0 1 0 1 0 0
85 LINDA 93217 1 1 1 0 1 0 0 0 0
86 PATIMAH 34961 1 1 1 0 1 0 1 0 0
87 DASRONI 98748 1 1 1 0 1 1 1 0 0
88 SITI BADRIYAH 98951 1 1 1 1 1 0 1 0 0
89 MULYANI BINTI TAKIM 98950 1 1 1 0 1 0 1 0 0
90 SITI AIDA 91151 1 1 1 0 1 0 0 0 0
91 HAYUMI BIN RAMIN 98906 1 1 1 0 1 1 0 0 0
92 MURSINAH 99010 1 1 1 0 1 0 0 0 0
93 ARWANIH 65027 1 1 1 0 1 1 1 0 0
94 SITI HOLIPAH 71576 1 1 1 0 1 1 1 0 0
95 SRI SUMIYATI 97770 1 1 1 0 1 1 1 0 0
96 MAYA FITRIYANAH 98978 1 1 1 0 1 0 1 0 0
97 MIA 88426 1 1 1 0 1 0 0 0 0
98 HARIRI HIDAYATULLAH 98965 1 1 1 0 1 1 0 0 0
99 TITIN SUHARTINI 90974 1 1 1 0 1 0 1 0 0
100 USIN 44571 1 1 1 0 1 1 1 0 0
101 SITI PATIMAH 98991 1 1 1 0 1 0 1 0 0
102 SAFNAH 97572 1 1 1 0 1 0 1 0 0
103 PUTRI SEPTIANTI H 98019 1 1 1 0 1 0 1 0 0
104 INTAN FANDINI 98914 1 1 1 0 1 1 1 0 0
105 ISNAWATI 99052 1 1 1 0 1 0 1 0 0
106 MOCHAMAD IQBAL 84352 1 1 1 0 1 1 0 0 0
107 AHMAD ARIFIANDI F 98934 1 1 1 0 1 1 1 0 0
108 MARSIAH 99042 1 1 1 0 1 0 1 0 0
109 NURSHOBAH 98994 1 1 1 0 1 0 1 0 0
110 NURLAILAH 50543 1 1 1 0 1 0 1 0 0
111 ARYANTI 63038 1 1 1 0 1 0 1 0 0
112 HAMIDAH 99058 1 1 1 0 1 0 0 0 0
113 SITI FATMAWATI 99060 1 1 1 0 1 0 0 0 0
114 WIWIK RUBIYANTI 95783 1 1 1 0 1 0 1 0 0
115 NOVI YULIANTI 99092 1 1 1 0 1 0 1 0 0
116 SITI MARYANIH 92488 1 1 1 0 1 0 1 0 0
117 SUSI 96587 1 1 1 0 1 0 1 0 0
118 AINI RACHMA FAUZIAH 98980 1 1 1 0 1 0 0 0 0
119 IYAM 69761 1 1 1 0 1 1 0 0 0
120 PARTININGSIH 99123 1 1 1 0 1 0 0 0 0
121 MUINAH 99135 1 1 1 0 1 0 1 0 0
122 DAHLIA 68024 1 1 1 0 1 0 1 0 0
123 ROHILAH 99148 1 1 1 0 1 0 1 0 0
124 EMI CAHYATI 99126 1 1 1 0 1 0 1 0 0
125 RAYA 85206 1 1 1 0 1 0 0 0 0
126 AMAH 96354 1 1 1 1 1 0 0 0 0
127 SARITA 70623 1 1 1 0 1 1 1 0 0
128 EKA SARAS WATI 96379 1 1 1 0 1 0 1 0 0
129 NURUL AFIFAH 99088 1 1 1 0 1 0 1 0 0
130 NURPITA SARI 95970 1 1 1 0 1 0 1 0 0
131 MUHAMMAD AZIS K 98874 1 1 1 0 1 1 1 0 0
132 RATNA SARI 97491 1 1 1 0 1 1 0 0 0
133 MARSUDIN 98875 1 1 1 0 1 1 0 0 0
134 SRI ROSTALIA 99163 1 1 1 0 1 0 0 0 0
135 ELSA HUMAIRAH 99199 1 1 1 0 1 0 1 0 0
136 SITI ULPA 99175 1 1 1 0 1 0 1 0 0
137 YULI ASTUTI 86021 1 1 1 0 1 0 1 0 0
138 ANAH BT ASBA 25065 1 1 1 0 1 0 1 0 0
139 WIWIN BT ASDI 99216 1 1 1 0 1 0 1 0 0
140 ASIH KHORNAESIH 99229 1 1 1 0 1 0 0 0 0
141 KARTINA 96770 1 1 1 0 1 0 0 0 0
142 NURHALIMAH 81618 1 1 1 0 0 0 0 0 0
143 LINAH BT JALI 98466 1 1 1 0 0 0 1 0 0
144 JAMI 99320 1 1 1 0 1 0 1 0 0
145 UWIN 93158 1 1 1 0 1 1 0 0 0
146 SHELANI AUZAH 99255 1 1 1 0 1 1 1 0 0
147 ROHIMAH 49626 1 1 1 0 1 0 1 0 0
148 ANITA 92933 1 1 1 0 1 0 1 0 0
149 HENDRA SUPRIANTO 99242 1 1 1 0 1 1 1 0 0
150 HOLILAH 99223 1 1 1 0 1 1 1 0 0
151 CEN MEI 99418 1 1 1 0 1 0 1 0 0
152 NENENG MARIA 70358 1 1 1 0 1 1 1 0 0
153 TARPIAN 99294 1 1 1 0 1 1 1 0 0
154 GILANG M 99109 1 1 1 0 1 1 0 0 0
155 SUWARNI 99583 1 1 1 0 1 0 0 0 0
156 RATNA KOMALA SARI 67993 1 1 1 0 1 0 0 0 0
157 NURUL PALAH 42716 1 1 1 0 1 0 0 0 0
158 FITRI ANITA A 98983 1 1 1 0 1 0 1 0 0
159 SITI NURHASANAH 99632 1 1 1 0 1 0 1 0 0
160 RATNI 99361 1 1 1 0 1 0 1 0 0
161 YANIH 99368 1 1 1 0 1 0 0 0 0
162 YANTI PIDIYANTI 87530 1 1 1 1 1 0 0 0 0
163 AKHYANI 99369 1 1 1 0 1 0 0 0 0
164 AJENG IMAS M 86431 1 1 1 0 1 0 1 0 0
165 SITI MARHAMAH 95410 1 1 1 0 1 0 1 0 0
166 ARSINAH 99737 1 1 1 0 1 0 1 0 0
167 DEVITA VEBRI D 99366 1 1 1 0 1 0 1 0 0
168 EUIS SUWARSIH 83282 1 1 1 0 1 0 0 0 0
169 MIDAH 44845 1 1 1 0 1 0 0 0 0
170 ASIAH 99392 1 1 1 0 1 0 0 0 0
171 KARTIKA 99396 1 1 1 1 1 0 1 0 0
172 ROHATI 99397 1 1 1 0 1 0 1 0 0
173 SIBRAY 87824 1 1 1 0 1 0 1 0 0
174 NITA 27981 1 1 1 0 1 0 1 0 0
175 NURYANI 99749 1 1 1 0 0 0 1 0 0
176 ROHAYA 99416 1 1 1 0 1 0 1 0 0
177 RATNA SARI 99105 1 1 1 0 1 0 1 0 0
178 TITIN 99452 1 1 1 0 1 0 1 0 0
179 NADIYAH 99458 1 1 1 0 1 0 1 0 0
180 LINDA WATI 12672 1 1 1 0 1 0 1 0 0
LUSIANA RISDAWATI
181
BUTAR BUTAR 97343 1 1 1 0 1 0 1 0 0
182 LEGINI 89493 1 1 1 0 1 1 1 0 0
183 MUHAMAD IRFANDI R 90175 1 1 1 0 1 1 1 0 0
184 ROHIMAH 99411 1 1 1 1 1 1 1 0 0
185 LIA 72983 1 1 1 0 1 1 1 0 0
186 ARYANTI 98977 1 1 1 0 1 1 1 0 0
187 HENNI 97692 1 1 1 0 1 0 1 0 0
188 M AKBAR 99507 1 1 1 0 1 1 1 0 0
189 SAFITRI MARYANTI 92943 1 1 1 0 1 1 0 0 0
190 SISKA NURLITA 82235 1 1 1 0 1 0 0 0 0
191 NITA ROSITA 96954 1 1 1 0 1 0 1 0 0
192 ROHIMAH 99544 1 1 1 0 1 0 1 0 0
193 SRI MULYATI 99481 1 1 1 0 1 0 1 0 0
194 RINA KUSUMAWATI 80023 1 1 1 0 1 0 1 0 0
195 ANI BT ALI 74484 1 1 1 1 1 0 1 0 0
196 ANDILAH 94479 1 1 1 0 1 0 1 0 0
197 YULI SUNTARI 99319 1 1 1 0 1 0 1 0 0
198 ROHIMAH 99411 1 1 1 0 1 0 1 0 0
199 AYEM 99546 1 1 1 0 1 0 1 0 0
200 NISAN 63602 1 1 1 0 1 1 1 0 0
201 NURMI 99560 1 1 1 0 1 0 1 0 0
202 IYA LESTARI 99430 1 1 1 0 0 0 1 0 0
203 ODI SUHARDI 99539 1 1 1 1 1 1 1 0 0
204 KHOLIFAH WAHYU Y 99438 1 1 1 0 0 0 1 0 0
205 YANI 55596 1 1 1 0 1 0 1 0 0
206 SRI INDAH SARI 63044 1 1 1 0 1 0 0 0 0
207 OJIH 99550 1 1 1 0 1 1 1 0 0
208 NETI 97095 1 1 1 0 1 0 1 0 0
209 SITI KHOLIPAH 86396 1 1 1 0 1 0 1 0 0
210 YULI 75664 1 1 1 0 1 0 1 0 0
211 VIVI PURNAMA 99496 1 1 1 0 1 0 1 0 0
212 LELAH MAHMUDAH 99636 1 1 1 0 1 0 1 0 0
213 ANYIH 88795 1 1 1 0 1 1 0 0 0
214 MISTARI 99666 1 1 1 0 1 1 0 0 0
215 SITI RAHAYU 24829 1 1 1 0 1 1 0 0 0
216 ERNI ERNAWATI 98653 1 1 1 0 1 0 1 0 0
217 MURADI 99674 1 1 1 0 1 1 1 0 0
218 VINDI LESTARI 66598 1 1 1 0 0 0 1 0 0
219 SAIROH 99689 1 1 1 0 0 0 1 0 0
220 RODIAH 99478 1 1 1 0 1 0 1 0 0
221 AMAH 96354 1 1 1 0 1 0 1 0 0
222 ROMLAH 99736 1 1 1 0 1 0 1 0 0
223 LASTARI BT JUMAT 97175 1 1 1 0 1 1 1 0 0
224 WIWI 99651 1 1 1 0 1 1 1 0 0
225 ENDAY DAYATRI 99248 1 1 1 0 0 0 1 0 0
226 KOMARIAH 99764 1 1 1 0 1 0 1 0 0
227 FITRIYAH 99747 1 1 1 0 1 1 0 0 0
228 TITI BINTI KASTIMAN 99763 1 1 1 0 1 0 0 0 0
229 ELA BT SANIM 99044 1 1 1 0 1 1 0 0 0
230 MASWARNI 99395 1 1 1 0 1 0 1 0 0
231 SETIADI PERMANA 99640 1 1 1 0 1 1 1 0 0
232 RUNAH 97261 1 1 1 0 1 0 0 0 0
233 NANI NURAENI 99816 1 1 1 0 1 0 1 0 0
234 SITI ZURIYAH 79709 1 1 1 0 1 0 1 0 0
235 ELMI 95271 1 1 1 1 1 0 1 0 0
236 RATNA FATMILIA 33591 1 1 1 0 1 0 1 0 0
237 ALIAH 99815 1 1 1 0 1 0 1 0 0
238 RUMINAH BT UDING 99824 1 1 1 0 1 0 1 0 0
239 SRI KARTINI 94467 1 1 1 0 1 0 0 0 0
240 SITI ALFIYANI 99817 1 1 1 0 1 0 1 0 0
241 EVI 99805 1 1 1 0 1 1 1 0 0
242 EDIH 99801 1 1 1 0 1 1 1 0 0
243 S.ABU BAKAR 99789 1 1 1 0 1 1 0 0 0
244 MUHAMAD HUSNI 99834 1 1 1 0 1 1 1 0 0
245 NURLELA 97306 1 1 1 0 1 0 1 0 0
246 BAHRUDIN BIN ALIM 99857 1 1 1 0 1 1 1 0 0
247 FARIZ FAKHRIANSYAH 98812 1 1 1 0 1 1 1 0 0
248 AHMAD QORIYULLAH 99844 1 1 1 0 1 1 1 0 0
249 NURUL IMAN 99843 1 1 1 0 1 1 1 0 0
250 SURNIYATI 99899 1 1 1 0 1 0 1 0 0
251 SITI NUR QOYYIMAH 79630 1 1 1 0 1 0 1 0 0
JUMLAH 251 251 251 9 243 62 182 0 0
KETERANGAN :
0 = tidak dilakukan
1 = dilakukan
KA. INSTALASI
dr. Husnul, Sp.An.,M.Kes Yurike, Amd. Keb NS. Ega J, S.Kep

BULAN JULI 2020

NO Nama No. RM Asesment Monitoring
Durante
Monitoring Konversi Asesment
Pasca Site Surgical Diskrepansi PENUNDAAN
Safety OPERASI KETERANGAN
Pra Anastesi Anastesi Anastesi Anastesi Pra Bedah Marking Ceklist Diagnosis ELEKTIF > 2 HARI
1 JURIAH 92263 1 1 1 0 1 0 0 0 0
2 SADIH BIN NURDIN 99887 1 1 1 0 1 1 1 0 0
3 IRPAN 99875 1 1 1 0 1 1 1 0 0
4 ATI BT ATA 99908 1 1 1 0 1 0 1 0 0
5 SEHA BT MUHASIM 99901 1 1 1 0 1 1 0 0 0
6 MUHAMAD ABDUL R 99877 1 1 1 0 1 1 0 0 0
7 YAMIH BT MURASAN 97490 1 1 1 0 1 0 0 0 0
8 MARHAM 99931 1 1 1 0 1 0 1 0 0
9 RONI 98693 1 1 1 0 1 0 0 0 0
10 SAANI 99923 1 1 1 1 1 1 1 0 0
11 JAMILAH 99307 1 1 1 0 1 0 0 0 0
12 OCAH BT ARSAN 99658 1 1 1 0 1 1 1 0 0
13 AMIRUDIN 99869 1 1 1 0 1 1 1 0 0
14 HENI 98536 1 1 1 0 1 0 0 0 0
15 SEPTI WULANSARI 41007 1 1 1 0 1 0 1 0 0
16 ARSALI 97725 1 1 1 0 1 1 1 0 0
17 SITI NUHAROH 98665 1 1 1 0 1 0 0 0 0
18 SITI NURHAYNI 98299 1 1 1 0 1 0 0 0 0
19 KARDILAH 97232 1 1 1 0 1 0 1 0 0
20 NURHAYATI 94660 1 1 1 0 1 0 1 0 0
21 RIKA MIRAWATI 77101 1 1 1 1 1 0 1 0 0
22 DAHLIA 99785 1 1 1 0 1 0 0 0 0
23 RIYAN 99979 1 1 1 0 1 1 1 0 0
24 PRIHATINI 99932 1 1 1 0 1 0 0 0 0
25 DARIYAH 99944 1 1 1 0 1 0 0 0 0
26 MARDIANAH S 99999 1 1 1 0 1 0 0 0 0
27 MAHIYAH 100015 1 1 1 0 1 0 0 0 0
28 NASWATI 98515 1 1 1 0 1 0 0 0 0
29 NAWIYAH 99922 1 1 1 0 1 1 1 0 0
30 RUKMY DIAH N 97999 1 1 1 0 1 0 0 0 0
31 AAN DARWATI 99962 1 1 1 0 1 0 1 0 0
32 NURUS SADIAH 91148 1 1 1 0 1 0 0 0 0
33 RITA 93659 1 1 1 0 1 1 1 0 0
34 EVI SUSANTI 100031 1 1 1 0 1 1 0 0 0
35 ROYATI 100051 1 1 1 0 1 0 0 0 0
36 YUNINGSIH 41097 1 1 1 0 1 0 0 0 0
37 SINTA LISTRI 98731 1 1 1 0 1 0 0 0 0
38 DANI 26135 1 1 1 0 1 1 1 0 0
39 AGUS RIYADI 100037 1 1 1 1 1 1 1 0 0
40 MUHAMAD AGUSTYO 100066 1 1 1 1 1 1 1 0 0
41 NURLALA 99783 1 1 1 0 1 0 0 0 0
42 SURYANIH 99061 1 1 1 0 1 0 0 0 0
43 ANDITA 100059 1 1 1 0 1 0 0 0 0
44 SITI NURAJIZAH 100071 1 1 1 0 1 0 1 0 0
45 WIDYANINGSIH 56533 1 1 1 0 1 0 1 0 0
46 ROMAH 100076 1 1 1 0 1 0 0 0 0
47 HOLIYAH BINTI IDAN 99975 1 1 1 0 1 0 0 0 0
48 LINDA SRI WAHYUNI 100060 1 1 1 0 1 0 0 0 0
49 YAYU AHRIA 99982 1 1 1 0 1 0 1 0 0
50 ATIKA SURI 87036 1 1 1 0 1 0 1 0 0
51 AMSIAH 100075 1 1 1 0 1 1 1 0 0
52 SITI NURBAYINAH 98233 1 1 1 0 1 0 0 0 0
53 ROHANI 3867 1 1 1 0 1 0 0 0 0
54 UUN KURNAESIH 100111 1 1 1 0 1 0 0 0 0
55 NURIAH 100119 1 1 1 0 1 0 1 0 0
56 NANI 100127 1 1 1 0 1 0 0 0 0
57 SUMIYATI 100131 1 1 1 0 1 0 0 0 0
58 BAENATI 100129 1 1 1 0 1 0 0 0 0
59 PEN NIO 100123 1 1 1 0 1 0 1 0 0
60 ROSIDAH 100156 1 1 1 0 1 0 1 0 0
61 H. KOMAN 63806 1 1 1 0 1 1 1 0 0
62 ROKIYAH 75542 1 1 1 0 1 1 1 0 0
63 SITI PUTRI YANA 100265 1 1 1 0 1 0 0 0 0
64 UMAR 71211 1 1 1 1 1 1 1 0 0
65 HALIZA TRI YUDHA W 100184 1 1 1 0 1 0 0 0 0
66 DEWI RATNASARI 99920 1 1 1 0 1 0 0 0 0
67 ETIH CAHYATI 4945 1 1 1 0 1 0 0 0 0
68 MUMUN 99026 1 1 1 0 1 0 0 0 0
69 NENENG SUSANTI 99882 1 1 1 0 1 0 0 0 0
70 SITI FARIDA 99976 1 1 1 0 1 0 0 0 0
71 RANI 92053 1 1 1 0 1 0 1 0 0
72 ARUM SETIANINGRUM 68408 1 1 1 0 1 0 1 0 0
73 ETI SURYATI 100263 1 1 1 0 1 0 1 0 0
74 SITI MAEMUNAH 78686 1 1 1 0 1 0 1 0 0
75 NOVI THIOLA PAKING 100318 1 1 1 0 1 0 1 0 0
76 SAYATI 100254 1 1 1 0 1 0 1 0 0
77 RINI NAPITASARI 87331 1 1 1 0 1 0 1 0 0
78 SRI MULYANA 100296 1 1 1 0 1 0 0 0 0
79 IMAS 100300 1 1 1 0 1 0 1 0 0
80 RUSMIATI 99871 1 1 1 0 1 0 1 0 0
81 MUHAMAD DODI S 100337 1 1 1 0 1 0 1 0 0
82 KIKI FAUZIYAH 100341 1 1 1 0 1 0 0 0 0
83 HALIMAH 100359 1 1 1 0 1 0 0 0 0
84 MARYANI 100358 1 1 1 0 1 0 1 0 0
85 MULYANI 98173 1 1 1 0 1 0 1 0 0
86 M. NURYANA 100004 1 1 1 0 1 0 1 0 0
87 SITI ALWIYAH 80891 1 1 1 0 1 0 0 0 0
88 HENI SUHAENI 99966 1 1 1 0 1 0 1 0 0
89 CIPTATO NENGSIH 99559 1 1 1 0 1 0 1 0 0
90 MAMAN 100394 1 1 1 0 1 0 1 0 0
91 SUSANTI 100411 1 1 1 0 1 0 0 0 0
92 ROKAYAH 100412 1 1 1 0 1 0 1 0 0
93 MIDAH 100427 1 1 1 0 1 0 1 0 0
94 AKUP 100420 1 1 1 0 1 0 1 0 0
95 NURUL SARIFAH 99276 1 1 1 0 1 0 1 0 0
96 SITI SAROYAH 100437 1 1 1 0 1 0 1 0 0
97 DIANA 3264 1 1 1 0 1 0 0 0 0
98 SITI JUBAEDAH 1360 1 1 1 0 1 0 0 0 0
99 NURHIKMAH 99000 1 1 1 0 1 0 0 0 0
100 RUSTINAH 100471 1 1 1 0 1 0 1 0 0
101 MARLINA 77004 1 1 1 0 1 0 0 0 0
102 INDAH NURMALASARI 100435 1 1 1 0 1 0 1 0 0
103 WARYONO 100486 1 1 1 0 1 0 1 0 0
104 NURYANI 93856 1 1 1 0 1 0 1 0 0
105 AYANAH 100514 1 1 1 0 1 0 0 0 0
106 NUR KHASANAH 96758 1 1 1 0 1 0 1 0 0
107 NURMALASARI 100470 1 1 1 0 1 0 1 0 0
108 ERIKA RASTUTI 68030 1 1 1 0 1 0 0 0 0
109 MARYANI 100523 1 1 1 0 1 0 0 0 0
110 DURASIP 100069 1 1 1 0 1 1 1 0 0
111 ABDUL GHONI 100519 1 1 1 0 1 1 1 0 0
112 SUSANNA NOVITA 88946 1 1 1 0 1 0 0 0 0
113 NATA 100239 1 1 1 0 1 1 1 0 0
114 FARKHIN FADOLI 100244 1 1 1 0 1 1 1 0 0
115 NENENG ALIYAH 91261 1 1 1 0 1 0 0 0 0
116 NUR PIQI HANDAYANI 100479 1 1 1 0 1 0 1 0 0
117 LENI LIDIA 100568 1 1 1 0 1 0 0 0 0
118 PUTRI NADIA 100563 1 1 1 0 1 0 0 0 0
119 DIANA 100573 1 1 1 0 1 0 0 0 0
120 MARIAM 100498 1 1 1 0 1 1 1 0 0
121 ARDI DENATA 100559 1 1 1 0 1 1 1 0 0
122 NATALIA 95248 1 1 1 0 1 0 0 0 0
123 NURLELAH 91973 1 1 1 0 1 1 1 0 0
124 SUHENDA 100598 1 1 1 0 1 1 1 0 0
125 SALIMAH 100634 1 1 1 0 1 0 0 0 0
126 RIRI RAHADIYANTI 94853 1 1 1 0 1 0 1 0 0
127 SITI AISAH 100638 1 1 1 0 1 0 0 0 0
128 LIANA 90035 1 1 1 0 1 0 0 0 0
129 YAYU NUROKTAVIANI 63891 1 1 1 0 1 0 1 0 0
130 ATI 64146 1 1 1 0 1 0 0 0 0
131 INDAH 100709 1 1 1 0 1 0 1 0 0
132 SINTYA NURDIYAN 100595 1 1 1 0 1 0 0 0 0
133 JAYA 55257 1 1 1 0 1 1 1 0 0
134 SUSTATI 100710 1 1 1 0 1 0 0 0 0
135 AMALIA 98617 1 1 1 0 1 0 0 0 0
136 JAMPANG BIN KAJI 100727 1 1 1 0 1 1 1 0 0
137 LUSYANAWATI 100153 1 1 1 0 1 0 0 0 0
138 TISNIA ALPIONITA 100738 1 1 1 0 1 0 0 0 0
139 WIWIN WINARTI 100642 1 1 1 0 1 0 0 0 0
140 SAUNI 100639 1 1 1 0 1 1 1 0 0
141 MARYUNI 100428 1 1 1 0 1 0 0 0 0
142 SANAUL ATIYAH 100768 1 1 1 0 1 0 0 0 0
143 TASIH 100771 1 1 1 0 1 0 0 0 0
144 SITI ROHMAH 100704 1 1 1 0 1 1 1 0 0
145 LIDIAWATI 96246 1 1 1 0 1 0 0 0 0
146 MASURI 83924 1 1 1 0 1 0 0 0 0
147 NENGSIH KURNIA S 100798 1 1 1 0 1 0 0 0 0
148 ROTU SIHOMBING 99080 1 1 1 0 1 0 1 0 0
149 KHOIRIYAH 98744 1 1 1 0 1 0 0 0 0
150 YENTI 72866 1 1 1 0 1 0 0 0 0
151 MARIYAM 100827 1 1 1 0 1 0 0 0 0
152 WARNI BIN ATMOTALIP 69715 1 1 1 0 1 1 1 0 0
153 MASAN BIN NIMAN 100826 1 1 1 0 1 1 1 0 0
154 ESAH 71021 1 1 1 0 1 0 1 0 0
155 RIRIN QORINA A 63491 1 1 1 0 1 1 1 0 0
156 DINI FITRINURANI 95576 1 1 1 0 1 0 0 0 0
157 RINI YULIYANTI 93453 1 1 1 0 1 0 1 0 0
158 LISHARTATI 95895 1 1 1 0 1 0 1 0 0
159 NURLELAH 100831 1 1 1 0 1 0 0 0 0
160 FREDI 100873 1 1 1 0 1 1 1 0 0
161 NURASIAH 100859 1 1 1 0 1 0 0 0 0
162 SITI FAUZIAH 92491 1 1 1 0 1 0 0 0 0
163 ITA YULIA SARI 100899 1 1 1 0 1 0 1 0 0
164 SITI NURFADILATUNNISA 100828 1 1 1 0 1 1 1 0 0
165 SUHERI 100867 1 1 1 0 1 1 1 0 0
166 MARSINAH 100912 1 1 1 0 1 0 1 0 0
167 ROHIMAH 100893 1 1 1 0 1 0 1 0 0
168 IIS FADILLAH 100890 1 1 1 0 1 0 0 0 0
169 NURBAETI 87596 1 1 1 0 1 0 0 0 0
170 GIARMI 100162 1 1 1 0 1 0 1 0 0
171 MULYANAH 99380 1 1 1 0 1 1 1 0 0
172 UNIAH 100846 1 1 1 0 1 1 0 0 0
173 SELVI WIDIYANA 100947 1 1 1 0 1 0 1 0 0
174 NURHAYATI 99288 1 1 1 0 1 0 1 0 0
SITI MARYAM BT M.
175 100932 1 1 1 0 1 0 1 0 0
CHANDRA
176 MINJI 100919 1 1 1 0 1 1 1 0 0
177 AHMAD SURYADI 100945 1 1 1 0 1 1 1 0 0
178 LASTRI 76839 1 1 1 0 1 1 1 0 0
179 AMINAH 100880 1 1 1 0 1 1 0 0 0
180 INDAH PRAMESWARI 84987 1 1 1 0 1 0 0 0 0
181 MARSUNAH 97161 1 1 1 0 1 0 0 0 0
182 YOYON 100977 1 1 1 0 1 0 1 0 0
183 RISKA MAULIA 100972 1 1 1 0 1 0 1 0 0
184 IWAN KURNIAWAN 100949 1 1 1 0 1 1 0 0 0
185 SUHAIBATUL ISLAMIYAH 100994 1 1 1 0 1 0 1 0 0
186 WIWI SUGIARTI 78478 1 1 1 0 1 0 1 0 0
187 HAPIPAH 101006 1 1 1 0 1 0 1 0 0
188 HETI DINAR TOBING 100900 1 1 1 0 1 0 0 0 0
189 LINTANG NOVELIA Y 100851 1 1 1 0 1 0 0 0 0
190 NENI MARYATI 86490 1 1 1 0 1 1 0 0 0
191 HETI DINAR TOBING 100900 1 1 1 0 1 0 0 0 0
192 NGADINEM 101045 1 1 1 0 1 1 1 0 0
193 HAMIDA BT ASMIN 99850 1 1 1 0 1 0 1 0 0
194 SEROH 98285 1 1 1 0 1 0 1 0 0
195 ALPIYAH 101072 1 1 1 0 1 0 0 0 0
196 IIS ISTIQOMAH 62501 1 1 1 0 1 0 0 0 0
197 ANA BIN BARAN 101068 1 1 1 1 1 1 0 0 0
198 KHAIRUNNISA 101094 1 1 1 0 1 1 1 0 0
199 DARNA 101101 1 1 1 0 1 0 1 0 0
200 RITA 101136 1 1 1 0 1 0 0 0 0
201 RINA HERLINA 98595 1 1 1 0 1 0 0 0 0
202 IRMA 98857 1 1 1 0 1 0 1 0 0
203 MASIM 101125 1 1 1 0 1 1 1 0 0
204 ERNI 92055 1 1 1 0 1 0 1 0 0
205 IRHAM BIN KISIN 13339 1 1 1 0 0 1 1 0 0
206 MARIA 101184 1 1 1 0 1 0 0 0 0
207 ZAHROTUN NISA 100445 1 1 1 0 1 0 1 0 0
208 JIHAN MAKKIYANI 101204 1 1 1 0 1 0 1 0 0
209 SITI KOMALA 101200 1 1 1 0 1 0 1 0 0
210 ASNI 100489 1 1 1 0 1 0 0 0 0
211 SYARIPATUL AZMA 62507 1 1 1 0 1 0 0 0 0
212 AMINAH 71519 1 1 1 0 1 0 0 0 0
213 SUTIMA 96353 1 1 1 0 1 0 1 0 0
214 ROHANISAH 101248 1 1 1 0 1 0 1 0 0
215 SEPTIANI DWI SAFITRI 101151 1 1 1 0 1 0 1 0 0
216 TIARA PUTRI RUSTAMI 90832 1 1 1 0 0 0 1 0 0
217 ENENG AYU MARDIAH 58078 1 1 1 0 0 0 0 0 0
218 SHINTA TARWIYAH 101162 1 1 1 0 1 0 0 0 0
219 NURHASIFAH 100941 1 1 1 0 1 0 1 0 0
220 IRMA FEBRIYANTI 101216 1 1 1 0 1 0 1 0 0
221 AHMAD SAEFULLAH 101197 1 1 1 0 1 1 1 0 0
222 AHMAD DOMIRI 580 1 1 1 0 1 1 1 0 0
223 AFIFUDIN 44318 1 1 1 0 1 1 1 0 0
224 TITIN BT SUAIB 91192 1 1 1 0 1 1 0 0 0
225 HILDA FEBRIYANTI 99780 1 1 1 0 1 1 1 0 0
226 MUTIARA RAHAYU 101277 1 1 1 0 1 0 0 0 0
227 LINDAH DINI AFRILIA 101256 1 1 1 0 1 0 1 0 0
228 OTIH KOMALASARI 101304 1 1 1 0 1 0 1 0 0
229 KARTINI 64716 1 1 1 0 1 1 0 0 0
230 ELVI MEGAWATI 101338 1 1 1 0 1 0 1 0 0
231 SARAH AHADIYAH 67950 1 1 1 0 1 0 0 0 0
232 AIDA BT JAMALUDIN 101284 1 1 1 0 1 1 1 0 0
233 SIWI NURRAMALITA 100698 1 1 1 0 0 0 0 0 0
234 DEWI AYU 100850 1 1 1 0 1 0 1 0 0
235 RAHMAWATI 74192 1 1 1 0 1 0 1 0 0
236 TETI GUNARTI 95624 1 1 1 0 1 0 1 0 0
237 SITI MARISAH 90210 1 1 1 0 1 0 0 0 0
238 LIANAH 98924 1 1 1 0 1 0 0 0 0
239 YULIANAH 73471 1 1 1 0 1 0 0 0 0
240 THE MEITRI AVI H 100511 1 1 1 0 0 0 1 0 0
241 LILI HERMAWATI 90449 1 1 1 0 1 0 0 0 0
242 MUHAMAD IRFAN F 101381 1 1 1 0 1 1 1 0 0
243 HOLIPAH 100090 1 1 1 0 1 0 1 0 0
244 ROUFAH 101305 1 1 1 0 1 0 0 0 0
245 ENI BT SAKRI 101428 1 1 1 0 1 0 1 0 0
246 LUSI FALANTIFA 101398 1 1 1 0 1 0 1 0 0
247 SITI CINTIA 101429 1 1 1 0 1 0 1 0 0
248 MARTINI 67842 1 1 1 0 1 0 0 0 0
249 YASAN 101359 1 1 1 0 1 1 1 0 0
250 USMAN BIN NUDI 101368 1 1 1 0 1 1 1 0 0
251 KISUK 101412 1 1 1 0 1 1 1 0 0
252 NARSIH 98362 1 1 1 0 1 0 0 0 0
253 PARHATINI 101433 1 1 1 0 1 0 0 0 0
254 AKHMAD FACHRI A 101409 1 1 1 0 1 1 1 0 0
255 NISFI MARYANTI 101425 1 1 1 0 1 0 1 0 0
256 MININ 101392 1 1 1 0 1 1 1 0 0
257 ENUNG 100460 1 1 1 0 1 0 0 0 0
258 ACIH 101471 1 1 1 0 1 0 1 0 0
JUMLAH 258 258 258 6 253 63 141 0 0
KETERANGAN :
0 = tidak dilakukan
1 = dilakukan
KA. INSTALASI
PIC I PIC II
KAMAR OPERASI

BULAN AGUSTUS 2020
Asesment Monitoring Monitoring Konversi Asesment Surgical PENUNDAAN

NO Nama No. RM Site Diskrepansi OPERASI
Pra Durante Pasca Anastesi Pra Bedah Marking Safety Diagnosis ELEKTIF > 2 KETERANGAN
Anastesi Anastesi Anastesi Ceklist HARI
1 NURMAH YUNITA SARI 99327 1 1 1 0 1 0 1 0 0
2 SANTI OKTAVIA 101406 1 1 1 0 1 0 1 0 0
3 NOVA NOVIANTI 101168 1 1 1 0 1 0 0 0 0
4 ELI 101477 1 1 1 0 1 0 1 0 0
5 SITI KURNIATI 76344 1 1 1 1 1 1 1 0 0
6 SANTI 92640 1 1 1 0 1 0 1 0 0
7 NUR KHOLIA 101564 1 1 1 0 1 0 1 0 0
8 ERNI PRATIWI 101460 1 1 1 0 1 0 0 0 0
9 MEGAWATI SAFITRI 58463 1 1 1 0 1 0 1 0 0
10 ODAH 101606 1 1 1 0 1 0 1 0 0
11 NURMI 98807 1 1 1 0 1 0 1 0 0
12 TAN CUAN TENG 101459 1 1 1 1 1 1 1 0 0
13 ANDRI SUHENDAR 91130 1 1 1 0 1 1 1 0 0
14 SUNJANI 100530 1 1 1 0 1 0 0 0 0
15 JARONAH 101488 1 1 1 0 1 0 1 0 0
16 AYU KUMALA 101557 1 1 1 0 1 0 1 0 0
17 PATIMAH 101587 1 1 1 0 1 0 0 0 0
18 SAPNIH 101627 1 1 1 0 1 0 1 0 0
19 SULASNI 101539 1 1 1 0 1 0 0 0 0
20 AAH WASRIAH 101019 1 1 1 0 1 0 1 0 0
21 NURYANAH 52885 1 1 1 0 1 0 0 0 0
22 NURI MAULIDA A 101652 1 1 1 0 1 1 1 0 0
23 EPIH BT LATIP 101461 1 1 1 0 1 0 0 0 0
24 SALBIAH BINTI SALIH 101670 1 1 1 0 1 0 1 0 0
25 SARAH APRIYANTI 101555 1 1 1 0 1 0 1 0 0
26 INAH 101662 1 1 1 0 1 0 0 0 0
27 LAMAH 101719 1 1 1 0 1 0 1 0 0
28 HODIBAH 99290 1 1 1 0 1 0 1 0 0
29 DEWI ASTUTI W 27448 1 1 1 0 1 0 0 0 0
30 FAJRI ASTUTI 101733 1 1 1 0 1 0 1 0 0
31 MARIYAM 101710 1 1 1 0 1 0 0 0 0
32 HALIMAH BT MISBAK 100989 1 1 1 0 1 0 1 0 0
33 MARTI HINDRIAWATI 101701 1 1 1 1 1 1 1 0 0
34 MASADAH 84504 1 1 1 0 1 1 1 0 0
35 IYAM 29677 1 1 1 0 1 0 1 0 0
36 YENI SUTIYANIH 101741 1 1 1 0 1 0 1 0 0
37 YULIYANTI 36951 1 1 1 0 1 0 1 0 0
38 SITI MAESAROH 100959 1 1 1 0 1 0 1 0 0
39 APRIYANI 101732 1 1 1 0 1 0 0 0 0
40 AIDA NURHASANAH 56304 1 1 1 0 1 0 1 0 0
41 ARNI 101785 1 1 1 0 1 0 1 0 0
42 UNAH 67094 1 1 1 0 1 0 1 0 0
43 SARWANI 67358 1 1 1 0 1 0 1 0 0
44 YUNI MARLENTY 101815 1 1 1 0 1 0 1 0 0
45 NADIANAH 70531 1 1 1 0 1 0 0 0 0
46 ARYA 101833 1 1 1 0 1 1 1 0 0
47 MITI 101839 1 1 1 0 1 1 1 0 0
48 FATIMAH 101879 1 1 1 0 1 0 1 0 0
49 LINDA 101889 1 1 1 0 1 0 1 0 0
50 LALA JULEHA 93172 1 1 1 0 1 0 1 0 0
51 MUALFIYAH 101871 1 1 1 0 1 0 0 0 0
52 SITI FATIMAH 29617 1 1 1 0 1 0 0 0 0
53 SALWAH 55823 1 1 1 0 1 0 1 0 0
54 MUHAMAD MALIK 79255 1 1 1 0 1 1 1 0 0
55 AYU WULANDARI 101899 1 1 1 0 1 0 0 0 0
56 WATI 19858 1 1 1 0 1 1 1 0 0
57 LINDA BUDIARTI 29692 1 1 1 0 1 1 1 0 0
58 BADRIYAH 101878 1 1 1 0 1 0 1 0 0
59 BEDRITA SARI 99973 1 1 1 0 1 0 1 0 0
60 IRMAWATI 99261 1 1 1 0 1 0 0 0 0
61 M. KHOLILUDIN 101906 1 1 1 0 1 1 1 0 0
62 INAN 101347 1 1 1 0 1 1 1 0 0
63 ARINI GUSTAMI 48237 1 1 1 0 1 0 1 0 0
64 SITI MARIYAM 101920 1 1 1 0 1 0 1 0 0
65 ELIS 95068 1 1 1 0 1 0 1 0 0
66 DEVANO ARLODNSY 85457 1 1 1 0 1 1 1 0 0
67 MUHAMAD SAPUTRA 26049 1 1 1 1 1 1 1 0 0
68 NUR HANIFAH 92548 1 1 1 0 1 0 1 0 0
69 RIKA 98216 1 1 1 0 1 0 1 0 0
70 WULAN SUCI M 102000 1 1 1 0 1 0 0 0 0
71 BONG KIM BUI 100319 1 1 1 0 1 0 1 0 0
72 SULISTIAH 79936 1 1 1 0 1 0 1 0 0
73 MARLINAH 56295 1 1 1 0 1 0 1 0 0
74 AL KORIAH 86879 1 1 1 0 1 0 0 0
75 DAHLIA 102038 1 1 1 0 1 0 1 0 0
76 ASRI YUNI YANTI 101943 1 1 1 0 1 1 1 0 0
77 DIAN OKTA MULYANI 102044 1 1 1 0 1 0 1 0 0
78 AMANDA IFTITA PUTRI 99896 1 1 1 0 1 0 1 0 0
79 EUIS MARALDA 102145 1 1 1 0 0 0 0 0 0
80 DHEA WIDA KAMILAH 102041 1 1 1 0 1 1 1 0 0
81 MUNAWATI 102057 1 1 1 0 1 0 0 0 0
82 LINDA LESTARI 93563 1 1 1 0 1 0 1 0 0
83 ROBIAH 102067 1 1 1 0 1 0 1 0 0
84 YANI 93552 1 1 1 0 1 0 1 0 0
85 SARNIA 102021 1 1 1 0 1 0 1 0 0
86 MURYANAH 102113 1 1 1 0 1 0 0 0 0
87 MUTIANA HAIFAH 102054 1 1 1 0 1 0 0 0 0
88 YULIANAH 102112 1 1 1 0 1 0 1 0 0
89 JONG KENG LIONG 102062 1 1 1 0 1 1 1 0 0
90 SITI AMINAH 102116 1 1 1 0 1 1 1 0 0
91 MUJENI 101787 1 1 1 1 1 1 1 0 0
92 MELASARI 48399 1 1 1 0 1 0 0 0 0
93 SERLI SUSILAWATI 72522 1 1 1 0 1 0 1 0 0
94 SITI APSIAH 80017 1 1 1 0 1 0 1 0 0
95 LYDIA SANDRAWATI 19058 1 1 1 0 1 0 1 0 0
96 RINI INDRI YANTI 92171 1 1 1 0 1 0 1 0 0
97 ZAINAB 101562 1 1 1 0 0 0 0 0 0
98 LADY NATASHA 100843 1 1 1 0 0 0 1 0 0
99 PUSPA SARI 102190 1 1 1 0 1 0 1 0 0
100 SITI SUHABAH 86329 1 1 1 0 1 0 1 0 0
101 SYAFRINA SEPTIANI 102101 1 1 1 0 1 0 1 0 0
102 JAKA 102143 1 1 1 0 1 1 1 0 0
103 MUHAMMAD GALANG 74437 1 1 1 0 1 0 1 0 0
104 WIN ARUM SARI 102451 1 1 1 0 1 0 0 0 0
105 SELI 101832 1 1 1 0 1 0 1 0 0
106 ENDANG 102206 1 1 1 0 1 1 1 0 0
107 NADIAH DIANA 94235 1 1 1 0 1 0 1 0 0
108 SITI FATMAWATI 102552 1 1 1 0 1 0 0 0 0
109 ICIH 102063 1 1 1 0 1 0 1 0 0
110 SITI HALIMATUS S 101816 1 1 1 0 1 0 1 0 0
111 MARYANAH BT H OTA 102232 1 1 1 0 1 0 1 0 0
112 MURSAN 102239 1 1 1 0 1 1 1 0 0
113 ELSYA BT KIROM 102521 1 1 1 0 1 0 0 0 0
114 SITI MASITOH 102258 1 1 1 0 1 0 1 0 0
115 INDRI YATI LATIPAH 102118 1 1 1 0 1 0 1 0 0
116 YULIYANAH 102272 1 1 1 0 1 0 1 0 0
117 MASTUROH 102293 1 1 1 0 1 0 1 0 0
118 SITI NONG JUHERIAYAH 102631 1 1 1 0 1 0 0 0 0
119 USNANI 102326 1 1 1 0 1 0 0 0 0
120 IYUL YANI 102324 1 1 1 0 1 0 0 0 0
121 WIWI 102335 1 1 1 0 1 0 1 0 0
122 YUYUN WAHYUNI 102587 1 1 1 0 1 0 0 0 0
123 SALMAH 102257 1 1 1 0 1 1 0 0 0
124 TITIN BT SUAIB 91192 1 1 1 0 1 1 0 0 0
125 MARIA 98288 1 1 1 0 1 0 1 0 0
126 ANITA 102749 1 1 1 0 1 0 0 0 0
127 MARNI BINTI TIMUR 102369 1 1 1 0 1 0 1 0 0
128 SARI RAHMAWATI 102377 1 1 1 0 1 0 1 0 0
129 SUCI YULIANTI 102382 1 1 1 0 1 0 1 0 0
130 MASNA BT ENDANG 102893 1 1 1 0 1 0 1 0 0
131 SUNIA 102380 1 1 1 0 1 0 1 0 0
132 ZIHAD AL FAQI 102359 1 1 1 0 1 1 1 0 0
133 IKA 101836 1 1 1 0 1 0 1 0 0
134 SANAH BT YASAN 102896 1 1 1 0 1 0 1 0 0
135 RIRI 101243 1 1 1 0 1 0 1 0 0
136 YANTI BT YAMIN 98861 1 1 1 0 1 0 1 0 0
137 ULFA KARTINI 102412 1 1 1 0 1 0 1 0 0
138 SITI JAENABUN 76931 1 1 1 0 1 0 0 0 0
139 MELINDA ASGISTI 98228 1 1 1 0 1 0 1 0 0
140 SITI KHOLILAH 88364 1 1 1 0 1 0 1 0 0
141 GOIM 102253 1 1 1 0 1 1 1 0 0
142 SAPEIH BIN SATU 102388 1 1 1 0 1 1 1 0 0
143 WAHYUDI 102385 1 1 1 0 1 1 1 0 0
144 EKA SABATI SOPIAH 99073 1 1 1 0 1 0 0 0 0
145 DANIA MUTIARA 102071 1 1 1 0 1 0 1 0 0
146 SITI MARWATI 102440 1 1 1 0 1 0 1 0 0
147 EPAH PARIHA 59628 1 1 1 0 1 0 1 0 0
148 MARINA 94090 1 1 1 0 1 0 0 0 0
149 EEN ENDAH 95003 1 1 1 0 1 0 1 0 0
150 NURHAYATI 99296 1 1 1 0 1 0 1 0 0
151 OTIANAH 21129 1 1 1 0 1 0 0 0 0
152 MAYA ERLITA SAFITRI 102404 1 1 1 0 1 0 1 0 0
153 TAUFANY VRISCICSILLIA 59820 1 1 1 0 1 0 1 0 0
154 SRI MULYANI 100306 1 1 1 0 1 0 1 0 0
155 RANA BIN WADI 102475 1 1 1 0 1 1 1 0 0
156 SALMAH BT AKRI 100164 1 1 1 0 1 0 0 0 0
157 SITI GOSILA 102130 1 1 1 0 1 0 1 0 0
158 SITI MUNIROH 102533 1 1 1 0 1 0 0 0 0
159 PIPIN RIZKI 102495 1 1 1 0 1 0 1 0 0
160 DAMAYANTI 94675 1 1 1 0 1 0 0 0 0
161 ANISA LUSIANA FITRI 102544 1 1 1 0 0 0 0 0 0
162 RATIKA DEWI 102560 1 1 1 0 1 0 1 0 0
163 MINOT 101983 1 1 1 0 1 1 1 0 0
164 TAMAROH 99568 1 1 1 0 1 0 1 0 0
165 MILAWATI 102546 1 1 1 0 1 0 1 0 0
166 MIA 102585 1 1 1 0 1 0 1 0 0
167 RINA SURYANI 64881 1 1 1 0 1 0 1 0 0
168 SINI 102568 1 1 1 0 1 0 0 0 0
169 SITI AMINAH 102641 1 1 1 0 1 0 1 0 0
170 YANIH 99444 1 1 1 0 1 0 1 0 0
171 DARMI 102687 1 1 1 0 1 0 0 0 0
172 KINAH 102677 1 1 1 0 1 1 1 0 0
173 NASIH 102139 1 1 1 0 1 0 1 0 0
174 FITRI 99089 1 1 1 0 1 0 1 0 0
175 DIJAH 102715 1 1 1 0 1 0 0 0 0
176 BOAN 102421 1 1 1 0 1 1 1 0 0
177 SYIFAH NUR I 102720 1 1 1 0 1 0 1 0 0
178 ATISAH 40548 1 1 1 0 1 0 1 0 0
179 MULYANI 102735 1 1 1 0 1 0 1 0 0
180 ROIKAH 102729 1 1 1 0 1 0 1 0 0
181 SUHENI 102625 1 1 1 0 1 1 1 0 0
182 KIKI ALFAUZIAH 44614 1 1 1 0 1 0 0 0 0
183 ARTOTI 102821 1 1 1 0 1 0 1 0 0
184 SITI NURMALEHA 2805 1 1 1 0 1 1 1 0 0
185 ARYANTO 53646 1 1 1 0 1 1 1 0 0
186 RANI 102794 1 1 1 0 1 1 1 0 0
187 ARIS 96876 1 1 1 0 1 1 1 0 0
188 SITI YUNITA 101831 1 1 1 0 1 0 1 0 0
189 SITI ROSMALASARI 83581 1 1 1 0 1 0 0 0 0
190 THERESSIA ANJELIA 94922 1 1 1 0 1 0 1 0 0
191 IRMAWATI 102889 1 1 1 0 0 0 1 0 0
192 HELPIA MUR BAROKAH 102823 1 1 1 0 1 0 1 0 0
193 WAHYUNINGSIH 63340 1 1 1 0 1 0 0 0 0
194 YUNI 102865 1 1 1 0 1 1 1 0 0
195 RADEN 102927 1 1 1 0 1 1 1 0 0
196 TIMAH 102822 1 1 1 0 1 1 1 0 0
197 SITI FARHATUSAADAH 102680 1 1 1 0 1 1 1 0 0
198 SITI ROBI'AH 102922 1 1 1 0 1 0 1 0 0
199 DEDE KOMALASARI 92631 1 1 1 0 1 0 0 0 0
200 GELENG 7066 1 1 1 0 1 1 1 0 0
201 RASONO 13356 1 1 1 0 1 1 1 0 0
202 NENGSIH 102225 1 1 1 0 1 0 1 0 0
203 LISDA ASTARI 102953 1 1 1 0 1 0 1 0 0
204 MAEMUNAH 102936 1 1 1 0 1 0 1 0 0
205 LITA GUSTI AYU 93791 1 1 1 0 1 0 1 0 0
206 RATIH KARTIKA 36764 1 1 1 0 1 0 0 0 0
207 NURARIBAH NAJARIYAH 103000 1 1 1 0 0 0 1 0 0
208 TANTRI NAYIROH 103003 1 1 1 0 1 0 1 0 0
209 EFRIDA INDRIANI 90495 1 1 1 0 1 0 0 0 0
210 DINAH 98255 1 1 1 0 1 0 1 0 0
211 SITI ELIYAH 102992 1 1 1 0 1 1 1 0 0
212 SRI SALATUL KOTI'AT 103019 1 1 1 0 1 0 1 0 0
213 CACA 102960 1 1 1 0 1 1 1 0 0
214 ERIH YULYANAH 103014 1 1 1 0 1 1 1 0 0
215 IRNAH 102951 1 1 1 0 1 0 1 0 0
216 MAESAROH 61213 1 1 1 0 1 0 0 0 0
217 SOPIYAH 91565 1 1 1 0 1 0 1 0 0
218 SITI MASPUPAH 57055 1 1 1 0 1 0 1 0 0
219 MUHAMAD JUPRI 103045 1 1 1 0 1 1 1 0 0
220 DIANA HUTAMI 102916 1 1 1 0 1 0 1 0 0
221 EDAH JUBAEDAH 103080 1 1 1 0 1 0 1 0 0
222 NURSIKOH 93056 1 1 1 0 1 0 0 0 0
223 MUNDARIYAH 102751 1 1 1 0 1 0 1 0 0
224 ROHANI 64310 1 1 1 0 1 0 1 0 0
225 ZEN PUTRI 103116 1 1 1 0 1 0 0 0 0
226 BUDI HERDIAMAN S.AG 103107 1 1 1 0 1 1 1 0 0
227 SUSTRIYANAH 103022 1 1 1 0 1 1 1 0 0
228 TITIN BT RANTIM 103108 1 1 1 0 1 0 0 0 0
229 SUSI KARYANINGSIH 100917 1 1 1 0 1 0 1 0 0
230 ATIWI 103054 1 1 1 0 1 0 1 0 0
231 DINA MARYANA 100708 1 1 1 0 1 0 0 0 0
232 SUCI HENDRIASIH 99573 1 1 1 0 1 0 1 0 0
233 KIKI ASTARI 92633 1 1 1 0 1 0 1 0 0
234 FEBRY ANGGRAINI 103149 1 1 1 0 1 1 1 0 0
235 EMUN 99916 1 1 1 0 0 0 1 0 0
236 MERI SUSANTI 5021 1 1 1 0 1 0 1 0 0
237 MEGAWATI 83330 1 1 1 0 1 0 1 0 0
238 MUTIARA PUTRI 87984 1 1 1 0 1 0 0 0 0
239 ENJUN BIN UANG 103134 1 1 1 0 1 1 1 0 0
240 SUHENI 103253 1 1 1 0 1 0 1 0 0
241 INTAN NURAENI 103212 1 1 1 0 0 0 1 0 0
242 KHOTIPAH 103189 1 1 1 0 1 0 0 0 0
243 FARHAH MAULIDA 93530 1 1 1 0 1 0 1 0 0
244 DEWI SARTIKA 81600 1 1 1 0 1 0 1 0 0
JUMLAH 244 244 244 5 236 52 186 0 0
KETERANGAN :
0 = tidak dilakukan
1 = dilakukan
KA. INSTALASI
PIC I PIC II
KAMAR OPERASI

BULAN SEPTEMBER 2020
NO Nama No. RM Asesment Monitoring Monitoring Surgical PENUNDAAN

Pra Durante Pasca Konversi Asesment Site Safety Diskrepansi OPERASI KETERANGAN
Anastesi Pra Bedah Marking Diagnosis
Anastesi Anastesi Anastesi Ceklist ELEKTIF > 2 HARI
1 OEY WINAH 92644 1 1 1 0 1 0 0 0 0
2 INDAH WULAN SARI 56433 1 1 1 0 1 0 0 0 0
3 MUHAMAD ASSAZILI 103144 1 1 1 0 1 1 1 0 0
4 SITI MAESAROH 103251 1 1 1 1 1 1 1 0 0
5 KUSMIYATI 103326 1 1 1 0 1 0 0 0 0
6 MUHAMAD NANDA 103209 1 1 1 0 1 1 1 0 0
7 FUTRIANA DEWI 79891 1 1 1 0 1 0 1 0 0
8 MASUKI 103343 1 1 1 0 1 1 1 0 0
9 ELSE YULIANTI 103391 1 1 1 0 0 0 1 0 0
10 SITI CHAERUNNISA 36337 1 1 1 0 1 0 0 0 0
11 IYAN NURHASANAH 102005 1 1 1 0 1 0 1 0 0
12 SANTI 77672 1 1 1 0 1 0 1 0 0
13 TIA IVANKA 101021 1 1 1 0 1 0 1 0 0
14 TIA APRILIA 103397 1 1 1 0 1 0 1 0 0
15 FITRIYAH 103328 1 1 1 0 1 0 0 0 0
16 RENI PURNAMA SARI 96131 1 1 1 0 1 0 1 0 0
17 SITI KARLINAH 103190 1 1 1 0 1 0 1 0 0
18 SANAH 103430 1 1 1 0 1 0 0 0 0
19 PITRI INDRIYANI 103424 1 1 1 0 1 0 0 0 0
20 LENI APRIYANI 103438 1 1 1 0 1 0 0 0 0
21 SITI SOIBATUL H 103451 1 1 1 0 1 0 0 0 0
22 YUYUN YULIANAH 99676 1 1 1 0 1 0 0 0 0
23 DWI INDAR WATI 103435 1 1 1 0 1 0 1 0 0
24 JUMANAH 95814 1 1 1 0 1 0 0 0 0
25 NURAINI 103498 1 1 1 0 1 0 1 0 0
26 SITI AMINAH 93684 1 1 1 0 1 0 1 0 0
27 IPAH 100382 1 1 1 0 0 0 1 0 0
28 SRI PURWANINGSIH 96677 1 1 1 0 1 0 1 0 0
29 NURATIKA 103169 1 1 1 0 1 0 0 0 0
30 SARINI 102998 1 1 1 0 1 0 1 0 0
31 NUNUNG NURHASANAH 103555 1 1 1 0 1 0 0 0 0
32 HAMIM 81956 1 1 1 1 1 1 1 0 0
33 MELIA KURNIA SAPUTRI 103524 1 1 1 0 1 1 1 0 0
34 RENA SUSILAWATI 101327 1 1 1 0 1 0 0 0 0
35 LILI FURWANTI 103176 1 1 1 0 1 0 1 0 0
36 SRI WULANDARI 103568 1 1 1 0 1 0 1 0 0
37 KARDILAH 103351 1 1 1 0 1 0 0 0 0
38 SOWANDI 103574 1 1 1 0 1 1 1 0 0
39 TARI NUR AINI 103504 1 1 1 0 1 0 1 0 0
40 ROHATI 33228 1 1 1 0 1 0 1 0 0
41 DEDE SUMIYATI 103557 1 1 1 0 1 0 1 0 0
42 MULYANI 103585 1 1 1 0 1 0 0 0 0
43 NORMA YUNITA 103561 1 1 1 0 1 0 0 0 0
44 USNIA 101468 1 1 1 0 1 0 0 0 0
45 SINDI ANTIKA 103628 1 1 1 0 1 0 0 0 0
46 NURHASANAH 50574 1 1 1 0 0 0 0 0 0
47 JURIAH 103636 1 1 1 0 1 1 1 0 0
48 AHMAD DEDE FIRDAUS 103652 1 1 1 0 1 1 1 0 0
49 AANG SUHENDRA 9746 1 1 1 1 1 1 1 0 0
50 BUANG 85209 1 1 1 0 1 1 1 0 0
MARZULI KHAIDATUL
51 100907 1 1 1 0 1 0 1 0 0
AINI
52 YULIYANTI 103079 1 1 1 0 1 0 1 0 0
53 IRAH BT ICANG 64747 1 1 1 0 1 0 0 0 0
54 ARNIH 103701 1 1 1 0 1 0 0 0 0
55 NELIH 102122 1 1 1 0 1 1 1 0 0
56 MUHAMAD RIDWAN 103712 1 1 1 0 1 1 1 0 0
57 SUNINGSIH HANDAYANI 103516 1 1 1 0 1 1 1 0 0
58 LISDA HERAWATI 103730 1 1 1 0 0 0 0 0 0
59 AMSINI 100839 1 1 1 0 1 0 1 0 0
60 NURHANA 103742 1 1 1 0 1 0 1 0 0
61 SITI KURNIATI 43925 1 1 1 0 1 0 1 0 0
62 MURNI 96526 1 1 1 0 1 0 1 0 0
63 ROHAYA 103787 1 1 1 0 1 0 1 0 0
64 SITI ASEROH 63209 1 1 1 0 1 0 1 0 0
65 AYU LESTARI 103775 1 1 1 0 1 0 0 0 0
66 SANADI BIN ROMADI 103746 1 1 1 0 1 1 1 0 0
67 HERLINA 103480 1 1 1 0 1 0 1 0 0
68 MARLINAH 103801 1 1 1 0 1 0 0 0 0
69 SAFITRI ANDREINI 103569 1 1 1 0 1 1 1 0 0
70 MUHAMAD IKBAL 103819 1 1 1 0 1 1 1 0 0
71 SITI NASIKA 93596 1 1 1 0 1 0 0 0 0
72 INDRI KUSUMAWATI 102507 1 1 1 0 1 0 1 0 0
73 RUMYATI 75802 1 1 1 0 1 0 1 0 0
74 ALIT APRI YANI 103865 1 1 1 0 1 0 1 0 0
75 MARYANAH BINTI NAWI 103013 1 1 1 0 1 0 1 0 0
76 JULIANA WIJAYA 103301 1 1 1 0 1 0 1 0 0
77 MARIT 100491 1 1 1 0 1 1 1 0 0
78 ERNI WIJAYANTI 103872 1 1 1 0 1 0 0 0 0
79 HALIPAH 103540 1 1 1 0 1 1 1 0 0
80 ACHMAD ROSADI 103859 1 1 1 0 1 1 1 0 0
81 DEWI 103897 1 1 1 0 1 0 0 0 0
82 MUHAMMAD AZZAM 103906 1 1 1 0 1 1 1 0 0
83 MARRY LUCKY COUPLE 103920 1 1 1 0 1 0 1 0 0
84 LIA 103156 1 1 1 0 1 0 0 0 0
85 DIAN ROFIAH NUR 103914 1 1 1 0 1 0 0 0 0
86 IMAM WAHYUDI 103855 1 1 1 0 1 1 1 0 0
87 SITI NUR KHOLILAH 103921 1 1 1 0 1 1 1 0 0
88 DIAN DAMAYANTI 103944 1 1 1 0 1 0 0 0 0
89 FITRIA 103618 1 1 1 0 1 0 1 0 0
90 HATIKAH 99623 1 1 1 0 1 0 1 0 0
91 NIA KURNIAWATI 103927 1 1 1 0 1 0 1 0 0
92 MAHMUDI 103948 1 1 1 0 1 1 1 0 0
93 NURLAELA SARI 99528 1 1 1 0 1 0 1 0 0
94 FITRIYANA LESTARI 103967 1 1 1 0 0 0 0 0 0
95 JELLI PRANSISKA 66745 1 1 1 0 0 0 0 0 0
96 DAYINAH 103853 1 1 1 0 0 0 0 0 0
97 GITA SUCI 103908 1 1 1 0 1 0 1 0 0
98 RUMYATI 103887 1 1 1 0 1 0 1 0 0
99 SITI NABILA 101458 1 1 1 0 1 0 0 0 0
100 INDRIAWATI 43358 1 1 1 0 1 1 1 0 0
101 SINTA 102131 1 1 1 0 1 0 1 0 0
102 LIDIA ASTUTI 104018 1 1 1 0 1 1 1 0 0
103 SRI ASTUTI 75779 1 1 1 0 1 0 1 0 0
104 YULIA 63848 1 1 1 0 1 0 1 0 0
105 PUTRI 89573 1 1 1 0 1 0 0 0 0
106 ENI 104031 1 1 1 0 1 0 0 0 0
107 SAENI 104039 1 1 1 0 1 0 1 0 0
108 BOTIN 102872 1 1 1 1 1 1 1 0 0
109 IDA ROSIDA 104080 1 1 1 0 1 0 0 0 0
110 TJANIH 103723 1 1 1 0 1 0 1 0 0
111 RANI 100356 1 1 1 0 1 0 1 0 0
112 FITRIA ANGGRAINI 98625 1 1 1 0 1 0 1 0 0
113 MUNIROH 104086 1 1 1 0 1 0 1 0 0
114 NEMI 104028 1 1 1 0 1 0 0 0 0
115 ASRI YUNI YANTI 101943 1 1 1 0 1 1 1 0 0
116 ARWANIH 65027 1 1 1 0 1 1 1 0 0
117 MARYANIH 104055 1 1 1 0 1 0 1 0 0
118 AMI 104043 1 1 1 0 1 1 1 0 0
119 MARYANIH 104062 1 1 1 0 1 0 1 0 0
120 TITA LUCIA THIOPAN 104065 1 1 1 0 1 0 1 0 0
121 SYELVIH 97240 1 1 1 0 1 0 1 0 0
122 LISTIAWATI 102986 1 1 1 0 1 0 1 0 0
123 HERLINAH NASUTION 104117 1 1 1 0 1 0 1 0 0
124 SURTI 104081 1 1 1 0 1 0 0 0 0
125 ASTRI FIKRIYATI 39351 1 1 1 0 1 0 1 0 0
126 MURSINAH 104139 1 1 1 0 1 0 0 0 0
127 WARSIAH 66300 1 1 1 0 1 0 0 0 0
128 JUHAERIAH 95079 1 1 1 0 1 0 1 0 0
129 AGUS SYAIBUN 104095 1 1 1 0 1 1 1 0 0
130 KINCA 1912 1 1 1 0 1 1 1 0 0
131 NURLAELA 99297 1 1 1 0 1 0 1 0 0
132 LIHAT 101364 1 1 1 0 1 0 1 0 0
133 HADROMI TOMY 104191 1 1 1 0 1 1 1 0 0
134 FITRI NURJANAH 96234 1 1 1 0 1 0 1 0 0
135 POSIONG 74700 1 1 1 0 1 1 1 0 0
136 EKA PUTRI AULIA 104045 1 1 1 0 1 0 0 0 0
137 UMI KULSUM 104214 1 1 1 0 1 0 0 0 0
138 ANITA 102905 1 1 1 0 1 1 1 0 0
139 MUHAMAD AHMAN 104227 1 1 1 0 1 1 1 0 0
140 SAMAN 104182 1 1 1 0 1 1 1 0 0
141 SELFIYAH 99628 1 1 1 0 1 0 1 0 0
142 ANNA NURDIAN AWALIA 102934 1 1 1 0 1 0 1 0 0
143 M SABAR NUGROHO 104246 1 1 1 0 1 1 1 0 0
144 M IDRIS BIN PUNGUT 104244 1 1 1 0 1 1 1 0 0
145 HERI 104205 1 1 1 0 1 1 1 0 0
146 ROSITA 104066 1 1 1 0 1 0 1 0 0
147 DIANAH BT USMAN 104289 1 1 1 0 1 0 0 0 0
148 SITI MURDIANAH 103842 1 1 1 0 1 0 1 0 0
149 SRI SUHAENI 21716 1 1 1 0 1 0 1 0 0
150 SAMAT 104096 1 1 1 0 1 1 1 0 0
151 SOPIAH 104252 1 1 1 0 1 0 0 0 0
152 JONNY 104287 1 1 1 0 1 1 1 0 0
153 EVITA SARI 101491 1 1 1 0 1 0 1 0 0
154 ROHANI 104306 1 1 1 0 1 0 0 0 0
155 AGUSTIAN 104321 1 1 1 0 1 1 1 0 0
156 USNI 101737 1 1 1 0 1 0 1 0 0
157 MARYANTI 104326 1 1 1 0 1 0 1 0 0
158 ROHIMAH 98604 1 1 1 0 1 0 1 0 0
159 KHAERUNNISA 56783 1 1 1 0 1 0 1 0 0
160 BAINUDIN BIN MIIN 104314 1 1 1 0 1 1 1 0 0
161 SONYA LIDIA WISE FENI 72972 1 1 1 0 1 0 0 0 0
162 DALIMAH 104364 1 1 1 0 1 0 0 0 0
163 SITI AISYAH 103922 1 1 1 0 1 0 1 0 0
164 MARIA 104365 1 1 1 0 1 0 1 0 0
165 AMELIA 104293 1 1 1 0 1 0 0 0 0
166 MARSID 104215 1 1 1 0 1 1 1 0 0
167 USNI 103491 1 1 1 0 1 0 1 0 0
168 DELA INDRIYANI 97912 1 1 1 0 1 0 1 0 0
169 SURYANAH 104415 1 1 1 0 1 0 1 0 0
170 SITI ROSANAH 104414 1 1 1 0 1 0 1 0 0
171 NITA PUSPITA SARI 99070 1 1 1 0 1 0 1 0 0
172 MUSAKAN DORI 73344 1 1 1 0 1 1 1 0 0
173 ONYAH 104377 1 1 1 0 1 1 1 0 0
174 IKA KRISNAWATI 100820 1 1 1 0 1 0 1 0 0
175 CRISTINA S 104465 1 1 1 0 1 0 1 0 0
176 SITI JUBAEDAH 93226 1 1 1 0 1 1 1 0 0
177 WINDY RANTIKA 85327 1 1 1 0 1 0 1 0 0
178 SUPIYANAH 104487 1 1 1 0 1 0 1 0 0
179 HAERIYAH 83185 1 1 1 0 1 0 1 0 0
180 ANDRY ANJAR SUTOMO 104514 1 1 1 0 1 1 1 0 0
181 SOPIAH 104352 1 1 1 0 1 0 1 0 0
182 HELMI WAHYUNI 104460 1 1 1 0 1 0 1 0 0
183 NOVILA RESITA DEVI 101650 1 1 1 0 1 0 1 0 0
184 SOPIAH 104252 1 1 1 0 1 0 0 0 0
185 MITA MURDIANA 102686 1 1 1 0 1 0 1 0 0
186 CAMRIA 104382 1 1 1 0 1 1 1 0 0
AHMAD RIFKI
187 PERDIANSYAH 104338 1 1 1 0 1 1 1 0 0
188 KISUK 101412 1 1 1 0 1 1 1 0 0
189 SOPIYAH 84496 1 1 1 0 1 1 1 0 0
190 ISAH 100281 1 1 1 0 1 0 1 0 0
191 LIDIA 104558 1 1 1 0 1 0 1 0 0
192 INDRI SAPITRI 99910 1 1 1 0 1 0 0 0 0
193 ANTI PUSPITA WATI 102103 1 1 1 0 1 0 0 0 0
194 SUSI SUSILAWATI 62734 1 1 1 0 1 0 1 0 0
195 VICTOR LUMBAN TOBING 56672 1 1 1 0 1 1 1 0 0
196 IDA FARIDA 103338 1 1 1 0 1 0 1 0 0
NENG HUSNUL
197 KHOTIMAH 69192 1 1 1 0 1 0 0 0 0
198 NASIP 104572 1 1 1 0 1 1 1 0 0
199 INTAN PUSPITA DEWI 104554 1 1 1 0 1 0 1 0 0
200 UYA BIN JAINUN 104529 1 1 1 0 1 1 1 0 0
201 INAH 104555 1 1 1 0 1 1 1 0 0
202 ARYANI 54793 1 1 1 0 1 0 1 0 0
203 SUTRIYAH 104631 1 1 1 0 1 0 1 0 0
204 USIN 44571 1 1 1 0 1 1 1 0 0
205 NAMU 104508 1 1 1 0 1 1 1 0 0
206 GARMANAH 103260 1 1 1 0 1 1 1 0 0
207 ASMAWATI 104603 1 1 1 0 1 0 1 0 0
208 SITI MUBAROKAH 104630 1 1 1 0 1 0 1 0 0
209 FEBBY RAHAYU 94916 1 1 1 0 1 1 1 0 0
210 YULITA BT SAPRIADI 102504 1 1 1 0 1 0 1 0 0
211 MARSIH 104639 1 1 1 0 1 1 0 0 0
212 SURTI 104709 1 1 1 0 1 0 1 0 0
213 ASLI 104675 1 1 1 0 1 1 1 0 0
214 EDI 104579 1 1 1 0 1 1 1 0 0
215 MAYANG SARI 104659 1 1 1 0 1 0 1 0 0
216 YULIA JANWARI 102361 1 1 1 0 1 0 1 0 0
217 LIANE 102748 1 1 1 0 1 0 1 0 0
218 FITA SUMITA 104691 1 1 1 0 1 0 1 0 0
219 MARTINI 104754 1 1 1 0 1 0 0 0 0
220 TAN SUN LIANG 103319 1 1 1 1 1 1 0 0 0
221 SRI WULAN NURDIANA 71474 1 1 1 0 1 0 0 0 0
222 ISMAWATI 94225 1 1 1 0 1 0 1 0 0
223 NURAINI 104734 1 1 1 0 1 0 1 0 0
224 HAFIFI 103894 1 1 1 0 1 0 1 0 0
225 SITI KOMARIAH 104102 1 1 1 0 1 0 1 0 0
226 SARONI 104694 1 1 1 0 1 1 1 0 0
JUMLAH 226 226 226 5 219 66 168 0 0
KETERANGAN :
0 = tidak dilakukan
1 = dilakukan
KA. INSTALASI
PIC I PIC II
KAMAR OPERASI

BULAN SEPTEMBER 2020

NO Nama No. RM Asesment Monitoring Monitoring Konversi Asesment Site Surgical Diskrepansi PENUNDAAN
Pra Durante Pasca Safety OPERASI KETERANGAN
Anastesi Anastesi Anastesi Anastesi Pra Bedah Marking Ceklist Diagnosis ELEKTIF > 2 HARI
1 MINGGU 104779 1 1 1 0 1 1 1 0 0
2 SITI ROBEAH 104801 1 1 1 0 1 0 1 0 0
3 RETNO HANDAYANI 104795 1 1 1 0 1 0 1 0 0
4 NENDI 104768 1 1 1 0 1 1 1 0 0
5 ROHAMAH 104808 1 1 1 0 1 1 1 0 0
6 HANA KURNIATI 65916 1 1 1 0 1 0 1 0 0
7 SITI SOPIAH 104775 1 1 1 0 1 0 1 0 0
8 RIFKI MAULANA 29040 1 1 1 0 1 0 0 0 0
9 METTA MEDIA WATI 102282 1 1 1 0 1 0 0 0 0
10 MULYANIH 100351 1 1 1 0 1 0 1 0 0
11 YENI KARTINI 104793 1 1 1 0 1 1 1 0 0
12 EVA KOMALA SARI 101440 1 1 1 0 1 0 1 0 0
13 GUSTI RAMLAN SAPUTRA 104832 1 1 1 0 1 1 0 0 0
14 NURHAYATI 104821 1 1 1 0 1 0 1 0 0
15 SITI ROPIKOH 95993 1 1 1 0 1 0 1 0 0
16 ANJANI 104857 1 1 1 0 1 0 1 0 0
17 DIYAH 100430 1 1 1 0 1 0 1 0 0
18 JOYO 104874 1 1 1 0 1 1 1 0 0
19 SAMSUDIN 104842 1 1 1 0 1 1 1 0 0
20 DARSIH 104879 1 1 1 0 1 0 1 0 0
21 KARLIN 104826 1 1 1 0 1 0 1 0 0
22 NENENG SURYANIH 103060 1 1 1 0 1 0 1 0 0
23 ROKIYATUN 104878 1 1 1 0 1 0 1 0 0
24 DIANA PEBRIYANTI 104911 1 1 1 1 1 0 1 0 0
25 EKA YULYANAH 104922 1 1 1 0 1 0 1 0 0
26 SANITI 18164 1 1 1 0 1 0 0 0 0
27 INDUN 102195 1 1 1 0 1 0 0 0 0
28 EMBUN 87442 1 1 1 0 1 0 1 0 0
29 SANTI SUSILAWATI 104939 1 1 1 0 1 0 1 0 0
30 ELSE KRISTIANA 80087 1 1 1 0 1 0 1 0 0
31 SAANAH BT MARJUK 99251 1 1 1 0 1 0 1 0 0
32 SITI USNATI 104935 1 1 1 0 1 0 1 0 0
33 ENI EVASOLINA SINURAT 97197 1 1 1 0 1 0 1 0 0
34 JUMAETI 84013 1 1 1 0 1 0 1 0 0
35 OCTAVIANTI 104384 1 1 1 0 1 0 1 0 0
36 JAENAL ABIDIN 104896 1 1 1 0 1 1 1 0 0
37 DINA MARIANA 100708 1 1 1 0 1 0 1 0 0
38 ANI 105026 1 1 1 0 1 0 1 0 0
39 MUNAJAH 101022 1 1 1 0 1 0 0 0 0
40 MURSINI 104985 1 1 1 0 1 1 1 0 0
41 NURUL AINI 104999 1 1 1 0 1 1 0 0 0
42 AHMAD SAEPUDIN 104970 1 1 1 1 1 1 1 0 0
43 NILAM 104255 1 1 1 0 1 0 1 0 0
44 SANDRA DWIJAYA 96766 1 1 1 0 1 0 1 0 0
45 ERNAWATI 105082 1 1 1 0 1 0 1 0 0
46 DARYUMI 102914 1 1 1 0 1 0 1 0 0
47 MARYUNIH BT ASMAT 49362 1 1 1 0 1 0 1 0 0
48 AISAH 105094 1 1 1 0 1 0 1 0 0
49 YANIH 105096 1 1 1 0 1 0 1 0 0
50 TAN CUAN TENG 101459 1 1 1 0 1 1 1 0 0
51 MAING 105070 1 1 1 0 1 1 1 0 0
52 EEN ELYANIH 93611 1 1 1 0 1 0 1 0 0
53 ROHANI 105048 1 1 1 0 1 1 1 0 0
54 INDAH LESTARI 98430 1 1 1 0 1 0 1 0 0
55 TIKA SONIA 87581 1 1 1 0 1 0 1 0 0
56 NUNUNG HANDAYANI 104834 1 1 1 0 1 0 1 0 0
57 SITI NURHAYATI 27502 1 1 1 0 1 0 1 0 0
58 MUCIN 105140 1 1 1 0 1 1 0 0 0
59 KARMILA 2961 1 1 1 0 1 1 1 0 0
60 SALEMAH 102102 1 1 1 0 1 0 1 0 0
61 EMAR BINTI GOMING 105166 1 1 1 0 1 0 1 0 0
62 SURYATI 103304 1 1 1 0 1 0 0 0 0
63 IIS DAHLIA 105173 1 1 1 0 1 0 1 0 0
64 HABIBAH 105181 1 1 1 0 1 0 0 0 0
65 LISNAWATI 68577 1 1 1 0 1 0 1 0 0
SITI SYARIFATUL
66 105186 1 1 1 0 1 1 0 0 0
MUNAWAROH
67 ANISAH 100393 1 1 1 0 1 0 1 0 0
68 ERMAWATI 103631 1 1 1 0 1 0 1 0 0
69 MULYANAH 94423 1 1 1 0 1 0 1 0 0
70 SITI JUBAEDAH 102967 1 1 1 0 1 0 1 0 0
71 ROVIKO 100298 1 1 1 0 1 0 1 0 0
72 DEVI INTAN PERMATASARI 105151 1 1 1 0 1 0 1 0 0
73 NURMA RAHAYU 103830 1 1 1 1 1 0 1 0 0
74 ESTI GUSTINI 103764 1 1 1 0 1 0 1 0 0
75 ANDINI 105190 1 1 1 0 1 0 1 0 0
76 SITI MASAMAH 105212 1 1 1 0 1 0 1 0 0
77 FATMAWATI 105222 1 1 1 0 1 0 0 0 0
78 RASA 105231 1 1 1 0 1 0 1 0 0
79 SITI NURHAYATI 27502 1 1 1 0 1 0 1 0 0
80 PENGKI 105083 1 1 1 0 1 1 1 0 0
81 SITI FATIMAH TURIAH 96460 1 1 1 0 1 0 1 0 0
82 RUMINAH 105242 1 1 1 0 1 0 1 0 0
83 LISTIYAMAH 105192 1 1 1 0 1 0 0 0 0
84 MASNI BT SAIMAN 105064 1 1 1 0 1 0 1 0 0
85 MILA JHIRANI 85797 1 1 1 0 1 0 1 0 0
86 BUNGA AYU WIJAYA 105194 1 1 1 0 1 1 1 0 0
87 SAPNAH 80888 1 1 1 0 1 0 1 0 0
88 LIKA APRIANI DEWI 105287 1 1 1 0 1 0 1 0 0
89 RITA 105293 1 1 1 0 1 0 1 0 0
90 HOLILAH 87033 1 1 1 0 1 0 1 0 0
91 SUKARSIH 34604 1 1 1 0 1 0 1 0 0
92 IMELTA HANDAYANTI 52008 1 1 1 0 1 0 1 0 0
93 SITI MARIAM 101605 1 1 1 0 1 0 1 0 0
94 NUR 105313 1 1 1 0 1 0 1 0 0
95 SANTI ROHAYATI 105323 1 1 1 0 1 0 1 0 0
96 SURYANIH 105325 1 1 1 0 1 0 1 0 0
97 UUS 105344 1 1 1 0 1 0 1 0 0
98 JUNA BIN KISIN 105278 1 1 1 0 1 1 1 0 0
99 SITI SALSABILAH 105346 1 1 1 0 1 0 1 0 0
100 YULI BT ASAN 92648 1 1 1 0 1 1 1 0 0
101 AYUNAH 49656 1 1 1 0 1 1 1 0 0
102 SITI PATIMAH 63994 1 1 1 0 1 0 1 0 0
103 INI INAYAH 105207 1 1 1 0 1 0 1 0 0
104 SRI MUTIA 86261 1 1 1 0 1 0 1 0 0
105 WITRI FITRIYA 85096 1 1 1 0 1 0 1 0 0
106 LILI 79244 1 1 1 0 1 0 1 0 0
107 SUSAN AYU SUNDARI 104395 1 1 1 0 1 0 1 0 0
108 RESNI AULIA 105428 1 1 1 0 1 0 0 0 0
109 NAIMAN 105392 1 1 1 0 1 1 1 0 0
110 DACA BIN NAING 105400 1 1 1 0 1 1 0 0 0
111 ANIH 105385 1 1 1 0 1 1 1 0 0
112 SARKIAH 65108 1 1 1 0 1 0 1 0 0
113 NUNUNG 105335 1 1 1 0 1 1 1 0 0
114 MAIMUNAH 105382 1 1 1 0 1 1 1 0 0
115 SUTINAH 105444 1 1 1 0 1 0 1 0 0
116 WIJI LESTARI 105438 1 1 1 0 1 0 1 0 0
117 NURLAILLA 105461 1 1 1 0 1 0 1 0 0
118 JAMILAH BT MURJAN 105494 1 1 1 0 1 0 1 0 0
119 MASAROH 56422 1 1 1 0 1 0 0 0 0
120 WIDIYA ASTUTI 104943 1 1 1 0 1 0 1 0 0
121 HENI SINTIANA 105498 1 1 1 0 1 0 1 0 0
122 AAM 105349 1 1 1 0 1 1 1 0 0
123 DESSY YULYANA 105506 1 1 1 0 1 0 1 0 0
124 NINDI UTAMI 101015 1 1 1 0 1 0 1 0 0
125 AHMAD AZMI 105486 1 1 1 0 1 1 1 0 0
126 BOSIH BIN MASA 104229 1 1 1 0 1 1 1 0 0
127 ROJAK ANDRAYANA 105523 1 1 1 0 1 1 1 0 0
128 SUMIYATI 105493 1 1 1 0 1 0 1 0 0
129 RIYANAH 103231 1 1 1 0 1 0 1 0 0
130 ROHANI 105048 1 1 1 0 1 1 1 0 0
131 UMI SURYANAH 105594 1 1 1 0 1 0 1 0 0
132 LAILATUS SURUR 105613 1 1 1 0 1 0 1 0 0
133 NOVI KURNIASARI 105445 1 1 1 0 1 0 1 0 0
134 LISYA NITAMI 105520 1 1 1 0 1 0 1 0 0
135 SITI ROHANIYAH 65172 1 1 1 0 1 0 1 0 0
136 JAKA 67582 1 1 1 0 1 1 1 0 0
137 YANI ANGGRAINI 105622 1 1 1 0 1 0 1 0 0
138 NENENG ROMLAH 105446 1 1 1 0 1 0 1 0 0
139 SURYANTI 60010 1 1 1 0 1 0 1 0 0
140 LIYAN LIANI 67309 1 1 1 0 1 0 1 0 0
141 MANTIN MULYANI 105642 1 1 1 0 1 0 0 0 0
142 IMAS 104713 1 1 1 0 1 0 0 0 0
143 ANDRI RUSBAYANTI 98389 1 1 1 0 1 0 0 0 0
144 YULI YANTI 105018 1 1 1 0 1 0 1 0 0
145 DEDE ROHMAH 105646 1 1 1 0 1 0 1 0 0
146 SIRUM 68708 1 1 1 0 1 1 1 0 0
147 HENI SUHAENI 104680 1 1 1 0 1 0 1 0 0
148 NURJAYA B.AMSAR 105661 1 1 1 0 1 1 1 0 0
149 NURHASANAH 105627 1 1 1 0 1 0 1 0 0
150 SITI ASIAH 105730 1 1 1 0 1 0 1 0 0
151 ENDANG RUKMINI 105495 1 1 1 0 1 0 1 0 0
152 ROSIAH NURMALASARI 105579 1 1 1 0 1 0 1 0 0
153 AHMAD FAHRULLAH 105707 1 1 1 0 1 1 1 0 0
154 IMAH 83479 1 1 1 0 1 1 1 0 0
155 NURINTAN CAHYANI 52745 1 1 1 0 1 0 1 0 0
156 MULYANI 3316 1 1 1 0 1 0 1 0 0
157 MUTIA 101877 1 1 1 0 1 0 1 0 0
158 DEVI SAINTI 76876 1 1 1 0 1 0 1 0 0
159 SUTINAH 102618 1 1 1 0 1 0 0 0 0
160 WILHELMINCE WOLO BIRE 104177 1 1 1 0 1 0 1 0 0
161 YATI 101413 1 1 1 0 1 0 1 0 0
162 DAHLIAH 105768 1 1 1 0 1 0 1 0 0
163 ELIAWATI 104334 1 1 1 0 1 0 1 0 0
164 DAMAYANTI 104386 1 1 1 0 1 0 1 0 0
165 NINING NILAWATI 62172 1 1 1 0 1 0 1 0 0
166 ABDUL MUKRI 105743 1 1 1 0 1 1 1 0 0
167 DYAH ERA KUSUMA 98550 1 1 1 0 1 0 1 0 0
168 EKA PUTRI RULIYANA 105786 1 1 1 0 1 0 1 0 0
169 WARSIH 105781 1 1 1 0 1 0 1 0 0
170 DINA MARYANA 105806 1 1 1 0 1 0 1 0 0
171 SRI MULYANI 102340 1 1 1 0 1 0 1 0 0
172 KHUSNI KHUSNAENI 51917 1 1 1 0 1 0 1 0 0
173 MUHAMAD HIDAYATULLOH 105784 1 1 1 0 1 1 1 0 0
174 HOK SUN / PANDI 57099 1 1 1 0 1 1 1 0 0
175 YOYOH SURYATI 94970 1 1 1 0 0 0 1 0 0
176 SITI MAULATI SUHENDAH 88905 1 1 1 0 1 0 1 0 0
177 DEDI BIN H TARMA 105529 1 1 1 0 1 1 1 0 0
178 AIDA RISKA CAMELIA 105819 1 1 1 0 1 0 1 0 0
179 ROHIDAYATULLAH 105859 1 1 1 0 1 1 1 0 0
180 TRI UTAMI 105888 1 1 1 0 1 0 1 0 0
181 ONAH BT H. WAHID 105815 1 1 1 0 1 1 1 0 0
182 MULYADI 36657 1 1 1 0 1 1 1 0 0
183 IMI 104725 1 1 1 0 1 0 1 0 0
184 ROSITA 101682 1 1 1 0 1 0 1 0 0
185 SITI HINDUN IIN 105891 1 1 1 0 1 0 1 0 0
186 LALA HANDAYANI 80251 1 1 1 0 1 0 1 0 0
187 ATI SUMIYATI 78368 1 1 1 0 1 0 1 0 0
188 INGGIH 104877 1 1 1 0 1 0 1 0 0
189 FAHRANI AZZAHRO 104413 1 1 1 0 1 0 1 0 0
190 YENI ULANDARI 105911 1 1 1 0 1 0 1 0 0
191 EKA VERANITA 105933 1 1 1 0 0 0 1 0 0
192 SRI APRIYATI 48309 1 1 1 0 1 0 1 0 0
193 NAWAH 105943 1 1 1 0 1 0 1 0 0
194 SITI YANTI 105271 1 1 1 0 1 0 1 0 0
195 SOPIAH 26952 1 1 1 0 1 0 1 0 0
196 LIAN TIH 95393 1 1 1 0 1 0 1 0 0
197 UUM UMAYAH 39176 1 1 1 0 1 0 1 0 0
198 SITI ROHMAWATI 105965 1 1 1 0 1 0 1 0 0
199 ELAH BT JUMARI 105953 1 1 1 0 1 1 1 0 0
200 AWAH 105980 1 1 1 0 1 0 1 0 0
201 NURMALA HAYATI 105940 1 1 1 0 1 0 1 0 0
202 TASI PUTRI BUNGSU 60702 1 1 1 0 1 0 1 0 0
203 NOVI 91969 1 1 1 0 1 0 1 0 0
204 PUPUT INDRIYATI 91798 1 1 1 0 1 1 1 0 0
205 SARWITI 106006 1 1 1 0 1 0 1 0 0
206 SITI ROHMAH 106010 1 1 1 0 1 0 1 0 0
207 UMU HABIBAH 106030 1 1 1 0 1 0 0 0 0
208 ALWIYAH 106044 1 1 1 0 1 0 1 0 0
209 KARTINI 8751 1 1 1 0 1 0 1 0 0
210 AAS SULISTIYAH 104978 1 1 1 0 1 0 1 0 0
211 MASROH 106065 1 1 1 0 1 0 1 0 0
212 SITI NURHOLISA 106063 1 1 1 0 1 0 1 0 0
213 MANIS 104454 1 1 1 0 1 0 1 0 0
214 MIA KURNAESIH 106078 1 1 1 0 1 0 1 0 0
215 SRI RAHAYU 106080 1 1 1 0 1 0 1 0 0
216 ROMLAH 100047 1 1 1 0 1 0 1 0 0
217 FITRIAH 106104 1 1 1 0 1 1 1 0 0
218 SITI ULYANAH 95871 1 1 1 0 1 0 0 0 0
219 ARWINI 106105 1 1 1 0 1 0 0 0 0
220 ALINAH 22480 1 1 1 0 1 0 1 0 0
221 SARI FEBRIANTI 106122 1 1 1 0 1 0 0 0 0
222 HERNAWATI 105937 1 1 1 0 1 0 1 0 0
223 SETIAMAH 106134 1 1 1 0 0 0 1 0 0
224 YEYEN SUHENI 56015 1 1 1 0 1 0 0 0 0
225 SITI HURRIYYAH 104534 1 1 1 0 1 0 1 0 0
226 ASMIYAH 103747 1 1 1 0 1 0 1 0 0
227 IIS HOLISOH 105886 1 1 1 0 1 0 1 0 0
228 ISFI 100640 1 1 1 0 1 0 1 0 0
229 SITI 105760 1 1 1 0 1 0 1 0 0
230 ANISAH 106167 1 1 1 0 1 0 1 0 0
231 YATI 104790 1 1 1 0 1 1 1 0 0
JUMLAH 231 231 231 3 228 48 206 0 0
KETERANGAN :
0 = tidak dilakukan
1 = dilakukan
KA. INSTALASI

BULAN NOVEMBER 2020
NO Nama No. RM Asesment Monitoring Monitoring Konversi Asesment Site Surgical Diskrepansi PENUNDAAN
OPERASI
Pra Durante Pasca Anastesi Pra Bedah Marking Safety Diagnosis ELEKTIF KETERANGAN
Anastesi Anastesi Anastesi Ceklist > 2 HARI
1 ATIKAH 106182 1 1 1 0 1 0 1 0 0 REHECTING

2 NANA 26462 1 1 1 0 1 0 1 0 0 SC
3 YENI 106163 1 1 1 0 1 0 1 0 0 SC
4 ALIYAH 105724 1 1 1 1 1 1 1 0 0 DEBRIDEMENT
5 ASINAH 105191 1 1 1 0 1 0 1 0 0 SC
6 KARTIKA 104093 1 1 1 0 1 0 1 0 0 SC
7 SULVIYANA 101743 1 1 1 0 1 1 1 0 0 EKSISI
8 HIKMA DINAH 98302 1 1 1 0 1 0 1 0 0 SC
9 KHOIRIYAH 106148 1 1 1 0 1 0 1 0 0 SC
10 ERTINAH 105296 1 1 1 0 1 0 1 0 0 SC
11 SAMROTUL HILDA 97783 1 1 1 0 1 0 1 0 0 SC
12 SITI NURJANAH 106255 1 1 1 0 1 0 1 0 0 SC
13 MARIA SANDRA 69317 1 1 1 0 1 0 1 0 0 SC
14 SARI ISNAWATI 70149 1 1 1 0 1 0 1 0 0 SC
15 DEBY PERMATASARI 106289 1 1 1 0 1 0 1 0 0 SC
16 SITI HODIJAH 102873 1 1 1 0 1 0 1 0 0 SC
17 IPAH 102812 1 1 1 0 1 0 1 0 0 SC
18 NURHASIHA 106308 1 1 1 0 1 0 1 0 0 SC
19 NINDY ELFIRA SARI 96548 1 1 1 0 1 0 1 0 0 SC
20 YUNITA 85353 1 1 1 0 1 1 1 0 0 APPENDECTOMY
21 SITI UBAYDILAH 29527 1 1 1 0 1 1 1 0 0 EXPLORASI
22 YUNAH 106317 1 1 1 1 1 1 1 0 0 HAEMORROIDECTOMY
23 MUINAH 106251 1 1 1 0 1 1 1 0 0 LIMPADENECTOMY
24 SITI ULPAH ALPIAH 84068 1 1 1 0 1 0 1 0 0 SC
25 IKA 106355 1 1 1 0 1 0 1 0 0 SC
26 YUNI KARTINI 106261 1 1 1 0 1 0 1 0 0 CURET
27 HOLIK 106345 1 1 1 0 1 1 1 0 0 EXPLORASI
28 MULYATI 83209 1 1 1 0 1 0 1 0 0 CURET
29 FITRI HANDAYANI 106371 1 1 1 0 1 0 1 0 0 SC
30 CIKA SRI UTAMI 70509 1 1 1 0 1 0 1 0 0 CURET
31 ERSA SARI 56341 1 1 1 0 1 0 1 0 0 SC
32 NOVILIA WAHYUNITA 106325 1 1 1 0 1 0 1 0 0 SC
33 NURYASIH 95569 1 1 1 0 1 0 1 0 0 SC
34 ASRI BT SUJI 106186 1 1 1 0 1 0 1 0 0 SC
35 EVA SELVIANA 106378 1 1 1 0 1 0 1 0 0 SC
36 SEMI 106129 1 1 1 0 1 0 1 0 0 SC
37 WARDATUL FITRIANI 105008 1 1 1 0 1 0 1 0 0 EXPLORASI
38 RAMSAH 29116 1 1 1 0 1 1 1 0 0 LIMPADENECTOMY
39 HENDRIYAN 62426 1 1 1 0 1 0 1 0 0 EKSISI
40 HANTHONY 68377 1 1 1 0 1 1 1 0 0 HAEMORROIDECTOMY
41 ROFATUNISA 106417 1 1 1 0 1 0 1 0 0 SC
42 MUHAMMAD AL FATIR 106372 1 1 1 1 1 1 1 0 0 LIMPADENECTOMY
43 RANTI 106448 1 1 1 0 1 0 1 0 0 SC
44 SITI YUSNIAH 63763 1 1 1 0 1 0 1 0 0 SC
45 SRI PATMAWATI 99252 1 1 1 0 1 0 1 0 0 SC
46 NINI SRIMURWATI 106436 1 1 1 0 1 0 1 0 0 LAPARATOMY OBGYN
47 NANI 106407 1 1 1 0 1 1 1 0 0 APPENDECTOMY
48 LULUK ANNISA 100635 1 1 1 0 1 1 1 0 0 APPENDECTOMY
49 NASAM BIN KURU 106227 1 1 1 0 1 1 1 0 0 EXPLORASI
50 LILIS SOLIHA 44026 1 1 1 0 1 0 1 0 0 SC
51 SITI HODIJAH 106503 1 1 1 0 1 0 1 0 0 SC
52 NITA MANITA 96346 1 1 1 0 1 0 1 0 0 SC
53 WATI BINTI JASEP 106536 1 1 1 0 1 0 1 0 0 CURET
54 HENI HERAWATI 59401 1 1 1 0 1 0 1 0 0 CURET
55 WARTINAH 106440 1 1 1 0 1 1 1 0 0 DEBRIDEMENT
56 NURYANA 106504 1 1 1 0 1 0 1 0 0 SC
57 HERNAWATI 106526 1 1 1 0 1 0 1 0 0 SC
58 DAYA 106303 1 1 1 0 1 1 1 0 0 HAEMORROIDECTOMY
59 NURLELAH 106158 1 1 1 0 1 1 1 0 0 DEBRIDEMENT
60 SURYANAH 97500 1 1 1 0 1 0 1 0 0 SC
61 LASWATI 106544 1 1 1 0 1 0 1 0 0 SC
62 SRI MARDIAH 16426 1 1 1 0 1 0 1 0 0 SC
63 PENI 106555 1 1 1 0 1 0 1 0 0 SC
64 HERMAWATI 93142 1 1 1 0 1 0 1 0 0 SC
65 LIA ASHARI 106584 1 1 1 0 1 0 1 0 0 CURET
66 MAYANG SARI 106506 1 1 1 0 1 0 1 0 0 CURET
67 ALPIAH 102744 1 1 1 0 1 0 1 0 0 SC
68 ROMSIAH 106567 1 1 1 0 1 0 1 0 0 SC
69 HILYATUZZAKIAH 102565 1 1 1 0 1 0 1 0 0 SC
70 RUNI 106524 1 1 1 0 1 1 1 0 0 APPENDECTOMY
71 UNAH 106599 1 1 1 0 1 0 1 0 0 SC
72 DEVI 101326 1 1 1 0 1 0 1 0 0 SC
73 RUKIYAH 105174 1 1 1 0 1 0 1 0 0 SC
74 ANITA 106603 1 1 1 0 1 0 1 0 0 SC
75 ROSIDAH 106470 1 1 1 0 1 0 1 0 0 CURET
76 ASTUTI 71988 1 1 1 0 1 0 1 0 0 SC
77 NADA 106304 1 1 1 0 1 0 1 0 0 SC
78 SUMIYANTI 106638 1 1 1 0 1 0 1 0 0 SC
79 SRI SUSANTI 88531 1 1 1 0 1 0 1 0 0 SC
80 SAROHA 103352 1 1 1 0 1 0 1 0 0 SC
81 RIZKY AMELIA 106676 1 1 1 0 1 0 1 0 0 SC
82 NAHRIAH 62483 1 1 1 0 1 0 1 0 0 SC
83 MIRNA 106643 1 1 1 0 1 0 1 0 0 CURET
84 PONIATI 106615 1 1 1 0 1 0 1 0 0 SC
85 AMINAH 106698 1 1 1 0 1 0 1 0 0 CURET
86 SURYANTI 12491 1 1 1 0 1 0 1 0 0 SC
87 IIN NOVIANTI 98566 1 1 1 0 1 0 1 0 0 SC
88 M ALIEF RIZKY A 45176 1 1 1 0 1 1 1 0 0 ORCHIDECTOMY
89 DEWI AYU LESTARI 90755 1 1 1 0 1 0 1 0 0 SC
90 SARIP 106703 1 1 1 0 1 1 1 0 0 HERNIORAPHY
91 ATANG MIDIL 70229 1 1 1 0 1 1 1 0 0 DEBRIDEMENT
92 FRISKA ANGGRAENI 106689 1 1 1 0 1 0 1 0 0 CURET
93 NUR ATIKA WAJA 106653 1 1 1 0 1 0 1 0 0 CURET
94 ARTA BT ISAN 106688 1 1 1 0 1 1 1 0 0 HAEMORROIDECTOMY
95 FAJRIAH UZAMI 102500 1 1 1 0 1 0 1 0 0 SC
96 RIRIN SEFRINA 51690 1 1 1 0 1 0 1 0 0 SC
97 LAMYATI 102907 1 1 1 0 1 0 1 0 0 SC
98 SALWATI 106686 1 1 1 0 1 0 1 0 0 SC
99 SURYANAH 105058 1 1 1 0 1 0 1 0 0 SC
100 LINAH 102627 1 1 1 0 1 0 1 0 0 SC
101 INDAH 106767 1 1 1 0 1 0 1 0 0 SC
102 YEYEN 105163 1 1 1 0 1 0 1 0 0 SC
103 IDA PARIDAH 106137 1 1 1 0 1 0 1 0 0 MANUAL PLASENTA
104 MARKINAH 67517 1 1 1 0 1 0 1 0 0 MANUAL PLASENTA
105 TINI ARYANTI 106779 1 1 1 0 1 0 1 0 0 SC
106 NOVA NOVIA SANDRI 91909 1 1 1 0 1 0 1 0 0 SC
107 HJ. SOPIAH 106737 1 1 1 0 1 1 1 0 0 DEBRIDEMENT
108 ELNITA NURAINI 101062 1 1 1 0 1 0 1 0 0 SC
109 ELISAH 103731 1 1 1 0 1 0 1 0 0 SC
110 SUSI 100713 1 1 1 0 1 0 1 0 0 SC
111 AMAH 86642 1 1 1 0 1 1 1 0 0 EXPLORASI
112 NUR FADILLAH 106812 1 1 1 0 1 0 1 0 0 CURET
113 NIA DAMAYANTI 94893 1 1 1 0 1 0 1 0 0 SC
114 HAMDAH 60232 1 1 1 0 1 0 1 0 0 SC
115 NURHASANAH 106825 1 1 1 0 1 0 1 0 0 SC
116 INDRIYANI 106880 1 1 1 0 1 0 1 0 0 SC
117 MARYANI 98469 1 1 1 0 1 0 1 0 0 SC
118 LIMAH 106571 1 1 1 0 1 0 1 0 0 SC
119 SULISTIYANA 73040 1 1 1 0 1 0 1 0 0 SC
120 DWI ISLAMIYAH 102984 1 1 1 0 1 0 1 0 0 SC
121 ERNAH BT AMSIN 91685 1 1 1 0 1 0 1 0 0 SC
122 ROHAYA 106893 1 1 1 0 1 0 1 0 0 SC
123 RIKE GUNAWAN 106929 1 1 1 0 1 0 1 0 0 SC
124 HARYATI 106842 1 1 1 0 1 0 1 0 0 CURET
125 NAPSIAH JUHAERIAH 51749 1 1 1 0 1 0 1 0 0 SC
126 AYANIH 104138 1 1 1 0 1 0 1 0 0 SC
127 SURNAH 105946 1 1 1 0 1 0 1 0 0 SC
128 HERYANTI 105399 1 1 1 0 1 0 1 0 0 SC
129 ASTIAH 103322 1 1 1 0 1 0 1 0 0 SC
130 MUHAMMAD IKROM 106749 1 1 1 0 1 1 1 0 0 HERNIORAPHY
131 IIS DAHLIA 88770 1 1 1 0 1 0 1 0 0 CURET
132 SUTIANAH 106931 1 1 1 0 1 0 1 0 0 CURET
133 IMAN 106940 1 1 1 0 1 1 1 0 0 FISTELECTOMY
134 SITI SUSANTI 103185 1 1 1 0 1 0 1 0 0 SC
135 RINAH 104687 1 1 1 0 1 0 1 0 0 SC
136 MAYROH 106887 1 1 1 0 1 0 1 0 0 SC
137 HOIRUNNISA 106923 1 1 1 0 1 0 1 0 0 SC
138 SELVI ARIANTI 106976 1 1 1 0 1 0 1 0 0 SC
139 JUMRIAH 106972 1 1 1 0 1 0 1 0 0 SC
140 PUTRI INDAH LESTARI 82184 1 1 1 0 1 0 1 0 0 SC
141 DIMIATI ISKANDAR 77744 1 1 1 1 1 1 1 0 0 APPENDECTOMY
142 SARDINI 68011 1 1 1 0 1 1 1 0 0 EXPLORASI
143 LIYANAH 107005 1 1 1 0 1 0 1 0 0 SC
144 SAIMAH 103508 1 1 1 0 1 0 1 0 0 SC
145 MULYANAH 89406 1 1 1 0 1 0 1 0 0 SC
146 SARMAH 106850 1 1 1 0 1 1 1 0 0 EXPLORASI
147 MASRIYAH 107028 1 1 1 0 1 0 1 0 0 SC
148 MINAH 91794 1 1 1 0 1 0 1 0 0 SC
149 SUMINI 107029 1 1 1 0 1 0 1 0 0 SC
150 ROHMIYATI 69417 1 1 1 0 1 0 1 0 0 CURET
151 SRI SUSANTI 106260 1 1 1 0 1 0 1 0 0 SC
152 DEVI MAYANGSARI 77891 1 1 1 0 1 0 1 0 0 SC
153 NURHAYATI 106668 1 1 1 0 1 0 1 0 0 SC
154 KHOLIFAH 52858 1 1 1 0 1 1 1 0 0 APPENDECTOMY
155 MUHAMAD KARIM 107019 1 1 1 0 1 1 1 0 0 APPENDECTOMY
156 SAFITRI 75125 1 1 1 0 1 0 1 0 0 SC
157 SITI SAROHA 107058 1 1 1 0 1 0 1 0 0 SC
158 BONAH NURHAYANAH 107084 1 1 1 0 1 0 1 0 0 SC
159 TRISHA ASYIFA 107073 1 1 1 0 1 0 1 0 0 SC
160 HILMIA 71974 1 1 1 0 1 0 1 0 0 SC
161 TARYATI 107103 1 1 1 0 1 0 1 0 0 SC
162 MUHAMMAD SUKRON 92711 1 1 1 0 1 1 1 0 0 HERNIORAPHY
163 DEWI 107113 1 1 1 0 1 0 1 0 0 SC
164 MARIA ULPA 106396 1 1 1 0 1 0 1 0 0 SC
165 JUNITA 82185 1 1 1 0 1 0 1 0 0 SC
166 WULANDARI 107102 1 1 1 0 1 0 1 0 0 SC
167 HANIDAH 96395 1 1 1 0 1 0 1 0 0 SC
168 MUHAMAD RIO 107126 1 1 1 0 1 1 1 0 0 EXPLORASI
169 ASEP KOMARUDIN 106370 1 1 1 0 1 1 1 0 0 DEBRIDEMENT
170 MARSUDI BIN SAIRAN 84043 1 1 1 0 1 1 1 0 0 DEBRIDEMENT
171 SUKARYA 107143 1 1 1 0 1 1 1 0 0 EXPLORASI
172 LINDA 49737 1 1 1 0 1 0 1 0 0 SC
173 SATIMAN 107037 1 1 1 0 1 1 1 0 0 HAEMORROIDECTOMY
174 DESI NOVITASARI 85508 1 1 1 0 1 0 1 0 0 SC
175 DESI RIYANTI 105538 1 1 1 0 1 0 1 0 0 SC
176 RUMSAH 97827 1 1 1 0 1 0 1 0 0 SC
177 RATIH 107187 1 1 1 0 1 0 1 0 0 CURET
178 EVA SITI NURUL F 48522 1 1 1 0 1 0 1 0 0 SC
179 RINNY A 107061 1 1 1 0 1 0 1 0 0 L APARATOMY OBGYN
180 SYAHRUDIN INDRA 107166 1 1 1 1 1 1 1 0 0 HAEMORROIDECTOMY
181 SITI SYARIFATUL M 105186 1 1 1 0 1 1 1 0 0 DEBRIDEMENT
182 MUTIA ULFAH 33943 1 1 1 0 1 0 1 0 0 SC
183 HAMLAHU FIKAH 107254 1 1 1 0 1 0 1 0 0 SC
184 ELA PARAMUDITA 57816 1 1 1 0 1 0 1 0 0 SC
185 NURSAMAH 107275 1 1 1 0 1 0 1 0 0 CURET
186 ALPIAH 107281 1 1 1 0 1 0 1 0 0 SC
187 DEVI KURNIAWATI 107284 1 1 1 0 1 0 1 0 0 SC
188 SUHENDRIK 107262 1 1 1 0 1 1 1 0 0 HAEMORROIDECTOMY
189 MARHAYA 100041 1 1 1 0 1 0 1 0 0 SC
190 YULIANAH 107295 1 1 1 0 1 0 1 0 0 SC
191 IMAS 101232 1 1 1 0 1 0 1 0 0 SC
192 HALIDAH DJIYAH 84350 1 1 1 0 1 0 1 0 0 CURET
193 UNGUT 107303 1 1 1 0 1 1 1 0 0 DEBRIDEMENT
194 YANAH LESTARI 107323 1 1 1 0 1 0 1 0 0 SC
195 RISKAWATI 102179 1 1 1 0 1 0 1 0 0 SC
196 NURHASANAH 23474 1 1 1 0 1 0 1 0 0 SC
197 NURHAYATINAH 107346 1 1 1 0 1 0 1 0 0 SC
198 MIRAH 107344 1 1 1 0 1 0 1 0 0 SC
199 MASRIYAH 106305 1 1 1 0 1 0 1 0 0 SC
200 SITI HERLINAH 107374 1 1 1 0 1 0 1 0 0 SC
201 TITIN SURYANI 106569 1 1 1 0 1 0 1 0 0 CURET
202 NARSIH 107367 1 1 1 0 1 1 1 0 0 DEBRIDEMENT
203 SUKARYA 107143 1 1 1 0 1 1 1 0 0 EXPLORASI
204 IIS LAYLAH 107387 1 1 1 0 1 0 1 0 0 SC
205 SRI PURWANTI 22041 1 1 1 0 1 0 1 0 0 SC
206 RAHMAT 107338 1 1 1 0 1 1 1 0 0 APPENDECTOMY
207 YENIH BT MUSA 107418 1 1 1 0 1 0 1 0 0 SC
208 EMAH 107350 1 1 1 0 1 1 1 0 0 EKSISI
209 SITI NURFADILAH 94450 1 1 1 0 1 0 1 0 0 EKSISI
210 YUYUN 104116 1 1 1 0 1 0 1 0 0 SC
211 SURYANA 60123 1 1 1 0 1 1 1 0 0 EXPLORASI
212 URNI 107434 1 1 1 0 1 0 1 0 0 SC
213 YULI YANTI 107450 1 1 1 0 1 0 1 0 0 SC
214 SANAH 107433 1 1 1 0 1 0 1 0 0 LAPARATOMY OBGYN
215 NOVITA 107456 1 1 1 0 1 0 1 0 0 CURET
216 LIAMI 107443 1 1 1 0 1 0 1 0 0 SC
217 DARSIH 97238 1 1 1 0 1 0 1 0 0 SC
218 PARILI YUNITA 74552 1 1 1 0 1 0 1 0 0 SC
219 BASTIAN RIYAN U 107316 1 1 1 0 1 1 1 0 0 WSD
220 LANNY MANALU 107464 1 1 1 0 1 0 1 0 0 CURET
221 NUR OKTAVIANI 107504 1 1 1 0 1 0 1 0 0 CURET
222 NANA YOHANA 105009 1 1 1 0 1 0 1 0 0 SC
223 LENAH 107482 1 1 1 0 1 0 1 0 0 SC
224 NURHASANAH 84003 1 1 1 0 1 0 1 0 0 SC
225 FATMAWATI 87263 1 1 1 0 1 0 1 0 0 SC
226 SUMINI PASARIBU 107511 1 1 1 0 1 0 1 0 0 SC
227 ROYATI 14745 1 1 1 0 1 0 1 0 0 SC
228 SUSI ALWIYAH 107516 1 1 1 0 1 0 1 0 0 SC
229 LILIS 105154 1 1 1 0 1 0 1 0 0 SC
230 RATNASARI 107539 1 1 1 0 1 0 1 0 0 SC
231 JANIH 67522 1 1 1 0 1 0 1 0 0 CURET
232 SOPIJAH 62248 1 1 1 0 1 1 1 0 0 DEBRIDEMENT
233 ASNAWATI 107462 1 1 1 0 1 1 1 0 0 APPENDECTOMY
234 SOPIAH BY NY 104547 1 1 1 0 1 1 1 0 0 HYDROCELECTOMY
235 YEYEN MARLINA 107551 1 1 1 0 1 0 1 0 0 SC
236 SITI PADILAH 107560 1 1 1 0 1 0 1 0 0 SC
237 TUMIATUN 107573 1 1 1 0 1 0 1 0 0 SC
238 SURYATI 107044 1 1 1 0 1 0 1 0 0 SC
239 NANAH ROBIANAH 107260 1 1 1 0 1 0 1 0 0 SC
240 YEYEN 60570 1 1 1 0 1 0 1 0 0 SC
241 SARI WAHYUNI 37307 1 1 1 0 1 0 1 0 0 CURET
242 SITI MARIAM 107547 1 1 1 0 1 0 1 0 0 CURET
243 ISDAHLIA 106782 1 1 1 0 1 0 1 0 0 CURET
244 TETI SINTIAWATI 106786 1 1 1 0 1 0 1 0 0 CURET
245 HOIRIAH 107561 1 1 1 0 1 0 1 0 0 MANUAL PLASENTA
246 AYANI BT ANWAAR 7415 1 1 1 0 1 1 1 0 0 HAEMORROIDECTOMY
247 NURUL FAJRIYYAH 43188 1 1 1 0 1 0 1 0 0 SC
248 SERAWATI 98767 1 1 1 0 1 0 1 0 0 SC
249 SITI MAHARANI Z 107554 1 1 1 0 1 1 1 0 0 APPENDECTOMY
250 MELANI 52353 1 1 1 0 1 0 1 0 0 SC
WIKE ARDILLA
251 107578 1 1 1 0 1 0 1 0 0 SC
ANGGRAINI
252 SUKMA YULIANTI 105351 1 1 1 0 1 0 1 0 0 SC
253 UMDAH TUSSALIK 107611 1 1 1 0 1 0 1 0 0 SC
INTAN KURNIASIH
254 107600 1 1 1 0 1 0 1 0 0 SC
SETIAWAN
255 MENAH 106987 1 1 1 0 1 0 1 0 0 SC
256 SRI MUDRIKA M 101954 1 1 1 0 1 0 1 0 0 SC
257 DIANA WULANDARI 107626 1 1 1 0 1 0 1 0 0 SC
258 ISMIYANAH 107599 1 1 1 0 1 0 1 0 0 SC
259 LASNIMAN LASE 107646 1 1 1 0 1 0 1 0 0 SC
260 SUSIATI 107649 1 1 1 0 1 0 1 0 0 SC
261 ULPAH 107651 1 1 1 0 1 0 1 0 0 CURET
262 IRMAWATI 97168 1 1 1 0 1 0 1 0 0 SC
263
DEVA FITRIANI 107654 1 1 1 0 1 0 1 0 0 SC
AGUSTIN
264 NYAI DAMAYANTI 105950 1 1 1 0 1 1 1 0 0 ISTHMULOBECTOMY
265 MILA APRIYANTI 107669 1 1 1 0 1 0 1 0 0 SC
266 EFFI HERDILA SARI 105583 1 1 1 0 1 0 1 0 0 SC
267 SITI ROHMANAH 106793 1 1 1 0 1 0 1 0 0 SC
268 SITI SRIWAHYUNI 104802 1 1 1 0 1 0 1 0 0 SC
269 SISKANAWATI 107605 1 1 1 0 1 0 1 0 0 CURET
270 UNAH 107697 1 1 1 0 1 0 1 0 0 SC
JUMLAH 270 270 270 5 270 52 270 0 0
KETERANGAN :
0 = tidak dilakukan
1 = dilakukan
KA. INSTALASI
KAMAR OPERASI PIC I PIC II DEBRIDEMENT
APPENDICTOMY
LAPARATOMY
EXCISION
dr. Husnul, Sp.An.,M.Kes Yurike, Amd. Keb NS. Ega J, S.Kep HECTING
AMPUTASI
HERNIORAPHY
HAEMORRHOIDECTOMY
WSD
skin greft
SC
CURRET
LAPARATOMY
HECTING
INCISI
BULAN DESEMBER 2020
NO Nama No. RM PENUNDAAN

Monitoring Surgical
Asesment Monitoring Konversi Asesment Site Diskrepansi OPERASI
Pra Anastesi Durante Pasca Anastesi Anastesi Pra Bedah Marking Safety Diagnosis ELEKTIF KETERANGAN
Anastesi Ceklist
> 2 HARI
1 LINAH 107697 1 1 1 0 1 0 1 0 0 SC
2 AMSIAH 34073 1 1 1 1 1 0 1 0 0 CURET
3 NURYANAH 103941 1 1 1 0 1 0 1 0 0 SC
4 NANA 106797 1 1 1 0 1 0 1 0 0 SC
5 SITI SYAHRIAH 69905 1 1 1 0 1 0 1 0 0 SC
6 SITI USNIAH 107717 1 1 1 0 1 0 1 0 0 SC
7 RAESIH 107693 1 1 1 0 1 0 1 0 0 SC
8 SAEMA UTAMI 51114 1 1 1 0 1 0 1 0 0 SC
9 AMIYATTI LUPITA 107601 1 1 1 0 1 0 1 0 0 SC
10 WATI 107734 1 1 1 0 1 1 1 0 0 EXCISION
11 CUN WAH 107725 1 1 1 0 1 0 1 0 0 CURET
12 VIVI ANDRIYANTI 107773 1 1 1 1 1 0 1 0 0 CURET
13 ROMAYUNI 107470 1 1 1 0 1 0 1 0 0 CURET
14 MASHUBAH 24828 1 1 1 0 1 0 1 0 0 SC
15 MULYANI 107786 1 1 1 0 1 0 1 0 0 SC
16 WATI 107342 1 1 1 0 1 0 1 0 0 SC
17 NANA BY NY 107729 1 1 1 0 1 1 1 0 0 COLOSTOMI
18 KULSUMAWATI 104074 1 1 1 0 1 0 1 0 0 SC
19 SULASTRI 106318 1 1 1 0 1 0 1 0 0 SC
20 MARWATI 107835 1 1 1 0 1 0 1 0 0 SC
21 AMEROH 107852 1 1 1 0 1 0 1 0 0 SC
22 JARMAN BIN TUMPANG 107788 1 1 1 0 1 1 1 0 0 HERNIORAPHY
23 SITI RAHMAWATI 63035 1 1 1 0 1 0 1 0 0 SC
24 SITI KOMARIAH 107859 1 1 1 0 1 0 1 0 0 SC
25 IIS DAHYANTI 51433 1 1 1 0 1 0 1 0 0 SC
26 YULIYANAH 107880 1 1 1 0 1 0 1 0 0 SC
27 MURNI 97704 1 1 1 0 1 0 1 0 0 SC
28 MASNI 69113 1 1 1 0 1 0 1 0 0 SC
29 NAPSIAH BIN ASNAN 104331 1 1 1 0 1 0 1 0 0 SC
30 SALMAH 107674 1 1 1 0 1 0 1 0 0 SC
31 MUNGGAH SOLIHIN 107840 1 1 1 0 1 1 1 0 0 HAEMOROIDECTOMY
32 ANITA PURNAMASARI 107662 1 1 1 0 1 1 1 0 0 EXCISION
33 ADHI LUKMAN 107843 1 1 1 0 1 1 1 0 0 DEBRIDEMENT
34 SYIARA KHALIFATUZ Z 107905 1 1 1 0 1 0 1 0 0 SC
35 ROSIDAH 107655 1 1 1 0 1 1 1 0 0 DEBRIDEMENT
36 LUSIDA TAMBA 107221 1 1 1 0 1 0 1 0 0 CURET
37 WIWIN 107927 1 1 1 0 1 0 1 0 0 CURET
38 ANDINI APRIANTI 107936 1 1 1 0 1 0 1 0 0 SC
39 SUGIATI 107234 1 1 1 0 1 0 1 0 0 CURET
40 LASTEVI 107548 1 1 1 0 1 0 1 0 0 CURET
41 FITRI MARYANI 107950 1 1 1 1 1 0 1 0 0 REHECTING
42 SITI KOMARIYAH 107947 1 1 1 0 1 0 1 0 0 SC
43 JAMILAH BT MURJAN 105494 1 1 1 0 1 1 1 0 0 KISTECTOMY
44 YUANITA INDAH RAHMAWATI 97481 1 1 1 0 1 0 1 0 0 SC
45 LINDA MARYATI 49246 1 1 1 0 1 0 1 0 0 SC
46 SITI ROBIYAH 107951 1 1 1 0 1 0 1 0 0 SC
47 MAWAR 107799 1 1 1 0 1 1 1 0 0 CHOLELITHIASIS
48 DEDE YULYANAH 98364 1 1 1 0 1 0 1 0 0 SC
49 NENENG ZAKIYAH 107980 1 1 1 0 1 0 1 0 0 SC
50 NANA 107972 1 1 1 0 1 0 1 0 0 SC
51 NIRMALA PUSPITASARI 107585 1 1 1 0 1 0 1 0 0 SC
52 KARLINA 103893 1 1 1 0 1 0 1 0 0 SC
53 NURLAILA 107293 1 1 1 0 1 0 1 0 0 SC
54 SRI NURSEHA 69338 1 1 1 0 1 0 1 0 0 SC
55 KIYAH 107791 1 1 1 0 1 1 1 0 0 HAEMOROIDECTOMY
56 LIA RUPAIDAH 107108 1 1 1 0 1 0 1 0 0 SC
57 ITA KOMALASARI 108012 1 1 1 0 1 0 1 0 0 SC
58 ADINDA TALIA SABILA 104835 1 1 1 0 1 0 1 0 0 SC
59 SITI SYIFA FAUZIAH 105410 1 1 1 0 1 0 1 0 0 SC
60 SITI ROMLAH 108027 1 1 1 0 1 0 1 0 0 SC
61 NOVIA LESTARI 63866 1 1 1 0 1 0 1 0 0 SC
62 NURYANI 104627 1 1 1 0 1 0 1 0 0 SC
63 NOVIA LESTARI 63866 1 1 1 0 1 0 1 0 0 SC
64 EEN KURNIAWATI 108071 1 1 1 0 1 0 1 0 0 CURET
65 HETI DINAR TOBING 100900 1 1 1 0 1 1 1 0 0 HISTEREKTOMI
66 KHOIRIYAH 108037 1 1 1 0 1 0 1 0 0 CURET
67 SITI AULIYAH 107369 1 1 1 0 1 0 1 0 0 SC
68 SATIBI DARWIS 98913 1 1 1 0 1 1 1 0 0 EXPLORASI
69 IIS RAHMAWATI 108010 1 1 1 1 1 1 1 0 0 DEBRIDEMENT
70 AYUM 8709 1 1 1 0 1 0 1 0 0 SC
71 RANTIH DEWI YANTI 107356 1 1 1 0 1 0 1 0 0 SC
72 DENAH 108108 1 1 1 0 1 0 1 0 0 SC
73 JOHANSYAH 107929 1 1 1 0 1 1 1 0 0 EXPLORASI
74 DAMAYANTI 91767 1 1 1 0 1 0 1 0 0 SC
75 SITI AMENAH 107989 1 1 1 0 1 1 1 0 0 APPENDECTOMY
76 EVIH TAMALA 108059 1 1 1 0 1 1 1 0 0 LIMPADENECTOMI
77 DAMAYANTI BT NURDIN 108134 1 1 1 0 1 0 1 0 0 SC
78 PUTRI HANDAYANI 108138 1 1 1 0 1 0 1 0 0 SC
79 ABDUL RAPLI 108137 1 1 1 0 1 1 1 0 0 APPENDECTOMY
80 DEBI PUTRI MONITA 78632 1 1 1 0 1 0 1 0 0 SC
81 DEWI RAHMAWATI 60866 1 1 1 0 1 0 1 0 0 SC
82 ADE SIPAH FAUZIAH 52308 1 1 1 0 1 0 1 0 0 SC
83 UNUS 16711 1 1 1 0 1 1 1 0 0 FISTULOTOMI
84 MULYANI 108169 1 1 1 0 1 0 1 0 0 SC
85 NUR HUSNA 56485 1 1 1 0 1 0 1 0 0 CURET
86 SITI TOYIBAN BT WAHAB 108226 1 1 1 0 1 0 1 0 0 CURET
87 MIRA NURJANAH 108182 1 1 1 0 1 0 1 0 0 SC
88 NABELLA KHOERUNNISA 70707 1 1 1 0 1 0 1 0 0 SC
89 FEBEH JUSAK 108084 1 1 1 0 1 1 1 0 0 EXPLORASI
90 ELA PARAMUDITA 57816 1 1 1 1 1 0 1 0 0 CURET
91 SUNARTI 52759 1 1 1 0 1 0 1 0 0 CURET
92 TUTI TAHJURIAH 83843 1 1 1 0 1 0 1 0 0 CURET
93 SITI ILAH KHOLILAH 106469 1 1 1 0 1 0 1 0 0 SC
94 MEI SULISTIANI 108218 1 1 1 0 1 0 1 0 0 SC
95 ROHILAH 104403 1 1 1 0 1 0 1 0 0 SC
96 SUNAENIH 108127 1 1 1 0 1 0 1 0 0 SC
97 PONI NURHIKMAH 108241 1 1 1 0 1 0 1 0 0 SC
98 RINI APRIYANTI 108181 1 1 1 0 1 1 1 0 0 APPENDECTOMY
99 MUSLIMAH 108188 1 1 1 0 1 0 1 0 0 CURET
100 EPAH YUNITA 108240 1 1 1 0 1 0 1 0 0 SC
101 HARMILAH MISTARIA 60455 1 1 1 0 1 0 1 0 0 CURET
102 ASMARANI 108143 1 1 1 0 1 0 1 0 0 SC
103 KARTINI 104977 1 1 1 0 1 0 1 0 0 SC
104 SITI NURHAFIZ 106730 1 1 1 0 1 0 1 0 0 SC
105 LINDA LIANI 107963 1 1 1 0 1 0 1 0 0 SC
106 PUJI RAHAYU 89759 1 1 1 0 1 0 1 0 0 SC
107 ERMALINDA 107290 1 1 1 0 1 0 1 0 0 SC
108 ROHILAH 108310 1 1 1 0 1 0 1 0 0 SC
109 SAHRONA 103473 1 1 1 0 1 0 1 0 0 SC
110 SUTAMI BT RASMAN 86620 1 1 1 0 1 1 1 0 0 CHOLELITHIASIS
111 SITI ROSILAH 107577 1 1 1 0 1 0 1 0 0 CURET
112 AULIA LESTARI 57457 1 1 1 0 1 0 1 0 0 SC
113 SADIYAH 108154 1 1 1 0 1 0 1 0 0 SC
114 DEVI ARYANTI 108225 1 1 1 0 1 0 1 0 0 SC
115 JAKARIYA 106731 1 1 1 0 1 1 1 0 0 WSD
116 YANTO SUHARI 55456 1 1 1 0 1 1 1 0 0 HERNIORAPHY
117 ANDI BIN MARUK 108033 1 1 1 0 1 1 1 0 0 EXPLORASI
118 LUTHMAN GHAUS 108189 1 1 1 0 1 1 1 0 0 DEBRIDEMENT
119 AIDANUR AISYAH 108283 1 1 1 0 1 0 1 0 0 RUPTUR TENDON
120 HERIYAH 49561 1 1 1 0 1 0 1 0 0 CURET
121 PRATIWI 108346 1 1 1 0 1 0 1 0 0 SC
122 ELSA NURANI 108365 1 1 1 0 1 0 1 0 0 CURET
123 MAESURI 108339 1 1 1 0 1 0 1 0 0 CURET
124 SARIPAH 108679 1 1 1 0 1 0 1 0 0 CURET
125 WINDA 108345 1 1 1 0 1 0 1 0 0 SC
126 MONA WAROH 108362 1 1 1 0 1 0 1 0 0 SC
127 ASMI 108543 1 1 1 0 1 0 1 0 0 CURET
128 DEWI 108785 1 1 1 0 1 0 1 0 0 CURET
129 SURYANIH 105418 1 1 1 0 1 0 1 0 0 SC
130 YULIYANAH 105049 1 1 1 0 1 0 1 0 0 SC
131 SUKRIAH 106388 1 1 1 0 1 0 1 0 0 SC
132 FEBRI LIDIYA PUTRI 108375 1 1 1 0 1 0 1 0 0 SC
133 HAERUL 108378 1 1 1 0 1 1 1 0 0 DEBRIDEMENT
134 ETI 101621 1 1 1 0 1 0 1 0 0 SC
135 MUNIROH 108386 1 1 1 0 1 0 1 0 0 SC
136 HARTINAH 104988 1 1 1 0 1 0 1 0 0 CURET
137 MURTIANAH 108060 1 1 1 0 1 0 1 0 0 SC
138 SITI YAROH 100726 1 1 1 0 1 0 1 0 0 SC
139 SILFIANI 108412 1 1 1 0 1 0 1 0 0 SC
140 SITI NURHASANAH 91589 1 1 1 0 1 0 1 0 0 SC
141 ASNAWAROH 107761 1 1 1 0 1 0 1 0 0 SC
142 SITI NURPAJAR 64563 1 1 1 0 1 0 1 0 0 SC
143 SARYATI 108456 1 1 1 0 1 0 1 0 0 SC
144 MUHLAS 108446 1 1 1 0 1 1 1 0 0 HERNIORAPHY
145 PUTRI KOMALA SARI 108482 1 1 1 0 1 0 1 0 0 SC
146 ARIYANTI OLISTIA 105753 1 1 1 0 1 0 1 0 0 SC
147 JURAN 108411 1 1 1 0 1 1 1 0 0 EXCISION
148 SRI SUTARNI 108494 1 1 1 0 1 1 1 0 0 EXPLORASI
149 ANAS SOLEHA 52805 1 1 1 0 1 0 1 0 0 CURET
150 ROJAH 108510 1 1 1 0 1 0 1 0 0 SC
151 NENENG SUGIARTI 104704 1 1 1 0 1 0 1 0 0 SC
152 SUNARTI 63971 1 1 1 0 1 0 1 0 0 SC
153 SAFITRI 83845 1 1 1 0 1 0 1 0 0 SC
154 IIS SOLEHAH 102985 1 1 1 0 1 0 1 0 0 SC
155 ZAKILA AL NAJWA 108522 1 1 1 0 1 1 1 0 0 DEBRIDEMENT
156 SITI KHOLIFAH 102929 1 1 1 0 1 0 1 0 0 SC
157 LINAH 103841 1 1 1 0 1 0 1 0 0 SC
158 SITI HOLILAH 106738 1 1 1 0 1 0 1 0 0 SC
159 LISTI KOMA 101619 1 1 1 0 1 0 1 0 0 SC
160 SITI AMRIYAH BT ASNAWAI 107446 1 1 1 0 1 0 1 0 0 CURET
161 RISMA SETIAWATI 108480 1 1 1 0 1 0 1 0 0 SC
162 SINDI SANTIKA DEWI 108495 1 1 1 0 1 0 1 0 0 SC
163 WINAH 81880 1 1 1 0 1 1 1 0 0 DEBRIDEMENT
164 ANGGITA DEWI 85543 1 1 1 0 1 0 1 0 0 SC
165 SUWANDILAH 54110 1 1 1 0 1 0 1 0 0 SC
166 DAHLIA 84652 1 1 1 0 1 0 1 0 0 SC
167 DESI MILAWATI 108552 1 1 1 0 1 0 1 0 0 SC
168 KULIAH 103899 1 1 1 0 1 0 1 0 0 SC
169 RASMI 108872 1 1 1 0 1 0 1 0 0 CURET
170 SITI MARFUAH 108596 1 1 1 0 1 0 1 0 0 SC
171 ISKANDAR 108618 1 1 1 0 1 1 1 0 0 AMPUTASI
172 SITI MAISELA ANGGRAINI 108661 1 1 1 0 1 0 1 0 0 SC
173 KHUSWATUN AULIYANA 108600 1 1 1 0 1 0 1 0 0 SC
174 LINDA LISTI YANI 108612 1 1 1 0 1 0 1 0 0 SC
175 KURTIKA 109108 1 1 1 0 1 0 1 0 0 CURET
176 TRIANA DEWI 107082 1 1 1 0 1 0 1 0 0 SC
177 AGUNG WINDI ANTORO 108654 1 1 1 0 1 1 1 0 0 WSD
178 EDAH 75283 1 1 1 0 1 1 1 0 0 DEBRIDEMENT
179 TEIN BIN PEYOT 59966 1 1 1 0 1 1 1 0 0 HERNIORAPHY
180 GIA PERTAMI RIZKI 92115 1 1 1 0 1 1 1 0 0 APPENDECTOMY
181 ROMIDAH BT UDING 31395 1 1 1 0 1 0 1 0 0 CURET
182 DERLY SELFIANTI 108689 1 1 1 0 1 0 1 0 0 SC
183 LASTINI 108597 1 1 1 0 1 0 1 0 0 SC
184 DESY PERMATASARI 20567 1 1 1 0 1 0 1 0 0 SC
185 MAYASARI 108672 1 1 1 0 1 0 1 0 0 SC
186 SULAEMAN 108666 1 1 1 0 1 1 1 0 0 HERNIORAPHY
187 HAMIM 81956 1 1 1 0 1 1 1 0 0 HERNIORAPHY
188 UTIYANAH 78444 1 1 1 0 1 0 1 0 0 SC
189 MULYANAH 108763 1 1 1 0 1 0 1 0 0 SC
190 NUR UBAY 108867 1 1 1 0 1 0 1 0 0 CURET
191 GITA SAFITRI 108769 1 1 1 0 1 0 1 0 0 SC
192 FERDI KANIVAN 108762 1 1 1 0 1 0 1 0 0 SC
193 PARIDA 88934 1 1 1 0 1 0 1 0 0 SC
194 IDAH 109175 1 1 1 0 1 0 1 0 0 CURET
195 ROSIDA BIN AMPRAH 108786 1 1 1 0 1 0 1 0 0 SC
196 AENUN MUSABAQOH 97139 1 1 1 0 1 0 1 0 0 SC
197 MEFIYANA 101951 1 1 1 0 1 0 1 0 0 SC
198 YULIANAH 105710 1 1 1 0 1 0 1 0 0 SC
199 HUSNUL KHOTIMAH 108739 1 1 1 0 1 0 1 0 0 SC
200 SUSI AGUSTINA 57307 1 1 1 0 1 0 1 0 0 SC
201 SINDY 107580 1 1 1 0 1 0 1 0 0 SC
202 SITI MAYSAROH 108628 1 1 1 0 1 0 1 0 0 SC
203 TAN SUN LIANG 103319 1 1 1 0 1 1 1 0 0 WSD
204 BELA 109306 1 1 1 0 1 0 1 0 0 CURET
205 SUTARSIH 63350 1 1 1 0 1 1 1 0 0 DEBRIDEMENT
206 IPAH 108885 1 1 1 0 1 0 1 0 0 SC
207 NANI 108912 1 1 1 0 1 0 1 0 0 SC
208 EVA TANIA 108898 1 1 1 0 1 0 1 0 0 SC
209 RAMUNAH 54363 1 1 1 0 1 0 1 0 0 SC
210 DJOHARA 82660 1 1 1 0 1 0 1 0 0 SC
211 UMAYA SARI 108971 1 1 1 0 1 0 1 0 0 SC
212 HARINA MANASIKANA 107225 1 1 1 0 1 0 1 0 0 CURET
213 INDAH PURNAMA SARI 103410 1 1 1 0 1 0 1 0 0 SC
214 NITA NOVIYANTI 108890 1 1 1 0 1 1 1 0 0 APPENDECTOMY
215 ANA JANNATUN NAJWA 106613 1 1 1 0 1 1 1 0 0 LIMPADENECTOMI
216 ADUL KARIM 108928 1 1 1 0 1 1 1 0 0 APPENDECTOMY
217 DEDE SUGIARTI 63073 1 1 1 0 1 0 1 0 0 SC
218 MAMAH 106111 1 1 1 0 1 0 1 0 0 SC
219 NIA FITRIANI 93525 1 1 1 0 1 0 1 0 0 SC
220 URPIAH 85931 1 1 1 0 1 0 1 0 0 SC
221 KHOIRIAH 96990 1 1 1 0 1 0 1 0 0 SC
222 FITNAHUL BAHRIANI 90100 1 1 1 0 1 0 1 0 0 SC
223 RIDA PUSPITASARI 109430 1 1 1 0 1 0 1 0 0 CURET
224 SITI DEDEH MARDIYAH 108404 1 1 1 0 1 0 1 0 0 SC
225 AI RATNASARI 103570 1 1 1 0 1 0 1 0 0 SC
226 ROMLI OMBIH 109071 1 1 1 0 1 1 1 0 0 HERNIORAPHY
227 TISYA ALIFAH 109055 1 1 1 0 1 0 1 0 0 SC
228 SITI MARIYAM 98175 1 1 1 0 1 0 1 0 0 SC
229 ENUR 108358 1 1 1 0 1 0 1 0 0 SC
230 SITI KHODIJAH 109130 1 1 1 0 1 0 1 0 0 SC
231 SUMIYATI 109259 1 1 1 0 1 0 1 0 0 CURET
232 LUSI SOSILAWATI 109119 1 1 1 0 1 0 1 0 0 CURET
233 WIE SAN NIO 108911 1 1 1 0 1 1 1 0 0 AMPUTASI
234 YATI 109047 1 1 1 0 1 1 1 0 0 EXCISION
235 SELVIA 109137 1 1 1 0 1 0 1 0 0 SC
236 MARDIAH 109165 1 1 1 0 1 0 1 0 0 SC
237 SUMIYATI 104853 1 1 1 0 1 0 1 0 0 SC
238 JOHARI 109113 1 1 1 0 1 1 1 0 0 HAEMOROIDECTOMY
239 PUPUT INDRIANI 107556 1 1 1 0 1 0 1 0 0 SC
240 ARPIAWATI 109490 1 1 1 0 1 0 1 0 0 CURET
241 YULINDA 83887 1 1 1 0 1 0 1 0 0 SC
242 SARIYA 4268 1 1 1 0 1 0 1 0 0 SC
243 SALMA 109203 1 1 1 0 1 0 1 0 0 SC
244 SITI MUMUN M 105210 1 1 1 0 1 0 1 0 0 SC
245 MIRNA 105109 1 1 1 0 1 0 1 0 0 SC
246 ELA 109272 1 1 1 0 1 0 1 0 0 SC
247 NENGSI 107719 1 1 1 0 1 0 1 0 0 SC
248 NUR JANNAH 109252 1 1 1 0 1 0 1 0 0 SC
249 DAHLIA 109294 1 1 1 0 1 0 1 0 0 SC
250 MARIYEM 109206 1 1 1 0 1 0 1 0 0 CURET
251 MUHAMAD HERNANDA R 42738 1 1 1 0 1 1 1 0 0 APPENDECTOMY
252 SUMITRI 109302 1 1 1 0 1 1 1 0 0 WSD
253 HARINA MANASIKANA 107225 1 1 1 0 1 0 1 0 0 CURET
254 RASMI 109330 1 1 1 0 1 0 1 0 0 SC
255 THEA TRISIA 82582 1 1 1 0 1 0 1 0 0 SC
256 HAMIM 81956 1 1 1 0 1 1 1 0 0 DEBRIDEMENT
257 SUSANTI 109367 1 1 1 0 1 0 1 0 0 SC
258 ANISAH 109514 1 1 1 0 1 0 1 0 0 CURET
259 ROSIDA BIN AMPRAH 108786 1 1 1 0 1 0 1 0 0 SC
260 ULFAH 107810 1 1 1 0 1 0 1 0 0 SC
261 NENENG HAMDANAH 109353 1 1 1 0 1 0 1 0 0 SC
262 NURLELAH 109349 1 1 1 0 1 0 1 0 0 SC
263 DENI 109358 1 1 1 0 1 0 1 0 0 SC
264 FENI 51060 1 1 1 0 1 0 1 0 0 SC
265 HASANAH 106835 1 1 1 0 1 0 1 0 0 SC
266 APSARI 103431 1 1 1 0 1 0 1 0 0 SC
267 SITI ALWIYAH 52821 1 1 1 0 1 0 1 0 0 SC
268 FRASTIKA WULANSARI 107428 1 1 1 0 1 0 1 0 0 SC
269 LUSI VERAWATI SILABAN 50828 1 1 1 0 1 0 1 0 0 SC
270 YANTI BT AYADI 109429 1 1 1 0 1 0 1 0 0 SC
271 MARIA 58675 1 1 1 0 1 0 1 0 0 SC
272 SITI NURAENI 109452 1 1 1 0 1 0 1 0 0 SC
273 RIMA MELATI 34809 1 1 1 0 1 0 1 0 0 SC
274 MIDAYANTI 64640 1 1 1 0 1 0 1 0 0 SC
275 NURHAYANAH 62488 1 1 1 0 1 0 1 0 0 SC
276 AYU NAWATIKASARI 109506 1 1 1 0 1 0 1 0 0 SC
277 NURYATI 86830 1 1 1 0 1 0 1 0 0 SC
278 FITRIYANI 109491 1 1 1 0 1 0 1 0 0 SC
279 NELIH MELYANAH 105885 1 1 1 0 1 0 1 0 0 SC
280 MUKSIN BIN MUKTAR 109534 1 1 1 0 1 1 1 0 0 EXPLORASI
281 RAHMA NIA 79619 1 1 1 0 1 1 1 0 0 APPENDECTOMY
282 HERLIN ANGGRAENI 8489 1 1 1 0 1 0 1 0 0 SC
JUMLAH 282 282 282 5 282 52 282 0 0
KETERANGAN :
0 = tidak dilakukan
1 = dilakukan
KA. INSTALASI
PIC I PIC II
KAMAR OPERASI
SC 19 21 17 19 24 20 24 21 22 187
CURET 4 4 7 7 4 5 4 5 1 41
EXCISI 1 1 1 1 4
COLOSTOMI 1 1
HERNIORAPHY 1 1 1 3 1 7
HAEMORROID 2 1 3
DEBRIDEMENT 2 1 1 2 2 1 1 10
REHECTING 1 1
KISTECTOMI 1 1
CHOLELITIASIS 1 1 2
HISTERECTOMY 1 1
EXPLORACY 3 1 1 1 6
APPENDECTOMI 2 1 1 2 1 1 8
LIMPADENOPATI 1 1 2
FISTULOTOMI 1 1
RUPTUR TENDON 1 1
WSD 1 1 1 1 4
AMPUTASI 1 1 2
26 33 33 33 33 33 33 33 25 282
BULAN JANUARI 2021
PENUNDAAN
NO Nama No. RM Monitoring Monitoring
Asesment Konversi Asesment Site Surgical Diskrepansi OPERASI
Durante Pasca KETERANGAN
Pra Anastesi Anastesi Pra Bedah Marking Safety Ceklist Diagnosis ELEKTIF
Anastesi Anastesi > 2 HARI
1 SITI NUR HAWA 102271 1 1 1 0 1 0 1 0 0 SC

2 NURLELAH 109590 1 1 1 0 1 0 1 0 0 CURET
3 AYANIH 109604 1 1 1 0 1 0 1 0 0 CURET
4 SITI TRI APRIANTI 109605 1 1 1 0 1 0 1 0 0 SC
5 ALFIN TRI YULIANTO 109581 1 1 1 0 1 1 1 0 0 EXPLORASI
6 SUCIATI 109423 1 1 1 0 1 0 1 0 0 CURET
7 ERLIN 109624 1 1 1 0 1 0 1 0 0 CURET
8 DEDEH HARYANTI 83881 1 1 1 0 1 0 1 0 0 SC
9 MARDIANAH 109640 1 1 1 0 1 0 1 0 0 SC
10 MAELANI 109638 1 1 1 0 1 0 1 0 0 SC
11 ANAH 109641 1 1 1 0 1 0 1 0 0 CURET
12 IRMA 109714 1 1 1 0 1 0 1 0 0 SC
13 MULYA 109701 1 1 1 0 1 0 1 0 0 SC
14 SHELLDY NAFADINDA 109741 1 1 1 0 1 0 1 0 0 SC
15 SITI NURAINI 106924 1 1 1 0 1 0 1 0 0 CURET
16 YULI IRAWATI 98792 1 1 1 0 1 0 1 0 0 SC
17 HENI LESTARI 109780 1 1 1 0 1 0 1 0 0 SC
18 MULYANAH 109380 1 1 1 0 1 0 1 0 0 SC
19 LINAH MARLINAH 97641 1 1 1 0 1 0 1 0 0 SC
20 MARYATI AMELIA 109816 1 1 1 0 1 0 1 0 0 SC
21 LATIPAH PAUZIAH 109827 1 1 1 0 1 0 1 0 0 SC
22 IPAH BT RASIDI 17257 1 1 1 0 1 0 1 0 0 SC
23 MADKOSIH 109787 1 1 1 0 1 1 1 0 0 APPENDECTOMY
24 MARDIYAH 109843 1 1 1 0 1 0 1 0 0 SC
25 LINDA 20858 1 1 1 0 1 0 1 0 0 SC
26 LISWAH 82870 1 1 1 0 1 1 1 0 0 HERNIORAPHY
27 JAMILAH 109942 1 1 1 0 1 0 1 0 0 SC
28 LITA SOPIANATA 107682 1 1 1 0 1 0 1 0 0 SC
29 MARYASIH 109919 1 1 1 0 1 0 1 0 0 SC
30 YULIANAH 104085 1 1 1 0 1 0 1 0 0 SC
31 MULYATI 58941 1 1 1 0 1 0 1 0 0 KISTECTOMY
32 NAPSIAH 85302 1 1 1 0 1 0 1 0 0 SC
33 ROKAYAH 110011 1 1 1 0 1 0 1 0 0 SC
34 FITRI YANTI 109990 1 1 1 0 1 0 1 0 0 SC
35 SUHENTI 110012 1 1 1 0 1 0 1 0 0 SC
36 SURYANTI 33386 1 1 1 0 1 0 1 0 0 SC
37 INDAH SAFITRI 86845 1 1 1 0 1 1 1 0 0 HAEMORROIDECTOMY
38 NANDA SULISTIA DEWI 110013 1 1 1 0 1 1 1 0 0 APPENDECTOMY
39 TONIH 66353 1 1 1 0 1 1 1 0 0 DEBRIDEMENT
40 LILIS SURYANI 110061 1 1 1 0 1 0 1 0 0 SC
41 DIAN DAMAYANTI 110058 1 1 1 0 1 0 1 0 0 SC
42 MARYATI 110070 1 1 1 0 1 0 1 0 0 SC
43 FIVIT SAGITA 99860 1 1 1 0 1 0 1 0 0 SC
44 EEN 7671 1 1 1 0 1 0 1 0 0 SC
45 ASWAROH 106980 1 1 1 0 1 0 1 0 0 SC
46 UMIYATI 107896 1 1 1 0 1 1 1 0 0 SC
47 NANO 110047 1 1 1 0 1 0 1 0 0 HERNIORAPHY
48 ENI SUMARNI 108782 1 1 1 0 1 0 1 0 0 SC
49 ALPIYAH 110105 1 1 1 0 1 0 1 0 0 SC
50 NURHAYATI 110095 1 1 1 0 1 0 1 0 0 SC
51 ANAH SAFITRI 107673 1 1 1 0 1 0 1 0 0 SC
52 TAN SUSANTI 62249 1 1 1 0 1 0 1 0 0 SC
53 SITI ANIPAH 110076 1 1 1 0 1 0 1 0 0 SC
54 NELA LEGAR 110088 1 1 1 0 1 0 1 0 0 CURET
55 MURDIAH 101213 1 1 1 0 1 0 1 0 0 CURET
56 MALIAH 78168 1 1 1 0 1 0 1 0 0 CURET
57 MUNARTI 110028 1 1 1 0 1 1 1 0 0 AMPUTASI
58 ASMERI 73530 1 1 1 0 1 0 1 0 0 SC
59 YANI 110223 1 1 1 0 1 0 1 0 0 SC
60 KARLIN MEILANI 107582 1 1 1 0 1 0 1 0 0 SC
61 BUSTOMI 110194 1 1 1 0 1 1 1 0 0 HERNIORAPHY
62 MURNI 51605 1 1 1 0 1 0 1 0 0 SC
63 NISA PUJI ASTUTI 96201 1 1 1 0 1 1 1 0 0 EXPLORASI
64 NENI PUSPITA SARI 108736 1 1 1 0 1 0 1 1 0 SC
65 ANITA 108908 1 1 1 0 1 0 1 1 0 SC
66 SITI MUJENAH 653 1 1 1 0 1 0 1 1 0 SC
67 SOFI SUTIARI 51756 1 1 1 0 1 0 1 1 0 SC
68 SUHARTINI 109830 1 1 1 0 1 0 1 1 0 SC
69 SUSILAWATI 94990 1 1 1 0 1 0 1 1 0 SC
70 AGUSTI PRAYOGA 110335 1 1 1 0 1 1 1 1 0 APPENDECTOMY
71 ELIN SITI SARAH 85340 1 1 1 0 1 0 1 1 0 SC
72 RESTI LESTARI 81151 1 1 1 0 1 0 1 1 0 CURET
73 ENUNG 110393 1 1 1 0 1 0 1 1 0 SC
74 SITI KHUMAIROH 110447 1 1 1 0 1 0 1 1 0 SC
75 ROHIYA 110491 1 1 1 0 1 0 1 1 0 SC
76 MULYANAH 57892 1 1 1 0 1 0 1 1 0 SC
77 AAN 110472 1 1 1 0 1 0 1 1 0 SC
78 UMRIYAH 110483 1 1 1 0 1 0 1 1 0 SC
79 FITRI YANI 67270 1 1 1 0 1 0 1 1 0 SC
80 SUAIDAH 109500 1 1 1 0 1 0 1 1 0 SC
81 KOKOM KOMARIAH 71837 1 1 1 0 1 0 1 1 0 SC
82 TISIN 110480 1 1 1 0 1 1 1 1 0 HERNIORAPHY
83 SITI ROBI'AH 110536 1 1 1 0 1 0 1 1 0 SC
84 LIDIA 74600 1 1 1 0 1 0 1 1 0 SC
85 NENENG 110558 1 1 1 0 1 0 1 1 0 SC
86 UMI 110555 1 1 1 0 1 0 1 1 0 SC
87 RATNA KOMALA SARI 67993 1 1 1 0 1 1 1 1 0 ISTHMULOBECTOMY
88 SITI NURRISMA SARI 101867 1 1 1 0 1 0 1 1 0 SC
89 WAMALIA 110587 1 1 1 0 1 0 1 1 0 SC
90 NILASARI 110622 1 1 1 0 1 0 1 1 0 SC
91 SITI MAILELA 73157 1 1 1 0 1 0 1 1 0 SC
92 ARYANTI 109825 1 1 1 0 1 0 1 1 0 SC
93 SANTI 101987 1 1 1 0 1 0 1 1 0 SC
94 SITI HOLILAH 107620 1 1 1 0 1 0 1 1 0 SC
95 DEVI ROHAYATIE 110171 1 1 1 0 1 0 1 1 0 CURET
96 NURUL HIDAYAH 110676 1 1 1 0 1 0 1 1 0 SC
97 FATIMAH 110664 1 1 1 0 1 0 1 1 0 CURET
98 DEVI FARADILA 75842 1 1 1 0 1 0 1 1 0 SC
99 HERLIAH 90391 1 1 1 0 1 0 1 1 0 SC
100 RUNITA 99138 1 1 1 0 1 0 1 1 0 SC
101 ALBIYAH 110641 1 1 1 0 1 0 1 1 0 SC
102 PUJI LESTARI 104890 1 1 1 0 1 0 1 1 0 SC
103 Ayuni 110684 1 1 1 0 1 0 1 1 0 MANUAL PLASENTA
104 SITI ASLAMIYAH 110269 1 1 1 0 1 0 1 1 0 SC
105 ULANDARI 110729 1 1 1 0 1 0 1 1 0 SC
106 MARYATI 110730 1 1 1 0 1 0 1 1 0 SC
107 ETI RINAWATI 99187 1 1 1 0 1 0 1 1 0 SC
108 PIPIN NAPIRI 110761 1 1 1 0 1 0 1 1 0 CURET
109 SUMIYATI 110683 1 1 1 0 1 0 1 1 0 SC
110 EMIN 110686 1 1 1 0 1 1 1 1 0 HERNIORAPHY
111 MUHAMAD MULKY FARIH 110692 1 1 1 0 1 1 1 1 0 DEBRIDEMENT
112 IRMA 110790 1 1 1 0 1 0 1 1 0 SC
113 AYAT PIAH 108900 1 1 1 0 1 0 1 1 0 SC
114 ARNAN 110748 1 1 1 0 1 1 1 1 0 HERNIORAPHY
115 M. WAHYU LUBIS 110786 1 1 1 0 1 1 1 1 0 PERFORACY
116 WIWI JAYANTI 110824 1 1 1 0 1 1 1 1 0 APPENDECTOMY
117 KOMARUDIN BIN JANAN 110804 1 1 1 0 1 1 1 1 0 HAEMORROIDECTOMY
118 MULYANIH 104780 1 1 1 0 1 0 1 1 0 SC
119 YUNITA 97567 1 1 1 0 1 0 1 1 0 SC
120 SITI MULYATI 110811 1 1 1 0 1 0 1 1 0 CURET
121 SARI NURYANTI 110920 1 1 1 0 1 0 1 1 0 SC
122 TITIK ROSALBIAH 102104 1 1 1 0 1 0 1 1 0 SC
123 SITI NURHAYATI 60021 1 1 1 0 1 0 1 1 0 SC
124 NAPSAH 110125 1 1 1 0 1 1 1 1 0 APPENDECTOMY
125 MUNAWAROH 110356 1 1 1 0 1 0 1 1 0 SC
126 KARJAN 110927 1 1 1 0 1 1 1 1 0 EXPLORASI
127 BAWAN 107782 1 1 1 0 1 1 1 1 0 OPEN PROSTATECTOMY
128 SUHERI 110985 1 1 1 0 1 1 1 1 0 DEBRIDEMENT
129 SINTA 49967 1 1 1 0 1 0 1 1 0 SC
130 SUCI LAWATI 107322 1 1 1 0 1 0 1 1 0 SC
131 MARYANAH 111021 1 1 1 0 1 0 1 1 0 SC
132 DINA LUSDIANA 110972 1 1 1 0 1 0 1 1 0 CURET
133 CACA 102960 1 1 1 0 1 1 1 1 0 DEBRIDEMENT
134 NITA TARLIYASIH 111029 1 1 1 0 1 0 1 1 0 MANUAL PLASENTA
135 LAELATUL PARIDAH 111004 1 1 1 0 1 0 1 1 0 CURET
136 NADIYAH 111034 1 1 1 0 1 1 1 1 0 APPENDECTOMY
137 ISMARI 111046 1 1 1 0 1 1 1 1 0 EXPLORASI
138 YULIANTI 110961 1 1 1 0 1 0 1 1 0 SC
139 BUNIAH 111073 1 1 1 0 1 0 1 1 0 SC
140 SRI SUSI MARYUNI 110991 1 1 1 0 1 1 1 1 0 APPENDECTOMY
141 SITI NURJANAH 111098 1 1 1 0 1 0 1 1 0 CURET
142 HAWA 111032 1 1 1 0 1 0 1 1 0 SC
143 IBAH 111106 1 1 1 0 1 0 1 1 0 SC
144 WINI 111127 1 1 1 0 1 0 1 1 0 SC
145 ROHANI 111158 1 1 1 0 1 0 1 1 0 SC
146 RIYANAH 104126 1 1 1 0 1 0 1 1 0 SC
147 ROSADIH 111063 1 1 1 0 1 1 1 1 0 HERNIORAPHY
148 WINDA NUR OKTAVIANI 63717 1 1 1 0 1 0 1 1 0 SC
149 WIWI WIDYANTI 83967 1 1 1 0 1 0 1 1 0 SC
150 REFFA SAYPUTRI 60089 1 1 1 0 1 0 1 1 0 SC
151 ANCUN 111164 1 1 1 0 1 1 1 1 0 LYMPADENOPATHY
152 DIANA 111268 1 1 1 0 1 0 1 1 0 SC
153 PITRI HANDAYANI 111276 1 1 1 0 1 0 1 1 0 SC
154 UNGLI SAHURI 111272 1 1 1 0 1 1 1 1 0 HERNIORAPHY
155 SITI SURYANAH 111107 1 1 1 0 1 1 1 1 0 CHOLELITIASIS
156 MOH. HAERUS SOLEH 111200 1 1 1 0 1 1 1 1 0 EXPLORASI
157 UTI 103432 1 1 1 0 1 0 1 1 0 SC
158 NINING SRI RAHAYU 85167 1 1 1 0 1 0 1 1 0 CURET
159 MAYA 111262 1 1 1 0 1 0 1 1 0 CURET
160 MARIAH AMANDA 111185 1 1 1 0 1 0 1 1 0 CURET
161 ACIH 111316 1 1 1 0 1 0 1 1 0 CURET
162 RISKA FERBRIYANA 104464 1 1 1 0 1 0 1 1 0 SC
163 SARI ISLAMI R.T 65827 1 1 1 0 1 0 1 1 0 SC
164 FIQRI IBRAHIM 111250 1 1 1 0 1 1 1 1 0 DEBRIDEMENT
165 NURJEN 74231 1 1 1 0 1 1 1 1 0 DEBRIDEMENT
166 SANI 111384 1 1 1 0 1 0 1 1 0 SC
167 SUMARNI 109238 1 1 1 0 1 0 1 1 0 SC
168 SUMIATI 110630 1 1 1 0 1 0 1 1 0 SC
169 RATIKA 111403 1 1 1 0 1 0 1 1 0 SC
170 SUHARTINI 111371 1 1 1 0 1 0 1 1 0 CURET
171 YULI WISATARI 73964 1 1 1 0 1 0 1 1 0 SC
172 ENAH 111420 1 1 1 0 1 1 1 1 0 DEBRIDEMENT
173 MASRIYATI 111040 1 1 1 0 1 0 1 1 0 CURET
174 MUTIA 111421 1 1 1 0 1 0 1 1 0 CURET
175 SITI AMELIA HARTATI 111427 1 1 1 0 1 0 1 1 0 CURET
176 NANI 46582 1 1 1 0 1 0 1 1 0 CURET
177 NGATINI 111475 1 1 1 0 1 0 1 1 0 CURET
178 MARIA LUTFIAH 55731 1 1 1 0 1 0 1 1 0 SC
179 AYU SELVIA 111473 1 1 1 0 1 0 1 1 0 SC
180 SARNI 111429 1 1 1 0 1 0 1 1 0 CURET
181 MARDIYAH 111454 1 1 1 0 1 0 1 1 0 sc
JUMLAH 181 181 181 0 181 35 181 118 0
KETERANGAN :
0 = tidak dilakukan
1 = dilakukan
KA. INSTALASI

BULAN FEBRUARI 2021
INDIKATOR MUTU ANASTESI INDIKATOR MUTU BEDAH
NO Nama No. RM Monitoring Monitoring

Asesment Durante Pasca Konversi Asesment Site
Pra Anastesi Anastesi Anastesi Anastesi Pra Bedah Marking
1 LIDIAWATI 108594 1 1 1 0 1 0
2 SOLEHA 111128 1 1 1 0 1 0
3 NAWIROH 109427 1 1 1 0 1 0
4 NENENG MUTMAINAH 111566 1 1 1 0 1 0
5 ZAKIAH DARAJAT 111556 1 1 1 0 1 1
6 NURHAYATI 108470 1 1 1 0 1 0
7 IDA 111434 1 1 1 1 1 0
8 MOH. HAERUS SOLEH 111200 1 1 1 0 1 1
9 CICI 111008 1 1 1 0 1 0
10 SITI NURIYAH 111588 1 1 1 0 1 0
11 SITI AROBIAH 111589 1 1 1 0 1 0
12 JUMAENAH 110754 1 1 1 0 1 0
13 SUHETI 108058 1 1 1 0 1 0
14 HOTIFAH LATYUBA 105532 1 1 1 0 1 0
15 SITI ROBIAH 105236 1 1 1 0 1 0
16 YUYUN APRILLIA 18249 1 1 1 0 1 0
17 YENIH 101563 1 1 1 0 1 0
18 SUTI PADILAH 111581 1 1 1 0 1 1
19 DANIL 111615 1 1 1 0 1 1
20 YANTI 110469 1 1 1 0 1 0
21 YOLANDA APRILIA 111626 1 1 1 0 1 0
22 ROHAYA 81999 1 1 1 0 1 0
23 RUSMAWATI 110094 1 1 1 0 1 0
24 MELY SUTIRATI 111544 1 1 1 0 1 1
25 MUHAMAD SOBRI 111636 1 1 1 0 1 1
26 AAN SUANAH 111630 1 1 1 0 1 0
27 SITI SAFITRI 111609 1 1 1 0 1 0
28 SANI SALIMAH 111466 1 1 1 0 1 0
29 TRIA 111678 1 1 1 0 1 0
30 SITI ENAY SRIYANTI 111599 1 1 1 0 1 0
31 ROSIH 102997 1 1 1 0 1 0
32 ROBIAH HASANAH 109381 1 1 1 0 1 0
33 THAMA HARDIAN 92788 1 1 1 0 1 1
34 YOGI 111689 1 1 1 0 1 1
35 ROSADAH BT SIRAN 110851 1 1 1 0 1 0
36 SUPRIYATI 47617 1 1 1 0 1 0
37 NENGSIH 111680 1 1 1 0 1 1
38 HAMIDAH 111472 1 1 1 0 1 1
39 MARLINAH 373 1 1 1 0 1 0
40 TARPIAH 111735 1 1 1 0 1 1
41 NATIH 42111 1 1 1 0 1 1
42 DHAFIN 110996 1 1 1 0 1 1
43 LIMAY 111638 1 1 1 1 1 0
44 NURMAYANAH 68941 1 1 1 0 1 0
45 NABILA NUHAENI 105386 1 1 1 0 1 0
46 SISKA DEANITA 111807 1 1 1 0 1 0
47 MIA 111495 1 1 1 0 1 0
48 SUPIYANI 111780 1 1 1 0 1 1
49 WIDYAHWATI 109960 1 1 1 0 1 0
50 NENENG 34627 1 1 1 0 1 0
51 EVIYANAH 110338 1 1 1 0 1 0
52 ROSALITA 111728 1 1 1 0 1 0
53 ABDUL MALIK 111845 1 1 1 0 1 1
54 AMALIYAH 111880 1 1 1 0 1 0
55 MASNA 111873 1 1 1 0 1 0
56 EPIH 111611 1 1 1 0 1 0
57 ERNI KUMALA SARI 111834 1 1 1 0 1 0
58 SRI DAMAYANTI 108109 1 1 1 0 1 0
59 APRILIDA ROSIANA.P 111877 1 1 1 0 1 1
60 SANTI 111901 1 1 1 0 1 0
61 ROBIAH 108670 1 1 1 0 1 0
62 LINDA TARSONAH 104360 1 1 1 0 1 0
63 ANA YULIANA 104676 1 1 1 0 1 0
64 SUMINAH 110037 1 1 1 0 1 0
65 AKBAR 111946 1 1 1 0 1 1
66 SUNDARI 111970 1 1 1 0 1 0
67 LENI MARLINA 97172 1 1 1 0 1 0
68 HOLISAH 107921 1 1 1 0 1 0
69 JUMAH 111976 1 1 1 0 1 0
70 INDRIYANI 111914 1 1 1 0 1 0
71 ULFAH 111991 1 1 1 0 1 0
72 RANY HANIFAH 79840 1 1 1 0 1 0
73 ANDI 98912 1 1 1 0 1 1
74 AI UNPA 111748 1 1 1 0 1 0
75 FREDY ASMAD 105373 1 1 1 0 1 1
76 ALFIYANAH 112040 1 1 1 0 1 0
77 FERA LINDASARI 111910 1 1 1 0 1 1
78 MARWAH 111418 1 1 1 0 1 1
79 HAERUL 108378 1 1 1 0 1 1
80 FITRIA WATI 54530 1 1 1 0 1 0
81 WAWAT RAHMAWATI 106191 1 1 1 0 1 0
82 MIDAH 112090 1 1 1 0 1 0
83 WAHYU ANDRIAN 59842 1 1 1 0 1 1
84 SARINAN BIN SAHAB 112057 1 1 1 0 1 1
85 MURTI SARI DEWI 97539 1 1 1 0 1 0
86 SURNI 88027 1 1 1 0 1 0
87 NUR AINI 112059 1 1 1 0 1 0
88 AYUHAN BIN BOSIN 111972 1 1 1 0 1 1
89 NENY DEVIANASARI 94735 1 1 1 0 1 1
90 MOH ABDILAH 112121 1 1 1 0 1 1
91 LIANAH 112114 1 1 1 0 1 1
92 HERLILA 110578 1 1 1 0 1 0
93 KOMARIYAH 112141 1 1 1 0 1 0
94 NURLITA 112167 1 1 1 0 1 0
95 SUHENI 112164 1 1 1 0 1 0
96 JUMAIDAH 112145 1 1 1 1 1 0
97 MASITOH 110083 1 1 1 0 1 0
98 MILLA ROSIANAH 61681 1 1 1 0 1 0
99 MUIYAH 58656 1 1 1 0 1 0
100 SITI MUNIROH 110667 1 1 1 0 1 0
101 SITI KHOIRIYAH 112207 1 1 1 0 1 0
102 SAMROH 112214 1 1 1 0 1 1
103 SELPIYANAH 112231 1 1 1 0 1 0
104 MURNIYATI 112194 1 1 1 0 1 0
105 HATIPAH FACHRUN 93524 1 1 1 0 1 0
106 YAYA JAYANTI 111089 1 1 1 0 1 0
107 NURPIQIYAH 111919 1 1 1 0 1 0
108 SITI ZUBAIDAH 112284 1 1 1 0 1 0
109 NOVITA SARI 112285 1 1 1 0 1 0
110 RINDIANI 101757 1 1 1 0 1 0
111 KHAERIAH 109120 1 1 1 0 1 0
112 BADRIYAH 111357 1 1 1 0 1 0
113 TUTI ALAWIYAH 112216 1 1 1 0 1 0
114 OKMIYANTI 111065 1 1 1 0 1 0
115 SUSILAWATI 107623 1 1 1 0 1 0
116 PUJIAH 4681 1 1 1 0 1 0
117 SUMIYATI 4681 1 1 1 0 1 1
118 ANISA AMALIA 112179 1 1 1 0 1 0
119 VITTY PIDIAWATI 108153 1 1 1 0 1 0
120 RAINAH 54635 1 1 1 0 1 0
121 MUDRIKAH 110025 1 1 1 0 1 0
122 PONIJAN 111956 1 1 1 0 1 1
123 MUTIA 112470 1 1 1 0 1 0
124 MUNAWAROH 112061 1 1 1 0 1 0
125 RITA SUSANTI 109134 1 1 1 0 1 0
126 NENG KOKOM KOMARIAH 8100 1 1 1 0 1 0
127 DEMAK ROHANI BR SIAHAN 111782 1 1 1 0 1 0
128 YULIANTI 111182 1 1 1 0 1 0
129 UNI SUMIYATI 67079 1 1 1 0 1 0
130 WUSWATUN HASANAH 112278 1 1 1 0 1 0
131 ENI 112276 1 1 1 0 1 1
132 SITI ROKILAH 112430 1 1 1 0 1 0
133 SALINA 112340 1 1 1 0 1 0
134 KHOIRIAH 112412 1 1 1 0 1 0
135 JUMIATI 112361 1 1 1 0 1 0
136 SITI UMAIROH 112433 1 1 1 0 1 0
137 SARI 112191 1 1 1 0 1 0
138 DAHLITA 112495 1 1 1 0 1 0
139 PITRIAH BT JUMAR 64838 1 1 1 0 1 0
140 MAISUROH 107463 1 1 1 0 1 0
141 H. OJAY 112503 1 1 1 0 1 1
142 ASNI BT JUSIN 112536 1 1 1 0 1 0
143 SITI AISYAH 30460 1 1 1 0 1 0
144 ALPIAH 112556 1 1 1 0 1 1
145 LINDA 112532 1 1 1 0 1 0
146 AL FIANTI AMALIA 112277 1 1 1 0 1 0
147 MULYANAH BT YAIN 107492 1 1 1 0 1 0
148 ULANDARI WISNU 112609 1 1 1 0 1 0
149 SITI SOPIAH UMAR 112567 1 1 1 0 1 0
150 ERNI SAFITRI 112636 1 1 1 0 1 0
151 PUTRI WIDYA SARIE 112614 1 1 1 0 1 1
152 RUDI HARTONO 96039 1 1 1 0 1 1
153 SITI MELLAWATI 112649 1 1 1 0 1 0
154 DEWI SINTA 112642 1 1 1 0 1 0
155 MISRI 112197 1 1 1 0 1 0
156 SRI MARYATI 106522 1 1 1 0 1 0
157 MULIYAH SRI FATIMAH 112669 1 1 1 0 1 0
158 SUHENTI 112654 1 1 1 0 1 0
159 SITI NURSEHA 112275 1 1 1 0 1 0
160 UMI KULSUM 28698 1 1 1 0 1 0
161 SITI ROMIDOH 111038 1 1 1 0 1 0
162 MARSIH 112701 1 1 1 0 1 0
163 TUTI ELYANTI 112506 1 1 1 0 1 0
164 SITI AMBRIYAH 110225 1 1 1 0 1 0
165 YELI NENO KONO 111716 1 1 1 0 1 0
166 CHOIRUNNISA 103572 1 1 1 0 1 0
167 SITI HATIKA 112729 1 1 1 0 1 0
168 KARMILA 111925 1 1 1 0 1 0
169 EEN ENDRAWATI 76190 1 1 1 0 1 0
170 CUTIN 105552 1 1 1 0 1 0
171 IKA SUSANTI 112699 1 1 1 0 1 0
172 LISA WATI 112672 1 1 1 0 1 0
173 SARTI BT SANEN 112684 1 1 1 0 1 1
174 ASNAWI BIN LIANG 112677 1 1 1 0 1 1
175 ASNA 112757 1 1 1 0 1 0
176 YUNINGSIH 112760 1 1 1 0 1 0
177 ANDAR SETYAWATI 64217 1 1 1 0 1 0
178 NURHALIMAH 108713 1 1 1 0 1 0
179 MARTAWI 112704 1 1 1 0 1 1
180 DAIM SUKIARDI 112715 1 1 1 0 1 1
181 SITI RUKMINI 98081 1 1 1 0 1 0
182 SITI ROBIAH 112817 1 1 1 0 1 0
183 ALIUDIN 112782 1 1 1 0 1 1
184 ROHANA 110238 1 1 1 0 1 0
185 SUCI ASTARI 106154 1 1 1 0 1 0
186 HALIFAH 109485 1 1 1 0 1 0
187 HENI RIYANAH 112663 1 1 1 0 1 0
188 SUKRIYAH HILYA 80118 1 1 1 0 1 1
189 WANDI 103623 1 1 1 0 1 1
190 ZULFIKAR 112759 1 1 1 0 1 1
191 SITI ROHMAH 100494 1 1 1 0 1 0
192 SITI HAMDAH 109819 1 1 1 0 1 0
193 LENIH 112770 1 1 1 0 1 0
194 TIPILIA 110256 1 1 1 0 1 0
195 NOVIAWATI 101180 1 1 1 0 1 0
196 SELVI 111165 1 1 1 0 1 1
197 USIN MAULANA 112981 1 1 1 0 1 1
198 LALING 112997 1 1 1 0 1 1
199 YUHANI 110207 1 1 1 0 1 0
200 IIS 113029 1 1 1 0 1 0
201 YAYU WAHYUNI 113041 1 1 1 0 1 0
202 MARYANIH 63314 1 1 1 0 1 0
203 HERA ARMITASARI 101903 1 1 1 0 1 0
204 JUBAIDAH BT SANAN 113048 1 1 1 0 1 0
205 SYARIAH 104270 1 1 1 0 1 0
206 NURHIKMAH 113073 1 1 1 0 1 0
207 LEYLA NUR KOMARIAH 113044 1 1 1 0 1 0
208 TIKA AYU ANDARI 112723 1 1 1 0 1 0
209 KARSIAH 112550 1 1 1 0 1 0
210 NURLAILAH 113097 1 1 1 0 1 0
211 SAHRONI BIN MUSA 113047 1 1 1 0 1 1
212 ROJALI BIN H DAIM 113076 1 1 1 0 1 1
JUMLAH 212 212 212 3 212 49
KETERANGAN :
0 = tidak dilakukan
1 = dilakukan

KAMAR OPERASI

SI
INDIKATOR MUTU BEDAH INDIKATOR MUTU NASIONAL

PENUNDAAN
Surgical Diskrepansi OPERASI KETERANGAN
Safety Ceklist Diagnosis ELEKTIF
> 2 HARI
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 APPENDECTOMY
1 0 0 SC
1 0 0 CURET
1 0 0 DIFFUSE
1 0 0 SC
1 0 0 SC
1 0 0 CURET
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 DEBRIDEMENT
1 0 0 DEBRIDEMENT
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 DEBRIDEMENT
1 0 0 DEBRIDEMENT
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 APPENDECTOMY
1 0 0 DEBRIDEMENT
1 0 0 SC
1 0 0 SC
1 0 0 EKSISI
1 0 0 WSD
1 0 0 SC
1 0 0 CHOLELITHIASIS
1 0 0 CHOLELITHIASIS
1 0 0 EKSISI
1 0 0 CURET
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 DEBRIDEMENT
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 KET
1 0 0 DEBRIDEMENT ORTO
1 0 0 SC
1 0 0 SC
1 0 0 CURET
1 0 0 CURET
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 KISTEREKTOMI
1 0 0 SC
1 0 0 SC
1 0 0 WSD
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 LYMPADENECTOMY
1 0 0 SC
1 0 0 DEBRIDEMENT
1 0 0 SC
1 0 0 HAEMORROIDECTOMY
1 0 0 SKIN GRAFT
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 APPENDECTOMY
1 0 0 HERNIORAPHY
1 0 0 CURET
1 0 0 MANUAL PLASENTA
1 0 0 CURET
1 0 0 APPENDECTOMY
1 0 0 APPENDECTOMY
1 0 0 EKSISI
1 0 0 EKSISI
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 CURET
1 0 0 CURET
1 0 0 SC
1 0 0 SC
1 0 0 MANUAL PLASENTA
1 0 0 SC
1 0 0 SC
1 0 0 DEBRIDEMENT
1 0 0 SC
1 0 0 CURET
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 CURET
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 DEBRIDEMENT
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 DEBRIDEMENT
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 MIOMECTOMY
1 0 0 SC
1 0 0 SC
1 0 0 CURET
1 0 0 SC
1 0 0 SC
1 0 0 REHECTING
1 0 0 SC
1 0 0 CURET
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 DEBRIDEMENT
1 0 0 CURET
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 CURET
1 0 0 SC
1 0 0 APPENDECTOMY
1 0 0 DEBRIDEMENT
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 CURET
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 CURET
1 0 0 EXPLORASI LAPARATOMI
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 EKSISI
1 0 0 DEBRIDEMENT
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 DEBRIDEMENT
1 0 0 DEBRIDEMENT
1 0 0 DEBRIDEMENT
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 CURET
1 0 0 SC
1 0 0 ISTHMULOBECTOMY
1 0 0 DEBRIDEMENT
1 0 0 HERNIORAPHY
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 CURET
1 0 0 HEACTING
1 0 0 SC
1 0 0 SC
1 0 0 HERNIORAPHY
1 0 0 EXPLORASI LAPARATOMI
212 0 0
BULAN MARET 2021
INDIKATOR MUTU ANASTESI INDIKATOR MUTU BEDAH
NO Nama No. RM Asesment Monitoring Monitoring Konversi Asesment Site

Durante Pasca
Pra Anastesi Anastesi Pra Bedah Marking
Anastesi Anastesi
1 DESI RAJABIAH 113139 1 1 1 0 1 0

2 SITI MUHAYAH 111768 1 1 1 0 1 0
3 SULTIAH 113127 1 1 1 0 1 0
4 SELLA NUR OCTAVIA 113125 1 1 1 0 1 0
5 LIDIA NURCAHYANI 17579 1 1 1 0 1 0
6 NOVITA SARI 113140 1 1 1 0 1 0
7 BAYONG 94050 1 1 1 0 1 1
8 ADI JAKA 84802 1 1 1 0 1 1
9 NURLELAH 113180 1 1 1 0 1 0
10 SITI MARDIANA 74044 1 1 1 0 1 0
11 ITA SARI DEWI 85890 1 1 1 0 1 0
12 SITI MAIMUNAH 77708 1 1 1 0 1 0
13 AGUS GOZALI 113031 1 1 1 0 1 1
14 FITRIA 113227 1 1 1 0 1 0
15 BENAH 73596 1 1 1 0 1 1
16 PUPUT NOPIAH 113083 1 1 1 0 1 0
17 TRISANI ANA SUSMITA 101487 1 1 1 0 1 0
18 NAPSIAH 82137 1 1 1 0 1 0
19 TITIN SURTINI 60439 1 1 1 0 1 0
20 ROSITA HARYANTI 113266 1 1 1 0 1 0
21 MIAH 113268 1 1 1 0 1 0
22 RICA 113258 1 1 1 0 1 0
23 KOMALASARI 113277 1 1 1 0 1 0
24 NURUL MAULIDINI 110639 1 1 1 0 1 0
25 AMAY 112544 1 1 1 0 1 0
26 YULIA 110588 1 1 1 0 1 0
27 DWI YUSINTA 99726 1 1 1 0 1 0
28 YANTI 19750 1 1 1 0 1 0
29 MARWATI 105176 1 1 1 0 1 0
30 SITI WULANDARI 109502 1 1 1 0 1 0
31 NITA KOMALA 73003 1 1 1 0 1 0
32 DEWI ATTAHIYA 113234 1 1 1 0 1 0
33 AULIA DARMAYANTI 113142 1 1 1 0 1 1
34 SUNENGSIH 112788 1 1 1 0 1 0
35 NAZWA HAPIPAH 113299 1 1 1 0 1 1
36 SURYATI 113321 1 1 1 0 1 0
37 AISAH 93367 1 1 1 0 1 0
38 MARLINA 110750 1 1 1 0 1 0
39 HANA KAMILAH 73267 1 1 1 0 1 0
40 MINAH 113311 1 1 1 0 1 0
41 DIANA WIDIAWATI 113353 1 1 1 0 1 0
42 DINDA LIANAH 113323 1 1 1 0 1 0
43 KERMIYATI 107472 1 1 1 0 1 0
44 FITRIA 113347 1 1 1 0 1 0
45 NENENG ASWATI 111865 1 1 1 0 1 0
46 MERTI MANURUNG 113349 1 1 1 0 1 0
47 SUSILAWATI 113030 1 1 1 0 1 0
48 RIA UTAMI 96709 1 1 1 0 1 0
49 KURNIESIH 113377 1 1 1 0 1 0
50 AMALIA ANGGI WIDYASTUTI 56421 1 1 1 0 1 0
51 SITI MUINAH 109729 1 1 1 0 1 0
52 MALA 113391 1 1 1 0 1 0
53 EMAH WATI 111747 1 1 1 0 1 0
54 SURINI 69751 1 1 1 0 1 0
55 ARYANIH 113414 1 1 1 0 1 0
56 NUNAH 113416 1 1 1 0 1 0
57 ANGGUN SARI 113329 1 1 1 0 1 0
58 SULASTRI 113420 1 1 1 0 1 0
59 NURLELI 105740 1 1 1 0 1 0
60 YULIA NENGSIH 108683 1 1 1 0 1 0
61 DIANA MARIANA BR TARIGAN 113453 1 1 1 0 1 0
62 ADE KAMIL 113396 1 1 1 0 1 1
63 AHMAD MUSTOFA 95336 1 1 1 0 1 1
64 USIN 113454 1 1 1 0 1 1
65 DESTI KHAIRUNNISA 113446 1 1 1 0 1 0
66 ALIYAH BT MAMAT 113462 1 1 1 0 1 0
67 SURYANAH 107829 1 1 1 0 1 0
68 ALIYAH 113475 1 1 1 0 1 0
69 SAMSON 113427 1 1 1 0 1 1
70 HENDRA 75418 1 1 1 0 1 1
71 CUCU NURANDRINI 113501 1 1 1 0 1 0
72 MARYANI 94424 1 1 1 0 1 0
73 LASMANI WULANDARI 112599 1 1 1 0 1 0
74 SIPEN SUPENDI 113481 1 1 1 0 1 1
75 SITI KAMELIYA 111746 1 1 1 0 1 0
76 DIAN PERTIWI 112551 1 1 1 0 1 0
77 INTAN LESTARI 113517 1 1 1 0 1 0
78 NOVIA ROSALINA 44173 1 1 1 0 1 0
79 LIA 105079 1 1 1 0 1 0
80 NURAIDAH 110493 1 1 1 0 1 0
81 NURHASANAH 93949 1 1 1 0 1 0
82 ANI JUNITA 113502 1 1 1 0 1 0
83 SITI KHOLISOH 55886 1 1 1 0 1 0
84 THERESIA SIANTURI 66393 1 1 1 0 1 1
85 NURHAPIPAH 112515 1 1 1 0 1 0
86 KARLINAH 112156 1 1 1 0 1 0
87 SRI RAHAYU 112215 1 1 1 0 1 0
88 SINTIA MARAGITA 102322 1 1 1 0 1 0
89 KASYATUN 102979 1 1 1 0 1 0
90 AKMAL KOSASIH 113516 1 1 1 0 1 1
91 ASMAWI 113515 1 1 1 0 1 1
92 SITI SUNDARIAH 97157 1 1 1 0 1 0
93 WUNI TANIRI 113562 1 1 1 0 1 0
94 SITI SURYANI 113575 1 1 1 0 1 0
95 LIYANAH 113523 1 1 1 0 1 0
96 RAHMA WATI 113594 1 1 1 0 1 0
97 IIS DAHLIA 113561 1 1 1 0 1 0
98 SELLA ROSIANA 113592 1 1 1 0 1 0
99 DILLA FAUZIAH 59096 1 1 1 0 1 0
100 ARSINAH 49979 1 1 1 0 1 0
101 SITI MURJANI 109043 1 1 1 0 1 0
102 ISMAWATI 110353 1 1 1 0 1 0
103 ARIKA HASANAH 113590 1 1 1 0 1 1
104 ROMLAH 113540 1 1 1 0 1 1
105 AWAL 113559 1 1 1 0 1 1
106 NURHAYATI 113627 1 1 1 0 1 0
107 NARIYAH 96846 1 1 1 0 1 1
108 NANA 112348 1 1 1 0 1 0
109 IPAH HUZAEMAH 113648 1 1 1 0 1 0
110 MULYANI 113643 1 1 1 0 1 0
111 SOPIA 51361 1 1 1 0 1 0
112 SITI ROHMAH 59995 1 1 1 0 1 0
113 JUJU 46808 1 1 1 0 1 0
114 MURNI 113697 1 1 1 0 1 0
115 NUR INDAH YANTI 112516 1 1 1 0 1 0
116 IFAH FAUZIAH 113692 1 1 1 0 1 0
117 JUMRAH 113705 1 1 1 0 1 0
118 RUSMIN NURYADIN 92084 1 1 1 0 1 1
119 DODI 113690 1 1 1 0 1 1
120 WAWAN SURYANTO 113670 1 1 1 0 1 1
121 YANAH 113719 1 1 1 0 1 0
122 SITI ROHILAH BT MUSTOPA 77384 1 1 1 0 1 0
123 JAENABUN 108844 1 1 1 0 1 0
124 LILIS SURYANI 87378 1 1 1 0 1 0
125 LILIS SUMANTRI 106761 1 1 1 0 1 0
126 SITI ROHMAH 113696 1 1 1 0 1 0
127 USMAN 113689 1 1 1 0 1 1
128 SITI KHOLIFAH 109343 1 1 1 0 1 0
129 IDA LAELA 54224 1 1 1 0 1 1
130 ARYANIH 113734 1 1 1 0 1 1
131 SARI ASTUTI 73981 1 1 1 0 1 0
132 NICO FRENKLYN S 113750 1 1 1 0 1 1
133 YUYUN 113763 1 1 1 0 1 0
134 SURAHMAN 113748 1 1 1 0 1 1
135 SITI RASMAWATI 113043 1 1 1 0 1 0
136 ELVINA DAMAYANTI 106740 1 1 1 0 1 0
137 NENGSIH 106210 1 1 1 0 1 0
138 WIDIA LESTARI 113560 1 1 1 0 1 0
139 ALPIAH 104580 1 1 1 0 1 0
140 SITI FAUDILLAH 113751 1 1 1 0 1 0
141 NURAENI 113766 1 1 1 0 1 0
142 SITI KHOLIPAH 94771 1 1 1 0 1 0
143 MELIANA LUMBAN GAOL 84949 1 1 1 0 1 0
144 SITI NABILAH 113037 1 1 1 0 1 0
145 EVA ROHMAYATI 92046 1 1 1 0 1 0
146 NENG LISAH 113806 1 1 1 0 1 0
147 JAINUDIN 113739 1 1 1 0 1 1
148 RADEN RORO SILVIA AGUSTINA 78926 1 1 1 0 1 0
149 SITI LAWAH 113813 1 1 1 0 1 0
150 SA'ADIH 111311 1 1 1 0 1 1
151 RUSTINI 113847 1 1 1 0 1 0
152 ITA 108416 1 1 1 0 1 0
153 HERWATI 49717 1 1 1 0 1 0
154 ENDANG SUPIARTI 113798 1 1 1 0 1 0
155 SITI ROHAYATI 113834 1 1 1 0 1 0
156 MURSIAH 113400 1 1 1 0 1 0
157 PRATIWI 113883 1 1 1 0 1 0
158 DIANTI SARI 113861 1 1 1 0 1 0
159 AMAN BIN KICIK 98835 1 1 1 0 1 1
160 EKA ROHIKA 113865 1 1 1 0 1 1
161 RONIAH 113795 1 1 1 0 1 1
162 RAMIAN SIREGAR 86909 1 1 1 0 1 0
163 YASIN BIN IDUP 113876 1 1 1 0 1 1
164 YULI YANAH 113891 1 1 1 0 1 0
165 ELVIS 37794 1 1 1 0 1 0
166 HOLILAH 85887 1 1 1 0 1 0
167 EMBUN BT JAMBUL 113895 1 1 1 0 1 0
168 ARNI 113909 1 1 1 0 1 0
169 LINDA LUBIS 81692 1 1 1 0 1 0
170 SRI RIZKIYAH ULFAH 110579 1 1 1 0 1 0
171 UPIT 59785 1 1 1 0 1 0
172 RESNA RUPIYANTI 12691 1 1 1 0 1 0
173 NOVIANAH 113914 1 1 1 0 1 0
174 YANTI RUSMINI 113922 1 1 1 0 1 0
175 MUTAR 76419 1 1 1 0 1 1
176 ALIYAH 113668 1 1 1 0 1 1
177 META S BT RUDIN 113889 1 1 1 0 1 0
178 SURYATI 113942 1 1 1 0 1 0
179 DIANAH S 64878 1 1 1 0 1 0
180 EFFY KURNIA HAFRIANTI 92566 1 1 1 0 1 0
181 NURSIDA 98177 1 1 1 1 1 0
182 ATI ROHAYATI 113915 1 1 1 0 1 0
183 TITIN SUMARNI 113971 1 1 1 0 1 0
184 ROSITA 106988 1 1 1 0 1 0
185 ATITA RAHMAH 113815 1 1 1 0 1 0
186 ENCUM KURNIASIH 112989 1 1 1 0 1 0
187 SUKRIYAH HILYA 80118 1 1 1 0 1 0
188 SARYATI 113893 1 1 1 0 1 0
189 KHOLILAH 113967 1 1 1 0 1 0
190 SUSILAWATI 94800 1 1 1 0 1 0
191 JULIANTI 113438 1 1 1 0 1 0
192 PUTRI DAMAYANTI 108598 1 1 1 0 1 0
193 NURMI 114008 1 1 1 0 1 0
194 DIO NURISKI CAHYA 114002 1 1 1 0 1 1
195 SONI 114010 1 1 1 0 1 1
196 PUTRI SARI 114023 1 1 1 0 1 0
197 IKA 91153 1 1 1 0 1 0
198 DIAN RAHMAWATI 95391 1 1 1 0 1 0
199 MARSIH 113596 1 1 1 0 1 0
200 H RUDIN ARIESTIAN 113890 1 1 1 0 1 1
201 IZATUN NAELI 114041 1 1 1 0 1 0
202 SISAP 114058 1 1 1 0 1 1
203 MURSINAH 113978 1 1 1 0 1 0
204 SUGIANTI 114070 1 1 1 0 1 0
205 ANI ROYANI 114077 1 1 1 0 1 0
206 WASKINI 101199 1 1 1 0 1 0
207 KURNIA DAMAYANTI 114079 1 1 1 0 1 0
208 YENI 114040 1 1 1 0 1 0
209 MAYA SANTI 114062 1 1 1 0 1 0
210 ADE WAHYUDI 6897 1 1 1 0 1 1
211 DEDEH BUDIANTI 114094 1 1 1 0 1 0
212 MAYANG KARTIKA 50150 1 1 1 0 1 0
213 YULIKA SAFITRI 114117 1 1 1 0 1 0
214 LISNA WATI 96227 1 1 1 0 1 0
215 IIN ARINI 82351 1 1 1 0 1 1
216 SRI PRIANTI 114115 1 1 1 0 1 0
217 ROHIMAH 114137 1 1 1 0 1 0
218 NUR OKTAVIANI 107504 1 1 1 0 1 0
219 DAHLIA 91118 1 1 1 0 1 0
220 MARSIYAH 114151 1 1 1 0 1 0
221 ASNI 106009 1 1 1 0 1 1
222 NANI SRI TUTI 109654 1 1 1 0 1 0
223 SITI NABILA 114150 1 1 1 0 1 0
224 SURYANI 113081 1 1 1 0 1 0
225 NAMI 114127 1 1 1 0 1 0
226 SITI RAHAYU 110304 1 1 1 0 1 0
227 ELLY MILAWATI 112190 1 1 1 0 1 0
228 WIWIN AGUSTIN 84079 1 1 1 0 1 0
229 HINDUN 105306 1 1 1 0 1 0
230 DEWI KARMILA 114014 1 1 1 0 1 0
231 SITI NURBAYAH 114209 1 1 1 0 1 0
232 HAPIKAH 114198 1 1 1 0 1 0
233 SITI MAYSAROH 82424 1 1 1 0 1 0
234 DESTY RAHMAHDAYANTI 84194 1 1 1 0 1 0
235 SITI MAESAROH 112446 1 1 1 0 1 0
236 YULI YANTI 52131 1 1 1 0 1 0
237 SAUDI BIN JESAN 114190 1 1 1 0 1 1
238 ARYATI 114233 1 1 1 0 1 0
239 ATNI 44960 1 1 1 0 1 0
240 YAYAH BADRIYAH 114257 1 1 1 0 1 0
241 LALA 113471 1 1 1 0 1 0
242 MUNIR 114177 1 1 1 0 1 1
243 NIMAH BT GELING 113999 1 1 1 0 1 1
244 YULIA DEVI 79472 1 1 1 0 1 1
245 SITI HALIMAH 69157 1 1 1 0 1 0
246 MAMAH SRI BUANA 107629 1 1 1 0 1 0
247 RAFI KARUNIA KHOLID 114265 1 1 1 0 1 1
248 SITI USWATUN HASANAH 67033 1 1 1 0 1 0
249 DEVI NURUL KHOTIMAH 114302 1 1 1 0 1 0
250 TUTI ALAWIAH 114297 1 1 1 0 1 0
251 ROSELA 50721 1 1 1 0 1 0
JUMLAH 251 251 251 1 251 47
KETERANGAN :
0 = tidak dilakukan
1 = dilakukan

KAMAR OPERASI

RASI
INDIKATOR MUTU BEDAH INDIKATOR MUTU NASIONAL
PENUNDAAN
Surgical Diskrepansi OPERASI KETERANGAN
Safety Ceklist Diagnosis ELEKTIF
> 2 HARI
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 CURET
1 0 0 SC
1 0 0 SC
1 0 0 HERNIORAPHY
1 0 0 ULKUS DM
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 ABSCESS
1 0 0 SC
1 0 0 EXPLORACY
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 CURET
1 0 0 CURET
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 CURET
1 0 0 SC
1 0 0 APPENDECTOMY
1 0 0 LAPARATOMY OBGYN
1 0 0 EXPLORACY
1 0 0 CURET
1 0 0 CURET
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 CURET
1 0 0 SC
1 0 0 LAPARATOMY OBGYN
1 0 0 CURET
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 CURET
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 ABSCESS
1 0 0 ABSCESS
1 0 0 HERNIORAPHY
1 0 0 SC
1 0 0 CURET
1 0 0 KET
1 0 0 SC
1 0 0 HERNIORAPHY
1 0 0 WSD
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 HERNIORAPHY
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 BEDAH ORTO
1 0 0 CURET
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 APPENDECTOMY
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 CURET
1 0 0 CURET
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 APPENDECTOMY
1 0 0 BREAST NEOPLASMA
1 0 0 HERNIORAPHY
1 0 0 CURET
1 0 0 AMPUTASI
1 0 0 CURET
1 0 0 CURET
1 0 0 SC
1 0 0 SC
1 0 0 CURET
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 CURET
1 0 0 CURET
1 0 0 STT
1 0 0 WSD
1 0 0 HERNIORAPHY
1 0 0 SC
1 0 0 CURET
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 CURET
1 0 0 STT
1 0 0 SC
1 0 0 WSD
1 0 0 ABSCESS
1 0 0 SC
1 0 0 BEDAH ORTO
1 0 0 SC
1 0 0 HERNIORAPHY
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 CURET
1 0 0 SC
1 0 0 WSD
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 CURET
1 0 0 SC
1 0 0 SC
1 0 0 STT
1 0 0 HERNIORAPHY
1 0 0 ULKUS
1 0 0 SC
1 0 0 CELLULITIS
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 KET
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 EXPLORACY
1 0 0 LIMPADENOPATHY
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 CURET
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 CURET
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 BEDAH ORTO
1 0 0 BEDAH ORTO
1 0 0 SC
1 0 0 KET
1 0 0 SC
1 0 0 SC
1 0 0 HERNIORAPHY
1 0 0 SC
1 0 0 GANGLION
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 CURET
1 0 0 GANGLION
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 APPENDECTOMY
1 0 0 CURET
1 0 0 SC
1 0 0 KET
1 0 0 KET
1 0 0 SC
1 0 0 POLYPECTOMY
1 0 0 KISTA VAGINA
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 EXPLORACY
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 SC
1 0 0 WSD
1 0 0 APPENDECTOMY
1 0 0 EXPLORACY
1 0 0 SC
1 0 0 SC
1 0 0 ABSCESS
1 0 0 SC
1 0 0 SC
1 0 0 KISTA OVARIUM
1 0 0 SC
251 0 0

Imu Ko

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Imu Ko

Uploaded by

Copyright:

Available Formats

INDIKATOR MUTU UNIT KAMAR OPERASI

INDIKATOR MUTU ANASTESI INDIKATOR MUTU BEDAH INDIKATOR MUTU NASIONAL

1 Irin indriyani 90742 1 1 1 0 1 1 0 0 0

INDIKATOR MUTU ANASTESI INDIKATOR MUTU BEDAH INDIKATOR MUTU NASIONAL

INDIKATOR MUTU ANASTESI INDIKATOR MUTU BEDAH INDIKATOR MUTU NASIONAL

1 Dede mulyani 94152 1 1 1 0 1 1 0 0 0

KA. INSTALASI PIC I PIC II

INDIKATOR MUTU ANASTESI INDIKATOR MUTU BEDAH INDIKATOR MUTU NASIONAL

JUMLAH 236 236 236 12 227 44 179 0 0

INDIKATOR MUTU ANASTESI INDIKATOR MUTU BEDAH INDIKATOR MUTU NASIONAL

INDIKATOR MUTU ANASTESI INDIKATOR MUTU BEDAH INDIKATOR MUTU NASIONAL

NO Nama No. RM PENUNDAAN

dr. Husnul, Sp.An.,M.Kes Yurike, Amd. Keb NS. Ega J, S.Kep

INDIKATOR MUTU ANASTESI INDIKATOR MUTU BEDAH INDIKATOR MUTU NASIONAL

dr. Husnul, Sp.An.,M.Kes Yurike, Amd. Keb NS. Ega J, S.Kep

INDIKATOR MUTU ANASTESI INDIKATOR MUTU BEDAH INDIKATOR MUTU NASIONAL

Asesment Monitoring Monitoring Konversi Asesment Surgical PENUNDAAN

dr. Husnul, Sp.An.,M.Kes Yurike, Amd. Keb NS. Ega J, S.Kep

INDIKATOR MUTU ANASTESI INDIKATOR MUTU BEDAH INDIKATOR MUTU NASIONAL

NO Nama No. RM Asesment Monitoring Monitoring Surgical PENUNDAAN

dr. Husnul, Sp.An.,M.Kes Yurike, Amd. Keb NS. Ega J, S.Kep

INDIKATOR MUTU ANASTESI INDIKATOR MUTU BEDAH INDIKATOR MUTU NASIONAL

dr. Husnul, Sp.An.,M.Kes Yurike, Amd. Keb NS. Ega J, S.Kep

INDIKATOR MUTU ANASTESI INDIKATOR MUTU BEDAH INDIKATOR MUTU NASIONAL

1 ATIKAH 106182 1 1 1 0 1 0 1 0 0 REHECTING

INDIKATOR MUTU ANASTESI INDIKATOR MUTU BEDAH INDIKATOR MUTU NASIONAL

NO Nama No. RM PENUNDAAN

dr. Husnul, Sp.An.,M.Kes Yurike, Amd. Keb NS. Ega J, S.Kep

INDIKATOR MUTU ANASTESI INDIKATOR MUTU BEDAH INDIKATOR MUTU NASIONAL

1 SITI NUR HAWA 102271 1 1 1 0 1 0 1 0 0 SC

dr. Husnul, Sp.An.,M.Kes Yurike, Amd. Keb NS. Ega J, S.Kep

INDIKATOR MUTU ANASTESI INDIKATOR MUTU BEDAH

NO Nama No. RM Monitoring Monitoring

KA. INSTALASI PIC I PIC II

dr. Husnul, Sp.An.,M.Kes Yurike, Amd. Keb NS. Ega J, S.Kep

INDIKATOR MUTU BEDAH INDIKATOR MUTU NASIONAL

INDIKATOR MUTU ANASTESI INDIKATOR MUTU BEDAH

NO Nama No. RM Asesment Monitoring Monitoring Konversi Asesment Site

1 DESI RAJABIAH 113139 1 1 1 0 1 0

KA. INSTALASI PIC I PIC II

dr. Husnul, Sp.An.,M.Kes Yurike, Amd. Keb NS. Ega J, S.Kep

INDIKATOR MUTU BEDAH INDIKATOR MUTU NASIONAL

You might also like