QUALITY IMPROVEMENT PROJECT WORKSHEET

JUDUL PROYEK : Ketersediaan Phenytoin Injeksi

KETUA TIM Rini
ANGGOTA TIM : Danny
Binsar
Anastasia
Susan
Eldwin

SIAPA AKAN MENDAPATKAN MANFAAT : v PASIEN ☐KELUARGA ☐STAF

MASALAH Phenytoin injeksi seringkali tidak tersedia (30%)

(APA YANG TERJADI DENGAN MUTU ?)

TUJUAN / SASARAN : Memastikan phenytoin injeksi selalu tersedia

(APA YANG AKAN KITA CAPAI?) menjadi 100 % dalam waktu 3 bulan
(TARGET & WAKTU)

MEASURE : ☐ STRUCTURE ☐ PROCESS ☐ OUTCOME

WORKSHEET
FLOW CHART
 FISHBONE DIAGRAM
Number of Main Causes: 6

Methods Manpower

Pengawasan Supervisi dan konsultasi (kurang tanggap)

Ketrampilan staf yang berbeda Belum ada SOP stock obat minimal

Ketidaktersediaan …………..

Komunikasi verbal antar unit kurang ……………..

…………. ……………..

……………. …………

Environment Machines
ONE DIAGRAM

Phenytoin injeksi seringkali

tidak tersedia (30%)
………….

……………

………….

Material
╗
╝

1
1
1
1
1
1
 Supervisi Belum ada
Ketrampilan dan
Kriteria Pengawasan staf yang Ketidakterse konsultasi SOP stock
diaan obat
berbeda (kurang
minimal
Dampak Pada Pasien 5 5 5 tanggap)
5 5
Reputasi 5 5 5 5 5
Acceptance 4 5 2 4 5
Waktu yang
Dibutuhkan 3 5 2 5 5
Total Score 17 20 14 19 20

Impact Dampak semakin berat semakin tinggi nilai (5 -1)

Reputasi Reputasi buruk semakin tingi nilai (5-1)
Accept / Dpt
diteriman / mudah dilaksanakan semakin tinggi nilai (5 -1)
dilaksanakan

Waktu yg dibutuhkan waktu singkat semakin tinggi nilai (5-1)

Komunikasi
verbal antar
unit kurang
5
5
3
4
17 0 0 0 0 0 0
0
 Duration
(Calendar Days)
Enter the number
of calendar days
for the given
task. Refer to
Gantt Chart Version 1.7.3 the Working Days
column or use a
End Date calendar to
Work Breakdown The ending datedetermine the
[Judul Proyek]
Structure Start Date
is calculated by corresponding
Level 1: 1, 2, Enter the working days.
[Nama RS] 3, ... starting date adding the Today's Date:
Duration The duration isPercent Com
Level 2: 1.1, for this task.
1.2, 1.3, ... To associate the (calendar days)from the
to the Start beginning of the
Update the
status of t
Level 3: 1.1.1,
PIC Proyek: start date with date minus 1 Start date to task by ent
1.1.2, 1.1.3, …Dani the end of day, because the the ending of the percent
TheStart
WBS Date:
is 10/15/2018 another task,
Monday the End Date. complete
automatically enter a formula task duration is
entered, but the in the start from the (between 0%
[42]
formulas are date that refers beginning of the When the 100%).
Start day to the
duration is

Duration (Days)
different for to the end date end of the End calculated, it
different of that task.
day. is calculated as

% Complete
levels. End Date minus
the Start Date
plus 1 day, so
that a task
Task (who) starting and
WBS Tasks (what) Lead Start (when) End ending on the
Pertemuan Penyusunan same day has a
1 SOP yayuk 10/17/18 10/26/18 10 duration
38% of 1
day.
1.1 membuat undangan 10/17/18 10/17/18 1 50%
1.2 menyiapkan tempat 10/18/18 10/18/18 1 100%

1.2.1 memesan konsumsi 10/19/18 10/19/18 1 50%

menyiapkan bahan
1.2.2 presentasi 10/20/18 10/26/18 7 25%

2 Sosialisasi SOP [Name] 10/23/18 11/16/18 25 25%

2.1 Menyiapkan bahan 10/23/18 10/27/18 5 25%
2.2 Sub Task level 2 10/29/18 11/2/18 5 25%
2.3 Sub Task level 2 11/5/18 11/9/18 5 25%
2.4 Sub Task level 2 11/12/18 11/16/18 5 25%

3 Pengawasan RUtin [Name] 1/9/12 10/16/13 647 50%

Pengawasan Rutin setiap
3.1 hari 10/17/12 10/16/13 365 50%
3.2 Sub Task level 2 1/9/12 1/14/12 6 50%
3.3 Sub Task level 2 1/16/12 1/21/12 6 50%
3.4 Sub Task level 2 1/23/12 1/28/12 6 50%

4 Ketidaktersediaan obat [Name] 1/7/12 10/21/18 2480 0%

4.1 Pengawasan setiap hari 10/17/18 10/21/18 5 0%

4.2 Sub Task level 2 1/7/12 1/11/12 5 0%
4.3 Sub Task level 2 1/12/12 1/16/12 5 0%
4.4 Sub Task level 2 1/17/12 1/21/12 5 0%

TEMPLATE ROWS: Copy and insert the entire section, or just the specific sub tasks, depending on which level you want to use (formulas are different for

1 Task Category 1 1/5/09 1/5/09 1 0%

1.1 Sub Task level 2 1/5/09 1/5/09 1 0%
1.1.1 Level 3 Task 1/5/09 1/5/09 1 0%

1.1.1.1 Level 4 task 1/5/09 1/5/09 1 0%

Catatan

Kolom B Task --> Tulis tugas apa yang ingin dikerjakan pada action di "sheet plan"
Sub Task --> Tulis sub action dari yang ingin dikerjakan
Kolom C Task Lead --> Tulis siapa PIC untuk action plan yang akan dikerjakan
Kolom D Start : Masukkan tanggal kapan action plan atau sub action akan dimulai
Kolom E End : Masukkan tanggal kapan action plan atau sub action akan berakhir
Kolom F Duration Days : Masukkan jumlah hari waktu durasi untuk menyelesaikan action plan dan breakdown
Kolom G % Complete : Masukkan persentase sejauh mana action plan atau sub action sudah dilakukan (0% - 10
Kolom H Working Days : Jumlah hari durasi dikurangi hari libur kerja (waktu kerja efektif)
Kolom I Days Complete : Hasil perkalian kolom F dengan kolom G (persentase jumlah hari durasi yang sudah d
Kolom J Days Remaining : Pengurangan hasil di kolom F dengan kolom I (sisa hari yang masih tersisa untuk me
 Duration
(Calendar Days) Terms of Use and
Enter the number Copyright:
of calendar days See the Terms Of
for the given Use worksheet
task. Refer to and the license
the Working Days agreement 0on
column or use a Working Days Vertex42.com.
calendar to Counts the HELP Copyright
determine the number of notices may not
corresponding working days be removed.
working days. using the Calendar Days
7/12/2015
The duration isPercent Complete NETWORKDAYS() Complete Minggu
Calendar Days
from the (vertical
Update the
red line) formula, which This column is Remaining
beginning of the
status of this excludes calculated by This column is
Start date to task by entering weekends. When multiplying thecalculated by
the ending of the percent planning work Duration by thesubtracting the
the End Date. complete based upon the %Complete and Days Complete
(between 0% andnumber of rounding down to from the
When the 100%). First Day
working of Week
days, the (Mon=2):
nearest 2
Duration. ### 10/22/2018
### 10/29/2018
duration is adjust the integer.
Days Remaining
Days Complete

calculated, it Duration until

Working Days

15 - Oct - 18

22 - Oct - 18
is calculated as the desired # of
End Date minus working days is
the Start Date reached.
plus 1 day, so
that a task
starting and
ending on the
same day has a
duration of 1 8 3 7
day.
1 0 1
1 1 0

1 0 1

5 1 6

19 6 19
4 1 4
5 1 4
5 1 4
5 1 4

463 323 324

261 182 183

5 3 3
5 3 3
5 3 3

1770 0 2480

3 0 5
3 0 5
3 0 5
4 0 5

nt to use (formulas are different for different WBS levels)

1 0 1
1 0 1
 1 0 1

1 0 1

tion plan dan breakdown jumlah hari untuk sub actionnya

n sudah dilakukan (0% - 100%) pada tgl dilakukan monitoring yg ditulis di Today Date

h hari durasi yang sudah diselesaikan)

ng masih tersisa untuk menyelesaikan action plan atau sub action)
10/30/2018 10/31/2018 11/1/2018 11/2/2018 11/3/2018 11/4/2018 11/5/2018

29 - Oct - 18
11/6/2018 11/7/2018 11/8/2018 11/9/2018 11/10/2018 11/11/2018 11/12/2018

05 - Nov - 18
11/13/2018 11/14/2018 11/15/2018 11/16/2018 11/17/2018 11/18/2018 11/19/2018

12 - Nov - 18
11/20/2018 11/21/2018 11/22/2018 11/23/2018 11/24/2018 11/25/2018 11/26/2018

19 - Nov - 18
11/27/2018 11/28/2018 11/29/2018 11/30/2018 12/1/2018 12/2/2018 12/3/2018

26 - Nov - 18
12/4/2018 12/5/2018 12/6/2018 12/7/2018 12/8/2018 12/9/2018 12/10/2018

03 - Dec - 18
12/11/2018 12/12/2018 12/13/2018 12/14/2018 12/15/2018 12/16/2018 12/17/2018

10 - Dec - 18
12/18/2018 12/19/2018 12/20/2018 12/21/2018 12/22/2018 12/23/2018 12/24/2018

17 - Dec - 18
12/25/2018 12/26/2018 12/27/2018 12/28/2018 12/29/2018 12/30/2018 12/31/2018

24 - Dec - 18
1/1/2019 1/2/2019 1/3/2019 1/4/2019 1/5/2019 1/6/2019 1/7/2019

31 - Dec - 18
1/8/2019 1/9/2019 1/10/2019 1/11/2019 1/12/2019 1/13/2019 1/14/2019

07 - Jan - 19
1/15/2019 1/16/2019 1/17/2019 1/18/2019 1/19/2019 1/20/2019 1/21/2019

14 - Jan - 19
1/22/2019 1/23/2019 1/24/2019 1/25/2019 1/26/2019 1/27/2019 1/28/2019

21 - Jan - 19
1/29/2019 1/30/2019 1/31/2019 2/1/2019 2/2/2019 2/3/2019 2/4/2019

28 - Jan - 19
2/5/2019 2/6/2019 2/7/2019 2/8/2019 2/9/2019 2/10/2019 2/11/2019

04 - Feb - 19
2/12/2019 2/13/2019 2/14/2019 2/15/2019 2/16/2019 2/17/2019 2/18/2019

11 - Feb - 19
2/19/2019 2/20/2019 2/21/2019 2/22/2019 2/23/2019 2/24/2019 2/25/2019

18 - Feb - 19
2/26/2019 2/27/2019 2/28/2019 3/1/2019 3/2/2019 3/3/2019 3/4/2019

25 - Feb - 19
3/5/2019 3/6/2019 3/7/2019 3/8/2019 3/9/2019 3/10/2019 3/11/2019

04 - Mar - 19
3/12/2019 3/13/2019 3/14/2019 3/15/2019 3/16/2019 3/17/2019 3/18/2019

11 - Mar - 19
3/19/2019 3/20/2019 3/21/2019 3/22/2019 3/23/2019 3/24/2019 3/25/2019

18 - Mar - 19
3/26/2019 3/27/2019 3/28/2019 3/29/2019 3/30/2019 3/31/2019 4/1/2019

25 - Mar - 19
4/2/2019 4/3/2019 4/4/2019 4/5/2019 4/6/2019 4/7/2019 4/8/2019

01 - Apr - 19
4/9/2019 4/10/2019 4/11/2019 4/12/2019 4/13/2019 4/14/2019 4/15/2019

08 - Apr - 19
4/16/2019 4/17/2019 4/18/2019 4/19/2019 4/20/2019 4/21/2019 4/22/2019

15 - Apr - 19
4/23/2019 4/24/2019 4/25/2019 4/26/2019 4/27/2019 4/28/2019 4/29/2019

22 - Apr - 19
4/30/2019 5/1/2019 5/2/2019 5/3/2019 5/4/2019 5/5/2019 5/6/2019

29 - Apr - 19
5/7/2019 5/8/2019 5/9/2019 5/10/2019 5/11/2019 5/12/2019 5/13/2019

06 - May - 19
5/14/2019 5/15/2019 5/16/2019 5/17/2019 5/18/2019 5/19/2019 5/20/2019

13 - May - 19
5/21/2019 5/22/2019 5/23/2019 5/24/2019 5/25/2019 5/26/2019 5/27/2019

20 - May - 19
5/28/2019 5/29/2019 5/30/2019 5/31/2019 6/1/2019 6/2/2019 6/3/2019

27 - May - 19
6/4/2019 6/5/2019 6/6/2019 6/7/2019 6/8/2019 6/9/2019

03 - Jun - 19
Pareto Analysis

[Brief Project Description]

[Date]

[Chart Title]
25 100%

20 80%

Vital Few

Cumulative %
坐标轴标题

15 60%
Useful Many
Labels
Cumulative%
10 40%
Cut Off %

5 20%

[42]
0 0%

坐标轴标题

The first 5 Causes cover 86.92% of the Total Defects

Cumulative Percentage Cutoff: 80%

# Causes Defects Cumulative% Vital Few Useful Many Cut Off %
1 Ketrampilan staf yang berbeda 20 18.7% 20 80%
2 Belum ada SOP stock obat minimal 20 37.4% 20 80%
3 Supervisi dan konsultasi (kurang tanggap) 19 55.1% 19 80%
4 Komunikasi verbal antar unit kurang 17 71.0% 17 80%
5 Pengawasan 17 86.9% 17 80%
6 Ketidaktersediaan 14 100.0% 14 80%
7 100.0% 0 80%
8 100.0% 0 80%
9 100.0% 0 80%
10 100.0% 0 80%
11 100.0% 0 80%
12 100.0% 0 80%
13 100.0% 0 80%
100.0% Defects 80%
100.0% Defects 80%
Insert new rows above this line

© 2009 Vertex42 LLC Templates by Vertex42.com

ACTION

Belum ada SOP stock obat minimal

Ketrampilan staf yang berbeda

Supervisi dan konsultasi (kurang tanggap)
Komunikasi Verbal antar unit

Pengawasan

Ketidaktersediaan Obat
ACTION PLAN TOOL

WHAT WHO

Pertemuan penyusunan SOP Dani

Sosialisasi SOP Dani

Pengawasan rutin tiap hari Dani

Pertemuan evaluasi rutin pengeluaran dan pemakaian obat Dani

Pertemuan dengan manajemen apabila terjadi kekosongan obat digudang
 WHEN WHERE

Oktober 2018 Ruang pertemuan Edelweiss

Oktober 2018 Ruang Instalasi Farmasi

Oktober 2018 Apotik

Oktober 2018 Apotik

Graphs of Key Measures Put Your Center Name Here

Persentase Pengkajian Awal yang Selesai Dalam 24 Jam

100
90
80
70
60
percent 50
40
30
20
10
0
Jan feb maret april mei juni juli agustus september okt nov des

Rerata waktu yang dibutuhkan untuk Pemeriksaan Kritis ..........

100
90
80
70
minutes

60
50
40
30
20
Jan feb maret april mei juni juli agustus september okt nov des

K
e
y

M
e
a
s
u
r
e
 Graphs of Key Measures Put Your Center Name Here
LATIHAN SOAL ENTRI DATA INDIKATOR

Dalam 24 Jam Pengkajian Jumlah Pasien

Waktu
Pasien Baru Awal selesai yg Melakukan
Month % Pelaporan Hasil
(Denum) dlm wkt 24 j Pemeriksaan
Kritis < 1 jam
(Num) Kritis

Pemeriksaan Kritis Waktu pelaporan

Jan #N/A
feb #N/A
maret #N/A
april #N/A
mei #N/A
r okt nov des
juni #N/A
juli #N/A
ksaan Kritis ..........
agustus #N/A
september #N/A
okt #N/A
nov #N/A
des #N/A
#N/A
#N/A
#N/A
#N/A #DIV/0!
r okt nov des
Graphs of Key Measures Put Your Center Name Here

Goal for Goal for

% with Acknow-
Notification ledgement
w/in 1 hr Time

100 60
100 60
100 60
100 60
100 60
100 60
100 60
100 60
100 60
100 60
100 60
100 60
100 60
100 60
100 60
100 60
100 60