INDIKATOR MUTU JANUARI 2021

MONITORING STATUS FISIOLOGIS INTRA DAN PASCA ANASTESI, DIGANOSIS PRA DAN PASKA BEDAH, SITE MARKING

JENIS DR MONITORING INTRA ANAASTESI MONITORING PASCA ANAASTESI EFEK SAMPING DIAGNOSIS PRA DAN PASCA SITE MARKING PENUNDAAN OP. ELEKTIF
NO NAMA PASIEN NO RM DIAGNOSA
ANASTESI ANASTESI TGL PELAKSANAAN SESUAI TIDAK SESUAI SESUAI TIDAK SESUAI ADA TIDAK ADA SESUAI TIDAK SESUAI YA TIDAK YA TIDAK
G1P0A0 HML 37-38 MINGGU
1 Ny. Winda Dwiyastuti '00051774 SPINAL DR.ROCKY 04 January 2021 V V V V V v
COVID-19
G3P2A0 HML 39 MINGGU
2 Ny. Nurilah '00051858 SPINAL DR.ROCKY 07 January 2021 V V V V V v
COVID-19, LETAK OBLIQUE
Pneumonia + HT+ CAD + ARDS
3 Ny. Erfianis '00051830 GA DR.ROCKY 08 January 2021 V V V V V v
COVID-19
ARDS + Dislokasi Mandibula
4 Tn. Asril Ahmad '00051650 GA DR.ROCKY 11 January 2021 V V V V V v
COVID-19
G2P1A0 HML 38 MINGGU
5 Ny. Elisa Sihotang '00051936 SPINAL DR.ROCKY 11 January 2021 V V V V V v
COVID-19
G1P0A0 HML 39-40 MGG COVID 19
6 Ny. Dwi Herwanti '00051933 SPINAL DR.ROCKY 12 January 2021 V V V V V v
COVID-19
G1P0A0 HML 39-40 MGG COVID 19
7 Ny. Suryawati '00051989 SPINAL DR.ROCKY 13 January 2021 V V V V V v
Gawat Janin + Covid 19
G2P1A0 HML 38 MINGGU
8 Ny. Susanti Candra '00051991 SPINAL DR.ROCKY 13 January 2021 V V V V V v
COVID-19 + Bekas SC
Appendicitis + Covid 19
9 Ny. Sri Hartuti '00052079 SPINAL DR.ROCKY 15 January 2021 V V V V V v

Gangren Pedis digiti 5 + Covid 19

10 Ny. Roosmawar Siregar '00052080 SPINAL DR.ROCKY 15 January 2021 V V V V V v

G2P1A0 HML 37-38 MINGGU

11 Ny. Mia Kurniasari '00051211 SPINAL DR.ROCKY 18 January 2021 V V V V V v
COVID-19 + Kontraksi
G2P1A0 HML 38 MINGGU
12 Ny. Asri Nurdiani '00052120 SPINAL DR.ROCKY 20 January 2021 V V V V V v
COVID-19 + Bekas SC
G2P1A0 HML 38 MINGGU
13 Ny. Nunik Prasetyowati '00052245 SPINAL DR.ROCKY 23 January 2021 V V V V V
COVID-19 + Bekas SC
G1P0A0 HML 37 MINGGU
14 Ny. Safla '000522269 SPINAL DR.ROCKY 27 January 2021 V V V V V v
COVID-19 + Janin Oblique
G1P0A0 HML 40 MINGGU
15 Ny. Ratna Putri Yani '00052341 SPINAL DR.ROCKY 27 January 2021 V V V V V
COVID-19 + Gawat Janin
15 0 15 0 0 15 15 0 15 0 0 13
JUMLAH
15 15 15 15 15 13

KONDISI
TGL JUMLAH PRODUK CSSD
BLM EXPIRE EXPIRE
1
2 5 5
3
4 5 5
5 4 4
6 2 2
7 5 5
8 5 5
9
10
11 7 7
12 2 2
13 4 4
14 3 3
15 2 2
16
17 3 3
18 8 8
19 5 5
20 4 4
21 3 3
22 5 5
23
24 3 3
25 6 6
26
27 5 5
28 6 6
29 4 4
30
31 3 3
99 0
JUMLAH
99
 INDIKATOR MUTU FEBRUARI 2021
MONITORING STATUS FISIOLOGIS INTRA DAN PASCA ANASTESI, DIGANOSIS PRA DAN PASKA BEDAH, SITE MARKING

JENIS DR TGL MONITORING INTRA ANAASTESI MONITORING PASCA ANAASTESI EFEK SAMPING DIAGNOSIS PRA DAN PASCA SITE MARKING PENUNDAAN OP. ELEKTIF
NO NAMA PASIEN NO RM DIAGNOSA
ANASTESI ANASTESI PELAKSANAAN SESUAI TIDAK SESUAI SESUAI TIDAK SESUAI ADA TIDAK ADA SESUAI TIDAK SESUAI YA TIDAK YA TIDAK
G2P1A0 HML 37 MGG v v v v v v
NY. LINAH SPINAL DR.ROCKY 2/1/2021
1 00052391 A/I COVID-19 + OLIGO
G3P2A0 HML 38 MMG v v v v v v
NY. ROSITA 00052474 SPINAL DR.ROCKY 2/3/2021
2 A/I COVID-19
G1P0A0 HML 38 MGG v v v v v v
NY. LINA YULIANI 00052497 SPINAL DR.ROCKY 2/3/2021
3 A/I COVID-19
G2P1A0 HML 38 MGG v v v v v v
NY.ROSDIANAH 00052605 SPINAL DR.ROCKY 2/5/2021
4 BEKAS SC COVID 19
G2P1A0 HML 38 MGG v v v v v v
NY.SITI ROQATAH 00052596 SPINAL DR.ROCKY 2/5/2021
5 BEKAS SC COVID 19
G1P0A0 HML 40MGG v v v v v
NY.HAJAR PRASTYANI 00052670 SPINAL DR.ROCKY 2/6/2021
6 COVID 19 + INPARTU
G3P2A0 HML 37 MGG v v v v v
NY.PIPIT MULYASARI 0005276 SPINAL DR.ROCKY 2/7/2021
7 COVID 19 +GAWAT JANIN
G2P1A0 HML 37MGG v v v v v
NY.YUNIARSIH 00052681 SPINAL DR.ROCKY 2/7/2021
8 COVID 19 +INPARTU /PEMBUKAAN 2
G4P2A1 HML 37-38 MMG v v v v v v
NY. INA YNUARTI 00053210 SPINAL DR.ROCKY 2/9/2021
9 COVID & MYOPIA TINGGI
G3P2A0 HML 36-37 MGG v v v v v v
NY. NENENG MARYATI 00054120 SPINAL DR.ROCKY 2/19/2021
10 COVID
G2P1A1 HML 37-38 MGG v v v v v
NY. RIMA MELATI 00055084 SPINAL DR.ROCKY 2/20/2021
11 COVID
G1P0A0 HML 38 MGG v v v v v v
NY. YUKE NUR A 00055087 SPINAL DR.ROCKY 2/22/2021
12 COVID + OLIGOHIDRAMNION
G3P2A0 HML 38 MMG v v v v v v
NY. EKY RUSDIANTI 00055097 SPINAL DR.ROCKY 2/23/2021
13 BEKAS SC + COVID 19
G2P1A0 HML 39-40 MG v v v v v v
NY. FATIMAH NUR AISYAH 0005503 SPINAL DR.ROCKY 2/23/2021
14 KONTRAKSI + COVID 19
G4P2A1 HML 37 MMG v v v v v v
NY. MASNI 0005606 SPINAL DR.ROCKY 2/25/2021
15 BEKAS SC 2X+ COVID 19
15 0 15 0 0 15 0 15 0 0 11
JUMLAH
15 15 15 15 15 15 11

KONDISI
TGL JUMLAH PRODUK CSSD
BLM EXPIRE EXPIRE
1 2 2
2 5 5
3 3 3
4 5 5
5 4 4
6
7
8 5 5
9 2 2
10 2 2
11 7 7
12 2 2
13
14
15 2 2
16 2 2
17 3 3
18 8 8
19 5 5
20
21
22 5 5
23 2 2
24 3 3
25 6 6
26 4 4
27
28
29
30
31
77 0
JUMLAH
77
 INDIKATOR MUTU MARET 2021
MONITORING STATUS FISIOLOGIS INTRA DAN PASCA ANASTESI, DIGANOSIS PRA DAN PASKA BEDAH, SITE MARKING

JENIS TGL MONITORING INTRA ANAASTESI MONITORING PASCA ANAASTESI EFEK SAMPING DIAGNOSIS PRA DAN PASCA SITE MARKING PENUNDAAN OPERASI
NO NAMA PASIEN NO RM DIAGNOSA DR ANASTESI
ANASTESI PELAKSANAAN SESUAI TIDAK SESUAI SESUAI TIDAK SESUAI ADA TIDAK ADA SESUAI TIDAK SESUAI YA TIDAK YA TIDAK
G1P0A0 Hml 37 mgg
1 Ny. Diva Tria Putri 00057563 SPINAL DR.ROCKY 5/3/2021 v v v v v v
covid + kontraksi
G2P1A0 Hml 37 mgg
2 Ny. Siti Rohani 00057608 SPINAL DR.ROCKY 6/3/2021 v v v v v
covid + bks sc 1x
G2P1A0 Hml 37 mgg
3 Ny. Anziqqa 00057809 SPINAL DR.ROCKY 15-3-2021 v v v v v v
covid + letak sungsang
G3P2A0 Hml 36 mgg
4 Ny. Anisa Anastya 00057868 SPINAL DR.ROCKY 17-3-2021 v v v v v v
covid + asma
G3P2A0 Hml 38 mgg
5 Ny. Anik 00057869 SPINAL DR.ROCKY 17-3-2021 v v v v v
covid + oligohidramnion
Diabetic Gangren gr.3
6 Ny. Martalito Kiwan 00057833 SPINAL DR.ROCKY 23-3-2021 v v v v v v
Pedis sinistra
Stroke Haemorragic
7 Tn. Tuhiddin 00057944 Umum DR.ROCKY 30-3-2021 v v v v v v

G4P3A0 Hml 39-40mgg

8 Ny. Rusmiati 00058584 Spinal DR.ROCKY 6/4/2021 v v v v v v
Aterm covid

8 0 8 0 0 8 8 0 8 0 0 6
JUMLAH
8 8 8 8 8 6

KONDISI
TGL JUMLAH PRODUK CSSD
BLM EXPIRE EXPIRE
1 2 2
2 5 5
3 3 3
4 5 5
5 4 4
6
7
8 5 5
9 3 3
10 2 2
11 7 7
12 2 2
13
14
15 2 2
16 4 4
17 3 3
18 8 8
19 5 5
20
21
22 5 5
23 4 4
24 3 3
25 6 6
26 5 5
27
28
29 4 4
30 2 2
31 3 3
92 0
JUMLAH
92
 INDIKATOR MUTU APRIL 2021
MONITORING STATUS FISIOLOGIS INTRA DAN PASCA ANASTESI, DIGANOSIS PRA DAN PASKA BEDAH, SITE MARKING

JENIS DR TGL MONITORING INTRA ANAASTESI MONITORING PASCA ANAASTESI EFEK SAMPING DISKREPANSI DX PRA DAN PASCA SITE MARKING PENUNDAAN OP. ELEKTIF
NO NAMA PASIEN NO RM DIAGNOSA
ANASTESI ANASTESI PELAKSANAAN SESUAI TIDAK SESUAI SESUAI TIDAK SESUAI ADA TIDAK ADA SESUAI TIDAK SESUAI YA TIDAK YA TIDAK
1 Ny. Rusmiati 00058584 G4P3A0 hml 39mgg spinal dr. Shnta 6/4/2021 v v v v v v
2 Ny. Nurdiana 00058266 Haematoma diinguinal GA dr. Dedi 7/4/2021 v v v v v v
3 Tn. Rosma 00058155 Prolong ETT lokal 12/4/2021 v v v v v v
4 Ny. Sri Mulyani 00058939 G2P1A0 hml 37mgg spinal dr. Rocky 16-4-2021 v v v v v v
5 Tn. Abd. Gani Madjid 00058913 Hernia Incarcerata GA dr. Rocky 17-4-2021 v v v v v cito
6 Ny. Anita 00059003 G2P1A0 hml 39mgg spinal dr. Rocky 21-4-2021 v v v v v v
7 Tn. Sutardi 00058906 Prolong ETT lokal 22-4-2021 v v v v v v
8 Ny. Winda Paradila 00059102 G1P0A0 hml 37mgg spinal dr. Rocky 24-4-2021 v v v v v cito
9 Ny. Yuliyanti 00059113 G3P2A0 hml 39mgg spinal dr. Rocky 24-4-2021 v v v v v cito
10 Ny. Juniati Tamba 00059235 G1P0A0 hml 37mgg spinal dr. Rocky 30-4-2021 v v v v v v
11
12
13
14
15
10 0 10 0 0 10 10 0 10 0 0 7
JUMLAH
10 10 10 10 10 7

KONDISI
TGL JUMLAH PRODUK CSSD
BLM EXPIRE EXPIRE
1 2 2
2 5 5
3
4
5 4 4
6 3 3
7 5 5
8 5 5
9 2 2
10
11
12 2 2
13 2 2
14 4 4
15 2 2
16 2 2
17
18
19 5 5
20 3 3
21 2 2
22 5 5
23 2 2
24
25
26 4 4
27 3 3
28 2 2
29
30
31
64 0
JUMLAH
64
 INDIKATOR MUTU MEI 2021
MONITORING STATUS FISIOLOGIS INTRA DAN PASCA ANASTESI, DIGANOSIS PRA DAN PASKA BEDAH, SITE MARKING

JENIS TGL MONITORING INTRA ANAASTESI MONITORING PASCA ANAASTESI EFEK SAMPING DIAGNOSIS PRA DAN PASCA SITE MARKING PENUNDAAN OP. ELEKTIF
NO NAMA PASIEN NO RM DIAGNOSA DR ANASTESI
ANASTESI PELAKSANAAN SESUAI TIDAK SESUAI SESUAI TIDAK SESUAI ADA TIDAK ADA SESUAI TIDAK SESUAI YA TIDAK YA TIDAK
1 Ny. Resti Agustinah 00059242 G2P1A0 hml 35mgg spinal dr. Rocky 1/5/2021 v v v v v cito
2 Ny. Sabilla Putri 00059241 G1P0A0 hml 37mgg spinal dr. Rocky 1/5/2021 v v v v v cito
3 NY.Risa Dinal G1P0A0
00059332
Hml 37 mgg Olgohidramnion +covid
spinal17 dr. Rocky 8/5/2021 v v v v v V
4 Tn. Solichin Hartawan 00059391 fr.Humerus Sinistra GA dr. Rocky 28/5/2021 v v v v v V
5 Ny.Carsini 00059490
G4P3A0 Hml 37 mgg, Covid 19 spinal dr. Rocky 29/5/2021 v v v v v V
6
7
8
9
10
11
12
13
14
15
5 0 5 0 0 5 5 0 5 0 0 3
JUMLAH
5 5 5 5 5 3

KONDISI
JUMLAH PRODUK CSSD
NO. BLM EXPIRE EXPIRE
1 7 7
2 3 + Kassa 130 (Besar&Kecil)
2 + Kassa 130 (Besar&Kecil)
3 8 6
4 7 7
5 5 5
6
7 4 4
8 10 10
9 2 2
10 7 7
11 3 3
12 4 4
13
14
15 4 4
16 2 2
17 4 4
18
19 3 3
20
21 2 2
22 5 5
23 3 3
24 2 5
25 7 7
26
27
28
29
30
31
98 0
JUMLAH
98
 INDIKATOR MUTU JUNI 2021
MONITORING STATUS FISIOLOGIS INTRA DAN PASCA ANASTESI, DIGANOSIS PRA DAN PASKA BEDAH, SITE MARKING

JENIS TGL MONITORING INTRA ANESTESI MONITORING PASCA ANAASTESI EFEK SAMPING DIAGNOSIS PRA DAN PASCA SITE MARKING
NO NAMA PASIEN NO RM DIAGNOSA ANASTESI DR ANASTESI PELAKSANAAN SESUAI TIDAK SESUAI SESUAI TIDAK SESUAI ADA TIDAK ADA SESUAI TIDAK SESUAI YA TIDAK
1 Ny. Tjen Sui Fung 00059385 prolong ventilator GA Dr.Rocky 4/6/2021 v v v v v
2 Ny. Monica Evine Viona 00059585 G3P2A0 hml 36 mgg, covid 19 spinal Dr.Rocky 8/6/2021 v v v v v

3 Ny. Hesti Setyaningtyas '00059613 G5P3A1 HML 37-38 Mgg Preeklamsi, Covid 19, post sc spinal Dr.Rocky 8/6/2021 v v v v v
4 Ny Adella Ramada Putri 00059632 G1P0A0 HML 38 mgg, covid spinal Dr.Rocky 10/6/2021 v v v v v
5 Tn Tohir 00059517 Abses Intra abdomen GA Dr.Rocky 10/6/2021 v v v v v
6 Ny. Sri Haryati 00059843 G4P3A0 HML 38-39 mgg HPK, covid spinal Dr.Rocky 21/6/2021 v v v v v
7 Ny. Mietie Mira 00059846 G5P3A1 HML 38-39 Mgg Bekas SC 4x, Covid spinal Dr.Rocky 24/6/2021 v v v v v
8 Ny. Adey Grace 00059972 G1P0A0 HML 38 mgg, PEB, covid spinal Dr.Rocky 24/6/2021 v v v v v
9 Ny. Riezka Nadya 00060168 G1P0A0 HML 36-37 mgg, covid spinal Dr.Rocky 29/6/2021 v v v v v
10 An. Fayra Nadya 00059970 Appendicitis Akut GA Dr.Rocky 30/6/2021 v v v v v
10 0 10 0 0 10 10 0 10 0
JUMLAH
10 10 10 10 10

KONDISI
TGL JUMLAH PRODUK CSSD
BLM EXPIRE EXPIRE
1
2 5 5
3 3 3
4 5 5
5
6
7 2 2
8 5 5
9 3 3
10 2 2
11 7 7
12
13
14 4 4
15 2 2
16 4 4
17 3 3
18 8 8
19
20
21 3 3
22 5 5
23 4 4
24 3 3
25 6 6
26
27
28 5 5
29 4 4
30 2 2

85 0
JUMLAH
85
 INDIKATOR MUTU JULI 2021
MONITORING STATUS FISIOLOGIS INTRA DAN PASCA ANASTESI, DIGANOSIS PRA DAN PASKA BEDAH, SITE MARKING

JENIS TGL MONITORING INTRA ANAASTESI MONITORING PASCA ANAASTESI EFEK SAMPING DIAGNOSIS PRA DAN PASCA SITE MARKING
NO NAMA PASIEN NO RM DIAGNOSA ANASTESI DR ANASTESI
PELAKSANAAN SESUAI TIDAK SESUAI SESUAI TIDAK SESUAI ADA TIDAK ADA SESUAI TIDAK SESUAI YA TIDAK

1 Ny. Wiwin Pratiwi '00060364 G2P1A0 HML 36 MGG Spinal DR.ROCKY 01 JULI 2021 v V V V V
OLIGOHIDRAMNION
+COVID 19

G2P1A0 HML 37-38

2 Ny. Reza Afri '00060367 MGG, BKAS SC + GAWAT Spinal DR.ROCKY 01 JULI 2021 V V V V V
JANIN, COVID 19

G2P1A0 HML 36 MGG,

3 Ny. Asri Nurul Utami '00060495 Spinal DR.ROCKY 04 JULI 2021 V V V V V
BEKAS SC, COVID 19

4 Ny. Irmawati '00060542 G2P1A0 HML 39 MGG, Spinal DR.ROCKY 06 JULI 2021 V V V V V
BEKAS SC, COVID 19
G3P1A1 HML 37-38
5 Ny. Mutiara Nurdianti '00060600 MGG, BEKAS SC, COVID Spinal DR.ROCKY 06 JULI 2021 V V V V V
19
G4P2A1 HML 38 MGG
6 Ny Catur Ria Kustianti '00060658 Spinal DR.ROCKY 10 JULI 2021 V V V V V
COVID 19
G1P0A0 HML 36 MGG,
7 Ny. Dewi Triyaningsih '00060858 OLIGOHIDRAMNION, Spinal DR.ROCKY 10 JULI 2021 V V V V V
COVID 19
G4P3A0 HML 38 MGG,
8 Ny. Sefiera Elgia '00060376 Spinal DR.ROCKY 12 JULI 2021 V V V V V
COVID 19

G1P0A0 HML 38 MGG,

9 Ny. Novya Wulandari '00061418 PLASENTA Spinal DR.ROCKY 12 JULI 2021 V V V V V
PREVIA+ASMA, COVID 19

G1P0A0 HML 37 MGG

10 Ny. Adela Ruslan '00061446 OLIGOHIDRAMNION, Spinal DR.ROCKY 12 JULI 2021 V V V V V
COVID 19

11 Ny. Sofiatul '00061667 G1P0A0 HML 39 MGG Spinal DR.ROCKY 12 JULI 2021 V V V V V
INPARTU, COVID 19

12 Ny. Febri Rahmadini '00061669 G1P0A0 HML37 MGG Spinal DR.ROCKY 13 JULI 2021 V V V V V
INPARTU, COVID 19
G1P0A0 HML 36 MGG
13 Ny. Saidah '00061774 HB<7, INPARTU, COVID GA/UMUM DR.ROCKY 14 JULI 2021 V V V V V
19

G3P2A0 HML 38 MGG

14 Ny. Lesta Ganda '00061906 OLIGOHIDRAMNION, Spinal DR.ROCKY 16 JULI 2021 V V V V V
COVID 19

G4P2A1 HML 38 MGG

15 Ny. Rohiyah '00061953 COVID 19 FASE LATEN, Spinal DR.ROCKY 16 JULI 2021 V V V V V
COVID 19

G1P0A0 HML 38 MGG

16 Ny. Vidya Ayu '00061951 LETAK LINTANG, COVID Spinal DR.ROCKY 16 JULI 2021 V V V V V
19
17 Tn. Tri Teguh '00060440 ABSES PSOAS DEXTRA GA/UMUM DR.ROCKY 17 JULI 2021 V V V V V
G1P0A0 HML 37 MGG
18 Ny. Novi Winarti '00061930 Spinal DR.ROCKY 18 JULI 2021 V V V V V
INPARTU, COVID 19
19 Tn. Ibrahim '00060498 ABSES PSOAS DEXTRA GA/UMUM DR.ROCKY 18 JULI 2021 V V V V V
G1P0A0 HML 37 MGG
20 Ny. Nengsih '00061029 Spinal DR.ROCKY 19 JULI 2021 V V V V V
INPARTU, COVID 19

G2P1A0 HML 37 MGG

TAKIKARDIA,
21 Ny. Intan Ayu '00062096
OLIGOHIDRAMNION,
Spinal DR.ROCKY 20 JULI 2021 V V V V V
COVID 19

G2P1A0 HML 37 MGG

22 Ny. Nurfitriyah '00062046 LETAK OBLIQUE, COVID Spinal DR.ROCKY 21 JULI 2021 V V V V V
19
G2P1AO HML 38 MGG
23 Ny. Incha Nalischa '00062109
COVID 19
Spinal DR.ROCKY 21 JULI 2021 V V V V V

G3P2A0 HML 8 MGG

24 Ny. Santi Tambunan '00062219 GA/UMUM DR.ROCKY 23 JULI 2021 V V V V V
KET, COVID 19
G1P0A0 HML 37 MGG
25 Ny. Nova Sri '00062265 Spinal DR.ROCKY 27 JULI 2021 V V V V V
COVID 19
G1P0A0 HML 39 MGG
26 Ny. Dyka Karina Fitriah '00062397 COVID 19 Spinal DR.ROCKY 27 JULI 2021 V V V V V
27 Sr. Dyah Saraswati '00000272 APPENDICITIS KRONIS, Spinal DR.ROCKY 28 JULI 2021 V V V V V
COVID 19
G1P0A0 HML 40 MGG
28 Ny. Deli '00062584 Spinal DR.ROCKY 30 JULI 2021 V V V V V
COVID 19
APPENDICITIS KRONIS,
29 Tn. Herliman Jatmiko '00062598 Spinal DR.ROCKY 30 JULI 2021 V V V V V
COVID 19
29 0 29 0 0 29 29 0 29 0
JUMLAH
29 29 29 29 29

KONDISI
TGL JUMLAH PRODUK CSSD
BLM EXPIRE EXPIRE
1 3 3
2 7 7
3
4
5 5 5
6 5 5
7 3 3
8 2 2
9 6 6
10
11
12 4 4
13 2 2
14 5 5
15 1 1
16 7 7
17
18
19 6 6
20
21 5 5
22 4 4
23 6 6
24
25
26 5 5
27 3 3
28 6 6
29 2 2
30 7 7
31
94 0
JUMLAH
94
 INDIKATOR MUTU AGUSTUS 2021
MONITORING STATUS FISIOLOGIS INTRA DAN PASCA ANASTESI, DIGANOSIS PRA DAN PASKA BEDAH, SITE MARKING

JENIS DR TGL MONITORING INTRA ANASTESI MONITORING PASCA ANAASTESI EFEK SAMPING DIAGNOSIS PRA DAN PASCA SITE MARKING
NO NAMA PASIEN NO RM DIAGNOSA
ANASTESI ANASTESI PELAKSANAAN SESUAI TIDAK SESUAI SESUAI TIDAK SESUAI ADA TIDAK ADA SESUAI TIDAK SESUAI YA TIDAK
1 Ny. Astri M 00062799 G4P3A0 hml 40 mgg INPARTU +COVID 19 Spinal DR.ROCKY 2 AGT 2021 V V V V V

G2P1A0 hml 38 mgg Letak Lintang + Fase Laten,

2 Ny. Febie Amalia 00062897 Spinal DR.ROCKY 4 AGT 2021 V V V V V
COVID 19
3 Ny. Juanah 00063026 G3P2A0 hml 39 mgg, COVID 19 Spinal DR.ROCKY 6 AGT 2021 V V V V V
4 Ny. Angelin C 00063026 G1P0A0 hml 38 mgg, COVID 19 Spinal DR.ROCKY 6 AGT 2021 V V V V V
5 Ny. Nuraini 00063096 G4P3A0 HML 37-38 mgg, COVID 19 Spinal DR.ROCKY 10 AGT 2021 V V V V V

6 Ny. Elly Utari 00063156 G1P0A0 hml 37 mgg, Oligohidramnion+COVID 19 Spinal DR.ROCKY 13 AGT 2021 V V V V V

7 Ny. Nuryanti 00063161 G2P1A0 hml 38-39 mgg, COVID 19 Spinal DR.ROCKY 14 AGT 2021 V V V V V
G1P0A0 hml 39 mgg, Letak Obliq+ Condiloma+
8 Ny. Riyanti 00064917 Spinal DR.ROCKY 20 AGT 2021 V V V V V
COVID 19
9 Ny. Siti Subekti 00064951 G2P1A0 hml 37-38 mgg + COVID 19 Spinal DR.ROCKY 23 AGT 2021 V V V V V

10 Ny. Nurul A 00064963 G3P2A0 hml 37-38 mgg + BEKAS SC+COVID 19 Spinal DR.ROCKY 24 AGT 2021 V V V V V

11 Ny. Putri Lestari 00064964 G1P0A0 hml 38 mgg + COVID 19 Spinal DR.ROCKY 25 AGT 2021 V V V V V
12 Ny. Desi I 00064965 G2P1A0 hml 37-38 mgg+Bekas SC 1x+ COVID 19 Spinal DR.ROCKY 25 AGT 2021 V V V V V
13 Ny. Nasrifah R 00065169 G4P2A1 hml 37-38 mgg+ COVID 19 Spinal DR.ROCKY 28 AGT 2021 V V V V V
G2P1A0 hml 36 mgg+KONTRAKSI + HIPOKSIA+ COVID
14 Ny. Dewi Destriani 00064985 19 Spinal DR.ROCKY 28 AGT 2021 V V V V V

15 Ny. Yaum Kurnia 00065312 G2P1A0 hml 36 mgg+Bekas SC 1x+ COVID 22 Spinal DR.ROCKY 28 AGT 2021 V V V V V
15 0 15 0 0 15 15 0 15 0
JUMLAH
15 15 15 15 15

KONDISI
TGLJUMLAH PRODUK CSSD
BLM EXPIRE EXPIRE
1
2 2 2
3 5 5
4 5 5
5 4 4
6 3 3
7
8
9 2 2
10 5 5
11
12 2 2
13 2 2
14
15
16 2 2
17
18 4 4
19 5 5
20 3 3
21
22
23 2 2
24 2 2
25 2 2
26 4 4
27 3 3
28
29
30 2 2
31 1 1
60 0
JUMLAH
JUMLAH
60
 INDIKATOR MUTU SEPTEMBER 2021
MONITORING STATUS FISIOLOGIS INTRA DAN PASCA ANASTESI, DIGANOSIS PRA DAN PASKA BEDAH, SITE MARKING

JENIS DR TGL MONITORING INTRA ANAASTESI MONITORING PASCA ANAASTESI EFEK SAMPING DIAGNOSIS PRA DAN PASCA SITE MARKING
NO NAMA PASIEN NO RM DIAGNOSA
ANASTESI ANASTESI PELAKSANAAN SESUAI TIDAK SESUAI SESUAI TIDAK SESUAI ADA TIDAK ADA SESUAI TIDAK SESUAI YA TIDAK

G4P2A1 hml 38- Spinal DR.ROCKY 2 AGT 2021 V V V V V

1 Ny. Rahmah Hayati 00065683 39 mgg COVID 19
G4P1A2 hml 38 Spinal DR.ROCKY 4 AGT 2021 V V V V V
2 Ny. Ika Apriani 00067463 mgg COVID 19

G1P0A0 hml 36- Spinal DR.ROCKY 4 AGT 2021 V V V V V

3 Ny. Adella Meilinda 00067526 37 mgg COVID 19

G3P2A0 hml 39
mgg COVID Spinal DR.ROCKY 9 AGT 2021 V V V V V
4 Ny. Waginem 00069347 19+Kontraksi

G2P1A0 hml 38
mgg letak Spinal DR.ROCKY 10 AGT 2021 V V V V V
bokong+ bekas
5 Ny. Siti Hasanah 00070203 SC+ COVID 19

G2P1A0 hml 37 Spinal DR.ROCKY 11 AGT 2021 V V V V V

mgg Inpartu fase
6 Ny. Nadirah 74030 laten+ COVID 19
6 0 6 0 0 6 6 0 6 0
JUMLAH
6 6 6 6 6

KONDISI
TGL JUMLAH PRODUK CSSD
BLM EXPIRE EXPIRE
1
2
3 4 4
4
5
6 5 5
7
8
9
10 6 6
11
12
13 2 2
14
15
16
17 6 6
18
19
20 3 3
21
22
23
24 3 3
25
26
27 4 4
28
29 2 2
30
31
35 0
JUMLAH
35
 INDIKATOR MUTU OKTOBER 2021
MONITORING STATUS FISIOLOGIS INTRA DAN PASCA ANASTESI, DIGANOSIS PRA DAN PASKA BEDAH, SITE MARKING

JENIS TGL MONITORING INTRA ANAASTESI MONITORING PASCA ANAASTESI EFEK SAMPING DIAGNOSIS PRA DAN PASCA SITE MARKING
NO NAMA PASIEN NO RM DIAGNOSA DR ANASTESI
ANASTESI PELAKSANAAN SESUAI TIDAK SESUAI SESUAI TIDAK SESUAI ADA TIDAK ADA SESUAI TIDAK SESUAI YA TIDAK
1 Ny. Amrina Sari 00076106 Neoplasma of breast sinistra GA dr. Rocky 12/10/2021 v v v v v
2 Nn. Zahra Aprilia 00076173 Neplasma of breast sinistra GA dr. Rocky 12/10/2021 v v v v v
3 Nn. Riani Faizi Hera 00076351 Mamma acesorries dextra GA dr. Dedi 13/10/2021 v v v v v
4 Tn. Yogaswara 00075506 CTS dextra GA dr. Rocky 13/10/2021 v v v v v
5 Tn. Haikal bin Munawar 00076905 Soft tissue tumor di plantar GA dr. Rocky 14/10/2021 v v v v v
6 Tn. David Baiyang 00076009 HILS SPINAL dr. Rocky 14/10/2021 v v v v v
7 Tn. Gia Fauziah 00076910 Kista atheroma di paha kanan GA dr. Rocky 19/10/2021 v v v v v
8 Tn. Kasimin 00076909 HILD residif SPINAL dr. Rocky 19/10/2021 v v v v v
9 Tn. Harsono 00078481 Hemorroid gr 4 SPINAL dr. Rocky 23/10/2021 v v v v v
10 Tn. Suriyono 00077796 Neoplasma di punggung SPINAL dr. Rocky 25/10/2021 v v v v v
11 Tn. Proyo Silalahi 00078389 Soft tissue tumor di pipi GA dr. Rocky 26/10/2022 v v v v v
12 Tn. Ahmad Turmudji 00078669 Abses dipunggung GA dr. Rocky 26/10/2023 v v v v v
G1P0A0 bHml 39mgg dg KPD 72
13 Ny. Mita Purwanti 00021297 jam SPINAL dr. Dedy 27/10/2024 v v v v v
14 Tn. Mukahar 00077797 HILS repondible SPINAL dr. Rocky 28/10/2025 v v v v v
15 Ny. Windy Ariyanti 00078754 Soft tisue tumor dipunggung GA dr. Rocky 28/10/2026 v v v v v
16 Nn. Anna Christina Nona 00060459 Fr. Manus sinistra GA dr. Rocky 28/10/2027 v v v v v
17 Tn. Imam Subekti 00078384 Bursitis disiku kanan GA dr. Rocky 29/10/2028 v v v v v
17 0 17 0 0 17 17 0 17 0
JUMLAH
17 17 17 17 17

KONDISI
TGL JUMLAH PRODUK CSSD
BLM EXPIRE EXPIRE
1 3 3
2
3
4 2 2
5 1 1
6
7 1 1
8 4 4
9
10
11 1 1
12 6 6
13 6 6
14 5 5
15 12 12
16
17
18 2 2
19 6 6
20 2 2
21 2 2
22 10 10
23
24
25 2 2
26 6 6
27 2 2
28 9 9
29 13 13
30
31
95
JUMLAH
95
 INDIKATOR MUTU NOPEMBER 2021
MONITORING STATUS FISIOLOGIS INTRA DAN PASCA ANASTESI, DIGANOSIS PRA DAN PASKA BEDAH, SITE MARKING

MONITORING INTRA ANAASTESI MONITORING PASCA ANAASTESI EFEK SAMPING DIAGNOSIS PRA DAN PASCA SITE MARKING
NO NAMA PASIEN NO RM DIAGNOSA JENIS ANASTESI DR ANASTESI
TGL PELAKSANAAN SESUAI TIDAK SESUAI SESUAI TIDAK SESUAI ADA TIDAK ADA SESUAI TIDAK SESUAI YA TIDAK
1 Tn. Jaenudin 00078671 Hernia Inguinal Dextra Spinal dr.Rocky 01 November 2021 V V V V V
2 Ny. Suprapti 00052096 Fr. Coloumn Femur Dextra Spinal dr.Rocky 01 November 2021 V V V V V
3 Nn. Ekawati 00078694 FAM Dextra GA dr.Rocky 02 November 2021 V V V V V

4 Ny. Susi Ambyangsari 00075897 Soft tisue tumor di bahu kiri GA dr.Rocky 02 November 2021 V V V V V

5 Ny. Ruaidah 00079371 Fr. Coloumn Femur Sinistra Spinal dr.Rocky 02 November 2021 V V V V V

6 Ny. Siti Unah 00079981 Gangren DM digiti 1 manus dextra GA dr.Dedy 03 November 2021 V V V V V

7 Ny. Asri Suharyanti 00078774 Ca. Mamma dextra residif GA dr.Rocky 04 November 2021 V V V V V

8 Tn. Turmudi 00077342 HILS repondible Spinal dr.Rocky 04 November 2021 V V V V V

9 Ny. Widya 00076958 Kista Ovarium Bilateral Spinal dr.Rocky 04 November 2021 V V V V V

10 Tn. Ahmad Jaelani 00070205 Hemorroid Interna Gr.4 Spinal dr.Rocky 05 November 2021 V V V V V

11 Ny. Mayasari 00079695 Soft tisue tumor genu dextra Spinal dr.Rocky 08 November 2021 V V V V V

12 Tn. Sahata Sialagan 00079569 Appendicitis Kronis Spinal dr.Rocky 08 November 2021 V V V V V

13 Tn. Manat Lumbanbatu 00049461 Multiple papiloma di perianal Spinal dr. Dedi 10 November 2021 V V V V V

14 Ny. Indri Yulianti 00080841 Abses dipaha dalam kiri Spinal dr. Dedi 10 November 2021 V V V V V

15 Ny. Haryati sofjan 00081340 Tumor Mamma Sinistra GA dr. Rocky 11 November 2021 V V V V V

16 Ny. Rina 00081574 Fr. Femur Sinistra Spinal dr. Rocky 11 November 2021 V V V V V

17 Tn. Lay Mie Boen 00081665 Soft Tisue Tumor di paha Spinal dr. Rocky 15 November 2021 V V V V V

18 Tn. Erwin Nur Widodo 00081400 HILS repondible Spinal dr. Rocky 15 November 2021 V V V V V

19 Tn. Dick Fernando 00079367 Perianal Fistel Spinal dr. Rocky 15 November 2021 V V V V V

20 Ny. Rina 00081574 Fr. Clavicula Sinistra GA dr. Rocky 15 November 2021 V V V V V

21 Ny. Painah 00080504 Union delayed fr, Femur dextra Spinal dr. Rocky 15 November 2021 V V V V V

22 Ny. Maswiyah 00081354 CTS GA dr. Rocky 15 November 2021 V V V V V

23 Ny. Christina Louira 00080187 G4P2A1 Hml 37mgg Bekas SC 2x Spinal dr. Rocky 16 November 2021 V V V V V

24 Ny. Ani Istiyanti 00081791 Tumor Mamma Dextra GA dr. Dedi 17 November 2021 V V V V V

25 Ny. Lusye David 00076983 CTS GA dr. Dedi 17 November 2021 V V V V V

26 Tn. Ngatijo 00081693 HILD repondible Spinal dr. Rocky 19 November 2021 V V V V V

27 Tn. Veroy Catur 00082663 Hemorroid Externa Gr.4 Spinal dr. Dedi 17 November 2021 V V V V V

28 Ny. Umi Kulsum 00082191 Tumor Mamma Bilateral GA dr. Dedi 19 November 2021 V V V V V

29 Tn. Damas Didik 00082644 Perianal Fistel Spinal dr. Dedi 19 November 2021 V V V V V

30 Tn. Atmo 00081996 HILS repondible Spinal dr. Rocky 23 November 2021 V V V V V

31 Tn. Edziardi Edasmara 00056820 Perianal Fistel Spinal dr. Dedi 24 November 2021 V V V V V

32 Tn. Anthony Watimenna 00049466 Hernia Umbilical Dextra Spinal dr. Rocky 25 November 2021 V V V V V

33 Ny. Aisah Paniring 00078573 Appendicitis Acut Spinal dr. Rocky 25 November 2021 V V V V V

33 0 33 0 0 33 33 0 33 0
JUMLAH
 JUMLAH
33 33 33 33 33

KONDISI
TGL JUMLAH PRODUK CSSD
BLM EXPIRE EXPIRE
1 5 5
2 8 8
3 3 3
4 7 7
5 20 20
6
7
8 6 6
9 2 2
10 6 6
11 6 6
12 16 16
13
14
15 10 10
16 4 4
17 8 8
18 2 2
19 20 20
20
21
22 2 2
23 4 4
24 4 4
25 6 6
26 16 16
27
28
29 2 2
30
31
0 157
JUMLAH
157
 MONITORING STATUS FISIOLOGIS I

JENIS DR
NO NAMA PASIEN NO RM DIAGNOSA
ANASTESI ANASTESI

10

JUMLAH

23
24
25
26
27
28
29
30
JUMLAH

KONDISI
TGL JUMLAH PRODUK CSSD
BLM EXPIRE EXPIRE
1
2
3
4
5
6
 7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
0 0
JUMLAH
0
 INDIKATOR MUTU 2021
MONITORING STATUS FISIOLOGIS INTRA DAN PASCA ANASTESI, DIGANOSIS PRA DAN PASKA BEDAH, SITE MARKING

TGL MONITORING INTRA ANAASTESI MONITORING PASCA ANAASTESI EFEK SAMPING

PELAKSANAAN SESUAI TIDAK SESUAI SESUAI TIDAK SESUAI ADA

0 0 0 0 0
0 0

0 0 0 0 0
0 0
ARKING

EFEK SAMPING DIAGNOSIS PRA DAN PASCA SITE MARKING

TIDAK ADA SESUAI TIDAK SESUAI YA TIDAK

0 0 0 0 0
0 0 0

0 0 0 0 0
0 0 0
 INDIKATOR MUTU KAMAR BEDAH RSPJ
TAHUN 2021

MONITORING STATUS FISIOLOGIS INTRA ANASTESI

NO BULAN JAN FEB MAR APR MAY JUN JUL AUG
1 Numerator 15 15 8 10 5 10 29 15
2 Denominator 15 15 8 10 5 10 29 15
3 Pencapaian 100 100 100 100 100 100 100 100

NO JAN FEB MAR APR MAY JUN JUL AUG

1 Target 100 100 100 100 100 100 100 100
2 Pencapaian 100 100 100 100 100 100 100 100

MONITORING STATUS FISIOLOGIS PASCA ANASTESI

NO BULAN JAN FEB MAR APR MAY JUN JUL AUG
1 Numerator 15 15 8 10 5 10 29 15
2 Denominator 15 15 8 10 5 10 29 15
3 Pencapaian 100 100 100 100 100 100 100 100

NO JAN FEB MAR APR MAY JUN JUL AUG

1 Target 100 100 100 100 100 100 100 100
2 Pencapaian 100 100 100 100 100 100 100 100

EFEK SAMPING ANASTESI

NO BULAN JAN FEB MAR APR MAY JUN JUL AUG
1 Numerator 0 0 0 0 0 0 0 0
2 Denominator 15 15 8 10 5 10 29 15
3 Pencapaian 0 0 0 0 0 0 0 0

NO JAN FEB MAR APR MAY JUN JUL AUG

1 Target 0 0 0 0 0 0 0 0
2 Pencapaian 0 0 0 0 0 0 0 0

DISKREPANSI DIAGNOSIS PRA DAN PASCA BEDAH

NO BULAN JAN FEB MAR APR MAY JUN JUL AUG
1 Numerator 0 0 0 0 0 0 0 0
2 Denominator 15 15 8 10 5 10 29 15
3 Pencapaian 0 0 0 0 0 0 0 0

NO JAN FEB MAR APR MAY JUN JUL AUG

1 Target 0 0 0 0 0 0 0 0
 2 Pencapaian 0 0 0 0 0 0 0 0

PELAKSANAAN SITE MARKING

NO BULAN JAN FEB MAR APR MAY JUN JUL AUG
1 Numerator 15 15 8 10 5 10 29 15
2 Denominator 15 15 8 10 5 10 29 15
3 Pencapaian 100 100 100 100 100 100 100 100

NO JAN FEB MAR APR MAY JUN JUL AUG

1 Target 100 100 100 100 100 100 100 100
2 Pencapaian 100 100 100 100 100 100 100 100

MONITORING PRODUK CSSD

NO BULAN JAN FEB MAR APR MAY JUN JUL AUG
1 Numerator 99 77 92 64 98 85 94 60
2 Denominator 99 77 92 64 98 85 94 60
3 Pencapaian 100 100 100 100 100 100 100 100

NO JAN FEB MAR APR MAY JUN JUL AUG

1 Target 100 100 100 100 100 100 100 100
2 Pencapaian 100 100 100 100 100 100 100 100

PENUNDAAN OPERASI ELEKTIF < 5%

NO BULAN JAN FEB MAR APR MAY JUN JUL AUG
1 Numerator 0 0 0 0 0 0 0 0
2 Denominator 13 11 6 7 5 10 29 15
3 Pencapaian 0 0 0 0 0 0 0 0

NO JAN FEB MAR APR MAY JUN JUL AUG

1 Target 0 0 0 0 0 0 0 0
2 Pencapaian 0 0 0 0 0 0 0 0

ANGKA KEJADIAN EXPIRE PRODUK CSSD TAHUN 2021

120
100
80
60
%

40
20
0
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
 100
80
60

%
40
20
0
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
BULAN

Target Pencapaian
SEP OCT NOV DEC
MONITORING STATUS FISIOLOGIS INTRA ANASTESI TAHUN 2
6 17 33 0
6 17 33 0 120

100 100 100 #DIV/0! 100

80
SEP OCT NOV DEC
60

%
100 100 100 100
100 100 100 #DIV/0! 40

20

0
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT
SEP OCT NOV DEC bulan
6 17 33 0
6 17 33 0 Target Pencapaian
100 100 100 #DIV/0!

MONITORING STATUS FISIOLOGIS PASCA ANASTESI TAH

SEP OCT NOV DEC
100 100 100 100 120

100 100 100 #DIV/0! 100

80

60
%

SEP OCT NOV DEC 40

0 0 0 0
20
6 17 33 0
0 0 0 #DIV/0! 0
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT
BULAN
SEP OCT NOV DEC
0 0 0 0
Target Pencapaian
0 0 0 #DIV/0!

MONITORING KEJADIAN EFEK SAMPING TINDAKAN AN

TAHUN 2021
SEP OCT NOV DEC 1
0 0 0 0 1
1
6 17 33 0 1
0 0 0 #DIV/0! 1
1
%

0
SEP OCT NOV DEC 0
0 0 0 0 0
0
0
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT
BULAN
 1
1

%
0
0
0
0
0 0 0 #DIV/0! 0
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT
BULAN

SEP OCT NOV DEC Target Pencapaian

6 17 33 0
6 17 33 0 ANGKA DISKREPANSI DIAGNOSIS PRA DAN PASCA BEDA
100 100 100 #DIV/0! 2021
1
SEP OCT NOV DEC 1
100 100 100 100 1
1
100 100 100 #DIV/0! 1
1

%
0
0
0
SEP OCT NOV DEC 0
0
35 95 157 0 JAN FEB MAR APR MAY JUN JUL AUG SEP OCT
35 95 157 0 BULAN
100 100 100 #DIV/0!
Target Pencapaian
SEP OCT NOV DEC
100 100 100 100
100 100 100 #DIV/0!
PENUNDAAN OPERASI ELEKTIF <5%
TAHUN 2021
7
SEP OCT NOV DEC 6
0 1 1 0 5
6 17 33 0 4
0 5.882353 3.030303 #DIV/0!
%

3
2
SEP OCT NOV DEC
1
0 0 0 0
0 6 3 #DIV/0! 0
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT

Target Pencapaian

KEPATUHAN PELAKSANAAN SITE MARKING PASIEN OPERASI

TAHUN 2021
120

100

80

60
%

40

20

0
 100

80

60

%
40

20

0
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
BULAN

Target Pencapaian
GIS INTRA ANASTESI TAHUN 2021

UN JUL AUG SEP OCT NOV DEC

bulan

Pencapaian

IS PASCA ANASTESI TAHUN 2021

UN JUL AUG SEP OCT NOV DEC

BULAN

Pencapaian

SAMPING TINDAKAN ANASTESI

UN JUL AUG SEP OCT NOV DEC

BULAN
UN JUL AUG SEP OCT NOV DEC
BULAN

Pencapaian

S PRA DAN PASCA BEDAH TAHUN

UN JUL AUG SEP OCT NOV DEC

BULAN

Pencapaian

PERASI ELEKTIF <5%

JUN JUL AUG SEP OCT NOV DEC

Pencapaian