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  • Form Supervisi Rs Bunda

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    rizki ilham
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    This document is a checklist form for supervising quality indicators at Bunda Hospital in Gorontalo City. It contains 3 sections: (1) Clinical Area Indicators which include targets for patient assessment completeness, lab result times, and emergency response times; (2) Management Indicators such as doctor visit adherence and wait times; and (3) Patient Safety Indicators focused on labeling, read backs, high alert medications, and fall risk assessments. The director of Bunda Hospital signs off on the form to monitor progress on quality targets for 2019.

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    SUPERVISI RS BUNDA

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    This document is a checklist form for supervising quality indicators at Bunda Hospital in Gorontalo City. It contains 3 sections: (1) Clinical Area Indicators which include targets for patient assessment completeness, lab result times, and emergency response times; (2) Management Indicators such as doctor visit adherence and wait times; and (3) Patient Safety Indicators focused on labeling, read backs, high alert medications, and fall risk assessments. The director of Bunda Hospital signs off on the form to monitor progress on quality targets for 2019.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    17 views4 pages

    Form Supervisi Rs Bunda

    Uploaded by

    rizki ilham
    This document is a checklist form for supervising quality indicators at Bunda Hospital in Gorontalo City. It contains 3 sections: (1) Clinical Area Indicators which include targets for patient assessment completeness, lab result times, and emergency response times; (2) Management Indicators such as doctor visit adherence and wait times; and (3) Patient Safety Indicators focused on labeling, read backs, high alert medications, and fall risk assessments. The director of Bunda Hospital signs off on the form to monitor progress on quality targets for 2019.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 4

    RUMAH SAKIT UMUM BUNDA

    KOTA GORONTALO
    Jl. HB Yassin No. 269, Kel. Wumialo Kec. Kota Tengah
    Telp. (0435) 830600 – 829290, website : www.rsubunda.co.id

    FORM CEKLIST SUPERVISI INDIKATOR MUTU PMKP

    Hari / Tanggal :

    NO Indikator mutu prioritas RS Target Capaian Hasil Supervisi Tindak Lanjut


    2019
    1 √ INDIKATOR AREA KLINIK
    (IAK)
    1. Angka Kelengkapan Pengkajian 100%
    √
    Awal Keperawatan Rawat Inap
    <24 Jam
    2. Waktu lapor hasil laboratorium < 100%
    30 menit
    3. Kepatuhan Dokter dalam 100%
    penerapan PPK
    4. Emergency respon time < 5 100%
    menit
    5. Waktu Penyediaan Dokumen 100%
    Rekam Medik Rawat Inap ≤ 10
    Menit)

    2 INDIKATOR AREA
    MANAJEMEN (IAM)
    1. Kepatuhan jam visite dokter 90%
    spesialis 07.00 – 22.00
    2. Waktu tunggu rawat jalan 100%
    poliklinik < 60 menit
    3. Kepatuhan penggunaan 80%
    formularium nasional
    4. Waktu tunggu pelayanan resep 100%
    obat jadi (WTOJ) interna < 30
    menit
    5. Kecepatan waktu pemberian 90%
    informasi tentang tagihan
    pembayaran pasien < 2 jam
    3 INDIKATOR SASARAN
    KESELAMATAN PASIEN
    (ISKP)
    1. Spesimen pemeriksaan 100%
    laboratorium diberikan label
    identitas
    2. Persentase pelaksanaan Read Back 100%
    ditandatangani oleh pemberi
    instruksi dalam waktu 1 x 24 Jam
    (100%)
    3. Obat high alert yang ditemukan 100%
    diberi label high alert
    4. Kepatuhan petugas dalam ≥ 85%
    melakukan cuci tangan
    5. Pelaksanaan asesment resiko jatuh 100%
    diruang rawat inap

    Direktur RS Bunda Gorontalo

    dr. Rudolf Anglimala

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