WAKTU TUNGGU

No Tanggal No. RM Nama Pasien Diagnosa Pre OP

TGL DAFTAR

1 1/11/2022 040203 Rukiah Abses Glutea 29/10/2022

2 137971 Mahnep STT Poplitea 29/10/2022
3 130297 Herdiana APP 29/10/2022
4 137719 M Ibrahim Varicocle 30/10/2022
5 137490 Erni Hardiani KPD 11/01/2022
6 138066 Muliani KPD 11/01/2022
7 138120 Hidayatul Hikmah Post Term 11/01/2022
8 138087 Zakiah Kista Bartolin 30/10/2022
9 2/11/2022 137933 Isna Aprilia TE 30/10/2022
10 137934 Naziva Maulani TE 1/11/2022
11 137954 Deana Bila TE 1/11/2022
12 138148 Romi Hemoroid 1/11/2022
13 138006 Wardiah Ganglion Pedis 2/11/2022
14 138011 Siti Salmah Tu Colli 2/11/2022
15 137550 Hultiawati Ganglion Pedis
16 137883 Mastar Tu Dinding Dada
17 137889 Sumarni Tu Colli 2/11/2022
18 137959 H M Fadhil Hematuria 2/11/2022
19 137869 Mahmud Tu Jinak 2/11/2022
20 136981 Remah CKD 2/11/2022
21 3/11/2022 138200 Liza Komalasari BSC 2/11/2022
22 059115 Zakia Fahmi BSC 2/11/2022
23 138112 Nurjannah Myoma Uteri 2/11/2022
24 138149 Saunang Myoma Uteri 2/11/2022
25 138184 Demah STT Glutea 2/11/2022
26 137848 Badaruddin STT Temporal 1/11/2022
27 138188 M. Junaidi STT Digiti II 1/11/2022
28 137336 Suhlim Hemoroid 1/11/2022
29 138116 Pazilawati Tu Shoulder 2/11/2022
30 138115 Aq Ilham Tu Manus 1/11/2022
31 130110 Neni Desyana Tu Manus 1/11/2022
32 138122 Wildan HIL 1/11/2022
33 133382 Izzudin Hemoroid 1/11/2022
34 4/11/2022 137826 Naera Afiza TE 4/11/2022
35 115335 Dika Apriatiwi TE 4/11/2022
36 138137 Siti Aisyah TE 1/11/2022
37 132671 M Naufal HIL 3/11/2022
38 138283 Umi Nusika Tu Mamae 3/11/2022
39 138292 Wardiati BSC 2/11/2022
40 137383 Bq Nirmawati Post SC 2/11/2022
41 138253 Masnun Ab Incomplete 3/11/2022
42 7/11/2022 138257 Nuraini PDT 6/11/2022
43 138368 Yulia Maulani KPD 6/11/2022
44 138399 Nurul Isnaini Ab Incomplete 6/11/2022
45 020738 Munawarah Ab Incomplete 6/11/2022
46 137092 Lara Sasriana FAM 6/11/2022
47 137877 M Yusuf Batu Buli 6/11/2022
48 125275 Lukmanul Hakim Batu Buli 7/11/2022
49 138389 Suaeb HIL 7/11/2022
50 061601 M Rifai APP 7/11/2022
51 8/11/2022 134068 Sitiawan Sari CKD 8/11/2022
52 138196 Dian Hidayat STT Colly (D) 5/11/2022
53 137737 H Haerul basri HIL Sinistra 6/11/2022
54 138458 Nila Yuliani Takarina BSC 7/11/2022
55 138373 Rohani Gagal OD 8/11/2022
56 138488 Hamidatus Solihah 8/11/2022
57 118556 Dianan Azhara Post Date + CPD 5/11/2022
58 047974 Murjanah BSC 5/11/2022
59 100872 Mardiana Kista Ovari 4/11/2022
60 138472 Yusrina BO 7/11/2022
61 137737 M Rezaldi ODT 8/11/2022
62 138320 Ardi Surya Varicocle 8/11/2022
63 138348 muhsan appendicitis 8/11/2022
64 9/11/2022 138471 SATYADI alpian tu nasal 9/11/2022
65 138247 alimudin hil 8/11/2022
66 138324 ahmad alwi tu gerio soulder 8/11/2022
67 109960 asmat tu nasal 9/11/2022
68 138333 Wahidah Tu. Regio Shoulder 8/11/2022
69 113515 Rabiatun Adawiyah Ruptur Vagina 8/11/2022
70 97951 Bq Melian Letsu Oligi 8/11/2022
71 138524 Saklah Ab Incomplete 8/11/2022
72 138482 Rohnan Ab Incomplete 7/11/2022
73 138556 Fitriani BSC 7/11/2022
74 138071 M. Rizki Fasya Tonsilitis 9/11/2022
75 138499 L.M Khaeril A Hemoroid 9/11/2022
76 10/11/2022 064183 Alwan CKD 10/11/2022
77 133503 Ruslan HIL 10/11/2022
78 138484 Mahrumiah Tu Mamae 9/11/2022
79 138511 Nurhamidah Tu Mamae 9/11/2022
80 138350 M Azima Varicocle 9/11/2022
81 011113 H Nasrudin Diabetic Foot 8/11/2022
82 138588 Ema Budiani Death Conseptus 7/11/2022
83 132705 Bq Devi Rahmawati Letsu Oligo 8/11/2022
84 138618 Verawati PROM 8/11/2022
85 11/11/2022 133503 Ruspan HIL 10/11/2022
 86 138633 Erisa Safitri APP 9/11/2022
87 Junaedi Tu. Colly 9/11/2022
88 138594 Mashur H. STT Auriculla 10/11/2022
89 128894 Pe Sandi Massa Rectum 11/11/2022
90 138546 Bentar Lingga APP 11/11/2022
91 138581 Siti Zahrah Wound manus 9/11/2022
92 138286 Yaogi Handika TE 10/11/2022
93 138422 Khairil Ansori TE 10/11/2022
94 138430 Septiawan Anggara TE 10/11/2022
95 138640 Hayani Gagal OD 10/11/2022
96 138634 Aq Pathul Rahman Ulkus DM 10/11/2022
97 138627 Radiatul CKD 11/11/2022
98 Masiah Tu. Mamae 11/11/2022
99 14/11/2022 138605 Wina Adests appendicitis 13/11/2022
100 084631 Hj. Fatimah Abses Glutea 13/11/2022
WAKTU TUNGGU OPERASI ELEKTIF MONITORING MONITORING
< 2 Hari RR SELAMA ANASTESI
TGL OP LAMA TUNGGU
YA TIDAK AS SS BS YA TIDAK
1/11/2022 4 1 1 1
1/11/2022 0 1 1 1
1/11/2022 1 1 1 1
1/11/2022 1 1 1 1
1/11/2022 1 1 1 1
1/11/2022 1 1 1 1
1/11/2022 3 1 1 1
1/11/2022 1 1 1 1
2/11/2022 3 1 1 1
2/11/2022 1 1 1 1
2/11/2022 1 1 1 1
2/11/2022 1 1 1 1
2/11/2022 0 1 1 1
2/11/2022 0 1 1 1
2/11/2022 4 1 1 1
2/11/2022 4 1 1 1
2/11/2022 0 1 1 1
2/11/2022 0 1 1 1
2/11/2022 0 1 1 1
2/11/2022 1 1 1 1
3/11/2022 1 1 1 1
3/11/2022 1 1 1 1
3/11/2022 1 1 1 1
3/11/2022 1 1 1 1
3/11/2022 1 1 1 1
3/11/2022 2 1 1 1
3/11/2022 2 1 1 1
3/11/2022 2 1 1 1
3/11/2022 1 1 1 1
3/11/2022 2 1 1 1
3/11/2022 2 1 1 1
3/11/2022 2 1 1 1
3/11/2022 2 1 1 1
4/11/2022 0 1 1 1
4/11/2022 0 1 1 1
4/11/2022 3 1 1 1
4/11/2022 1 1 1 1
4/11/2022 1 1 1 1
4/11/2022 2 1 1 1
4/11/2022 2 1 1 1
4/11/2022 1 1 1 1
7/11/2022 1 1 1 1
7/11/2022 1 1 1 1
7/11/2022 1 1 1 1
7/11/2022 1 1 1 1
7/11/2022 1 1 1 1
7/11/2022 1 1 1 1
7/11/2022 0 1 1 1
7/11/2022 0 1 1 1
7/11/2022 0 1 1
8/11/2022 0 1 1 1
8/11/2022 3 1 1 1
8/11/2022 2 1 1 1
8/11/2022 1 1 1 1
8/11/2022 0 1 1 1
8/11/2022 0 1 1 1
8/11/2022 3 1 1 1
8/11/2022 3 1 1 1
8/11/2022 4 1 1 1
8/11/2022 1 1 1 1
8/11/2022 0 1 1 1
8/11/2022 0 1 1 1
8/11/2022 0 1 1 1
9/11/2022 0 1 1 1
9/11/2022 1 1 1 1
9/11/2022 1 1 1 1
9/11/2022 0 1 1 1
9/11/2022 1 1 1 1
9/11/2022 1 1 1 1
9/11/2022 1 1 1 1
9/11/2022 1 1 1 1
9/11/2022 2 1 1 1
9/11/2022 2 1 1 1
9/11/2022 0 1 1 1
9/11/2022 0 1 1 1
10/11/2022 0 1 1 1
10/11/2022 0 1 1 1
10/11/2022 1 1 1 1
10/11/2022 1 1 1 1
10/11/2022 1 1 1 1
10/11/2022 2 1 1 1
10/11/2022 3 1 1 1
10/11/2022 2 1 1 1
10/11/2022 2 1 1 1
11/11/2022 1 1 1 1
11/11/2022 3 1 1 1
11/11/2022 3 1 1 1
11/11/2022 1 1 1 1
11/11/2022 0 1 1 1
11/11/2022 0 1 1 1
11/11/2022 2 1 1 1
11/11/2022 1 1 1 1
11/11/2022 1 1 1 1
11/11/2022 1 1 1 1
11/11/2022 1 1 1 1
11/11/2022 1 1 1 1
11/11/2022 0 1 1 1
11/11/2022 0 1 1 1
14/11/2022 1 1 1 1
14/11/2022 1 1 1 1
Total Hari 119
Rata-rata 1.19
 KONVERSI KEPATUHAN ASSESMEN PRA BEDAH
TIND.ANASTESI DILAKUKAN
PRE POST YA TDK
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
DISKREPANSI
KELENGKAPAN PETUGAS DIAGNOSA
YA TDK DOK PRWT PRE POST
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
 KEPATUHAN PENGISIAN ASS. ANASTESI PELAKSANAAN SSCL
DILAKUKAN LENGKAP PETUGAS DILAKUKAN LENGKAP
YA TDK YA TDK DOKTER PERAWAT YA TDK YA TDK
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
 PELAKSANAAN PENANDAAN LOKASI OPERASI PENUNDAAN WAKTU OPERASI ELEKT
DILAKUKAN TEMPAT PETUGAS
JAM RENCANA JAM MULAI
YA TDK POLI RANAP IBS DOKTER PRWAT
1 1 1 14:00 14:10
1 1 1 14:30 14:35
1 1 1 15:00 15:10
1 1 1 14:00 14:14
1 1 1 15:30 15:30
1 1 1 14:00 14:00
1 1 1 14:30 14:30
1 1 1 16:00 16:00
1 1 1 16:00 16:00
1 1 1 16:30 16:30
1 1 1 13:30 13:30
1 1 1 14:00 14:00
1 1 1 14:30 14:30
1 1 1 15:10 15:10
1 1 1 14:15 14:15
1 1 1 16:00 16:00
1 1 1 16:30 16:45
1 1 1 17:00 17:15
1 1 1 14:00 14:00
1 1 1 14:30 14:30
1 1 1 15:00 15:00
1 1 14:00 14:00
1 1 1 15:30 15:30
1 1 1 14:00 14:00
1 1 1 14:30 14:30
1 1 1 15:40 15:40
1 1 1 16:00 16:00
1 1 1 16:30 16:36
1 1 1 13:30 13:30
1 1 1 14:00 14:00
1 1 1 14:30 14:30
1 1 1 15:10 15:20
1 1 1 14:15 14:18
1 1 1 16:00 16:00
1 1 1 16:30 16:30
1 1 1 17:00 17:00
1 1 1 14:00 14:00
1 1 1 14:30 14:30
1 1 1 15:00 15:11
1 1 1 14:00 14:30
1 1 1 15:30 15:30
1 1 1 14:00 14:00
1 1 1 14:30 14:30
1 1 1 15:40 15:40
1 1 1 16:00 16:00
1 1 1 16:30 16:30
1 1 1 13:30 13:30
1 1 1 14:00 14:00
1 1 1 14:30 14:30
1 1 1 15:10 15:10
1 1 1 14:15 14:20
1 1 1 16:00 16:00
1 1 1 16:30 16:30
1 1 1 17:00 17:00
1 1 14:00 14:00
1 1 1 14:30 14:30
1 1 1 15:00 15:00
1 1 1 14:00 14:00
1 1 1 15:30 15:30
1 1 1 14:00 14:00
1 1 1 14:30 14:30
1 1 1 15:40 15:40
1 1 1 16:00 16:00
1 1 1 16:30 16:30
1 1 1 13:30 13:30
1 1 1 14:00 14:00
1 1 1 13:30 13:35
1 1 14:00 14:10
1 1 1 14:30 14:30
1 1 1 15:10 15:10
1 1 1 14:15 14:15
1 1 1 16:00 16:00
1 1 1 16:30 16:30
1 1 1 17:00 17:00
1 1 1 15:00 15:00
1 1 1 14:00 14:00
1 1 1 15:30 15:30
1 1 1 14:00 14:00
1 1 1 14:30 14:30
1 1 1 15:40 15:40
1 1 1 16:00 16:00
1 1 1 16:30 16:30
1 1 1 13:30 13:30
1 1 1 14:00 14:00
1 1 1 14:30 14:30
1 1 1 15:10 15:20
1 1 1 14:15 14:15
1 1 1 16:00 16:00
1 1 1 16:30 16:40
1 1 1 17:00 17:10
1 1 1 14:00 14:00
1 1 1 14:30 14:30
1 1 1 15:00 15:00
1 1 1 14:00 14:00
1 1 1 15:30 15:30
1 1 1 14:00 14:00
1 1 14:30 14:30
1 1 1 15:40 15:40
1 1 1 16:00 16:00
1 1 1 16:30 16:30
RATA-RATA : 0.00
N WAKTU OPERASI ELEKTIF

SELISIH WAKTU ALASAN

0:10
0:05
0:10
0:14
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:15
0:15
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:06
0:00
0:00
0:00
0:10
0:03
0:00
0:00
0:00
0:00
0:00
0:11
0:30
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:05
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:05
0:10
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:10
0:00
0:00
0:10
0:10
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
0:00
 RUMAH SAKIT ISLAM NAMIRA
No. Ijin : 503/293/PMPTSP.RS/202
Jln. KH. Ahmad Dahlan No. 17 Selong Lom
Telp. (0376) 21004, Fax (0376) 226

INDIKATOR MUTU UNIT IB

RUMAH SAKIT ISLAM NAMI

Nama : Doni Prayanto Amd. Kep

NIK : 202188347
Jabatan : Kepala Ruang IBS

November
No KPIs
Numerator Denominator Capaian
1 Waktu Tunggu Operasi Elektif 119 100 1.19
2 Monitoring RR 100 100 100.00
3 Monitoring Selama Anastesi 99 100 99.00
4 Konversi Tindakan Anastesi 100 100 100.00
5 Kepatuhan Ass. Pra Bedah 100 100 100.00
6 Diskrepansi 100 100 100.00
7 Kepatuhan Pengisian Ass. Anastesi 100 100 100.00
8 Pelaksanaan SSCL 100 100 100.00
9 Pelaksanaan Penandaan Lokasi Operasi 100 100 100
10 Penundaan Waktu Elektif 0 100 0
11 Kejadian Kematian di Meja Operasi 0 100 0
12 Tidak adanya kejadian operasi salah sisi 100 100 100
13 Tidak adanya kejadian operasi salah orang 100 100 100
14 Tidak ada kejadian salah tindakan pada operasi 100 100 100
15 Tidak ada ketinggalan benda asing 100 100 100
16 Komplikasi anastesi karena overdosis 0 100 0
17 Tidak ada kejadian pemasangan ulang implant 100 100 100
AH SAKIT ISLAM NAMIRA
: 503/293/PMPTSP.RS/2021
Dahlan No. 17 Selong Lombok Timur
376) 21004, Fax (0376) 22693

ATOR MUTU UNIT IBS

H SAKIT ISLAM NAMIRA

er
Standar
<2
100%
100%
100%
100%
100%
100%
100%
100%
5%
<1%
100%
100%
100%
100%
<6%
100%