0% found this document useful (0 votes)
167 views2 pages

Form ICRA

This 3 sentence summary provides the high level information from the ICRA (Infection Control Risk Assessment) form document: The form is used to analyze infection control risks at a community health center called PUSKESMAS IJEN, with sections to identify potential risks and problems, assign probability and impact scores, and develop targeted goals and strategies to address higher priority risks. Risks are evaluated on scales for probability of occurrence, potential impact on health, finances, legal issues, and the current systems and preparedness in place to mitigate each risk.

Uploaded by

ukmmaesan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
167 views2 pages

Form ICRA

This 3 sentence summary provides the high level information from the ICRA (Infection Control Risk Assessment) form document: The form is used to analyze infection control risks at a community health center called PUSKESMAS IJEN, with sections to identify potential risks and problems, assign probability and impact scores, and develop targeted goals and strategies to address higher priority risks. Risks are evaluated on scales for probability of occurrence, potential impact on health, finances, legal issues, and the current systems and preparedness in place to mitigate each risk.

Uploaded by

ukmmaesan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

PUSKESMAS IJEN

FORM ANALISIS INFECTION CONTROL RISK ASSESMENT (ICRA)


Hari/Tgl :
Unit Layanan :
Risk/Impact (Health, Financial,
Potential Probability / Frekuensi Legal, Regulatory) Current Systems/Preparedness
Risks/
Problems 4 3 2 1 0 5 4 3 2 1 5 4 3 2 1
Score

Clinical/ financial
limbFunction/j
Loss of life/

Prolonged
(function/
Serious Loss

Moderate
financial/

Length of
financial

financial
Minimal
Clinical/
Expect it

Maybe

stay
Likely

Never

Solid
Poor
Rare

Good
none

Fair
PUSKESMAS IJEN
Analisis Skala Prioritas Hasil ICRA
No JENIS SKOR PRIORITAS TUJUAN TUJUAN KHUSUS STRATEGI EVALUASi PROGRESS/
KELOM UMUM ANALISIS
POK
RISIKO

You might also like