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IKHLAS DALAM MELAYANI

CAPAIAN INDIKATOR MUTU WAJIB RS. MAWADDAH MEDIKA TAHUN 2019

CAPAIAN INDIKATOR MUTU WAJIB RS. MAWADDAH MEDIKA TAHUN 2019

02/22/2020 0
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No. Judul Indikator Standar Jan Feb Mar Apr Mei Juni Juli Agustus September Oktober November Desember
1. Kepatuhan Identifikasi Pasien 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
2. Emergency Response Time (Waktu Tanggap Pelayanan Gawat Darurat ≤ 5 menit) 100% (≤ 5 menit) 93,2% 94,4% 90,7% 96% 93% 93,7% 92.11% 94.62% 94.07% 98% 93% 96%
3. Waktu Tunggu Rawat Jalan ≤ 60 menit 18 menit 35.57 menit 30.05 menit 28.74 menit 30.25 menit ≤ 60 menit 22 menit 29 menit 45 menit 47.35 menit 18.37 menit 21.18 menit
4. Penundaan Operasi Elektif < 5% 14.29% 2.22% 7.06% 0% 0% 2.91% 0.00% 0.00% 0.00% 0.82% 1.1% 0%
5. Kepatuhan Jam Visite Dokter Spesialis ≥ 80% 57.73% 58.42% 63.25% 58.71% 55.38% 52.29% 55.87% 40.88% 44.42% 44,11% 45,45% 53,88%
6. Waktu Lapor Hasil Tes Kritis Laboratorium 100% (≤ 30 menit) 91.89% 83.12% 93.18% 98.46% 97,08% 100.00% 96.49% 100.00% 100.00% 25% 27,5% 20,3%
7. Kepatuhan Penggunaan Formularium Nasional ≥ 80% 90,74% 89,02% 85,39% 90,03% 89,22% 89,83% 91.91% 89.91% 90.87% 92,84% 91,15% 91,31%
8. Kepatuhan Kebersihan Tangan (Hand Hygiene) ≥ 85% 84% 86% 89% 94% 84% 86% 82 % 85 % 85 % 88 % 79 % 80%
9. Kepatuhan Terhadap Clinical Pathway ≥ 80% 79.41% 89.94% 89.19% 74% 62% 82% 76% 14% 45% 3% 9% 4%
10. Kepatuhan Upaya Pencegahan Risiko Pasien Jatuh 100% 100% 100% 100% 100% 100% 100% 100.00% 100.00% 100.00% 100.00% 100.00% 100%
11. Kepuasan Pasien dan Keluarga ≥ 80% 74.35% 82.96% 84.54% 87.96% 83.93% 85.71% 87.61% 78.50% 79.44% 75.24% 76.46% 81%
12. Kecepatan Waktu Tanggap Komplain 75% 100% 100% 100% 100% 100% 100% 100.00% 100.00% 100.00% 100.00% 100.00% 100%

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