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JUDUL INDIKATOR : KELENGKAPAN PENGISIAN DAN KETEPATAN PENGEMBALIAN REKAM MEDIS

BULAN : AGUSTUS

TAHUN : 2015

No No. RM Nama Pasie

Ke!"a# R"ma$ Sa%i& Se#a$ Te#i

T'! P"%"! T'! P"%"! (' Mee

1 7210 Asril Husein 2/7/2015 10,00 2/7/2015 10,00 sakinah2 8974 Ummi Salamah 2/7/2015 11,00 2/7/2015 11,00 malika3 9418 Fatmawati 2/7/2015 17,30 2/7/2015 18,00 julianni4 918 Hannum !ar"iah 3/7/2015 17,30 3/7/2015 17,00 rani5 928 julianti 2/7/2015 17,45 3/7/2015 17,15 rani 9074 ren"i rit#n$a 1/7/2015 1,00 3/7/2015 17,45 rani7 944 kh#irunnisa 3/7/2015 1,00 3/7/2015 17,45 rani8 25 hani%ah 2/7/2015 10,00 2/7/2015 11,00 malika9 9447 A& Haimin l's 2/7/2015 09,30 2/7/2015 11,01 malika10 9423 h#tna sari 3/7/2015 10,00 3/7/2015 11,15 julianni11 3551 asnita 3/7/2015 10,00 3/7/2015 12,00 julianni12 924 s#r(ini 3/7/2015 10,00 ) ) )13 9573 r#sita 3/7/2015 10,00 ) ) )

14 3819 ra%ni erwina 3/7/2015 10,00 3/7/2015 12,00 julianni15 934 ri%ki aulia 4/7/2015 10,00 /7/2015 13,30 malika1 8075 siti hawa 5/7/2015 10,00 /7/2015 13,30 malika17 99 meriati /7/2015 11,00 /7/2015 13,30 julianti18 953 ri*a amelia, '+ /7/2015 11,00 /7/2015 13,30 julianti19 972 "ina manara, '+ /7/2015 11,00 /7/2015 13,30 julianti20 975 saina(, '+ /7/2015 11,00 /7/2015 13,30 julianti21 434 nur'aiti 3/7/2015 10,00 3/7/2015 12,00 julianti22 912 m& ha%i* winatra 3/7/2015 10,00 3/7/2015 12,00 julianti23 3095 musta%a husein 3/7/2015 10,00 3/7/2015 12,00 julianti24 9579 r#sita 'r huta$alun$, '+ 3/7/2015 10,00 3/7/2015 12,00 julianti25 9585 ra%ni erwina, '+ 3/7/2015 10,00 3/7/2015 12,00 julianti


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Ke!"a# R"ma$ Sa%i& Se#a$ T

T'! P"%"! T'! P"%"! (' M

2 9587 h#"na sari, '+ 3/7/2015 10,00 3/7/2015 12,00 julianti27 9584 asnita, '+ 3/7/2015 10,00 3/7/2015 12,00 julianti28 9552 *ulkarnaen 3/7/2015 10,00 3/7/2015 12,00 julianti29 913 riswant#r# 3/7/2015 10,00 3/7/2015 12,00 julianti30 9539 n$a"iem 3/7/2015 10,00 3/7/2015 12,00 julianti

31 1527 $antinur 3/7/2015 10,00 3/7/2015 12,00 julianti32 8904 nurmalin"a 3/7/2015 10,00 3/7/2015 12,00 julianti33 9583 asmar 3/7/2015 10,00 3/7/2015 12,00 julianti34 9575 mulla sa"ra 3/7/2015 10,00 3/7/2015 12,00 julianti35 970 "amr#h, '+ /7/2015 11,00 /7/2015 15,00 julianti3 987 nurmahasa sr$, '+ 7/7/2015 11,00 7/7/2015 11,30 rani37 98 ummi na"ra, '+ 4/7/2015 11,00 7/7/2015 14,20 rani38 943 maskima 4/7/2015 11,45 8/7/2015 08,45 rani39 990 hi& !ar+am 5/7/2015 11,45 8/7/2015 08,45 rani40 971 munir 4/7/2015 17,00 8/7/2015 08,45 rani41 5027 nilmawani 7/7/2015 11,00 8/7/2015 08,45 rani42 812 r#'iah 7/7/2015 1,00 8/7/2015 08,45 rani43 489 ummi na"ra /7/2015 11,00 8/7/2015 08,45 rani44 82 m& ali $usti 4/7/2015 11,00 4/7/2015 08,45 rani45 9555 sakinah 7/7/2015 11,00 8/7/2015 11,15 rani

4 9717 nur"iana "aula+, '+ 8/7/2015 11,00 8/7/2015 11,15 rani47 9721 sai'ah, '+ 8/7/2015 12,00 8/7/2015 14,30 rani48 9704 nur aisah, '+ 8/7/2015 12,00 8/7/2015 14,30 rani49 955 ahma" "ur#ni /7/2015 12,40 10/7/2015 14,30 ika50 91 ra"en mas ai nin$rat /7/2015 12,10 10/7/2015 12,15 ika51 9701 mariantini /7/2015 11,00 13/7/15 10,00 julianti52 924 s#r(ini 7/7/2015 11,00 13/7/15 10,00 julianni53 8195 nur"iana "aula+ 8/7/2015 10,00 13/7/15 13,00 %itri54 9758 ari%in al %ari*i 11/7/2015 10,00 14/7/2015 10,00 julianti55 525 !& +unus lu'is 14/7/2015 10,00 14/7/2015 10,00 julianti5 9859 H& martua (ulun$an 14/7/2015 10,00 15/7/2015 09,45 julianti57 9853 su(iani 14/7/2015 10,00 15/7/2015 09,45 julianti58 9850 sahrul $unawan 14/7/2015 10,00 15/7/2015 09,45 julianti


3/129



T'! P"%"! T'! P"%"! (' M

59 31 khairani lu'is 14/7/2015 21,00 15/7/2015 09,45 julianti0 973 marlina 9/7/2015 10,00 15/7/2015 11,15 julianti1 9831 ke'es marsaulina 14/7/2015 10,00 15/7/2015 11,15 julianti2 304 an"re ri-ar"# 15/7/2015 10,00 15/7/2015 23,00 %itri3 9870 ais+ah a*rumi 15/7/2015 10,00 15/7/2015 23,00 %itri

4 9700 siti ais+ah 7/7/2015 10,00 15/7/2015 07,10 %itri5 949 saliah 5/7/2015 10,00 15/7/2015 07,10 %itri 983 nurmahasa 7/7/2015 10,00 1/7/15 07,10 %itri7 325 nur annah 10/7/2015 11,00 15/7/2015 07,10 %itri8 9418 Fatmawati 2/7/2015 11,00 15/7/2015 07,10 %itri9 7882 nur ainun 7/7/2015 10,45 15/7/2015 07,10 %itri70 9215 %itri wah+uni 8/7/2015 10,00 1/7/15 07,10 %itri71 9778 el%i sahreni 9/7/2015 10,00 1/7/15 07,10 %itri72 9719 sai'ah 8/7/2015 10,00 1/7/15 07,10 %itri73 9880 ika sa%itri 14/7/15 10,00 1/7/15 23,00 %itri74 410 nika wi"ia 9/7/2015 10,00 1/7/15 23,00 %itri75 9801 r#sni"a nst 5/7/2015 10,00 1/7/15 23,00 %itri7 918 hamum mar"ik 3/7/2015 10,00 1/7/15 07,10 %itri77 91 ra"en mas /7/2015 10,00 1/7/15 07,30 %itri78 985 muhamma"in jani'ak 13/7/2015 14,00 1/7/15 07,30 %itri

79 919 masrai"ah 9/7/2015 11,00 1/7/15 07,30 %itri80 9718 a%nisah 10/7/2015 11,00 1/7/15 07,45 %itri81 9773 %itriani 11/7/2015 10,00 1/7/15 07,45 %itri82 55 lin"a 15/7/2015 10,00 15/7/15 11,15 julianti83 10042 awalu""in 21/7/2015 10,00 21/7/15 11,15 sai"ah84 9852 serianna 15/7/2015 ) 22/7/15 ) sai"ah85 9979 "esi (urnama 20/7/2015 ) 22/7/15 ) sai"ah8 9234 nurha+ati 15/7/2015 ) 22/7/15 ) sai"ah87 9999 laila ha+ati 20/7/2015 ) 22/7/15 ) sai"ah88 9892 nurani"a 1/7/2015 ) 22/7/15 ) sai"ah89 988 nurhi"a+ah 1/7/2015 ) 22/7/15 ) sai"ah90 9882 %itri 1/7/2015 ) 22/7/15 ) sai"ah91 9274 "ina mariani /7/2015 ) 23/7/15 14,00 sai"ah


4/129



T'! P"%"! T'! P"%"! (' M

92 9737 ul%a i"a+ati 10/7/2015 ) 23/7/15 14,00 sai"ah93 728 marwan 10/7/2015 ) 23/7/15 14,00 sai"ah94 594 siti r#%iah 12/7/2015 ) 23/7/15 14,00 sai"ah95 9748 nur a*i*ah 8/7/2015 ) 23/7/15 14,00 sai"ah9 8804 nur ais+ah 8/7/2015 ) 23/7/15 14,00 sai"ah

97 811 ma+ sar#h 20/7/15 ) 23/7/15 14,00 sai"ah98 979 erlina wati 21/7/15 ) 23/7/15 14,00 sai"ah99 9848 r#"iasul a"awi+a 15/7/15 ) 23/7/15 14,00 sai"ah

100 974 isah 10/7/2015 ) 23/7/15 14,00 sai"ah101 9577 aisah hs' 10/7/2015 ) 23/7/15 14,00 sai"ah102 9941 erlina 21/7/2015 ) 23/7/15 14,00 sai"ah103 9929 riska sri"a 17/7/2015 ) 23/7/15 14,00 sai"ah104 8500 "esi an"riani 2/7/2015 ) 23/7/15 14,00 sai"ah105 9898 m& *en 1/7/2015 ) 23/7/15 14,00 sai"ah10 2320 risk ais+ah 18/7/2015 ) 23/7/15 14,00 sai"ah107 9771 juriah 9/7/2015 ) 23/7/15 14,00 sai"ah108 9832 nikmah hs' 12/7/2015 ) 23/7/15 14,00 sai"ah109 9840 +aniah 12/7/2015 ) 23/7/15 14,00 sai"ah110 3522 ri*a ha+ati 9/7/2015 ) 23/7/15 14,00 sai"ah111 975 r#snauli 8/7/2015 ) 23/7/15 14,00 sai"ah

112 7988 murni salamah 15/7/2015 ) 23/7/15 14,00 sai"ah113 9834 *ainul ari%in 15/7/2015 ) 23/7/15 14,00 sai"ah114 9744 r#ni 10/7/2015 ) 23/7/15 14,00 sai"ah115 9871 narnia 1/7/2015 ) 23/7/15 14,00 sai"ah11 991 +ah+a 19/7/2015 ) 23/7/15 14,00 sai"ah117 8494 %e'riani 1/7/2015 ) 23/7/15 14,00 sai"ah118 5450 a'"ulla *ikri 1/7/2015 ) 23/7/15 14,00 sai"ah119 102 reskiah 1/7/2015 ) 23/7/15 14,00 sai"ah120 2827 ernawati lu'is 20/7/2015 ) 23/7/15 18,00 rani121 9949 helmi 20/7/2015 ) 23/7/15 18,00 rani122 9489 intarti 19/7/2015 ) 23/7/15 18,00 rani123 983 hawani 1/7/2015 ) 23/7/15 18,00 rani124 988 ka"ariah 1/7/2015 ) 23/7/15 18,00 rani


5/129



T'! P"%"! T'! P"%"! (' M

125 10034 ahma" %airut 21/7/2015 ) 23/7/15 18,00 rani12 10047 mah%ul lu'is 21/7/2015 ) 23/7/15 18,00 rani127 10041 kh#lijah 21/7/2015 ) 23/7/15 18,00 rani128 9729 al+a kh#"ijah 9/7/2015 ) 23/7/15 18,00 rani129 9842 na"ira salsa'illah 13/7/2015 ) 23/7/15 18,00 rani

130 9714 ri%an nurhailan 7/7/2015 ) 23/7/15 18,00 rani131 9824 in"ra anisa lu'is 13/7/2015 ) 23/7/15 18,00 rani132 824 hj& Asiah lu'is 10/7/2015 ) 23/7/15 18,00 rani133 522 !& +unus 15/7/2015 ) 23/7/15 18,00 rani134 9823 masliana 13/7/2015 ) 23/7/15 18,00 rani135 8941 mul+ati 14/7/2015 ) 23/7/15 18,00 rani13 985 masliana 15/7/2015 ) 23/7/15 18,00 rani137 9711 "ermawans+ah 10/7/2015 ) 23/7/15 18,00 rani138 9591 h& umar 'akri /7/2015 ) 23/7/15 18,00 rani139 989 *ikri anu$rah /7/2015 ) 23/7/15 18,00 rani140 988 t#n$ku t#n"i 5/7/2015 ) 23/7/15 18,00 rani141 978 ras+a akila 7/7/2015 ) 23/7/15 18,00 rani142 9755 askia hamsa 9/7/2015 ) 23/7/15 18,00 rani143 999 a"lan wa%i 9/7/2015 ) 23/7/15 18,00 rani144 851 ahma" su"irman 5/7/2015 ) 23/7/15 18,00 rani

145 957 %atima simanjuntak 5/7/2015 ) 23/7/15 18,00 rani14 1007 a$#%a maila 22/7/2015 ) 23/7/15 18,00 rani147 7839 %itri khairani 22/7/2015 ) 23/7/15 18,00 rani148 525 m& +unus 22/7/2015 ) 23/7/15 18,00 rani149 48 must#%a lu'is 23/7/2015 ) 23/7/15 18,00 rani150 10088 iman nawami& 23/7/2015 ) 23/7/15 18,00 rani151 9444 mh"& Ali "amri 20/7/2015 ) 23/7/15 ) malika152 1000 maisar#h 20/7/2015 ) 23/7/15 ) malika153 9905 jum.at 15/7/2015 ) 23/7/15 ) malika154 980 "ia +#lan"a 14/7/2015 ) 23/7/15 ) malika155 8303 'usr#h 13/7/2015 ) 23/7/15 ) malika15 9885 saleha 20/7/2015 ) 23/7/15 ) malika157 9948 m& si""ik 18/7/2015 ) 23/7/15 ) malika


6/129



T'! P"%"! T'! P"%"! (' M

158 9925 salmah 17/7/2015 ) 23/7/15 ) malika159 997 kum(ul 19/7/2015 ) 23/7/15 ) malika10 9972 sa+ati 19/7/2015 ) 23/7/15 ) malika11 5407 irwans+ah 17/7/2015 ) 23/7/15 ) malika12 9928 H& mh" harun 1/7/2015 ) 23/7/15 ) malika

13 9939 julia"ein 17/7/2015 ) 23/7/15 ) malika14 9940 sau"ah 18/7/2015 ) 23/7/15 ) malika15 995 ri%ki 19/7/2015 ) 23/7/15 ) malika1 9945 au%a 19/7/2015 ) 23/7/15 ) malika17 9947 !& ha%nan 18/7/2015 ) 23/7/15 ) malika18 9978 a"ina 20/7/2015 ) 23/7/15 ) malika19 9995 mus"ar 20/7/2015 ) 23/7/15 ) malika170 891 seri ani 11/7/2015 ) 23/7/15 ) malika171 9815 sahrial 11/7/2015 ) 23/7/15 ) malika172 10070 "el%itri, '+ 24/7/2015 ) 23/7/15 ) malika173 10071 siti %atimah, '+ 24/7/2015 ) 23/7/15 ) malika174 10079 mel(ai"a sinjak 22/7/15 ) 23/7/15 ) malika175 9852 seri anna 1/7/15 ) 23/7/15 ) malika17 4453 mu%i"a salsa'ila 10/7/2015 ) 23/7/15 ) sai"ah177 94 *ul%i /7/2015 ) 23/7/15 ) sai"ah

178 9801 muhamma" ras+i" 29/7/15 ) 23/7/15 ) sai"ah179 9753 mu%i"a salsa'ila 10/7/2015 ) 23/7/15 ) sai"ah180 9751 sa$in# 10/7/2015 ) 23/7/15 ) sai"ah181 992 ar+a ha'il# 20/7/15 ) 23/7/15 ) sai"ah182 9742 aslamiah 10/7/2015 ) 23/7/15 ) sai"ah183 10002 ha'i'i nasuti#n 21/7/15 ) 23/7/15 ) sai"ah184 955 Ahma" "ur#ni /7/2015 ) 23/7/15 ) sai"ah185 293 a'"ul muin 7//2015 ) 23/7/15 ) sai"ah18 9844 *ulhani"in 12/7/2015 ) 23/7/15 ) sai"ah187 9730 anna "leina 9/7/2015 ) 23/7/15 ) sai"ah188 115 rahma" "aula+ /7/2015 ) 23/7/15 ) sai"ah189 92 mukhli" 7/7/2015 ) 24/7/2015 ) sai"ah190 10095 kh#irul anam 24/7/2015 ) 24/7/2015 ) sai"ah


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T'! P"%"! T'! P"%"! (' M

191 10102 a*kia hani 23/7/2015 ) 23/7/15 ) sai"ah192 10044 h a'"ullah mat#n"an$ 22/7/2015 ) 23/7/15 ) sai"ah193 1004 khairani nasuti#n 22/7/2015 ) 24/7/2015 ) sai"ah194 10025 sauhhanum 24/7/2015 ) 24/7/2015 ) sai"ah195 1010 i"am kh#li" 24/7/2015 ) 24/7/2015 ) sai"ah

19 2175 siti %atimah hr( 24/7/2015 ) 24/7/2015 ) sai"ah197 1005 mawar"i 24/7/2015 ) 24/7/2015 ) sai"ah198 10049 a'"ul %ahri lu'is 24/7/2015 ) 24/7/2015 ) sai"ah199 10105 salamah 23/7/2015 ) 23/7/15 ) sai"ah200 9728 men"erita tari$an 10/7/2015 ) 23/7/15 ) sai"ah201 9731 nurhalena 10/7/2015 ) 23/7/15 ) sai"ah202 9792 a'"ul manan rkt 10/7/2015 ) 23/7/15 ) sai"ah203 100 ria"#tuljannah 23/7/15 ) 23/7/15 ) sai"ah204 1001 +enni sur+ani 23/7/2015 ) 23/7/15 ) sai"ah205 10103 t#ras (arlin"un$an 23/7/2015 ) 23/7/15 ) sai"ah20 9207 wan"a lestari 23/7/2015 ) 23/7/15 ) sai"ah207 9452 "el%itri 24/7/2015 ) 24/7/2015 ) sai"ah208 1852 mh" +asir 24/7/15 ) 24/7/2015 ) sai"ah209 10107 nikmah -aha+a 24/7/2015 ) 24/7/2015 ) sai"ah210 255 (an"uh 24/7/2015 ) 24/7/2015 ) sai"ah

211 5450 a'"ullah *ikri 24/7/2015 ) 24/7/2015 ) sai"ah212 10022 m sukri 23/7/2015 ) 23/7/15 ) sai"ah213 9984 mansur sulaiman 23/7/2015 ) 23/7/15 ) sai"ah214 989 ar(ah 23/7/2015 ) 23/7/15 ) sai"ah215 10054 "arwis imam 23/7/2015 ) 23/7/15 ) sai"ah21 978 "in"a kha#irunnisa 12/7/2015 ) 23/7/15 ) sai"ah217 973 nurlan 9/7/2015 ) 23/7/15 ) sai"ah218 7589 sa%iah nst 14/7/2015 ) 23/7/15 ) sai"ah219 5823 makmur mat#n"an$ 10/7/2015 ) 23/7/15 ) sai"ah220 9787 nurhalimah 12/7/2015 ) 23/7/15 ) sai"ah221 9780 lisna 13/7/2015 ) 23/7/15 ) sai"ah222 9807 a'"ul kh#li" 14/7/2015 ) 23/7/15 ) sai"ah223 10075 mel(ai"a sitinjak 23/7/2015 ) 23/7/15 ) sai"ah


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T'! P"%"! T'! P"%"! (' M

224 9983 mukhlis sire$ar 23/7/2015 ) 23/7/15 ) sai"ah225 9972 sarwe"i manurun$ 23/7/2015 ) 23/7/15 ) sai"ah22 9323 r#s"elilah 23/7/2015 ) 23/7/15 ) sai"ah227 10010 +usri"ah 23/7/15 ) 23/7/15 ) sai"ah228 8535 nurha(i"ah 23/7/2015 ) 23/7/15 ) sai"ah

229 5101 "ame sa(utra sr$ /7/2015 ) 23/7/15 ) sai"ah230 951 sahla 7/7/2015 ) 23/7/15 ) sai"ah231 907 saur (ria$an 5/7/2015 ) 23/7/15 ) sai"ah232 929 (anusunan 9/7/2015 ) 23/7/15 ) sai"ah233 9805 nur'aiti 11/7/2015 ) 23/7/15 ) sai"ah234 9992 elisa a%ilri 22/7/15 ) 23/7/15 ) sai"ah235 9808 ahma" %atri 11/7/2015 ) 23/7/15 ) sai"ah23 9732 h#l#n 11/7/2015 ) 23/7/15 ) sai"ah237 903 m "a+ani nst 13/7/2015 ) 23/7/15 ) sai"ah238 9985 nur a*i*ah 22/7/2015 ) 23/7/15 ) sai"ah239 123 ali( "alimunte 25/7/2015 ) 25/7/2015 ) sai"ah240 10023 mh" ri*ki 22/7/2015 ) 23/7/15 ) sai"ah241 10057 erna lu'is 22/7/2015 ) 24/7/2015 ) sai"ah242 10140 mulia i'rahim 24/7/2015 ) 23/7/15 ) sai"ah243 97 ahma" *ai"an 5/7/2015 ) 23/7/15 ) sai"ah

244 9809 mh" sa'ri 12/7/2015 ) 23/7/15 ) sai"ah245 5222 iti nurhali*a 13/7/2015 ) 23/7/15 ) sai"ah24 9920 ahma" +asin nst 19/7/2015 ) 23/7/15 ) sai"ah247 2573 ha"anarri"h# 1/7/2015 ) 23/7/15 ) sai"ah248 9919 erwin nst 1/7/2015 ) 23/7/15 ) sai"ah249 78 a%i%u""in 14/7/2015 ) 23/7/15 ) sai"ah250 9907 a%iah *ahwa 15/7/2015 ) 23/7/15 ) sai"ah251 9847 a'"ullah sani 2/7/2015 ) 2/7/2015 ) sai"ah252 9703 hj jannah (ulun$an /7/2015 ) 23/7/15 ) sai"ah253 98 a'"ul hami" /7/2015 ) 23/7/15 ) sai"ah254 908 'ahau""in 5/7/2015 ) 23/7/15 ) sai"ah255 920 riana siman$uns#n$ 5/7/2015 ) 25/7/2015 ) sai"ah25 123 ali( "alimunte 25/7/2015 ) 25/7/2015 ) sai"ah


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T'! P"%"! T'! P"%"! (' M

257 9733 emmi haraha( 8/7/2015 ) 23/7/15 ) sai"ah258 9849 halimah nasuti#n 13/7/2015 ) 23/7/15 ) sai"ah259 9785 %ai* rama"han 10/7/2015 ) 23/7/15 ) sai"ah20 32 amiru""in 10/7/2015 ) 23/7/15 ) sai"ah21 7177 tiar#(ah 10/7/2015 ) 23/7/15 ) sai"ah

22 9837 hawani 12/7/2015 ) 23/7/15 ) sai"ah23 2888 ma+ isnawari 5/7/2015 ) 23/7/15 ) sai"ah24 933 ahma" "iki 5/7/2015 ) 23/7/15 ) sai"ah25 10112 kh#li"ah hannum, '+ 2/7/2015 ) 2/7/2015 ) sai"ah2 10110 siti %atimah , '+ 2/7/2015 ) 2/7/2015 ) sai"ah27 "#harni, '+ 2/7/2015 ) 2/7/2015 ) sai"ah28 masniah, '+ 2/7/2015 ) 2/7/2015 ) sai"ah29 10072 (utri maha -akri 24/7/2015 ) 25/7/2015 ) sai"ah270 9274 "ina mariana 21/7/2015 ) 23/7/15 ) sai"ah271 9102 amri (ln 25/7/2015 ) 2/7/2015 ) sai"ah272 10099 #smai"a 25/7/2015 ) 2/7/2015 ) sai"ah273 10073 su%ianti 25/7/2015 ) 2/7/2015 ) sai"ah274 8225 kh#li"ah hannum 2/7/2015 ) 2/7/2015 ) sai"ah275 10137 masnia 'tr 2/7/2015 ) 2/7/2015 ) sai"ah27 1013 "#harni ria"#h 2/7/2015 ) 2/7/2015 ) sai"ah

277 3447 sai%ul 'ahri 2/7/2015 ) 2/7/2015 ) sai"ah278 9997 kelliati 22/7/2015 ) 23/7/15 ) sai"ah279 10043 ul%a"ianti 21/7/2015 ) 23/7/15 ) sai"ah280 9847 a'"ullah sani 2/7/2015 ) 2/7/2015 ) sai"ah281 10171 ahma" raihan 25/7/2015 ) 23/7/15 ) sai"ah282 10157 a'"ul rahim 24/7/2015 ) 25/7/2015 ) sai"ah283 1018 ma+ sar#h 25/7/2015 ) 2/7/2015 ) sai"ah284 511 'erlian 2/7/2015 ) 2/7/2015 ) sai"ah285 10045 ahma" *ainu""in 7/2/2015 ) 2/7/2015 ) sai"ah28 10192 juwita 7/2/2015 ) 2/7/2015 ) sai"ah287 10181 sakinah 7/2/2015 ) 2/7/2015 ) sai"ah288 10194 'etuel situm#ran$ 7/2/2015 ) 2/7/2015 ) sai"ah289 10051 lin"un (ar"e"e 22/7/2015 ) 2/7/2015 ) sai"ah


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T'! P"%"! T'! P"%"! (' M

290 2301 aria 7/2/2015 ) 2/7/2015 ) sai"ah291 2942 el+ a"ek 7/2/2015 ) 2/7/2015 ) sai"ah292 4279 in"ri in+anurina 25/7/2015 ) 2/7/2015 ) sai"ah293 10152 i'rahim 25/7/2015 ) 2/7/2015 ) sai"ah294 10035 nur %aisah 21/7/2015 ) 23/7/2015 ) sai"ah

295 10029 "ini sire$ar 21/7/2015 ) 23/7/2015 ) sai"ah29 9927 riswan 17/7/2015 ) 23/7/2015 ) sai"ah297 10048 sa%ri"ah 'tr 21/7/2015 ) 23/7/2015 ) sai"ah298 9970 mahmu" nst 18/7/2015 ) 23/7/2015 ) sai"ah299 1002 asa" (ulun$an 21/7/2015 ) 23/7/2015 ) sai"ah300 9713 ririn *u'ai"ah& 27/7/2015 ) 27/7/15 ) sai"ah301 10045 ahma" *ainu""in 23/7/2015 ) 23/7/2015 ) sai"ah302 10298 %arhan hami"i 27/7/15 ) 27/7/15 ) sai"ah303 10174 a'"ul rahim 27/7/15 ) 27/7/15 ) sai"ah304 10145 +usminar 27/7/15 ) 27/7/15 ) sai"ah305 10177 marlinasari 27/7/15 ) 27/7/15 ) sai"ah30 101 asmi"ar 27/7/15 ) 27/7/15 ) sai"ah307 9828 siti aminah 11/7/2015 ) 23/7/2015 ) sai"ah308 10037 muni%atu *akiah 22/7/15 ) 23/7/2015 ) sai"ah309 10040 (a+un$an 22/7/15 ) 23/7/2015 ) sai"ah

310 9982 "a%%a erlians+ah 21/7/15 ) 23/7/2015 ) sai"ah311 1009 h#rnauli 23/7/15 ) 23/7/2015 ) sai"ah312 81 marwan nur 27/7/15 ) 27/7/15 ) sai"ah313 1019 H& 'asrah 27/7/15 ) 27/7/15 ) sai"ah314 10244 me$a hanum lu'is 28/7/15 ) 28/7/15 ) sai"ah315 1025 juli 29/7/15 12,00 29/7/2015 1,15 rani31 81 ea "ama+anti 29/7/15 12,00 29/07/2015 1,15 rani317 10250 sak"iah nst 29/7/15 12,00 29/07/2015 1,15 rani318 1020 erna 29/7/15 12,01 29/07/2015 1,15 rani319 4491 *uai"ha nst 30/7/15 12,02 30/7/2015 1,30 rani320 47 i"a r#sita 30/7/15 12,03 30/7/2015 1,30 rani321 10303 am#ra ais+a 30/7/15 12,04 30/7/2015 1,30 rani322 9089 %aih 30/7/15 12,05 30/7/2015 1,30 rani


11/129


Ke!"a# R"ma$ Sa%i& Se#a$ Te#i

T'! P"%"! T'! P"%"! (' Me

323 10241 !& %a"il khair 30/7/15 12,0 30/7/2015 1,30 rani324 10249 salman 29/7/15 15,45 30/7/2015 1,30 rani325 10315 nur sa.a"ah 29/7/15 ) ) ) rani32 9801 !h"& as+i" l's 29/7/15 12,00 30/7/2015 09,00 rani327 10255 hairul isra 29/7/15 11,00 30/7/2015 09,01 rani328 8027 k#mariah 29/7/15 12,00 30/7/2015 rani

329 7007 nur a"amah 30/7/15 12,01 30/7/2015 rani330 10228 salman lu'is 30/7/15 12,02 30/7/2015 rani

JUMLAH

REKAP

Ke!e'%a)a S&a&"s Ke&e)a&a Pe'em*a!ia

(A Ti+a% (A Ti+a%

,- 251 - 2/1

2 , 15 /5

0 0


12/129

A INDIKATOR MUTU

Ke!a'%a)a Se#a$ Te#ima Be#%as Ti+a% Le'%a)

(' Me3e#a$%a (a Ti+a% T'! P"%"! (' Mee#ima (' Me3e#a$%a

(utri riski 2/7/2015 10&3 (utri riski sakinah 4/7/2015%aisah 2/7/2015 11 %aisal malika 4/7/2015Uli 2/7/2015 20&2 uli julianti 15/7/2015armini 3/7/2015 20&5 uli rani 1/7/2015armini 3/7/2015 20&5 uli rani 15/7/2015armini 3/7/2015 20&5 uli rani 23/7/2015armini 3/7/2015 20&5 uli rani 15/7/2015(utri riski )'un$# )'un$# 3/7/2015 12 'un$# julianti 23/7/2015'un$# 3/7/2015 12&3 'un$# julianti 23/7/2015) )) )

'un$# 3/7/2015 12&3 'un$# julianti 23/7/2015isnah )isnah )sakinah )sakinah )sakinah )sakinah )(utri riski )(utri riski )(utri riski )sri )sri )

T'!. Te#ima Se&e

Di!e'%a)i


13/129



T'!. Te#ima SDi!e'%a

sri )sri )(utri riski )'un$# )'un$# )

'un$# 3/7/2015 12&15 'un$# julianti 23/7/201(utri riski )(utri riski )uswah )sakinah )ika )enni )isnah )isnah )isnah )isnah )isnah )isnah )isnah 4/7/2015 12 'un$# 23/07/201isnah )

ika )ika )ika )isnah 10/7/2015 13 eli"a natalia ) 10/7/201isnah 10/7/2015 13 eli"a natalia ) 10/7/201isnah )isnah )isnah )isnah )isnah )isnah )isnah )isnah )


14/129




isnah )isnah )isnah )isnah )isnah )

isnah )isnah )isnah )isnah )isnah )isnah )isnah )isnah )isnah )isnah )isnah )isnah )isnah )isnah )isnah 1/7/15 7&35 23/07/201

isnah 1/7/15 23/07/201isnah 1/7/15 23/07/201isnah )isnah )isnah 22/7/15 20 kh#ir sakinah )isnah isnah isnah isnah isnah isnah isnah isnah


15/129




isnah isnah isnah isnah isnah

isnah isnah isnah isnah isnah isnah isnah isnah isnah isnah isnah isnah isnah isnah isnah

isnah isnah isnah isnah isnah isnah isnah isnah isnah isnah isnah isnah isnah


16/129








17/129








18/129








19/129








20/129








21/129






isnah isnah isnah isnah isnah isnah )isnah )isnah )isnah )isnah )isnah )isnah )isnah )


22/129



T'!. Te#ima Se&e!aDi!e'%a)i

isnah )isnah )isnah 30/7/15 1,50 rani isnahisnah )isnah isnah )

isnah )isnah )

,- 251 JUMLAH


23/129

KETEPATAN

4 2 Jam 2 Jam


24/129

KETEPATAN

4 2 Jam 2 Jam


25/129

KETEPATAN

4 2 Jam 2 Jam


26/129

KETEPATAN

4 2 Jam 2 Jam


27/129

KETEPATAN

4 2 Jam 2 Jam


28/129

KETEPATAN

4 2 Jam 2 Jam


29/129

KETEPATAN

4 2 Jam 2 Jam


30/129

KETEPATAN

4 2 Jam 2 Jam


31/129

KETEPATAN

4 2 Jam 2 Jam


32/129

KETEPATAN

4 2 Jam 2 Jam


33/129

KETEPATAN

4 2 Jam 2 Jam

- 2/1


34/129

DATA INDIKATOR SASARAN KESELAMATAN PASIEN 6 SKP 7

JUDUL INDIKATOR : KELENGKAPAN PENGISIAN 8ORMAT 9HE9K LIST KESELAMATAN PASIEN

OPERASI

BULAN : AGUSTUS

TAHUN : 2015

No No. RM Nama Pasie T'!(a Ti+a%

1 1031 HAS! HAFFAH 01/08/15 2 1037 !& SAF 01/08/15 3 1037 !6A 6A 01/08/15 4 10379 66 S! A:UUU 01/08/15 5 10381 6AA A6:A 01/08/15 U!A 02/08/15 7 10390 SUA6 02/08/15 8 10391 A A;AHA 03/08/15 9 10287 AA6AH 03/08/15

14 A !A 03/08/15 15 10389 A! A 04/08/15 23 10433 @A: A


35/129

No No. RM Nama Pasie T'!

(a Ti+a%

9HE9K LIST KESELAMATAN PASIENOPERASI LENGKAP

25 AH!A6 SA>U 04/08/15 2 S: HAA 04/08/15 27 ?6A 04/08/15 28 SA! 04/08/15 29 920 A!A FA:H=AH 04/08/15

30 1045 AS:A 04/08/15 31 10457 AS ;AFAH 04/08/15 32 ASA 04/08/15 33 :AA S66 05/08/15 40 FA:HU AF 05/08/15 41 10485 S: HAS>UA 05/08/15 42 10490 U6 A: 0/08/15 43 10493 F:AH S?AH=U 0/08/15 44 10500 A6!UA 0/08/15

45 10515 AUSUA 0/08/15 4 1050 !&HSA 0/08/15 47 10519 AH 0/08/15 48 10520 H!AH 0/08/15 49 308 :A U>A 0/08/15 50 10538 S6AHA 07/08/15 51 10539 !H6& AS>H 07/08/15 52 10543 !AA: 07/08/15 53 10545 A>>


36/129


(a Ti+a%


58 !H6&SAHU 08/08/15 59 1051 SA!U 08/08/15 0 1059 !AU 09/08/15 1 10573 UH6A=AH 09/08/15 2 807 =A U:A 09/08/15

3 10574 :A!AAH 09/08/15 4 SAHA 09/08/15 5 10584 =A U:A;AH 09/08/15 10585 U !AS 09/08/15 7 1058 !H6&ABSA 10/08/15 8 7099 6A SUSA: 10/08/15 9 5799 66 A6=AS=AH 10/08/15 70 1005 AHA UUAA: AS 10/08/15 75 171 ?A UU6& AS=6 11/08/15 82 7077 A>A6AH 11/08/15 83 !& FAU;= 11/08/15 84 :6A H!>< 11/08/15 85 AH!A6 !A 11/08/15 8 1041 HA6A 12/08/15 87 937 A>6U A6 12/08/15 88 2599 A6=A U:HF 12/08/15 89 1004 :AUF H6A=A: 12/08/15 90 1101 S!A?A: 12/08/15


37/129


(a Ti+a%


91 100 !AA! >A:U>AA 12/08/15 92 H6UA A=A 12/08/15 93 103 r#swita 13/08/15 94 104 A ; 13/08/15 95 403 AA A!A 13/09/15

9 CH AAA 13/08/15 97 1088 ASU 13/08/15 98 =USUF !UHA!!A6 13/08/15 99 1092 FA= A;A 13/08/15

100 1084 A? A;! 13/08/15 101 10515 AUSUA AU 13/08/15 102 903 !& 6A=A 13/08/15 103 1093 S!AH 13/08/15 104 10701 !H6& 6?A 14/08/15 105 10702 HAUA SHA6A 14/08/15 10 10715 AUA F 14/08/15 107 1071 6?ASAH 14/08/15 108 10718 6AA 14/08/15 109 81 !ASAH U 15/08/15 110 10725 >UHAU66 15/08/15

111 10730 A;AU66 15/08/15 112 8501 H&A:A SS 17/08/15 121 280 A< 6AA 18/08/15 122 10753 > SS!A 18/08/15 123 1045 !&AH! 18/08/15


38/129


(a Ti+a%


124 1075 A 19/08/15 133 3320 HAA 19/08/15 134 10785 AHA A &U>A 20/08/15 139 10888 ASU UU


39/129


(a Ti+a%


157 10878 S?A FAU; 22/08/15 158 10883 ?6AH A 22/08/15 159 88 UFA: 22/08/15 10 10850 S6AH 22/08/15 11 10719 !H6&@A 22/08/15

12 10887 A;A A;! 23/08/15 13 8744 FA ?A6HAH 23/08/15 14 10888 = S:A?A 23/08/15 15 10889 A6A!A 23/08/15 1 10892 ASAH 23/08/15 17 9823 !ASAA 23/08/15 18 10893 SA: 23/08/15 19 8502 SAS 24/08/15 170 5454 !AH!U6 !A6A 24/08/15 171 10897 HSAH 24/08/15 172 10900 A6;A F: 24/08/15 173 9808 AH!A6 FA: 24/08/15 174 9120 U!A 24/08/15 175 10911 !UHA!!A6 6AU: 24/08/15 17 10889 A>6 24/08/15

177 10912 6A HAU! 24/08/15 178 ASA! 24/08/15 179 >UHAU66 24/08/15 180 AA:US SA6AH 24/08/15 181 10910 AS:AU !A;U 24/08/15 182 3321 ;UH A! 24/08/15 183 524 6A S: 24/08/15 184 10923 !A6 24/08/15 185 10442 !&AF


40/129


(a Ti+a%


190 10931 A>U >AA 25/08/15 191 3254 AH!A6 SUA> 25/08/15 192 774 HS=A! HA! 25/08/15 193 592 :UA 25/08/15 194 1093 UAA 25/08/15

195 A !A:A 25/08/15 19 10952 A!AH 2/08/15 197 10955 6H 2/08/15 198 1095 US!A 2/08/15 199 10957 F! A:A SA 2/08/15 200 10958 ;UFA 2/08/15 201 10959 !A?A6AH U 27/08/15 202 10853 HA! F6 27/08/15 203 1079 !A


41/129


(a Ti+a%


223 11050 A 31/08/15 224 10100 !UHA!!A6 HA>> 31/08/15 225 11052 ?A6 31/08/15 22 1100 AHU66 31/08/15 227 10025 SAUHAU! 31/08/15

228 6AH 31/08/15 229 3153 AU 31/08/15 230 8507 HAA 31/08/15 231 1075 UU< 31/08/15 232 11048 6A? 31/08/15 233 1092 A;A A!A6HA 31/08/15 234 892 A>6U !U 31/08/15 235 2913 HA!AH 31/08/15 23 849 !! 01/08/15 237 1038 UA C:A 01/08/15 238 10378 !AA 01/08/15 239 334 A6 !A SU=A 01/08/15 240 10385 ! HU:A>AA: 02/08/15 241 5785 6A< >UA 13/08/15 242 879 HUS=AAH 02/08/15

243 10392 @@A A:? 02/08/15 244 1157 UHASAAH 02/08/15 245 920 UA: 03/08/15 24 8027 !AAH 03/08/15 247 918 03/08/15 248 10413 HUSAH 03/08/15 249 10452 SAAH S: 04/08/15 250 1041 S=A!S6A 05/08/15 251 10301 =USA 05/08/15 252 1047 A 05/08/15 253 10497 S=AFAH 0/08/15 254 10498 6S !AHA 0/08/15 255 8244 A:FAH 0/08/15


42/129


(a Ti+a%


25 4923 AFA 0/08/15 257 10509 6A 0/08/15 258 10517 ?6A 0/08/15 259 10502 UA: 07/08/15 20 8248 HH 07/08/15

21 10532 S!AH 07/08/15 22 4045 !A SA 07/08/15 23 1053 A!A 07/08/15 24 1004 S !A =A 07/08/15 25 10552 H!AH SA: 08/08/15 2 10554 !SA ?A: 08/08/15 27 10557 A6A A 09/08/15 272 1057 S: SA:A !U 09/08/15 273 10582 U ASAH 09/08/15 274 10577 !AS6A 09/08/15 275 10579 AU S


43/129


(a Ti+a%


289 1018 A!A 13/08/15 290 1090 S AHA=U 13/08/15 291 1001 = SU=A 13/08/15 292 109 14/08/15 293 1097 SU=A 14/08/15

294 1098 A! 14/08/15 295 10750 @ =A: 14/08/15 29 6AA U>S 15/08/15 297 10740 UAA 1/08/15 298 9551 SA:A 1/08/15 299 10741 :A ?A: 17/08/15 300 1004 !A SU=A 17/08/15 301 9391 @A !U:A 18/08/15 302 10758


44/129


(a Ti+a%


322 10988 S: !AH: 27/08/15 323 5404 6@ SU=A SSCA 28/08/15 324 459 @@ A6=A 28/08/15 325 11021 U =A: 28/08/15 32 470 H6A HAU! 28/08/15

327 81 BA SAH U 29/08/15 328 12 ASA:AH 29/08/15 329 10890 = 29/08/15 330 1048 H:!AU 30/08/15 331 11041 !ASA 30/08/15 332 10127 6!A 30/08/15 333 10445 =US6A 31/08/15 334 11087 6A 31/08/15 335 10598 AA U 31/08/15 33 1103 AA SAA6AH 31/08/15 337 9223 SA!AH 31/08/15 338 11078 !A = 01/08/15 341 1035 !AS6A,>= 01/08/15

342 10372 !! !6A,>= 01/08/15 343 10373 UA C:A,>= 01/08/15 344 10380 !AA,>= 01/08/15 345 10391 !6A,>= 02/08/15 34 10393 @@A A:?,>= 03/08/15 347 10394 UHASAH,>= 03/08/15 348 10427 ,>= 03/08/15 349 10428 UA:,>= 03/08/15 350 1048 =USA,>= 05/08/15 351 10489 H:AU,>= 0/08/15 352 10492 SA6AH,>= 0/08/15 353 6S ,>= 0/08/15 354 10524 =USA,>= 0/08/15


45/129


(a Ti+a%


355 10542 HH,>= 07/08/15 35 10544 !A S ?AH=U,>= 07/08/15 357 10547 A!A,>= 08/08/15 358 10559 H!AH SA,>= 08/08/15 359 1050 !SA ?A:,>= 08/08/15

30 1052 AH!A?A:,>= 08/08/15 31 1053 S !A =A,>= 08/08/15 32 10580 AS!6A,>= 09/08/15 33 1018 CCA !AA,>= 10/08/15 34 !ASAA,>= 11/08/15 35 1019 !AHA,>= 11/08/15 3 1035 =A,>= 11/08/15 37 UAF?A SA,>= 09/08/15 38 1058 S: SA:A !U,>= 09/08/15 39 10570 SUS F>A,>= 09/08/15 370 10580 AS!6A,>= 09/08/15 371 10583 AU,>= 09/08/15 372 10542 S U HAAHA,>= 10/08/15 373 1039 S ?AH=U,>= 11/08/15 374 1040 S: !UAS,>= 11/08/15

375 1042 UU ?A6A,>= 12/08/15 37 1043 A= 12/08/15 377 101 !AHA=U,>= 12/08/15 378 1094 A!A,>= 13/08/15 379 1095 S AHA=U,>= 13/08/15 380 1099 A,>= 14/08/15 381 10700 =,>= 14/08/15 382 10703 6A< >UA,>= 14/08/15 383 @ =A:,>= 14/08/15 384 10733 A,>= 15/08/15 385 10739 6AA,>= 1/08/15 38 10743 :A ?A:,>= 17/08/15 387 10747 SAA,>= 17/08/15


46/129


(a Ti+a%


388 10751 !A SU=A,>= 17/08/15 389 1072 = 18/08/15 390 10775 @A !U:A,>= 18/08/15 391 10777 S: H6AH,>= 18/08/15 392 10782 SAFA,>= 18/08/15

393 10784 A = 18/08/15 394 10792 A6 @A,>= 19/08/15 395 10833 S: AS=AH,>= 20/08/15 39 10841 S!A:UA= 21/08/15 397 1081 U=AH,>= 21/08/15 398 1082 !! H6A=AH,>= 21/08/15 399 10872 6AA !A,>= 22/08/15 400 10873 SAA,>= 22/08/15 401 1098 U: AS=AH,>= 27/08/15 402 10992 =USAA,>= 27/08/15 403 10995 SA6AH,>= 28/08/15 404 1099 A S,>= 28/08/15 405 11024 =A:,>= 28/08/15 40 11023 6@ SU=A SSCA,>= 28/08/15 407 11028 H6A,>= 29/08/15

408 11028 BA SAH U,>= 29/08/15 409 11045 H:!AU,>= 30/08/15 410 11049 6!A,>= 30/08/15 411 11091 6A,>= 31/08/15 412 11093 =US6A,>= 31/08/15 413 11097 AAU,>= 31/08/15 414 11097 AA SAA6AH,>= 31/08/15 415 404 A


47/129


(a Ti+a%


421 AA 02/08/15 433 !AS6A 01/08/15 434 3815 !ASAA 11/08/15 435 11021 =A: 28/08/15 43 10707 !ASAH,>= 14/08/15

JUMLAH

U!AH AS


48/129


(a Ti+a%


JUMLAH PASIEN KELENGKA


49/129

JENIS TINDAKAN OPERASI

SS :U!A6C:!=

>HF FA:

SF: :SSU :U!HA:!=

A!


50/129


HA:!=

A6C:!=

F FA:6>6!:

>H


51/129


!@ !FA

SS :U!

6>6!:


52/129


6>6!:

6>6!:

SS :U!

S

ASA<

SC


53/129


6>6!:

6>6!:

!@ !FA


54/129


6>6!:

6>6!:

HA:!=

SF: :SSU :U!

ASA<

HA:!=SS :U!


55/129


6>6!:

6>6!:6>6!:


56/129


6>6!:

SCSCSC

SC

SCSCSC

SC


57/129


SC

S:C:!=SCD:U>C:!=

SCSCD:U>C:!=

SCSC

SC

SC

SC

SCD:U>C:!=SCD:U>C:!=

SC

HC:C:!=SC

AAA:!=SC

SCD:U>C:!=

SCSCSCSCSCSCSC

SC

SCSC

AAA:!=

SCSC

SCSC


59/129


SCD:U>C:!=

SC

SCASUS @A


60/129



61/129


SCSCSC

SC


62/129


SCSC

SCSCSCSC

HS:C:!=

SA SSCSCSC

10-

TIDAK

Row 451


63/129


N CHECK LIST WHO


64/129


JUDUL INDIKATOR : KELENGKAPAN PENGISIAN 8ORMAT 9HE9K LIST KESELAMATAN PASIEN

OPERASI

BULAN SEPTEMBER

TAHUN : 2015


(a Ti+a%

1 SA!S 01/09/152 11,073 H6AH 01/09/153 11,09 A6H 01/09/154 11,108 :AUF; 01/09/155 9,077 Hj& !AS:=AH 01/09/15 11,115 HAS 01/09/157 11,098 A!SAH 01/09/158 11101 HU A! 01/09/159 5030 !A AF6A 01/09/15

10 11118 S: 01/09/1511 1558 = SAF: 01/09/1512 11127 S: !A=U 01/09/1513 11048 U ASAH 01/09/15

14 929 UHA! 01/09/1515 3447 SAFU >AH 01/09/151 1049 >AHA! U 01/09/1517 1108 HASAH 01/09/1518 11103 ;AH 01/09/1519 11139 6A =A 01/09/1520 10917 U SAAH 02/09/1521 9827 A ?A: 02/09/1522 10239 U A 02/09/1523 97 6 SAU:A 02/09/1524 11159 HA6A 02/09/15

9HE9K LISTKESELAMATAN PASIENOPERASI LENGKAP


65/129

No No. RM Nama Pasie T'!9HE9K LISTKESELAMATAN PASIEN

OPERASI LENGKAP

25 3373 ?A6 HU:A>AA: 02/09/152 1111 A>6U HAS 02/09/1527 948 AS=A ABA 03/09/1528 5011 SAHAA 03/09/1529 11183 A>6U HASA 03/09/15

30 11081 AA 01/09/1531 1024 =USAH 03/09/1532 11102 :? 01/09/1533 1012 S: A!AH 02/09/1534 U 6A=AH 02/09/1535 11153 A;UA:U ;AHA 02/09/153 11189 SA SSA 03/09/1537 11190 A:A UFAH 03/09/1538 11182 U!A 03/09/1539 11057 H!A A6 F>A 03/09/1540 722 =U6AH 03/09/1541 11198 A 04/09/1542 11201 S?A6 6S 04/09/1543 5277 UAU 03/09/1544 1119 A HA 03/09/15

45 1121 AA !A6A 04/09/154 001 F: =UAA 04/09/1547 11218 6AH S=AF: 04/09/1548 11219 U F:A 04/09/1549 11203 S!AA 04/09/1550 11205 !AS6A 04/09/1551 4220 U SA 04/09/1552 1003 A SAA 05/09/1553 11230 SAAH 05/09/1554 10183 ; !AA 05/09/1555 11232 SAFA U6A=A: 05/09/155 11238 F AS:A 05/09/1557 10355 AF=A: 05/09/15


66/129


OPERASI LENGKAP

58 11244 AH! 0/09/1559 288 !A=A!AH 0/09/150 1070 @A 6? 0/09/151 1111 >AH 0/09/152 11199 6S:A=A 04/09/15

3 11220 6HA!A=A: 05/09/154 11222 =


67/129


OPERASI LENGKAP

91 11349 ;ASA HU!AH 10/09/1592 11374 =U!!A SA 10/09/1593 11380 AS!AA 11/09/1594 10083 F: 6A!A=A: 11/09/1595 11403 S: S=AFAH 11/09/15

9 11404 ;U=A: 11/09/1597 11415 S: SAHA 12/09/1598 5734 !AA SA 12/09/1599 11425 =A: 13/09/15

100 11433 F: !AA 13/09/15101 291 A


68/129


OPERASI LENGKAP

124 11500 !SA 19/09/15125 110 SA! 19/09/1512 1108 A6A F:A 19/09/15127 1110 !A =US:A 9/20/2015128 111 !AS?A 9/20/2015

129 1117 S!A: 9/20/2015130 1118 S: 19/09/15131 5529 6AHA 20/09/15132 11351 AH! HAA 20/09/15133 1124 !ASA 20/09/15134 1128 !U6A A 21/09/15135 5704 6A ?A: 21/09/1513 11498 SA6 07/09/15145 11122 A? U>S 08/09/1514 4287 SA!AH !:6 08/09/15147 11292 6A?!AH 08/09/15148 11283 6!A SA 08/09/15149 10730 A;AU66 08/09/15150 10893 SA: 08/09/15151 4498 Hj& HAF S: 08/09/15152 1130 :AS 08/09/15155 1075 UU< 09/09/1515 92 =US AS 09/09/15


69/129


OPERASI LENGKAP

157 5201 A>6& HA!6 09/09/15158 11309 HAA 09/09/15159 1085 6AAA: S6UH 11/09/15

177 43 S=AH6A 11/09/15178 11398 !ASA 11/09/15179 11402 S> 14/09/15188 11453 !ASA 14/09/15189 11459 >A6 A


70/129


OPERASI LENGKAP

190 1145 HAS!A 14/09/15191 11458 !UHA!!A6 SAH 14/09/15192 11321 UAH 14/09/15193 11474 ; AAH 14/09/15

195 11313 FAU;A AFFA 14/09/1519 11481 !A 14/09/15197 11317 =USFA ; 14/09/15198 11453 AA6UA 14/09/15199 1147 AH 14/09/15200 873 !AH=A 14/09/15201 11484 A>6U A! 14/09/15202 7981 !USA 14/09/15203 11479 SAHA6 U>S 14/09/15204 11485 !AAHA H: 14/09/15205 1148 S> HU:AUU 14/09/1520 11487 HA! SAHA A>A 15/09/15207 11494 >AHAU66 SA!>A 15/09/15208 11411 !A6A ?A: 15/09/15209 11399 U ASAH A! 17/09/15221 312 6A S: 17/09/15222 11557 S !ASA 17/09/15


71/129


OPERASI LENGKAP

223 11558 66 SA6A 17/09/15224 1150 !A!U! 17/09/15225 1154 S6 17/09/1522 11570 : F:A 17/09/15230 11572 H&!A =A 18/09/15231 11575 U CAHA=A 18/09/15232 11582 A 18/09/15233 11588 A?AU66 18/09/15234 11591 HA6=A SAH 18/09/15235 11592 F6A =A 18/09/1523 1159 !A 20/09/15239 1111 A>6&AH! S: 20/09/15240 1112 A?A 20/09/15241 595 AS >A:U>AA 20/09/15242 9077 Hj&!AS:=AH 20/09/15

243 1119 6A@6 AE A:A!A 20/09/15244 1120 S: ACHA 20/09/15245 1123 S:A SA 20/09/1524 1127 6A 20/09/15247 1132 ; HU!AH 21/09/15248 10533 SUA: 21/09/15249 110 ;A F6 21/09/15250 112 Hj&!ASU !:6 21/09/15251 111 SA! A 21/09/15252 113 AS6A US:A 21/09/15253 114 A6AH 21/09/15254 115 !ASAH 22/09/15255 1144 AH!A6A 22/09/15


72/129


OPERASI LENGKAP

25 1178 !&;AH 22/09/15257 1471 HA!6A !A 22/09/15258 1179 H&!UA: >S 22/09/15259 1182 6HA! SAA6A 22/09/1528 11354 =U!A SA 22/09/1529 1155 A6A S: 22/09/15270 10212 H 23/09/15271 11012 U: 23/09/15272 1191 HA!AH S: 23/09/15273 1100 U: AA:A 23/09/15274 11709 6HAA 23/09/15275 11718 !A6AA 24/09/15

27 11583 U SA!AH 23/09/15277 11721 SA6AH 24/09/15278 11727 ;= 25/09/15279 11743 SA!AH 25/09/15280 10444 AS6A ! 2/09/15281 11754 AH!A HAH 25/09/15282 11741 !ASA?A: 25/09/15283 11770 == ?AH=U 2/09/15284 11733 USA HS> 2/09/15285 11771 !AA 27/09/1528 11778 :>AH U 27/09/15287 10332 A6A = =A: 27/09/15288 11788 !AU 27/09/15


73/129


OPERASI LENGKAP

289 11787 6AH 27/09/15290 11732 U!A !AAU< 28/09/15291 11812 :ASAH 28/09/15292 155 "r&HASAH 28/09/15293 11717 H?A SA: 24/09/15

294 11719 H&SU:A ASU: 24/09/15295 11720 ASA 24/09/1529 11722 SUH 24/09/15297 11723 6A? 24/09/15298 11724 Hj&SAH 24/09/15299 11725 H A?A? 24/09/15300 1172 H&!U! 25/09/15301 358 AA S66 25/09/15302 3440 ; 25/09/15303 11728 AH=A 66 25/09/15304 11737 A AH!A6 25/09/15305 11747 !H6&;UH 25/09/1530 11751 6?A S< 25/09/15307 11752 !&A 25/09/15308 903 Hj&:A 25/09/15

309 11759 AH 2/09/15310 11758 6A!AH 2/09/15311 393 S AA! 2/09/15312 1110 S A!A 2/09/15313 18 !&AUA A 2/09/15314 10957 F! A:A SA 27/09/15315 11782 A6:=A !AUA 27/09/1531 11781 SUA6AH 27/09/15317 770 !AUU 27/09/15318 525 U AS=AH 27/09/15319 11793 UA 27/09/15320 5593 ; HU!AH 28/09/15321 9731 U HAA 28/09/15


74/129


OPERASI LENGKAP

322 11410 AS 28/09/15323 44 ?A A6U 28/09/15324 2288 UAH S: 28/09/15325 10915 6A !UA 28/09/1532 11810 S A!A6A 28/09/15

327 11802 !A6AH 28/09/15328 11817 !&!A 28/09/15329 1195 ;!A ASAH 28/09/15330 11825 A !A?A 28/09/15331 1182 S: AA 28/09/15332 11809 S ?AH=U 28/09/15333 11507 HAH 28/09/15334 10873 S?A FAU; 28/09/15335 11832 !S?A 28/09/1533 11834 6 ASA>U 28/09/15337 2359 ;AHA A:A 28/09/15338 >US:H 29/09/15339 11839 6A 29/09/15340 SA: A 29/09/15341 11853 6A! 29/09/15

342 11893 !H6&6A?S 29/09/15343 S!A=A 29/09/15344 1185 !H6&AH6A 29/09/15345 9429 6AHAA 29/09/1534 11849 >ASAAH 29/09/15347 A;A AA 29/09/15349 291 :AS!A 30/09/15350 10811 AS=A !H6 30/09/15351 2489 >BS 30/09/15352 ; ?AH=U 30/09/15353 :AA! 30/09/15354 9113 H 30/09/15


75/129


OPERASI LENGKAP

355 S: !A=A! 30/09/1535 5855 U6AH 30/09/15357 1185 SAH 30/09/15358 11883 AH!A6 30/09/15359 11884 A!AA:U HUS 30/09/15

30 11888 FAHU ; 30/09/1531 783 !H6 =A 30/09/1532 11070 SA!S 01/09/1533 1024 =USA 04/09/1534 AU FA:AA 01/09/1535 ?A6 01/09/153 10924 =USA 08/09/1537 S6A 08/09/1538 230 A:A SA: 10/09/1539 11288 H!A 10/09/15370 319 >ASAAH 14/09/15371 5912 UHA!AH 23/09/15372 10533 SUAF! 21/09/15373 11349 ;ASA HU!AH 21/09/15374 11591 A6=A SAH 21/09/15

375 S =UA 28/09/1537 11820 AAH 29/09/15377 F:A 30/09/15378 1117 S: !A=SAH 30/09/15

JUMLAH ,/

JUMLAH PASIENKELENGKAPAN 9HE9K LIST HO

(A TIDAK

378 0 117

300

350

400


76/129


OPERASI LENGKAP

JUMLAH PASIEN

0

50

100

150

200


77/129


OPERASI LENGKAP

JUMLAH 0


78/129


:U! !A!A:U! AA

SF: :SSU :U!

SC

SC

!@ FA:

HS:C:!=

SC


79/129


:U! !A!A

SC

SC

SCSCSC


80/129


SCSCSC

SCSC

SCSC

SCSC

SC


81/129


@A


82/129


SC

SCSCSC

SCSC

SC

SC

HS:C:!=

:=6 C:!=

HA:!=SF: :SSU :U!SF: :SSU :U!SF: :SSU :U!

6>6!A:


83/129


6>6!A:

6>6!A:

6>6!A:6>6!A:


84/129


6SSC: =!H6

ES :A6C:S6>6!A:

A:= !:A:CS

AAA:!= ESASA6C:S S

HA:!=

6>6!A:


85/129


6>6!A:


86/129


!A::!=

HC:C:!=

SCSCSC

HS:C:!=

SC

SCDHS:C:!=SC

SCSCSC

SC


87/129


SCD:U>C:!=SC


88/129


HA!6

ES :U! !A!A!@ FA:

ES :U! !A!A6>6!A:

A!U:AS


89/129


HASC

!@ FA:6>6!:6>6!:

SCSCSC

SF: :SSU :U!SCD:U>C:!=

A6C:SHC:6!:

SC!!AU:=SCSC

11,


90/129


YA TIDAK

KELENGKAPAN CHECK LIST WHO

Row 392


91/129



92/129


93/129


94/129


95/129


96/129


97/129

S


98/129


99/129


100/129


101/129


102/129


103/129


104/129


105/129


106/129


JUDUL INDIKATOR : KELENGKAPAN PENGISIAN 8ORMAT 9HE9K LIST KOPERASI

BULAN OKTOBER

TAHUN : 2015

No TANGGAL Nama PasieNO.RM

(a

1 01/10/15 6A!A=A: SU S: 1199815 05/10/15 6? A6 SAHAA 120131 05/10/15 A>AH17 05/10/15 FH 1021218 0/10/15 SA =A: 58019 07/10/15 < !6A20 07/10/15 !A SA

21 08/10/15 !AS S: 1108222 08/10/15 H:A 1212023 08/10/15 S6AH 11724 09/10/15 FBH 1212725 09/10/15 @ =A: 10152 10/10/15 @ =A: A 112427 10/10/15 SU=A 1214328 11/10/15 SAA 1215529 11/10/15 S AA :


107/129

43 14/10/15 H6AH HUS 1225744 14/10/15 U6AH 1225845 14/10/15 S?A 11284 14/10/15 SAAH 1100947 14/10/15 SA!S6AH 1224448 1/10/15 SAH F: 472949 1/10/15 SUFA S S 11710

50 1/10/15 U HAH 472951 18/10/15 U HA>>AH 1233252 18/10/15 A>6A 1231453 18/10/15 SA! 1215154 18/10/15 FA:!AH 123855 19/10/15 !SA ?AS6A 123705 19/10/15 UAA 240357 20/10/15 A =U:A 1241258 01/10/15 FA= ; FA6AH59 03/10/15 AH!A6 SUA: 107420 04/10/15 SAA 117311 05/10/15 SA 11373

2 05/10/15 AH!A6 FA63 05/10/15 !H6 !A! 118704 0/10/15 AH HS>5 0/10/15 F>A6 AS 1229477 20/10/15 S6A 1239178 20/10/15 A6 !U=A6 1179779 20/10/15 A>A S!> 1239280 20/10/15 !A6AH > SAAH 1243781 20/10/15 A! SUA 175

8 21/10/15 !A U!AA 1245787 21/10/15 H:!A6A 124288 22/10/15 SA 1248289 22/10/15 SAH 1247490 23/10/15 =U SAAH 1251291 23/10/15 S!A?A: 1251392 23/10/15 U AS=AH 1181393 24/10/15 S: HAH 1252894 24/10/15 FA:!AH 1202095 24/10/15 6S 12015


108/129

9 25/10/15 !A SA 1192897 01/10/15 A:A ?A: S: :A!U>101 05/10/15 USAAH 10917102 15/10/15 U! 103

103 15/10/15 S!AA 12824104 22/10/15 A ASA 12474105 03/10/15 !U:AH10 05/10/15 =US6A 12017107 07/10/15 AS! 11227108 27/10/15 ?6A A!A 12004109 27/10/15 6AA @SA 12570110 28/10/15 S!A ?A 8887111 28/10/15 AH 1215114 28/10/15 !&;A 252

115 28/10/15 SA: 6? 122311 28/10/15 !A 123117 28/10/15 S6 1249118 28/10/15 !H6&HA>> 1154119 28/10/15 A;HA SAF 10100120 28/10/15 A6 ;A 1220121 28/10/15 SA SAHAA 132122 28/10/15 SAH!A 6? 10055123 29/10/15 S: AS=AH 2222124 29/10/15 @A SA 1277125 29/10/15 !AH HAA 1282412 29/10/15 S: HAH 1259

127 29/10/15 !A: 1289128 30/10/15 !A 5077129 30/10/15 S: SAHAA 4833130 30/10/15 UA 12729131 31/10/15 !AA 12740132 31/10/15 S ?AH=U 12080133 31/10/15 S!A?A 10305

U!AH 0


109/129

YAKELENGKAPAN CH

0

20

40

60

0


110/129

SELAMATAN PASIEN


Ti+a%

SCSCSCSCSCSCSCSC

SCSCSCSCSCSCSCSC

HC:6!A:SCSCSCSCSCSCSC

SCSCSCSCSCSCSC

HS:C:!=SCSC

KESELAMATANRASI LENGKAP


111/129

SCSCSCSCSCSCSC

SCSCSCSCSCSCSCSC

6>6!A:A6C:!=

SC66!:

A6C:!=ES :U!ES :U! !A!A

S 6!A:6>6!A:HA:!=AAA:!=ES !A!A

A6C:!=ES :U!ES :U!

!@ FA:6>6!A:SC

ES :U! !A!AA6C:!=

SF: :SSU :U!AAA:!=HA:!=

SCSCSCSC

SCSCSCSCSCSCSCSCSCSC


112/129

SCSC

AAA:!

SCHS:C:!=

@SCS:!=SC

SCSCSCSCSC

:U! !A!ASCSCSC

:U! >AHU:U! !A!A:U! :A6!A:SCSCSCSCSC

@A


113/129

TIDAK ECK LIST WHO

Row 14


114/129


115/129


116/129

JUMLAH


117/129


118/129


119/129


120/129

10,


121/129


122/129

DATA INDIKATOR SASARAN KESELA

JUDUL INDIKATOR : KELENGKAPAN PENGISIAN 8ORMAT 9HE9K LIS

OPERASI

BULAN NOPEMBER

TAHUN : 2015

No TANGGAL Nama PasieNO.RM

1 02/11/15 !A6AH 11,38

2 02/11/15 !ASAH 11,0

3 02/11/15 !ASA 12,05

4 02/11/15 AS?AU66 12,73

5 02/11/15 AH!A6 F6 1250

02/11/15 :U: A6A 3518

7 03/11/15 !AA 124478 03/11/15 !AA 11994

9 03/11/15 !ASA 1205

10 03/11/15 A U!A 12770

11 03/11/15 :U!A 12799

12 03/11/15 S: ASAH 12817

13 03/11/15 S: !A6A 9110

14 03/11/15 FBH A!> 9308

15 04/11/15 @ A


123/129


124/129


125/129

U!AH

U!AH AS


126/129

MATAN PASIEN 6 SKP 7

KESELAMATAN PASIEN


(a Ti+a%

SC

A6C:!=

SC

A6C:!=

SF: :SSU :U!

SC

SC SC

SF: :SSU :U!

S:A:

AAA:!=

SC

ES :U!

AAA:!=

SC

SC

HA:!= SC

SC

SCDHS:C:!=

SC

SC

SC

SC

SC

9HE9K LISTKESELAMATAN PASIENOPERASI LENGKAP


127/129


128/129


129/129

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