CAPAIAN INDIKATOR NASIONAL MUTU PER TRIWULAN
RS MATA RAMATA
TAHUN 2024
INDIKATOR MUTU | TARGET | TW I | TWII | TW III | TW IV | CAPAIAN RATA-RATA TAHUN 2024 |
Kepatuhan identifikasi pasien | 100% | 100% | 100% | 98.88% | 92% | 98% |
| Kepatuhan penggunaan APD | 100% | 100% | 100% | 100% | 100% | 100% |
| Kepatuhan kebersihan tangan | ≥85% | 95.5% | 90.9% | 94.40% | 95% | 94% |
| Waktu tunggu rawat jalan | ≥ 80% | 84.2% | 76.2% | 84.42% | 83% | 82% |
| Penundaan operasi elektif | ≤ 5% | 20.5% | 23% | 20.09% | 31% | 24% |
| Kepatuhan waktu visite dokter | ≥ 80% | 95.9% | 93.3% | 88.35% | 97% | 94% |
| pelaporan hasil kritis laboratorium | 100% | 100% | 100% | 100% | 100% | 100% |
| Kepatuhan penggunaan formularium Nasional | ≥80% | 63.10% | 59.2% | 58.39% | 57% | 59% |
| Kepatuhan upaya pencegahan risiko pasien jatuh | 100% | 100% | 100% | 100% | 100% | 100% |
| Kepatuhan terhadap alur klinis (clinical pathway) | ≥80% | 87.10% | 89.8% | 83.72% | 73% | 83% |
| Kepuasan Pasien dan Keluarga | ≥ 76,61% | 98% | 95% | 96.74% | 97% | 97% |
| Kecepatan waktu tanggap komplin | ≥80% | 100% | 100% | 100% | 100% | 100% |
