Capaian Indikator Mutu Nasional (INM) — Rumah Sakit National Hospital Surabaya
| No | Indikator | Standar | Januari | Februari | Maret |
|---|---|---|---|---|---|
| 1 | Kepatuhan Kebersihan Tangan | ≥85% | 85% | 86% | 86% |
| 2 | Kepatuhan Penggunaan APD | 100% | 91% | 95% | 96% |
| 3 | Identifikasi Pasien | 100% | 98% | 99% | 99% |
| 4 | Waktu Tanggap Sectio Caesarea Emergency | 100% | N/A | N/A | N/A |
| 5 | Waktu Tunggu Rawat Jalan | ≥80% | 92.5% | 92.7% | 93% |
| 6 | Penundaan Operasi Elektif | ≤5% | 0.6% | 3.58% | 0.71% |
| 7 | Kepatuhan Waktu Visite Dokter | ≥80% | 63% | 73% | 71% |
| 8 | Pelaporan Hasil Kritis Laboratorium | 100% | 100% | 100% | 100% |
| 9 | Kepatuhan Penggunaan Formularium Nasional | 100% | 96.44% | 96.6% | 96.4% |
| 10 | Kepatuhan Terhadap Alur Klinis (Clinical Pathway) | ≥80% | 88% | 87.93% | 83.33% |
| 11 | Kepatuhan Upaya Pencegahan Risiko Jatuh | 100% | 97% | 98% | 94% |
| 12 | Kecepatan Waktu Tanggap Komplain | >80% | 100% | 100% | 100% |
| 13 | Kepuasan Pasien | ≥76.6% | 93.5% | 95.6% | 94.6% |
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