PEMERINTAH KABUPATEN ACEH SELATAN DINAS KESEHAT KESE HATAN AN KEPALA UPTD PUSKESMAS LHOK BENGKUANG Jalan T. Cut Ali Nomor : ! TAPAKTUAN
KEPUTUSAN KEPALA UPTD UPTD PUSKESMAS LHOK BENGKUANG NOMOR :
TENTANG
SASARAN KESELAMATAN PASIEN
M"nim#an$
: a. #a%&a 'alam ran$(a m"m)"r%ati(an ("*"lamatan )a*i"n ma(a )"rlu m"nin$(at(an mutu la+anan (lini*, 'i Pu*("*ma* L%o( B"n$(uan$ #. #a%&a *"%u#un$an '"n$an )"rn+ataan #utir # utir a 'i ata*, ma(a 'i)an'an$ )"rlu untu( m"n"ta)(an m"n"ta)(an *a*aran *a*aran *a*aran *a*aran ("*"lamata ("*"lamatan n )a*i"n )a*i"n 'i Pu*("*ma* Pu*("*ma* L%o( B"n$(uan$ -. #a%&a #a%&a *"%u#un$a *"%u#un$an n '"n$an )"rn+at )"rn+ataan aan )a'a #utir #utir a 'an # t"r*"# t"r*"#ut ut 'iata*, 'iata*, )"rlu m"n"ta)(an K")utu*an K")ala Pu*at K"*"%atan Ma*+ara(at L%o( B"n$(uan$ T"ntan$ Sa*aran Sa*aran K"*"lamatan Pa*i"n
M"n$in$at
: !. Un'an$Un'an$ No Nomor / / Ta Ta%un !0 !00 t" t"ntan$ K" K"*"%atan 'a 'an Un Un'an$ Un'an$ Nomor 0 Ta%un Ta%un 112 T"ntan$ Pra(ti( K"'o(t"ran . Un'an$un'an$ Un'an$un'an$ Nomor 3 Ta%un Ta%un 110 t"ntan$ t"ntan$ P"la+ana P"la+anan n Pu#li(4 Pu#li(4 /. Un'an$Un'an$ Un'an$Un'an$ Nomor 3 ta%un 1!2 t"ntan$ t"ntan$ A)aratur A)aratur Si)il Si)il N"$ara4 N"$ara4 2. Un'an Un'an$ $Un Un'a 'an$ n$ Nomo Nomorr / Ta%un 1!2 1!2 t"nt t"ntan an$ $ P"m"r P"m"rin inta ta%a %an n Da"ra Da"ra% % *"#a$aimana t"la% 'iu#a% '"n$an Un'an$Un'an$ Nomor Ta%un 1!34 3. P"raturan P"raturan M"nt"ri M"nt"ri K"*"%atan K"*"%atan R")u#li( R")u#li( In'on"*ia In'on"*ia Nomor 53 Ta%u Ta%un n 1!3 T"ntan$ T"ntan$ Pu*at K"*"%atan Ma*+ara(at4 6. P"ratu P"raturan ran m"nt"r m"nt"rii K"*"%a K"*"%atan tan No.60 No.607ME 7MENKE NKES7P S7PER7 ER7III III71 7118 18 T"ntan "ntan$ $ R"(am M"'i*4 5. P"ratu P"raturan ran M"nt"r M"nt"rii N"$ara N"$ara P"n'a+ P"n'a+a$un a$unaan aan A)ara A)aratur tur N"$ara N"$ara Nomor Nomor : !/ TAHUN TAHUN 110 T"ntan$ T"ntan$ P"'oman P"nin$(atan Kualita* Kualita* P"la+anan Pu#li( D"n$an Parti*i)a*i Ma*+ara(at4 8. 8. P"ratu P"raturan ran M"nt"r M"nt"rii K"*"%at K"*"%atan an No.!60! No.!60!7ME 7MENKE NKES7P S7PER7 ER79II 9III7 I71! 1!! ! T"ntan "ntan$ $ K"*"lamatan Pa*i"n Ruma% Sa(it4 0. P"raturan P"raturan M"nt"ri M"nt"ri K"*"%atan K"*"%atan RI Nomor Nomor 53 Ta%un Ta%un 1!2 T"nt T"ntan$ an$ A(r"'ita A(r"'ita*i *i Pu*("*ma*4 !1. P"ra P"ratu tura ran n Da"r Da"ra% a% Nomo Nomorr ! Ta%un 1!2 1!2 t"nt t"ntan an$ $ Or$a Or$ani ni*a *a*i *i P"ra P"ran$ n$(at (at Da"ra%4 !!. K")utu*an K")utu*an M"nt"ri K"*"%atan K"*"%atan RI No. !87M"n.K"*7SK7 !87M"n.K"*7SK7II7 II7 112 t"ntan$ K"#ia(an Da*ar Pu*("*ma*4 MEMUTUSKAN :
M"n"ta)(an
: KEPUTUSAN KEP KEPALA PU PUSKESMAS LHO LHOK BEN BENGKUANG TEN TENTANG SASARAN SASARAN KESELAMATAN PASIEN
KESATU
:
M"n"ntu(an Sa Sa*aran Sa Sa*aran K" K"*"lamatan Pa Pa*i"n 'alam Surat K")utu*an ini
*"#a$aimana t" t"rlam)ir
KETIGA
: K")utu*an ini mulai #"rla(u )a'a tan$$al 'it"ta)(an
Dit"ta)(an 'i : )a'a Tan$$al :
Ta)a(tuan 1!6
KEPALA UPTD PUSKESMAS LHOK BENGKUANG
IRVANDI ANASRUDDIN
LAMPIRAN : KEPUTUSAN KEPALA UPTD PUSKESMAS LHOK BENGKUANG NOMOR : TANGGAL : 1!6 TENTANG : KEPUTUSAN KEPALA PUSKESMAS LHOK BENGKUANG TENTANG SASARAN SASARAN KESELAMATAN PASIEN
SASARAN SASARAN KESELAMATAN PASIEN No.
!. /. 2
3. 6 5
Jenis Pelayanan
India!o" K"*"*uaian antara anamn"*a, POLI UMUM 'ia$no*a, 'an t"ra)i )a'a *tatu* )a*i"n Ti'a( t"ra'i In<"(*i Pa*-a RUANG TINDAKAN Tin'a(an M"'i* S"mua tin'a(an )"n+unti(an %aru* POLI GIGI 'i*"rtai in
$u'an$ Ti'a( a'a o#at (a'aluar*a O#at? P"m"ri(*aan H# !11; )a'a KIA (unun$an i#u %amil ("'ua
S!anda"
!11; !11 ; !11 ; 1; 1; !11 ; 1; !11 ;
#. Keses$aian dia%nosa dan !e"a&i K"*"*uaian 'ia$no*a 'an t"ra)i +aitu : t"ra)i +an$ 'i#"ri(an *"*uai '"n$an 'ia$no*a +an$ 'i'a)at #"r'a*ar(an anamn"*a 'an )"m"ri(*aan i(a a'a ? 'an *"*uai '"n$an )ro*"'ur (lini* P"n$am#ilan 'ata 'ila(u(an *"tia) %ari 'ari !1 )"n+a(it +an$ t"la% 'it"ta)(an > m"ru)a(an !1 )"n+a(it t"r#an+a( 'i Pu*("*ma* ?: 1. P"natala(*anaan Hi)"rt"n*i 2. P"natala(*anaan DBD 3. P"natala(*anaan '"mam ti D"rmatiti* n? 10. P"natala(*anaan M+al$i P"n$u(uran in'i-ator 'ila(u(an *"tia) %ari, 1 ; 'ari total (unun$an )a*i"n, +aitu '"n$an m"n$u(ur ("t")atan 'ia$no*" 'an t"ra)i +an$ *"*uai '"n$an SOP +an$ a'a, 'i#a$i umla% +an$ 'i)antau, )"n$%itun$an 'ila(u(an *"tia) #ulan
=ormula Rumu*: Jumla% *tatu* +an$ *"*uai Jumla% *am)"l
@ !11 ;
'. Tida !e"(adi in)esi &as*a !indaan +edis
Ti'a( a'a in<"(*i +an$ 'itim#ul(an *"t"la% 'ila(u(an tin'a(an m"'i* 'i ruan$ tin'a(an, *"*uai tar$"t +an$ 'it"ta)(an 'alam *a*aran mutu unit 'i ruan$an.Hal ini 'a)at 'i("ta%ui i(a )a*i"n )a'a *aat (ontrol )a*-a tin'a(an, i(a )a*i"n ti'a( ("m#ali 'i)"r(iran ti'a( t"ra'i in<"(*i P"n$u(uran 'ila(u(an *"tia) %ari, '"n$an m"n$am#il *"mua tin'a(an +an$ 'ila(u(an 'i ruan$ tin'a(an, )"n$%itun$an 'ila(u(an *"tia) #ulan =ormula Rumu* :
Jumla% Pa*i"n ti'a( t"ra'i In<"(*i @ !11 ; Jumla% Pa*i"n +an$ 'ila(u(an tin'a(an
;
,. Keses$aian dia%nosa dan !e"a&i K"*"*uaian 'ia$no*a 'an t"ra)i +aitu : t"ra)i +an$ 'i#"ri(an *"*uai '"n$an 'ia$no*a +an$ 'i'a)at #"r'a*ar(an anamn"*a 'an )"m"ri(*aan
=ormula Rumu* Jumla% *tatu* +an$ *"*uai @ !11 ; Jumla% *am)"l >S"*uai Krit"ria?
;
. An%a e+a!ian /ayi : 0 1 dan Ana e+a!ian I/$ 0 1 An$(a K"matian I#u : 1 ; +aitu ti'a( a'an+a ("matian i#u )a'a *aat 'ira&at7m"la%ir(an 'i unit Ruma% #"r*alin Pu*("*ma* K"-amatan Gam#ir An$(a K"matian #a+i Baru La%ir : 1,/ ; +aitu #a+i +an$ la%ir 'i unit Ruma% #"r*alin Pu*("*ma* K"-amatan GAMBIR, ti'a( l"#i% 'ari 1,/ ;. A'a)un (rit"ria ("matian #a+i +an$ ma*u( 'alam )"mantauan +aitu : Ba+i m"nin$$al #u(an (ar"na ("lainan (on$"nital I#u m"la(u(an )"m"ri(*aan Ant" Natal Car" 'i Ruma% B"r*alin Pu*("*ma* $AMBIR
P"n$u(uran 'ila(u(an *"tia) a'an ("a'ian +an$ ti'a( 'i%ara)(an , 'an -ara )"n$%itun$ann+a +anitu *"tia)a a'a i#u atau #a+i m"nin$$al (ar"na )"r*alinan 'i#a$i umla% i#u atau #a+i +an$ la%ir 'i Ruma% B"r*alin Untu( AKB : S"tia) a'a ("a'ian i#u %amil m"la%ir(an 'i RB 'an #a+in+a m"nin$$al *"*uai '"n$an (rit"ria
a.
2o"+$la R$+$s AKB dan AKI :
Jumla% #a+i la%ir m"nin$$al
!11 ;
;
umla% #a+i +an$ la%ir
("a'ian a'an+a i#u +an$ 'ira&at7m"la%ir(an m"nin$$al 'unia I#u #"r*alin 'i Unit RB
!11 ;
;
3. Pe+an!a$an !ida !e"(adinya as$s KIPI dala+ &elayanan I+$nisasi De)inisi KIPI : adala4 se+$a e(adian sai! dan e+a!ian yan% !e"(adi dala+ +asa # /$lan se!ela4 I+$nisasi Kla*i HO. !000 ? R"a(*i 9a(*in > =a(tor 9a(*in ? K"*ala%an Pro$ram > K"*ala%an )"n+im)anan, )"n$"lolaan 'an tata la(*ana )"m#"rian 9a(*in ? R"a(*i Sunti(an > Ra*a ta(ut 7 $"li*a% atau *a(it 'ari tin'a(an )"n+unti(an ? P"+"#a# ti'a( 'i ("ta%ui
G"ala Klini* KIPI : KIPI 'a)at tim#ul *"-ara -")at 7 lam#at 'an 'a)at 'i #a$i m"na'i : G"ala Lo(al Si*t"mi( R"a(*i *u*unan *+ara< )u*at R"a(*i Lain Ma(in -")at KIPI t"ra'i ma(in -")at $"alan+a tim#ul. P"n$am#ilan 'ata 'ila(u(an *"tia) )"la(*anaan imuni*a*i, *"lalu 'i)antau 2o"+$la R$+$s :
Jumla% Kumulati< ! #ulan +an$ ti'a( t"ra'i KIPI Jumla% Kumulati< ! #ulan +an$ 'i #"ri(an Imuni*a*i
@ !11 ;
5. O/a! adal$a"sa
O#at (a'aluar*a artin+a 'it"mu(an a'an+a o#at +an$ (a'aluar*a 7 E)ir" 'at"7 ru*a( 'i $u'an$ o#at, unit )"la+anan Pu*("*ma* K"-amatan Gam#ir P"n$u(uran 'ila(u(an )a'a *aat *to( o)nam" 'i $u'an$ o#at =ormula rumu* : Jumla% O#at +an$ (a'aluar*a Total umla% o#at
@ !11 ;
;
6. Pe+an!a$an $n($n%an /$+il den%an )a*!o" "isio 7"is!i aitu #"#"ra)a ("a'aan +an$ m"nam#a% ri*i(o ("%amilan, namun ti'a( *"-ara lan$*un$ m"nin$(at(an ri*i(o ("matian i#u Ri*i(o tin$$i ("%amilan m"ru)a(an ("a'aan )"n+im)an$an 'ari normal, +an$ *"-ara lan$*un$ m"n+"#a#(an ("*a(itan 'an ("matian i#u mau)un #a+i =a(tor Ri*i(o )a'a I#u Hamil 'iantaran+a Primi$raFi'a (uran$ 'ari 1 ta%un atau l"#i% 'ari /3 ta%un Ana( l"#i% 'ari 2 Jara( )"r*alinan t"ra(%ir 'an ("%amilan *"(aran$ (uran$ 'ari ta%un Tin$$i #a'an (uran$ 'ari !23 -m B"rat #a'an (uran$ 'ari /8 ($ atau lin$(ar l"n$an ata* (uran$ /,3 -m Ri&a+at ("luar$a m"n'"rita )"n+a(it ("n-in$ mani*, %i)"rt"n*i, 'an ri&a+at -a-at (on$"nital K"lainan #"ntu( tu#u%, mi*aln+a ("lainan tulan$ #"la(an$ atau )an$$ul P"n$u(uran 'ila(u(an t"r%a'a) i#u %amil '"n$an
=ormula Rumu* Jumla% i#u %amil +an$ #"r(unun$ (" Pu*("*ma* Jumla% #umul '"n$an
;
KEPALA UPTD PUSKESMAS LHOK BENGKUANG
IRVANDI ANASRUDDIN
