PROGRAM KERJA TAHUN 2015 (AGUSTUS-DESEMBER) UNIT RADIOLOGI RSI PA PATI TI I.
Penda!"!an Un#$ Rad#%"%&# RSI Pa$# 'e!a*an +a"a +a$! !n#$ en!n,an& 'ed#* d# RSI Pa$# an& 'e'!na# $!,!an !n$!* 'e'e#*an e"aanan e'e#*+aan %/e+#%na" den&an a+#" e!a &a'a image den&an $!,!an 'e'an$! aa d%*$e 'ene&a**an d#a&n%+a a+#en an& d#$an&an#. Pe"aanan Rad#%"%&# RSI Pa$# 'e'e#*an e"aanan ad#%"%&# $ana *%n$a+ den&an *%n$a+ *%n$a+ dan !"$a+%n%&a. !"$a+%n%&a. Da"a' ene"en&&aaan e"aanan *eada a+#enUn#$ Rad#%"%&# a!+ 'e"a*!*an !aa en#n&*a$an '!$! e"aanan a#* da# *#ne,a e"aanan 'a!!n *e+e"a'a$an a+#en. M !$! e"aanan Un#$ Rad#%"%&# e"! d# d!*!n& %"e +!'e daa an& d# '#"#*# 'e"#!$# SDM +aana a+aana ea"a$an 'ed#+ d"". !n$!* daa$ 'e'e#*an e"aanan an& a#* d# In+$a"a+# Rad#%"%&# RS. Beda+a*an Beda+ a*an 3#+# In+$a"a+# Rad#%"%&# Rad#%"%&# RS. Ken Saa+ a#$! 'en,ad# In+$a"a+# Rad#%" Ra d#%"%&# %&# an& %/e+# %/e+#%na" %na" den& den&an an end ende*a$ e*a$an an an& e+ e+#/a$ #/a$ %" %"#+$#* #+$#* e*e+#na'!n&an e*e+ #na'!n&an dan a#!na +e+!a# den&an *e'a'!a *e'a'!an n an& ada %"e %" e *a *aen ena a #$ #$! ! d# e e" "!* !*an an +! +!a$ a$! ! %& %&a a' ' *e e,a ,a $a $a! !na nan n &! &!na na en#n&* en# n&*a$an a$an '!$! e"a e"aana anan n ad# ad#%"%& %"%&## !'a !'a +a*# +a*#$$ *en +aa+ $a! $a!n n 2015.. 2015
II.
La$a e"a*an& Pe'e#*+aan d#a&n%+$#* ad#%"%&# $e"a 'en,ad# a&#an an& $#da* daa$ d# ##+ #+a a*an da da# *e e#d #d! !a an n *#$ #$a a +ea a##- a# #$ $e e! !$a $a' 'a d# da"a da "a' ' ena$a"a*+anaan *"#n#+ a+#en d#da"a' e"aanan *e+ea$an.Pe *e+ea $an.Pe*e'an&an *e'an&an $e*n%"%&# ad#%"%&# $e"a 'e'e#*an ana* +!'an&an $#da* ana da"a' e"!a+an 4a4a+an #"'! dan *e'a'!an d#a&n%+$#* ad#%"%&# a*an $e$a# ,!&a da"a' %$e*+# ad#a+# ada a+#ena+#en an& 'en&a!+*an e'e#an ad#a+# *eada a+#en +eenda '!n&*#n +e+!a# den&an *e!$!an *"#n#+ 'e!a*an a+e* en$#n& da"a' e"aana e"a anan n d#a& d#a&n%+$ n%+$#* #* ad# ad#%"%& %"%&## an& e" e"! ! 'end 'endaa$ aa$ e ea$# a$#an an +ea +eaa a *%n$#n *% n$#n!. !. *a *aena ena a+# a+#en-a en-a+#en +#en +e*a +e*aan& an&!n !n ,!&a 'e'# 'e'#"#*# "#*# en& en&e$a! e$a!an an $en$an& e"aanan ad#%"%&# an& e'!$!.'!$! e"aanan ad#%"%&# an& d#aaa*an a+#en a!+ 'e'!a+*an a#* da# +#+$e' ad'#n#+$a+#na *#ne,a e"aanan 'a!!n +#+$e' %$e*+# ad#a+#na. ad#a+#na. Den&an Den& an de'#* de'#*#an #an d#e d#e"!* "!*an an +!a$ +!a$! ! % %&a' &a' *e *e,a ,a $a! $a!nan nan d# In+$ In+$a"a+ a"a+## ad#%"%&# RS. Ken +aa+ an& 'e"#!$# en&e'an&an +d' en#n&*a$an *#ne,a *#ne ,a e"a e"aanan ananen& en&e'a e'an&an n&an +a +aana ana dan ea ea"a$an "a$an en# en#n&* n&*a$an a$an '!$! '!$ ! dan *e *e+e +e"a' "a'a$a a$an n a+ a+#en #en +e +e$a $a en en&e" &e"%"a %"aan an e e+#* +#*% % d# In+ In+$a" $a"a+ a+## ad#%"%&#.
III.
T!,!an6 U'!' 6 Te+e"en&&a Te+e"en&&aana ana e"aanan ad#%"%&# ad#%"%&# +eaa +eaa %$#'a" +e+!a# +e+!a# 3#+# dan '#+# In+$a"a+# Rad#%"%&# R!'a Sa*#$ Ken Saa+.
K!+!+ 6 a. Te+e"en&&aana e"aanan ad#%"%&# a#!na 'e"a"!# /a+#"#$a+ dan +!'e daa 'an!a+#a an& ada. . Te+e"en&&aana en&%a$an *an*e 'e"a"!# ea"a$an ad#%$ea# a$a! "#na den&an +e'!a en!n,an&na . Mene"en&&aa*an en&e'an&an SDM a#* da"a' #"'! en&e$a!an dan $e*n%"%&# *e$a'#"an e*%'e$en+# $#n&&# +e+!a# #dan&na 'e"aan# a+#en den&an e'a$# dan 'en&!$a'a*an *e+e"a'a$an a+#en. d. Men&e'an&*an e"aanan ad#%"%&# a#* ad#%d#a&n%+$#* dan ad#%$ea# +e+!a# e*e'an&an #$e*d%* dan 'en&e'an&*an e"aanan #'a an& ea$ a*!a$ dan na'an e. Te+e"en&&aana Pe'e"#aaan "#n&*!n&an !'a +a*#$ ada !'!'na dan #n+$a"a+# ad#%"%&# *!+!+na a&a +e"a"! e+# dan na'an /. Te+e"en&&aana Pe'e"#aaan ea"a$an ad#%"%&# den&an 'e"a*!*an %ea+#%na" an& ena +e$a 'e'e"#aa *ee+#an a"a$. I7.
Ind#*a$% dan enaa#an ada Jan!a# 8 J!n# 2015 dan $a&e$ (+a+aan) ada A&!+$!+ 8 De+e'e 2015 A. Ind#*a$% e"aanan6
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1. Penaa#an *#ne,a e"aanan Rad#%"%&# ada Jan!a#-J!n# 2015 2. Penaa#an Ind#*a$% '!$! dan *e+e"a'a$an a+#en ada Jan!a# -J!n# 2015 a. Ind#*a$% '!$! !n#$ *e,a (+e+!a# SPM) Ind#a$% !n$!* #n!$ %+e+ %!$!$ dan %!$%'ena +!da $eaa# +e+!a# den&an $a&e$ da# SPM . Ind#*a$% '!$! aea *"#n#+ An&*a en&!"an&an e'e#*+aan ad#%"%&# a#$! =1.59 +e"a'a !"an ,an!a#-,!n# 2015 . Ind#*a$% +a+aan *e+e"a'a$an a+#en T#da* $e,ad# #n+#den a+#en ,a$! a#$! 09 d. In+#den *e+e"a'a$an a+#en Ke,ad#an a"e&# aan *%n$a+ 6 09 +!da $eaa# *aena +e$#a *a"# 'e"a*!*an e'e#*+aan ad#%"%&# den&an *%n$a+
d#"a*!*an "an&*a-"an&*a +e+!a# SPO a#$! +*#n $e+$ aan *%n$a+ %"e ea4a$ *eada a+#en a+#en d#!a+a*an dan e'e#*+aan daa *#'#a !e!' ea$#n#n !n$!* 'en&e$a!# /!n&+# &#n,a"na e. In+#den *ee"a*aan *e,a #n+#den "a#n 6
7.
No
P%&a' *e,a6
Kegiatan pokok
Rincian kegiatan
Sasaran (terukur)
Cara melaksanak Jadual an
Bia ya
kegiatan 1
Raa$ Un#$ Rad#%"%&#
1. Raa$ #n$ena" 1 (+a$!) !"an +e*a"# d# Un#$ Rad#%"%&#
2. Raa$ < !"an den&an D#e*+#
Men#n&*a$ *an M!$! e"aanan ad#%"% 'e'ea *an +%"!+# 'a+a"a an& e!!n &an d&n e"aanan ad#%"%&# La%an a+#" e"aanan ad#%"%&# dan ena'a# an *enda"a 'a+a"a an& ada +e"a'a < "n d# Un#$ Rad dan ada
Pe$e'!an +e"!! e$!&a+ Rad#%"%&# den&an Kea"a Un#$Rad#%"%&#
Se$#a 1 !"an +e*a"#
Pe$e'!an an$aa P#'#nan Rad#%"%&# den&an D#e*+#.
Se$#a < !"an +e*a"#
-
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+%"!+#na 2
Pen&e'an& an SDM
1.Ta#n#n& e*+$ena" !$* D%*$e S. Rad 6 +e'#na PIT ( d& +e$#*a$ )
Mena'a en&e$a!a n dan 4a4a+an $en$an& e*e'an &an #"'! ad#%"%&# $e ! da$e
Men&#*!$# +e'#na PIT an& d#ada*an %"e PDSRI
2. Ta#n#n& e*+$ena" !$* Rad#%&a/e 6 +e'#na PIT ( d& +e$#*a$ )
Mena'a en&e$a!a n dan 4a4a+an $en$an& e*e'an &an #"'! ad#%"%&# $e ! da$e
Men&#*!$# Mene+! +e'#na PIT a#*an an& ,ad4a" d#ada*an an& %"e PARI ada
1. Pena'aa n D%*$e S. Rad Te$a
Me'ee a$ a+#" e*+e$#+e ad#%"%&# dan 'en&!an&# *%'"a#n a+#en
Pen&a,!an *e SDM !n$!* $ena&a Rad#%"%& $e$a
Re*!$' en
2.
Me'ee a$ e"aanan ad#%"%&# *n +e'a*#n ana*na +n BPJS 'en&!an&# *%'"a#n a+#en dan enana e"aanan 2? ,a'
Pen&a,!an *e SDM !n$!* $ena&a Rad#%&a/e
Re*!$' en
Pena'aa n ad#%&a/e 2 %an&
Se'e+ $e 2
-
Jadual Kegiatan (Bagan Gantt untuk rencana 5 Bulan) 205 N o
%
Kegiatan
Raa$ In+$a"a+# Rad#%"%&#
Rincian Kegiatan
1. Raa$ #n$ena" 1 (+a$!) !"an +e*a"#.
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2. Raa$ < !"an den&an D#e*+#
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Pen&e'an 1.Ta#n#n& e*+$ena" !$* &an SDM D%*$e S. Rad 6 +e'#na PIT (d& +e$#*a$ ) 2. Ta#n#n& e*+$ena" !$* Rad#%&a/e 6 +e'#na PIT ( d&
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<. Pena'aa n D%*$e S. Rad Te$a ?. Pena'aa n ad#%&a/e 2 %an& <%
Pen&e'an &an +aana dan ea"a$an
L%*e$ enda/$aan ad#%"%&# dan USG Pe'an&!na n !an& T San Ka'a 'and# ad#%"%&#
R!an& $!n&&! ad#%"%&# ?.
Pe'e"#aaa n dan Ka"#a+# ea"a$an
1.A"a$ d%+#'e$# 6 < !a "' ad&e 2.Me'e+# *an a"a$-a"a$ ad#%"%&# dan a"*e+6 a#an
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(d#"a*!*an ad#%&a/e) <.Pea4a$an !$#n a"a$a"a$ ad#%"%&#
R (%'!$ed Rad#%&a) 5.
Pen#n&*a$an '!$! dan *e+e"a'a$a n a+#en
'rogram 'K'
1. Raa$ ene$aa n #nd#a$% 2. Mene$a* an enan&&! n& ,a4a !n$!* en&!' !"an Da$a <. Mene$a* an enan&&! n& ,a4a ana"#+#+ da$a dan e"a%an
elaksana kan pencatata n dan pelaporan •
•
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*ndicator mutu unit ker+a
1. Me"a* !*an en&!'!" an da$a dan 'e"a*!*an ena$a$an !"anan *e$#&a ,en#+ #nd#a$% dan #n+#den "a#n
*ndikator mutu area 2. Me"a*!*an klinis ana"#+#+ enaa#an *ndikator #nd#a$% mutu
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Sasaran keselam atan pasien •
•
<. Me"a*!*an e"a%an !"anan enaa#an #nd#a$%
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*nsiden keselam atan 'asien
elaksana 1. Men!+!n kan #n+$!'en$ penilaian en#"a#an kiner+a +$a/ staRad#%$ea# Radiologi 2. Me"a*!*an en#"a#an *#ne,a *aa4an $#a ena' !"an +e*a"# <. Me"a*!*an ana"#+#+ *#ne,a *aa4an $#a ena' !"an +e*a"# ?. Me"a*!*an $#nda* "an,!$ $eada a+#" ana"#+#+ *#ne,a *aa4an
5. Me"a%*an a+#" ana"#+#+ *#ne,a *aa4an $#a ena' !"an +e*a"# *eada d#e*$!
elaksana kan penilaian kiner+a unit Radiologi
ana+eme n risiko di unit ker+a%
1. Me"a* !*an en#"a#an *#ne,a !n#$ +e$#a +a$! !"an +e*a"#
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2. Me"a*!*an ana"#+#+ *#ne,a !n#$ $#a !"an
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<. Me"a*+ana* an $#nda* "an,!$ ea#*an *#ne,a
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1.Iden$#*a+# #+#*% 2.Me"a*!*an MEA d# !n#$ *e,a <.Me"a*!*an $#nda* "an,!$ MEA ?.Me"a*!*an e3a"!a+# $#nda* "an,!$
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'engem.a ngan stauntuk peningkat an mutu/ keselamat an pasien/ dan mana+eme n risiko
7I.
MEA dan e"a%ann a 1.Pe"a$#an 'ana,e'en #+#*% dan Ke+e"a'a$an a+#en
2.S#'!"a+# Kea*aan
M%n#$%#n& dan E3a"!a+# e"a*+anaan *e&#a$an dan e"a%an e"a*+anaan *e&#a$an
A. Renana '%n#$%#n& dan e3a"!a+# e"a*+anaan *e&#a$an
N o
Kegiatan pokok
1.
Raa$ In+$a"a+# Rad#%"%&#
2.
Pen&e'an&an SDM
Rincian kegiatan
'enanggung +aa. mone#
Kapan mone# akan dilakukan
1. Raa$ #n$ena" 1 (+a$!) !"an +e*a"# d# Un#$ Rad#%"%&#
A++. Man Rad#%"%&#
2 !"an +e*a"#
2. Raa$ < !"an den&an D#e*+#
A++. Man Rad#%"%&#
? !"an +e*a"#
1. Ta#n#n& e*+$ena" !$* D%*$e S. Rad 6 +e'#na PIT ( d& +e$#*a$ ) 2. Ta#n#n& e*+$ena" !$* Rad#%&a/e 6 +e'#na PIT ( d& +e$#*a$ ) <. Pena'aan D%*$e S. Rad Te$a
Ka. R! Rad#%"%&#
A++. Man Rad#%"%&#
Ka. R! Rad#%"%&#
<.
Pen&e'an&an +aana dan ea"a$an
?. Pena'aan ad#%&a/e 1 %an&
Ka. R! Rad#%"%&#
L%*e$ enda/$aan ad#%"%&# dan USG
A++. Man Rad#%"%&#
Pe'an&!nan !an& T San Ka'a 'and# ad#%"%&# R!an& $!n&&! ad#%"%&# ?.
Pe'e"#aaan dan Ka"#a+# ea"a$an
1.A"a$ d%+#'e$# 6 < !a ' ad&e
PPR Un#$. Rad#%"%&#
2.Me'e+#*an a"a$-a"a$ ad#%"%&# dan a"*e+6 a#an
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