POLRI DAERAH JAWA TIMUR BIDANG KEDOKTERAN DAN KESEHATAN RS. BHAYANGKARA WAHYU TUTUKO BOJONEGORO
LEMBAR DISPOSISI KEP KEPADA
: KARU KARUMK MKIT IT
NOMOR NOMOR AGENDA AGENDA : 74 DITERIMA DITERIMA TANGGAL ANGGAL 16-03-201 16-03-2017 7 PUKUL PUKUL 10.00 10.00 SURA SURAT DARI DARI
: KA TIM TIM AKREDIT KREDITA ASI
NOMOR NOMOR SURA SURAT
: BND-1 BND-1!I !III II201 2017A 7AKRE KREDIT DITA ASI
PERIHAL
: PERIJINAN LAP ANE" BULAN #EBRUARI 2017
ISI DISPOSISI KEPADA YTH : 1. 2. 3. 4. !.
WAKA WAKARU RUMK MKIT IT KASUBBAG KASUBBAG WASINTE WASINTERN RN BIN#UNG BIN#UNG RENMIN RENMIN KASUBBUD KASUBBUD YANMED ANMED DOKPOL DOKPOL JANGMED JANGMEDUM UM KA KOMEDIK KOMEDIK KEPERAW KEPERAWA ATAN KKPRS KKPRS KETUA PA PANITIA MUTU PELAY PELAYANA ANAN N
POLRI DAERAH JAWA TIMUR BIDANG KEDOKTERAN DAN KESEHATAN RS. BHAYANGKARA WAHYU TUTUKO BOJONEGORO
NOTA DINAS N$%$& : BND-1!III2017A'&()*+,*
K(,),
: Y+/. K,&%'*+
D,&*
: K(+, T*% A'&()*+,*
P(&* P(&*/, /,
: P( P(*& *&*% *%, , L,$ L,$&, &, ANE" NE" B, B, #(& #(&, ,&* &* 2017 2017
1. R5', : ,. S+,),& S+,),& A'&()*+, A'&()*+,* * R%,/ R%,/ S,'*+ S,'*+ "(& "(&** 2012 . T(%, S&( A'&()*+,* RS +,,
20
J*
2016
+(+,
K((,%,+, ,*( R%,/ S,'*+. 2. S(/ S(/ , , )( )(, , &5 &5', ', +(& +(&( (+ + )*,+ )*,+, ,88 )*'* )*'*&* &*%' %', , '(, '(,), ), KA P(*&*%, L,$&, ANE" B, #(&,&* 2017. 3. D(%*'* D(%*'*, , + +' ' %(5, %(5,)* )* %,' %,'%. %.
BOJONEGORO8 16 MARET 2017 KETUA TIM AKREDI AKREDITA TASI SI
NAF’AN, Amd. Amd. Kep, SH, MM AKP NRP 69020104 69020104
POLRI DAERAH JAWA TIMUR BIDANG KEDOKTERAN DAN KESEHATAN RS. BHAYANGKARA WAHYU TUTUKO BOJONEGORO
LEMBAR DISPOSISI KEPADA
: KARUMKIT
NOMOR AGENDA : 76 DITERIMA TANGGAL 16-03-2017 PUKUL 10.00 SURAT DARI
: KA TIM AKREDITASI
NOMOR SURAT
: BND-17III2017AKREDITASI
PERIHAL
: REKOMENDASI LAPORAN KESELAMATAN PASIEN RUMAH SAKIT BULAN #EBRUARI 2017
ISI DISPOSISI KEPADA YTH : 1. 2. 3. 4. !.
WAKARUMKIT KASUBBAG WASINTERN BIN#UNG RENMIN KASUBBUD YANMED DOKPOL JANGMEDUM KA KOMEDIK KEPERAWATAN KKPRS KETUA PANITIA MUTU PELAYANAN
POLRI DAERAH JAWA TIMUR BIDANG KEDOKTERAN DAN KESEHATAN RS. BHAYANGKARA WAHYU TUTUKO BOJONEGORO
NOTA DINAS N$%$& : BND-17III2017A'&()*+,* K(,),
: Y+/. K,&%'*+
D,&*
: K(+, T*% A'&()*+,*
P(&*/,
: R('$%(),* L,$&, K((,%,+, P,*( R%,/ S,'*+ B, #(&,&* 2017
1. R5', : ,. S+,),& A'&()*+,* R%,/ S,'*+ "(&* 2012 . L,$&, A,*, ), E,,* K((/,+, ,*( R%,/ S,'*+ B, #(&,&* 2017. . L,$&, MONE" , #(&,&* 2017. ). L,$&, **)( K((,%,+, ,*( R%,/ S,'*+ , #(&,&* 2017. 2. S(/, )(, &5', +(&(+ )*,+,8 )*'*&*%', '(,), KA &('$%(),* L,$&, K((,%,+, ,*( R%,/ S,'*+ B, #(&,&* 2017 ;D,+, T(&,%*&< (,,* (&*'+ : ,. P(%(&*+,/, '(%,* '(,), K(,, R,, +' %(*',+', (&,=,+ &,, ), )$'+(& ,(+(* +' +,),+,, )* (%,& ('*+ '((,%,+, ,*( (%(),/,. . P(& )*,),', ,* $*,*,* ,,&, '((,%,+, ,*( '(,), (+, RS +' %(*',+',. . D', K,&%'*+8 %,,5(%(8 ), +,> +' %(*+,', *'*% , ,*' ), (&$&*(+,* ,), '((,%,+, ,*(. 3. D(%*'*, +' %(5,)* %,'%.
BOJONEGORO8 16 MARET 2017 KETUA TIM AKREDITASI
NAF’AN, Amd. Kep, SH, MM AKP NRP 69020104
POLRI DAERAH JAWA TIMUR BIDANG KEDOKTERAN DAN KESEHATAN RS. BHAYANGKARA WAHYU TUTUKO BOJONEGORO
LAPORAN ANALISA DAN EVALUASI STANDAR KESELAMATAN PASIEN RUMAH SAKIT BHAYANGKARA TK. IV WAHYU TUTUKO BOJONEGORO BULAN FEBRUARI 2!"
BOJONEGORO8 MARET 2017
DAFTAR ISI
PENDAHULUAN..............................................................................................
1
UMUM ..............................................................................................................
1
MAKSUD DAN TUJUAN..................................................................................
2
DASAR ............................................................................................................
2
RUANG LINGKUP............................................................................................
2
TUGAS YANG DULAKSANAKAN ...................................................................
2
ANALISA DAN E"ALUASI................................................................................
3
PENUTUP......................................................................................................... 14 KESIMPULAN.................................................................................................. 14 SARAN............................................................................................................. 1!
1
POLRI DAERAH JAWA TIMUR BIDANG KEDOKTERAN DAN KESEHATAN RS. BHAYANGKARA WAHYU TUTUKO BOJONEGORO
LAPORAN ANALISA DN EVALUASI STANDAR KESELAMTAN PASIEN RUMAH SAKIT BHAYANGKAR TK. IV WAHYU TUTUKO BOJONEGORO BULAN FEBRUARI 2!"
!. PENDAHULUAN P,+*(+ S,>(+ (,&, /,&>*,/ (&,&+* '((,%,+, ,*(. S(,&, *+*,/
*,
%(*',+',
)*,&+*', (,,* '((,%,+,
,+
,*(
+*),', ), ,
&$&,%
%(),,+',
+'
(,,,
'((/,+, (&, &$()& )*,$*8 +*),', %()*8 %()*',*8 +*),', $(&,* ), ,* (,,*, (,&, +(,+ ), (,* &$()& +' %(/*),&* '(5,)*, , +*),' )***', (&, ()(&, +,%,/, ,), ,*( ,'*,+ +*),', , )*,'', ,), (,,, '((/,+, +(&(+ , +*),' +(&',*+ )(, ,'*+ , )*,,%*,8 K((,%,+, P,*( R%,/ S,'*+ ;KPRS< ,),,/ ,+ *+(% )*%,, &%,/ ,'*+ %(%,+ ,/, ,*( (*/ ,%, , %(*+* ,(%(+ &(*)$8 *)(+*>*',* ), (($,, /, , (&/, )(, &(*'$ ,*(8 (,$&,8 ), ,,** **)(8 '(%,%, (,5,& ),&* **)( ), +*),' ,5+,,8 (&+, *%(%(+,* $* +' %(%**%,', +*%, &(*'$ ), %((,/ +(&5,)*, ()(&, ,'*,+ %(,',,', ,+ +*),', ,+, &(*'$ %(,%* ,+ +*),', , (/,&, )*,'',.
2. MAKSUD DAN TUJUAN M,') ), +5, )*,'',, P(%,+, L,$&, A,*, D, E,,* S+,),& K((,%,+, P,*( R%,/ S,'*+ B/,,',&, T'. I" W,/ T+'$ B$5$($&$ B, #(&,&* 20178 ,*+ %((+,/* ),
2
%(,,*,
*)*',+$&-*)*',+$&
),,%
+,),&
'((,%,+,
,*(
(/*, %(*',+', '((,%,+, ,*( ), %(%**%,', ,', '(%,%+*, ,*( )* R%,/ S,'*+ B/,,',&, W,/ T+'$ B$5$($&$.
#. DASAR 1. U),-U), N$%$& 2 T,/ 2002 +(+, K($**, N(,&, R(*' I)$(*,? 2. P(&,+&, P(&*)( N$%$& 91 T,/ 2010 +(+, G&,) D(* R(>$&%,* B*&$'&,* 2010-202!? 3. P(&,+&, M(+(&* K((/,+, RI N$%$& 012 T,/ 2012 +(+, A'&()*+,* R%,/ S,'*+. 4. P(&,+&,
K,$&* N$%$& 11 +,/
2011 +(+, SOTK
R%'*+
B/,,',&,. !. K(+, K,$&* N$%$& : KEP190III2012 +,, 30 M,&(+ 2012 +(+, ((+,, ()$%, %$*+$&*8 (,,* ), (,$&,. 6. P(,',,,
&$&,%
KPRS
RS
B/,,',&,
W,/
T+'$
B$5$($&$.
$. RUANG LINGKUP 1. L*' K(*,+, ,),,/ : H,* L,$&, A,*, D, E,,* S+,),& K((,%,+, P,*( R%,/ S,'*+ B/,,',&, TK. I" W,/ T+'$ B$5$($&$ B, #(&,&* 2017. 2. L*' P('(&5,, ,),,/ : P(, L,$&, A,*, D, E,,* S+,),& K((,%,+, P,*( R%,/ S,'*+ B/,,',&, TK. I" W,/ T+'$ B$5$($&$ B, #(&,&* 2017.
%. TUGAS YANG DILAKSANAKAN %.! T&'() Y(*' D+(-)(*(-(* Ad(( Se/('(+ Be0+-&1 P(%,+,
L,$&,
A,*,
D,
E,,*
S+,),&
K((,%,+, P,*( R%,/ S,'*+ B/,',&, TK. I" W,/ T+'$ B$5$($&$ B, #(&,&* 2017. 3. ANALISA DAN EVALUASI
3
3.! A*(+)( D(* E4(&()+ S1(*d(0 Ke)e(m(1(* P()+(* R&m( S(-+1 B(5(*'-(0( TK. IV W(5& T&1&-6 B676*e'606 B&(* Fe/0&(0+ 2!" (d(( )e/('(+ /e0+-&1 A*(+)( A*(+)( Ke1e1(p(* I*de*1+8+-()+ P()+e* De8+*+)+ Ope0()+6*( : I)(+*+, ,*( %(%,+ ,%,8 +,, ,/*&8 N$. RM , %(%(),', ,+,&, ,*( ,+ )(, ,*, ,), (, *)(+*+, ,*( )* R, R,=,+ I, RS. N/,,',&, W,/ T+'$ B$5$($&$. P(,%*, S,%( )*,'', )(, (&+,, +(+, *)(+*+, ,*( RS. B/,,',&, W,/ T+'$ B$5$($&$ '(,), 1 ;,+< (&,=,+ )* 6 ;(,%< R, &,=,+ I, ;"K8 TB8 @P8 B/,,',&*8 K(%,,8 N($,+< RS. B/,,',&, W,/',&, W,/ T+'$ B$5$($&$. K,+($&* ,+/ ),,% '(,+/, (*)(+*>*',*, ,*( ,),,/ (&,=,+ ),,+ %(5(,', +,/,, (*)(+*>*',*, ,*( &,=,+ *, , %(%,',* (, *)(+*+, ,*(. D* &, &,=,+ *, RS. B/,,',&, W,/ T+'$ B$5$($&$ (),', K,+($&* (*)(+*>*',*, ,*(-,*( &,=,+ *, , %(%,',* (, *)(+*+, ,*( )* R, R,=,+ I, RS. B/,,',&, W,/ T+'$ B$5$($&$. K0+1e0+( I*-&)+
- P(&,=,+ , (&)*, ,,+ *+ )* R, R,=,+ I, RS. B/,,',&, W,/ T+'$.
K0+1e0+( E-)-&)+
- P(&,=,+ ,'*+(, )*,
Me16de
O(&,*$, (& /,&* $(/ @/,%*$ KPRS
9(0( Pe0+1&*'(* JumlahSampelPerawatRawatInapMenelaska n Identifka si Pasien SecaraBenar x100 Jumlah Total SampelPerawatRawatInap
D(1( S(mpe
4
SKP ! N6
N(m( R&(*'(*
: Kep(1&(* Pe*'+de*1+8+-()+ Ide*1+1() P()+e*
1
TB
1
2
@
1
3
K(%,,
0
4
B/,,',&*
0
!
N($,+
0
6
"K
0
: T61( Kep(1&(* Pe*'+de*1+8+-()+ Ide*1+1() P()+e*
##
K(,+/, (*)(+*>*',* *)(+*+, ,*( ((,& 33 )(, )*+5'', +,( ), ,%,& )*,+,. ;R**, T(&,%*&<.
3.2 A*(+)( Pe*+*'-(1 K6m&*+-()+ Y(*' E8e-1+8 De8+*+)+ Ope0()+6*( K$)( #$(+*' LASA ,),,/ H&> (5,, , )*,', +' %((5, $,+ LASA ;Look Alike Sound Like<. P(,%*, ,%( )*,'', )(, (&+,, +(+, ((5,, $,+ LASA '(,), 2
!
;),< (&,=,+ )* 6 ;(,%< R, &,=,+ *, ;"K8 TB8 @P8 B/,,',&*8 K(%,,8 N($,+< RS. B/,,',&, W,/ T+'$ B$5$($&$. K,+($&* ,+/ ),,% '(,+/, ((5,, '$)( >$(+*' LASA ,),,/ (&,=,+ *, RS. B/,,',&, W,/ T+'$ B$5$($&$ (),', K,+($&* T*),' ,+/ ,),,/ (&,=,+ +*),' ),,+ %((5, O,+ LASA (,&, (,& )* R, R,=,+ I, RS. B/,,',&, W,/ T+'$ B$5$($&$. K0+1e0+( I*-&)+
- P(&,=,+ , (&)*, ,,+ *+ )* R, R,=,+ I, RS. B/,,',&, W,/ T+'$.
K0+1e0+( E-)-&)+
- P(&,=,+ ,'*+(, )*,
Me16de
O(&,*$, (& /,&* $(/ @/,%*$ KPRS
9(0( Pe0+1&*'(* JumlahSampelPerawatRawatInapMenea$ode #onetik!"S" SecaraBenar x100 Jumlah Total SampelPerawatRawatInap
D(1( S(mpe
SKP 2
N $
K(,+/, P((5,, K$)( #$(+*' LASA N,%, R,, ;J%,/ S,%( P,+/ T*, R,,<
;J%,/ S,%( T*),' P,+/ T*, R,,<
1
@ATUR PRASETYA
0
2
2
TRIBARATA
1
1
3
KEMALA
0
2
4
BERSALIN
2
0
!
NEONATUS
0
2
6
BHAYANGKARI
0
2
T$+, K(,+/,
2!
K(+
6
K(,+/, ((5,, '$)( >$(+*' LASA ((,& 2! )(, )*+5'', +,( ), ,%,& )*,+,. ;R**, T(&,%*&<.
3.# A*(+)( Pe*+*'-(1(* Ke(m(*(* O/(1 Y(*' Pe0& D+;()p(d(+ De8+*+)+ Ope0()+6*( K(,+/, '((',, (**, ('*+ double check high alert ,),,/ M(+$)( (((', +' %(%**%,*,* '(,,/, ,'*,+ (,, $,+ hagh alert. P(,%*, ,%( )*,'', )(, %(,%* ! ,%( )* R, &,=,+ *, N($,+ RS. B/,,',&, W,/ T+'$ B$5$($&$. K,+($&* ,+/ ),,% '(,+/, '((',, (**, ('*+ double check high alert ,),,/ +(&** (', +,), +,, (&,=,+ (&+,%, ), +,),+,, (&,=,+ '(), (),', K,+($&* T*),' ,+/ ,),,/ +*),' +(&** (', +,), +,, (&,=,+ (&+,%, ), +,),+,, (&,=,+ '(),. K0+1e0+( I*-&)+
1. T(&),,+ (,, $,+ /*/ ,(&+
K0+1e0+( E-)-&)+ 1. T*),' +(&),,+ (,, $,+ /*/ ,(&+ Me16de
O(&,*$, $(/ K, K(+, K$%*+( KPRS
9(0( Pe0+1&*'(* SampelPenisian !enkap(ou)le 'heck&ih "lert x100 Jumlah Total SampelPenisian!enkap(ou)le'heck&ih"lert
7
D(1( S(mpe
SKP 3
N$.
1
N,%, R,,
NEONATUS
K(,+/, K((',, P(**, D$( @/(' H*/ A(&+
K(,+/, K((',, P(**, D$( @/(' H*/ A(&+ 1 100
K(,+/, ((,& 100 )(, )*+5'', +,( ), ,%,& )*,+,.
3.$ A*(+)( Kep()1+(* 1ep(1 6-()+, 1ep(1 p06)ed&0, 1ep(1 p()+e* 6pe0()+6*( De8+*+)+ Ope0()+6*( P(,',,, (**, ('*+ '((,%,+, ,*( (%(),/, ,),,/ +,/,, '((,%,+, ,*( (%(),/, %(*+* sign in, time out, sign out. T('*' (,%*, ,%( )*,%* ! (&', &(',% %()*' )(, +,+ ,*( $(&,* )* "K RS. B/,,',&, B$5$($&$. K,+($&* P,+/ ,),,/ @('*+ '((,%,+, ,*( )***
9
(',. K,+($&* +*),' ,+/ ,),,/ @('*+ '((,%,+, ,*( )*** +*),' (',.
K0+1e0+( I*-&)+ B(&', R(',% M()*' (&** $(&,* )* "K RS. B/,,',&, B$5$($&$. K0+1e0+( E-)-&)+ P,*( +*),' $(&,* )* "K RS. B/,,',&, B$5$($&$ Me16de R('+&$('+*> (& /,&* $(/ @/,%*$ KPRS. 9(0( Pe0+1&*'(* Penisian'eklist$eselamata n Pasien Pem)edahan!enkap di Berkas RekamMedik TotalSampelBerkasRekamMedikPasien *perasiBulanItu
D(1( S(mpe
N$ T. O(&,*
N,%, P,*(
K,+($&* P(**, @('* K((,%,+, S+,+ P,*( N$. RM O(&,* P(%(),/, P,+/
K(+
T*),' P,+/
1
03022017
N. W
039673
S@
-
T*),' P,+/
K&, +,),+,, D&. A(+(* P(&,=,+ &,,
2
0!022017
N. S
03!364
S@
-
T*),' P,+/
3
22022017
N. G
0390C3
S@
-
T*),' P,+/
K&, +,),+,, (&,=,+ &,,
4
27022017
N. D
03!!C6
S@
-
T*),' P,+/
K&, +,),+,, D&. A(+(* (&,=,+ &,,
!
29022017
N. H
037CC3
S@
-
T*),' P,+/
K&, +,),+,, D&. A(+(* (&,=,+ &,,
L(',
x100
C
K(,+/, (**, ('*+ '((,%,+, ,*( (%(),/, ((,& 20 )(, )*+5'', +,( ), ,%,& )*,+, ;R**, T(&,%*&<. 3.% A*(+)( Pe*'&0(*'(* R+)+-6 I*8e-)+ Te0-(+1 Pe(5(*(* Ke)e(1(* De8+*+)+ Ope0()+6*( @* +,, ,),,/ %(+$)( %(%**%,*,* *>('* ,), ,*( (,%, &,=,+ **, +(&',*+ (,,, '((/,+,. P(,%*, S,%( 3 +,> )* C &,, ;OK8 +&*&,+,8 ,+& &,(+,8 GD8 H@U (&,*8 N($,+8 A,'8 K(%,,<. K,+($&* ,+/ *, S+,> %(%&,'+('', 6 ,',/ * +,, )(, (%&,. K,+($&* +*),' ,+/ *, S+,> +*),' ),,+ %(%(&,'+('', 6 ,',/ * +,, )(, (%&,. K0+1e0+( I*-&)+ P(&,=,+ (&)*, ,,+ *+ K0+1e0+( E-)&)+ 1. P(&,=,+ (, )*, 2. P(&,=,+ ,'*+*5*+* Me16de M(+$)(
((*+*,
,
)*,',
,),,
$(,&*$,.
P((*+*, )*,'', ,), (+, '((/,+, , ('(&5, )* RS B/, W,/ T+'$ B$5$($&$. P(%, ),+, )*,'', )(, %(*/,+ (&,=,+ ), )$'+(& , %(),,+', '((%,+, * +,, ,), ! %$%(+
), %(** >$&%
,)*+ /,) /*(( ,
10
)*&('$%(),*',
$(/
WHO
;W$&)
H(,+/
O&,*,+*$<.
P(%, ),+, )*,'', ),,% 10 ',* (&*$)( ), (+*, (&*$)( ,%, $(&,* ,),,/ ('*+,& 20 %(*+. P((*+*, ,)*+ /,) /*(( )*,'', )* &, (&,=,+, %, &,=,+ 5,, )* RS B/, W,/ T+'$ B$5$($&$. D,+, , ),/ +(&'%8 '(%)*, )*,'', ,,*, )(, %(,', ,+, (&,',+ ,' $%+(&. A,*, ),+, ),,% ((*+*, ** )*,'', +' %(,%,&', '(,+/, (&,=,+ ), )$'+(& %(,'', /,) /*((. 9(0( Pe0+1&*'(* 'ompliance
=
"ction x100 *pportunit t+
R% '(,+/, ,+, $%*,( ),&* WHO ,),,/ (,,* (&*'+ : H,* 9! : A', '(,+/, * +,, ,*' H,* 7! F 94 : A', '(,+/, * +,, (), H,* 7! : A', '(,+/, * +,, %**%, D,&* (,',,, ,)*+ hand hygiene , )*,',,', %,* +,, 22-24 #(&,&* 2017 )* &, (&,=,+, ), &,=,+ 5,, RS B, W,/ T+'$ B$5$($&$ )*(&$(/ /,* (,,* (&*'+ : A.
H()+ A&d+1 H(*d H5'+e*e P(d( Pe0(;(1 T(/e ! D(1( H()+ A&d+1 Hand Hygiene Perawat d+ R&(*' Pe0(;(1(* D(* R(;(1 J((* d+ RS B5(5 W(5& T&1&-6 B676*e'606 Se))+6* N 1 2 3 4 ! 6 7 9 C 10 9(<&(1+6*
Opp601&*+1+e) C 4 6 C ! 7 ! 4 3 9
H(*d;() ! 2 4 4 4 4 2 2 3 4 A<1+6* % Opp 3
H(*d0&/ 3 1 1 4 0 2 2 0 0 3
11
B(&),,&', /,* $(&,* (&,=,+ , %(,,* ,*( )* *+,,* A(+(*, ), R(,*%,* ,/=, /,* ),&* ! (&*$)( $(&,* , )*,'', )*(&$(/ ,*+ '((%,+, ;opportunities< , %(,'', hand hygiene ,),,/ ((,& 608 (),', +' ,'* ; Action< H,) H*(( , )*($(/ /,* !0. D,&* /,* ,)*+ )*(&$(/
*,* ,+*$
((,&
!0
),
$$&+*+*( ((,& 60 %,', +' %((+,/* *,* '(,+/, (&,=,+ )* &, (&,=,+, ), &,=,+ 5,, RS B/, W,/ T+'$ B$5$($&$ %,', *,* +,)* )*%,'', ),,% &% *,* '(,+/, ;WHO8 200C< : 'ompliance
=
"ction x100 *pportunit t+
!060 93
J,)* )*(&$(/ /,* *,* '(,+/, (&,=,+ )* &, (&,=,+, ), &,=,+ 5,, RS B/, W,/ T+'$ B$5$($&$ ,),,/ ((,& 93 .
12
3.3 A*(+)( Pe*'&0(*'(* R+)+-6 J(1& De8+*+)+ Ope0()+6*( K((',, (**, ('*+ &(*'$ 5,+/ ,),,/ >$&%*& (**, &(*'$ 5,+/ (&),,&', ',, %$&(8 ',, /%/ )%+8 ',, )(. P(**, ('*+ &(*'$ 5,+/8 ,(%( ,=, &(*'$ 5,+/ )* UGD. P(,%*, ,%( )*,'', )(, %(,%* ! ,%( &(',% %()*' )* R, UGD RS. B/,,',&, W,/ T+'$ B$5$($&$. K,+($&* +*),' ,+/ ,),,/ +*),' (', (**, &(*'$ 5,+/.
K0+1e0+( I*-&)+
1. P,*( , +(&*)*',* &(*'$ 5,+/
K0+1e0+( E-)-&)+
1. P,*( , +*),' +(&*)*',* &(*'$ 5,+/
Me16de
O(&,*$, (& ,'/*& , $(/ '(+, '$%*+( KPRS.
9(0( Pe0+1&*'(* Sampel'eklisrResiko JatuhPatuh x100 TotalSampel'eklistResiko Jatuh(irekamMedik
D(1( S(mpe
N$
N,%, P,*(
K,+($&* P(**, @('* K((,%,+, N$. RM P,*( P(%(),/,
K(+
P,+/ T*),' P,+/ 1
T. A
027046
-
T*),' P,+/ T*),' )*** (',
2
T. S
03607C
-
T*),' P,+/ T(&** (', ('*+
3
T. H
006967
-
T*),' P,+/ T(&** (', ('*+
4
T. A
002222
-
T*),' P,+/ T*),' ,), +$+, ,', '$& ), ',+($&* &(*'$ 5,+/
!
T. M
039!C!
-
T*),' P,+/ T*),' ,), +$+, ,', '$& ), ',+($&* &(*'$ 5,+/
13
K(,+/, '((',, (**, ('*+ &(*'$ 5,+/ ((,& 40 , )*+5'', +,( ), ,%,& )*,+, ;R**, T(&,%*&<.
". E4(&()+ ".! E4(&()+ Ke1e1(p(* Ide*1+8+-()+ P()+e* K(,+/, (*)(+*>*',*, ,*( ((,& 33 . P(& )*,),', ,* $*,*,* ,,&, '((,%,+, ,*( '(,), (+, RS +' %(*',+',.
".2 E4(&()+ Pe*+*'-(1(* K6m&*+-()+ Y(*' E8e-1+8 K(,+/, ((5,, '$)( >$(+*' LASA ((,& 2! .
".# E4(&()+ Pe*+*'-(1(* Ke(m(*(* O/(1 Y(*' Pe0& D+;()p(d(+ K(,+/, '((',, (**, double check high alert ((,& 100 )*',&(,', (,, $,+ high alert )* N($,+ ,,+ 5,&, (,,,. D*,+,&, ! ,%( &(', %()*' /,, 1 ,%( , %(%(/* ,&,+ ), 5, '5, ,*( ,& )* ($,+ , +&( ()(& +&.
14
".$ E4(&()+ Kep()1+(* Tep(1 L6-()+, Tep(1 P06)ed&0, Tep(1 P()+e* Ope0()+ K(,+/, '(/,)*&, $(&,+$& ),,% (,',,, +*%( $+ ((,& 20. D*',&(,', (% ,), +,),+,, )$'+(& ,(+(* ), (&,=,+ &,,.
".% E4(&()+ Pe*'&0(*'(* R+)+-6 I*8e-)+ Te0-(+1 Pe(5(*(* Ke)e(1(* K(,+/, * +,, ((,& 93 . S),/ %((*/* +,),& %**%, '(,+/, * +,, ((,& !0 .
".3 E4(&()+ pe*'&0(*'(* R+)+-6 J(1& K(,+/, '((',, (**, ('*+ &(*'$ 5,+/ ((,& 40. P(& )*,),', ,* $*,*,* ,,&,% '((/,+, '((,%,+, ,*( '(,), (+, RS +' %(*,+',.
=. PENUTUP =.! Ke)+mp&(* D,&* ,$&, ,,** ), (,,* +,),& '((,%,+, ,*( R%,/ S,'*+ B/,,',&, TK. I" W,/ T+'$ B$5$($&$ B, J,,&* 2017. )**%', ,/=,. 1. SKP
1-K(+(+,,
*)(+*>*',*
,*(
K(,+/,
(*)(+*>*',*, ,*( ((,& 33 2. SKP 2-P(*',+,
K$%*',*
,
(>('+*>.
K(,+/,
((5,, '$)( >$(+*' LASA ((,& 2!. 3. SKP 3-P(*',+, K(,%,, O,+ , (& )*=,,),*. K(,+/, K((',, (**, )$( /(' /*/ ,&(+ ((,& 100 . 4. SKP 4-K(,+*, +(,+ $',*8 +(,+ &$()&8 +(,+ ,*( $(&,*. . K(,+/, '(/,)*&, $(&,+$& ),,% (,',,, +*%( $+ ((,& 20 . !. SKP !-P(&,, &**'$ *>('* +(&',*+ (,,, '((/,+, 93. 6. SKP 6-P(&,, &**'$ 5,+/ ((,& 40 .
1!
>. SARAN S(+(,/ )*,',,', L,$&, A,*, D, E,,* S+,),& K((,%,+, P,*( R%,/ S,'*+ B/,,',&, TK. I" W,/ T+'$ B$5$($&$ B, #(&,&* 20178 )*,&,', '(,), K, ,*+. 1. P(%(&*+,/, '(%,* '(,), K(,, &,, +' %(*,+', (&,=,+ &,, ), )$'+(& ,(+(* +' +,),+,, )* (%,& ('*+ '((,%,+, ,*( (%(),/,. 2. )', K,&%'*+8 %(,5(%(8 ), +,> +' %(*+,', *'*% , ,*' ), (&$&*(+,* ,), '((,%,+, ,*(. D(%*'*, L,$&, A,*, ), E,,* S+,),& K((,%,+, P,*( R%,/ S,'*+ B/,,',&, TR. I" W,/ T+'$ B$5$($&$ B, #(&,&* 2017 ** )*,+ +' %(5,)*', ),,& ,+, ()$%, K, ),,% (,',,, +, (/,&*-/,&* , %(*',+', %+ (,,, '((/,+, )* R%,/ S,'*+ B/,,',&, W,/ T+'$ B$5$($&$.
B$5$($&$8 1! M,&(+ 2017 KETUA KOMITE KPRS
BREVMANA ANUGERAH P. PENATA NIP 1C9602012011011001
