The document reports on key performance indicators for a hospital in the first quarter of 2022 (January to March). It provides data on compliance and percentages achieved for various metrics compared to targets, including patient identification, emergency c-section operation times, outpatient wait times, elective surgery delays, doctor visit times, and more. Performance was generally high across indicators, mostly meeting or exceeding monthly targets for the period.

1. Indikator Mutu
Nasional
Triwulan I
Periode Januari- Maret 2022

2. 80.00%
82.00%
84.00%
86.00%
88.00%
90.00%
92.00%
94.00%
96.00%
98.00%
100.00%
Jan Feb Mar
Hasil 98.00% 87.33% 98.00%
Target 100.00% 100.00% 100.00%
Prosentase
Kepatuhan Identifikasi Pasien Triwulan I 2022

3. Jan Feb Mar
Hasil 100% 100% 100%
Target 80% 80% 80%
0%
20%
40%
60%
80%
100%
120%
Ptosentase
Waktu tanggap operasi seksio saesaria emergensi
Triwulan I 2022

4. Jan Feb Mar
Hasil 76.92% 75.40% 76.85%
Target 80.00% 80.00% 80.00%
73.00%
74.00%
75.00%
76.00%
77.00%
78.00%
79.00%
80.00%
81.00%
Prosentase
Waktu tunggu rawat jalan Triwulan I 2022

5. Jan Feb Mar
Hasil 2.71% 4.24% 5.86%
Target 5% 5% 5%
0.00%
1.00%
2.00%
3.00%
4.00%
5.00%
6.00%
7.00%
Prosentase
Penundaan Operasi Elektif Triwulan I 2022

6. Jan Feb Mar
Hasil 87.86% 89.75% 93.38%
Target 80% 80% 80%
70.00%
75.00%
80.00%
85.00%
90.00%
95.00%
Prosentase
Kepatuhan jam visite dokter spesialis Triwulan I 2022

7. Jan Feb Mar
Hasil 99.51% 99.26% 99.47%
Target 100% 100% 100%
98.80%
99.00%
99.20%
99.40%
99.60%
99.80%
100.00%
100.20%
Prosentase
Pelaporan hasil kritis laboratorium Triwulan I 2022

8. 0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
90.00%
100.00%
Jan Feb Mar
Hasil 99.84% 100% 100%
Target 80% 80% 80%
Prosentase
Kepatuhan penggunaan Formularium Nasional
Triwulan I 2022

9. 78.00%
80.00%
82.00%
84.00%
86.00%
88.00%
90.00%
92.00%
94.00%
96.00%
98.00%
Jan Feb Mar
Hasil 96.67% 96.33% 94.67%
Target 85.00% 85.00% 85.00%
Prosentase Kepatuhan kebersihan tangan Triwulan I 2022

10. Jan Feb Mar
Hasil 77.78% 88.00% 85.71%
Target 80.00% 80.00% 80.00%
72.00%
74.00%
76.00%
78.00%
80.00%
82.00%
84.00%
86.00%
88.00%
90.00%
Prosentase
Kepatuhan terhadap Clinical Pathway Triwulan I 2022

11. Jan Feb Mar
Hasil 98.00% 98.67% 98.67%
Target 100% 100% 100%
97.00%
97.50%
98.00%
98.50%
99.00%
99.50%
100.00%
100.50%
Prosentase
Kepatuhan upaya pencegahan resiko jatuh Triwulan I 2022

12. 0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
90.00%
100.00%
Jan Feb Mar
Hasil 98.57% 98.33% 99.14%
Target 76.61% 76.61% 76.61%
Prosentase
Kepuasan pasien Triwulan I 2022

13. 0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Jan Feb Mar
Hasil 100% 100% 100%
Target 100% 100% 100%
Prosentase
Kecepatan waktu tanggap komplain Triwulan I 2022

14. Jan Feb Mar
Hasil 99.77% 99.66% 99.40%
Target 100.00% 100.00% 100.00%
99.10%
99.20%
99.30%
99.40%
99.50%
99.60%
99.70%
99.80%
99.90%
100.00%
100.10%
Prosentase
Kepatuhan penggunaan APD Triwulan I 2022