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 Dokumen tidak
lengkap
 Rujukan salah RS
 Rujukan expired
 SEP tidak tercetak
 Pasien tidak sesuai
 Salah entri penjamin
 Salah entri dokter
 Tidak sesuai
prosedur/kmkb
 Surat kontrol tidak
lengkap
 Pasien sudah stabil
masih kontrol
 Diagnosa tidak
berhubungan
 Diagnosa tidak
lengkap
 Readmision
 Pasien pegang
rujukan > 1 tapi
kasus berhubungan
 Salah transaksi
 Dokumen keselip
 Dokumen belum siap
PENDAFTARAN POLIKLINIK KASIR
UMUM & ADM PELAYANAN MEDIS UMUM & ADM
FAILURE MODES
 Klaim keselip
 Salah koding
 Klaim expired pdhal
data sudah lengkap
 Salah alamat kirim
KLAIM
UMUM & ADM
 Kasus elektif
 Tidak memenuhi
kriteria emergensi
 Kasus kontrol
 Diagnosa tidak
lengkap
 Readmision
IGD
PELAYANAN MEDIS
 Pembatalan
pelayanan
 Dokumen keselip
 Resume tidak
lengkap
 Tidak sesuai standar
(PPK/CP)
RANAP
PELAYANAN MEDIS

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  • 1.  Dokumen tidak lengkap  Rujukan salah RS  Rujukan expired  SEP tidak tercetak  Pasien tidak sesuai  Salah entri penjamin  Salah entri dokter  Tidak sesuai prosedur/kmkb  Surat kontrol tidak lengkap  Pasien sudah stabil masih kontrol  Diagnosa tidak berhubungan  Diagnosa tidak lengkap  Readmision  Pasien pegang rujukan > 1 tapi kasus berhubungan  Salah transaksi  Dokumen keselip  Dokumen belum siap PENDAFTARAN POLIKLINIK KASIR UMUM & ADM PELAYANAN MEDIS UMUM & ADM FAILURE MODES  Klaim keselip  Salah koding  Klaim expired pdhal data sudah lengkap  Salah alamat kirim KLAIM UMUM & ADM  Kasus elektif  Tidak memenuhi kriteria emergensi  Kasus kontrol  Diagnosa tidak lengkap  Readmision IGD PELAYANAN MEDIS  Pembatalan pelayanan  Dokumen keselip  Resume tidak lengkap  Tidak sesuai standar (PPK/CP) RANAP PELAYANAN MEDIS