HASIL MONITORING INDIKATOR NASIONAL MUTU (INM)
RSUD DR. ADJIDARMO TAHUN 2025
| NO | JENIS INDIKATOR | HASIL MONITORING | CAPAIAN S/D TW IV |
STANDAR | |||
|---|---|---|---|---|---|---|---|
| TW I | TW II | TW III | TW IV | ||||
| 1 | Kepatuhan Identifikasi Pasien | 99,36% | 99,56% | 99,53% | 100% | 99,61% | 100% |
| 2 | Waktu Tunggu SC Emergency ≤ 30 Menit | 92,80% | 100% | 97% | 100% | 97,44% | ≥ 80% |
| 3 | Waktu Tunggu Rawat jalan | 47,84% | 58,12% | 62,49% | 58,11% | 56,64% | ≥ 80% |
| 4 | Penundaan Operasi Elektif | 0,38% | 0,00% | 0,00% | 0,71% | 0,27% | < 5% |
| 5 | Pelaporan Hasil Kritis Laboratorium < 30 Menit | 95,77% | 95,89% | 96,35% | 97,25% | 96,32% | 100% |
| 6 | Kepatuhan Penggunaan Formularium Nasional | 91,12% | 91,70% | 91,45% | 93,23% | 91,88% | ≥ 80% |
| 7 | Kepatuhan Waktu Visit DPJP | 97,27% | 95,83% | 92,46% | 93,70% | 94,82% | ≥ 80% |
| 8 | Kepatuhan Terhadap Clinical Pathway | 100% | 100% | 99,85% | 100% | 100% | 80% |
| 9 | Kepuasan Pasien dan Keluarga | − | 87,50% | − | 84,62% | 86,06% | > 76,60 |
| 10 | Kepatuhan Kebersihan Tangan | 87,11% | 84,38% | 77,71% | 78,07% | 81,82% | ≥ 85% |
| 11 | Kepatuhan Pencegahan Risiko Pasien Akibat Jatuh | 100% | 100% | 100% | 100% | 100% | 100% |
| 12 | Kepatuhan Penggunaan APD | 69,00% | 98,94% | 98,59% | 97,56% | 91,02% | 100% |
| 13 | Kecepatan Waktu Tanggap Komplain | 100% | 90% | 100% | 100% | 98% | > 80% |