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DATA INDIKATOR SASARAN KESELAMATAN PASIEN ( SKP )

JUDUL INDIKATOR PERSENTASE PELAKSANAAN READ BACK DITANDATANDALAM WAKTU 1 X 24 JAM

BULAN SEPTEMBER

TAHUN 2015

No No. RM N ! P "#$%T&'

1 SAMSIR 01/09/152 11,073 KHOLIDAH 01/09/153 11,069 RIADOH 01/09/154 11,108 TAUFIZ 01/09/155 9,077 Hj. MASTIYAH 01/09/156 11,115 HARSONO 01/09/157 11,098 LAMSIAH 01/09/158 11101 KHOIRUL AMIN 01/09/159 5030 ILMA AFDINA 01/09/15

10 11118 SITI 01/09/1511 1558 N!NNY SAFITRI 01/09/1512 11127 SITI MAYUNI 01/09/1513 11048 NUR AISAH 01/09/1514 6929 NURHALIM 01/09/1515 3447 SAIFUL "AHRI 01/09/1516 10649 "AH!RAM NUR 01/09/1517 11086 HARISAH 01/09/1518 11103 RIZKAH 01/09/1519 11139 IDA ROYANI 01/09/1520 10917 NUR SANIAH 02/09/1521 9827 !LNA #ATI 02/09/1522 10239 NUR L!NA 02/09/1523 9667 !DI SA$UTRA 02/09/1524 11159 HA$RIDA 02/09/1525 3373 #ANDIKO HUTA"ARAT 02/09/1526 11161 A"DUL HARIS 02/09/1527 9648 RAISYA A%ILA 03/09/1528 5011 SAHARA 03/09/1529 11183 A"DUL HASAN 03/09/1530 11081 &AIRANI 01/09/15

JUMLAH INST ANG TELAHDENGAN TEP


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31 10624 YUSNAH 03/09/1532 11102 $!RTI#I 01/09/1533 10612 SITI AMINAH 02/09/1534 NUR DANIYAH 02/09/1535 11153 AZULATUL ZAHRA 02/09/1536 11189 SINAR SOSA 03/09/15

37 11190 KARTIKA UFAIROH 03/09/1538 11182 &UMAIN 03/09/1539 11057 HILMA AD! F!"RIANI 03/09/1540 6722 YULIDAH 03/09/1541 11198 !RLINA 04/09/1542 11201 IS#ADI IDRIS 04/09/1543 5277 NURAINUN 03/09/1544 11196 ANNI KHOLILA 03/09/1545 11216 LAILA MARDIA 04/09/1546 6001 FITRI YULIANA 04/09/15

47 11218 INDAH SYAFITRI 04/09/1548 11219 NUR FITIRIANI 04/09/1549 11203 ROSMALA 04/09/1550 11205 MASRIDA 04/09/1551 4220 NURI !LISA 04/09/1552 10603 A$NI SARA 05/09/1553 11230 SARINAH 05/09/1554 10183 RIZKI MARIANI 05/09/1555 11232 SALFIA UDAYATI 05/09/1556 11238 !FRI NASTIA 05/09/1557 10355 LINNI AFRIYANTI 05/09/1558 11244 RAHMI 06/09/1559 6288 MARYAMAH 06/09/1560 10706 !R'IKA D!#I 06/09/1561 11116 RO"IAH 06/09/1562 11199 !DISTAYANI 04/09/1563 11220 DHARMAYANTI 05/09/1564 11222 &ONLY (ALIN((IN( 05/09/1565 11223 ALIMAH 05/09/1566 4018 A"DUL RAHIM 05/09/1567 11235 SRI MARYAM 05/09/1568 895 R!NI HAYATI 06/09/1569 3064 ANDR! RI)ARDO 06/09/1570 11248 DAHRUN 06/09/1571 11259 $US$ITA INDAH 07/09/1572 11273 NURHALIMAH 07/09/1573 1195 *+. AD!LINA 07/09/1574 9403 ROSD!#I MATONDAN( 08/09/1575 11263 !LIDA HANNUM 09/09/15


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76 11335 NURIDAH 09/09/1577 11339 S!RI #AHYUNI 09/09/1578 11288 RAHMAH 09/09/1579 5759 KHOLIDAH 09/09/1580 6155 *+. HASNAH SAL!H 09/09/1581 11312 ANISAH 09/09/15

82 11345 L!NNI 09/09/1583 11328 ANISAH KHAIRANI 09/09/1584 11330 MASRIANUR 09/09/1585 11325 NUR HAYAN 09/09/1586 11261 NUR AYUN 09/09/1587 11308 ROSMIANI 09/09/1588 6485 ROSMINA 08/09/1589 5006 ANNA D!#I 08/09/1590 3360 !L'I ROSMA#ATI 08/09/1591 11349 ZALSA KHUMAIROH 10/09/15

92 11374 YUMMA SARI 10/09/1593 11380 ASMARIA 11/09/1594 10083 FITRI DAMAYANTI 11/09/1595 11403 SITI SYARIFAH 11/09/1596 11404 ZURYATI 11/09/1597 11415 SITI SAL!HA 12/09/1598 5734 MANNA SARI 12/09/1599 11425 YANTI 13/09/15100 11433 FITRI MARLINA 13/09/15101 2916 AN((I HASI"UAN 14/09/15102 11031 NUR AINI 13/09/15103 11445 NIA 14/09/15104 10971 AFRILA AFRIANI 14/09/15105 10593 #ALIDAH YUNI 14/09/15106 8234 SUHRO 14/09/15107 11492 MARLINA 15/09/15108 344 SAKINAH 16/09/15109 6288 NISAUL MARDIAH 16/09/15110 1140 SURIYAH 16/09/15111 11266 NURAINI 16/09/15112 11535 $URNAMA YANTI 16/09/15113 11540 NAHDI ANI 16/09/15114 11530 DIANA SARI 16/09/15115 6106 IDA LAILA SR( 16/09/15116 9030 MISKAH 16/09/15117 11566 SANTI 17/09/15118 11573 FITRIANI 17/09/15119 7326 !SMAINI 17/09/15120 11457 IDA KHAIRANI 17/09/15


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121 6153 AMIRA MARINA 18/09/15122 11593 HOTD!LINA 19/09/15123 8970 NUR HAMIDAH 19/09/15124 11500 M!SLIANI 19/09/15125 11606 SAMR!NI 19/09/15126 11608 AIDA FITRIANI 19/09/15

127 11610 IRMA YUSNITA 9/20/2015128 11616 MAS#ARNI 9/20/2015129 11617 ROSMIATI 9/20/2015130 1118 SITI 19/09/15131 5529 DAHNIARI 20/09/15132 11351 RAHMI KHAIRANI 20/09/15133 11624 MASRIANI 20/09/15134 11628 MURNIDA L!NA 21/09/15135 5704 !RNIDA #ATI 21/09/15136 11498 SAN(KOT 21/09/15

137 10334 NUR AZIZAH 21/09/15138 11252 SYARI$UDDIN 07/09/15139 11141 ARIF DRIYANTO 07/09/15140 10913 SITI SAL!HA 07/09/15141 10012 NUR AINI 07/09/15142 10924 YUSRIA 07/09/15143 10899 AMRI 07/09/15144 10898 A"DONI 07/09/15145 11122 AL#I LU"IS 08/09/15146 4287 SALMAH MTD 08/09/15147 11292 DA#IMAH 08/09/15148 11283 D!RMILA SANNI 08/09/15149 10730 NAZARUDDIN 08/09/15150 10893 SANTI 08/09/15151 4498 Hj. HAFNI NST 08/09/15152 11306 TIAN(AT 08/09/15153 9050 RA&A 08/09/15154 8246 Hj. ASIAH LU"IS 08/09/15155 10756 (ON( MATUA "ULUN( 09/09/15156 692 YUSRIL ANSORI 09/09/15157 5201 A"D. HAMID 09/09/15158 11309 KHAIRANI 09/09/15159 10865 DARA&AT SIR!(AR 09/09/15160 10878 RIZ#AN FAUZI 09/09/15161 11333 MHD. RIZKI HAMDANI 09/09/15162 11336 AD!K $!RMANA $UTRA 09/09/15163 11391 NUR AINI 09/09/15164 11343 RADI&A ANNIZA 09/09/15165 11346 NUR HAFI$AH 09/09/15


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166 11347 MHD. RIZKI HAMDANI 09/09/15167 7433 TORIS MUDA 09/09/15168 11367 ROANNAH 09/09/15169 9603 M.DAYANI 10/09/15170 11372 MHD YUSNI 10/09/15171 11173 &!SNAH 10/09/15

172 2727 INDRI 10/09/15173 11375 IDRIS 10/09/15174 11377 KAHINA 10/09/15175 11282 IDA RAHMADANI 11/09/15176 6280 M.A"DUH 11/09/15177 4636 SYAHRIDA 11/09/15178 11398 MASNILA 11/09/15179 11402 SON(KU$ON MARTUA 11/09/15180 11424 ADNAN DIARU 11/09/15181 1145 LUKMAN HAKIM 11/09/15

182 4874 ROHANI NA!N((OLAN 13/09/15183 114384 MANDAILIN( LU"IS 13/09/15184 11437 &ULI HIDAYAH 13/09/15185 7280 FATHAN ALMAISAN 13/09/15186 11439 MHD.HAS"I 14/09/15187 11440 MHD.HA"I" 14/09/15188 11453 MASLAINI 14/09/15189 11459 $!"RIADI AN((INA 14/09/15190 11465 HASMAR 14/09/15191 11458 MUHAMMAD SAL!H 14/09/15192 11321 RUKIAH 14/09/15193 11474 RIZKI (UNA#AN 14/09/15194 319 "AL!NAH 14/09/15195 11313 FAUZIA RAFIFA 14/09/15196 11481 &OLOMIA 14/09/15197 11317 YUSIFA RIZKI 14/09/15198 11453 $ARADUAN 14/09/15199 11476 AKHIR 14/09/15200 8673 MAHYAR 14/09/15201 11484 A"DUL KARIM 14/09/15202 7981 MUKSAN 14/09/15203 11479 SAHADIR LU"IS 14/09/15204 11485 MANAHAN HOT 14/09/15205 11486 IS"!N HUTA&ULU 14/09/15206 11487 ILHAM SAHAL AK"AR 15/09/15207 11494 "AHARUDDIN SINAM"!LA 15/09/15208 11411 MARDA #ATI 15/09/15209 11399 NUR ASIAH RAN(KUTI 15/09/15210 11269 DOLI ARISTA 15/09/15


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211 5887 MIRANDA IKA $UTRI 15/09/15212 11503 &OKO $UR#ONO 15/09/15213 11512 SITI FATIMAH 15/09/15214 11513 SAFARUDDIN 15/09/15215 6418 ISKANDAR ZUL 15/09/15216 7484 ARM!N NST 16/09/15

217 1623 ALI$ DALIMUNT! 16/09/15218 11522 FATIMAH 16/09/15219 11537 #AHYUNITA SARI 16/09/15220 11544 "OIM 17/09/15221 312 !LIDA NST 17/09/15222 11557 S!LI MARS!LINA 17/09/15223 11558 D!DI ISKANDAR 17/09/15224 11560 MAKMUM 17/09/15225 11564 SODIKIN 17/09/15226 11570 R!TNO FR!N(KI 17/09/15

227 10917 NUR SAMIAH 17/09/15228 6969 NA$ISAH 17/09/15229 11571 MASRIAH "OROTAN 17/09/15230 11572 H.IMRAN YANI 18/09/15231 11575 NUR )AHAYA 18/09/15232 11582 ARNI 18/09/15233 11588 A#ALUDDIN 18/09/15234 11591 HADYAN SAL!H 18/09/15235 11592 !FRIDA YANI 18/09/15236 11596 MAN(ARA SIMAN&UNTAK 19/09/15237 11605 AM!LIA RAHMADANI 19/09/15238 5322 HAMSAR HS" 20/09/15239 11611 A"D.RAHIM NST 20/09/15240 11612 AN#AR 20/09/15241 5956 ANNIS "ATU"ARA 20/09/15242 9077 Hj.MASTIYAH 20/09/15243 11619 DA'ID AL! $RATAMA 20/09/15244 11620 SITI AL)HIAR 20/09/15245 11623 SINTA SARI 20/09/15246 11627 !RLINDA 20/09/15247 11632 RIZKI HUMAIROH 21/09/15248 10533 SURATINI 21/09/15249 11660 RIZAL !F!NDI 21/09/15250 11662 Hj.MASNURI MTD 21/09/15251 11661 SAM$! ANI 21/09/15252 11663 ASRIDA $US$ITA 21/09/15253 11664 $ARIDAH 21/09/15254 11665 MASLAH 22/09/15255 11644 RAHMADANI 22/09/15


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256 11678 M.ZAHIR 22/09/15257 1471 HAMDANI MANIK 22/09/15258 11679 H.MUKLAT L"S 22/09/15259 11682 IDHAM SARA(I 22/09/15260 11686 DAN((OR 22/09/15261 11690 RU"!N SIMATU$AN( 23/09/15

262 11700 KHOIRIAH 23/09/15263 11714 IM"ALO HA#ANI 23/09/15264 8069 NASARUDDIN RKT 23/09/15265 11328 ANNISA KHOIRIAH 23/09/15266 6651 SARMA 22/09/15267 11357 SA"!DA 22/09/15268 11354 YUMNA SARI 22/09/15269 11655 AD!LINA NST 22/09/15270 10212 RO$IKOH 23/09/15271 11012 $UTRI 23/09/15

272 11691 HALIMAH NST 23/09/15273 11006 NURTI $AN&AITAN 23/09/15274 11709 D!RHANA 23/09/15275 11718 MARDIANA 24/09/15276 11583 NUR SALIMAH 23/09/15277 11721 SAKDIAH 24/09/15278 11727 RINI RIZKY 25/09/15279 11743 SALMAH 25/09/15280 10444 ASRIDA ILMI 26/09/15281 11754 RAHMA KHOLILAH 25/09/15282 11741 MASRA#ATI 25/09/15283 11770 Y!Y!N #AHYUNI 26/09/15284 11733 $US$A HS" 26/09/15285 11771 MARINA 27/09/15286 11778 TOI"AH NUR 27/09/15287 10332 AIDA L!LY YANTI 27/09/15288 11788 MANILUR 27/09/15289 11787 RODIAH 27/09/15290 11732 &ULIMAR MAR$AUN( 28/09/15291 11812 TINAISAH 28/09/15292 6155 *+.HASNAH 28/09/15293 11717 IKH#AN SAKTI 24/09/15294 11719 H.SUTAN NASUTION 24/09/15295 11720 ASRAN 24/09/15296 11722 SUH!IL 24/09/15297 11723 DAR#IN 24/09/15298 11724 Hj.SO$IAH 24/09/15299 11725 &HON NA#A#I 24/09/15300 11726 H.MUKMIN 25/09/15


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301 3658 &AK$AR SIDDIK 25/09/15302 3440 RIZKI 25/09/15303 11728 AHYAR D!DI 25/09/15304 11737 ARI$IN AHMAD 25/09/15305 11747 MHD.ZUHRI 25/09/15306 11751 D!#ARNI SR( 25/09/15

307 11752 M.RIAN 25/09/15308 903 Hj.TA$I 25/09/15309 11759 &AHRIN 26/09/15310 11758 DAMRIAH 26/09/15311 393 S!RI ALAM 26/09/15312 11106 SO$I ALMA 26/09/15313 6186 M.NAU$AL (I"RAN 26/09/15314 10957 F!MI RATNA SARI 27/09/15315 11782 ADITYA MANULA 27/09/15316 11781 SURAIDAH 27/09/15

317 6770 MAULU$ 27/09/15318 525 NUR AISYAH 27/09/15319 11793 NURLIANI 27/09/15320 5593 Z!INI HUMAIROH 28/09/15321 9731 NUR HAL!NA 28/09/15322 11410 ASLI 28/09/15323 6464 IR#AN $ARINDURI 28/09/15324 2288 RUKIAH NST 28/09/15325 10915 !NDA MULIA 28/09/15326 11810 SRI RAMADANI 28/09/15327 11802 MARIDAH 28/09/15328 11817 M.ILMAN 28/09/15329 11695 R!ZMA ANISAH 28/09/15330 11825 ALI MAR#AN 28/09/15331 11826 SITI ANA 28/09/15332 11809 SRI #AHYUNI 28/09/15333 11507 KHOIRIAH 28/09/15334 10873 RIS#AN FAUZI 28/09/15335 11832 MIS#AR 28/09/15336 11834 &ODI $ASARI"U 28/09/15337 2359 ZAHIRA INANTA 28/09/15338 "USITOH 29/09/15339 11839 D!RLINA 29/09/15340 SANTI ANI 29/09/15341 11853 DARMIN 29/09/15342 11893 MHD.DAR#IS 29/09/15343 ISMAYANI 29/09/15344 11856 MHD.AHDAN 29/09/15345 9429 DAHLIANA 29/09/15


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346 11849 "ASANIAH 29/09/15347 AZKA AL(IFARI 29/09/15348 5772 "ILAL 29/09/15349 291 TIASOMA 30/09/15350 10811 RASYA MHD 30/09/15351 2489 "IL%IS 30/09/15

352 RIZKI #AHYUNI 30/09/15353 TIALAM 30/09/15354 9113 KHOLIL 30/09/15355 SITI MARYAM 30/09/15356 5855 NURIDAH 30/09/15357 11865 $ONISAH 30/09/15358 11883 AHMAD 30/09/15359 11884 AMANATUL HUSNI 30/09/15360 11888 FAHRUL ROZI 30/09/15361 783 MHD RIYAN 30/09/15

362 11070 SAMSIR 01/09/15363 10624 YUSRA 04/09/15364 &ANU FANTARANI 01/09/15365 #INARDI 01/09/15366 10924 YUSRIA 08/09/15367 ROSDANI 08/09/15368 6230 ANITA SANTI 10/09/15369 11288 ROHMAN 10/09/15370 319 "ASANAH 14/09/15371 5912 NURHAKIMAH 23/09/15372 10533 SURAFMI 21/09/15373 11349 ZALSA KHUMAIROH 21/09/15374 11591 NADYAN SAL!H 21/09/15375 SRI YULIANI 28/09/15376 11820 A&RAH 29/09/15377 FITRIANI 30/09/15378 11167 SITI MAYSAROH 30/09/15

JUMLAH

JUMLAH PASIENKELENGKAPAN CHECK LIST WHO

A TIDAK378 0 117


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ANI OLEH PEMBERI INSTRUKSI

KET

YA

YAYAYA

YA

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PROSEDUR READ BACK DALAMPROSES INSTRUKSI ERBAL DITANDA TANGANI OLEH PEMBERI

INSTRUKSI DALAM WAKTU 1 X24 JAM ( A*TIDAK)


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