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SEVERITY ASSESSMENT

1. Status pasien dipoli umum tertukar

Severity Minimal Marginal Moderate Critical Catastrophic


Probability 1 2 3 4 5
Frequent MODERAT
5
Probable
4
Possible
3
Unikely
2
Rare
1

2. Penimbangan berat badan bayi tidak sesuai

Severity Minimal Marginal Moderate Critical Catastrophic


Probability 1 2 3 4 5
Frequent MODERAT
5
Probable
4
Possible
3
Unikely
2
Rare
1

3. Identitas pasien tertukar di kertas resep

Severity Minimal Marginal Moderate Critical Catastrophic


Probability 1 2 3 4 5
Frequent
5
Probable MODERAT
4
Possible
3
Unikely
2
Rare
1
4. Petugas salah memberikan dosis

Severity Minimal Marginal Moderate Critical Catastrophic


Probability 1 2 3 4 5
Frequent
5
Probable MODERAT
4
Possible
3
Unikely
2
Rare
1

5. Salah mengisi obat injeksi

Severity Minimal Marginal Moderate Critical Catastrophic


Probability 1 2 3 4 5
Frequent
5
Probable
4
Possible MODERAT
3
Unikely
2
Rare
1

6. Pasien prolanis salah mengambil obat

Severity Minimal Marginal Moderate Critical Catastrophic


Probability 1 2 3 4 5
Frequent
5
Probable
4
Possible
3
Unikely RENDAH
2
Rare
1
7. Pemberian biskuit PMT yang sudah kadaluarsa

Severity Minimal Marginal Moderate Critical Catastrophic


Probability 1 2 3 4 5
Frequent
5
Probable
4
Possible
3
Unikely MODERAT
2
Rare
1

8. Pasien jatuh karena terpeleset dilantai ruang tunggu

Severity Minimal Marginal Moderate Critical Catastrophic


Probability 1 2 3 4 5
Frequent
5
Probable
4
Possible
3
Unikely MODERAT
2
Rare
1

9. Kesalahan pemberian dosis obat

Severity Minimal Marginal Moderate Critical Catastrophic


Probability 1 2 3 4 5
Frequent
5
Probable
4
Possible MODERAT
3
Unikely
2
Rare
1

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