Sasaran Keselamatan Pasien 6

Bulan : Oktober 2018

Assessment Resiko Jatuh
No Tanggal MRS Nama Pasien No. RM Keterangan
Terisi Tidak Terisi
1 2-10-2018 Sdr. M. Tri 01.30.45 √
Iqbal
2 3-10-2018 Tn. Totok 01.30.63 √
3 4-10-2018 Tn. Achmad 01.30.81 √
4 4-10-2018 Tn. Aspadi 01.31.06 √
5 4-10-2018 Ny. Nur A 01.31.08 √
6 5-10-2018 By. Ny. Nur 01.31.36 √
7 7-10-2018 Ny. 01.31.59 √
Estiningtyas
8 8-10-2018 Tn. Sugijanto 01.25.35 √
9 8-10-2018 Tn. Endie 00.66.63 √
10 9-10-2018 Ny. Endang 01.32.60 √
11 9-10-2018 Tn. Budi 010.35.14 √
12 10-10-2018 Sdr. Andika 01.33.00 √
13 10-10-2018 Sdr. Mustofa 00.57.94 √
14 11-10-2018 Tn. Supi’i 01.33.57 √
15 11-10-2018 Tn. Ra’i 01.33.19 √
16 12-10-2018 Ny. Elya 01.34.06 √
17 12-10-2018 Nn. Nadya 01.34.04 √
18 12-10-2018 An. Theresia 00.20.41 √
19 12-10-2018 Ny. Titiek 01.30.07 √
20 12-10-2018 Tn. Sutrisno 01.33.60 √
21 13-10-2018 Ny. Ika 00.91.37 √
22 13-10-2018 By. Ny. Ika 01.34.12 √
23 13-10-2018 Sdr. Krissian 01.34.16 √
24 14-10-2018 Ny. Linda W 010.74.23 √
25 14-10-2018 Sdr. M. A 01.34.35 √
26 15-10-2018 Sdr. Gerry 01.34.51 √
27 15-10-2018 Tn. 01.34.61 √
Supamrihadi
28 16-10-2018 An. Aqila 01.34.77
29 16-10-2018 Sdr. Wahyu 00.68.33 √
30 16-10-2018 Tn. Rakim 01.34.42 √
31 17-10-2018 Ny. Dewi 01.35.42 √
32 18-10-2018 By. Ny. Elia 01.35.55 √
33 18-10-2018 Ny. Elia 00.86.72 √
34 18-10-2018 Tn. Bachrul 01.35.86 √
35 19-10-2018 Tn. Anton 00.50.96 √
36 19-10-2018 Tn. Suroso 01..36.10 √
37 19-10-2018 An. Adhyasta 00.49.98 √
38 20-10-2018 Sdr. Fransisco 01.36.30 √
39 20-10-2018 Ny. Sukarni 01.36.33 √
40 20-10-2018 Tn. Maudi 01.36.38 √
41 20-10-2018 Sdr. Istikbar 01.36.40 √
42 21-10-2018 Tn. Imam 01.36.55 √
43 21-10-2018 Tn. Bahrul 01.35.86 √
44 23-10-2018 Ny. Yuli 01.37.40 √
45 23-10-2018 Nn. Rindi 00.45.06 √
46 24-10-2018 Ny. Yuyun 01.37.56 √
47 24-10-2018 Ny. Rita 01.28.53 √
48 24-10-2018 Ny. Agustiana 01.19.82 √
49 25-10-2018 Sdr. Ilham 01.11.53 √
50 25-10-2018 Nn. Mira 00.80.81 √
51 25-10-2018 Tn.M. Tajib 01.07.88 √
52 26-10-2018 Ny. Resta 01.36.58 √
53 26-10-2018 Tn. Ibnu 01.22.35
54 27-10-2018 Ny. Evi D 00.89.23
55 27-10-2018 Ny. Eka L 01.33.24
56 28-10-2018 An. Cheryl 01.38.21
57 28-10-2018 Ny. Yuli 01.37.40
58 29-10-2018 Sdr. Sandy 01.39.01
59 29-10-2018 Tn. Jefry 01.31.58
60 29-10-2018 Sdr. Ilham 01.39.46
61 30-10-2018 Tn. Bachrul 01.35.86
62 30-10-2018 Ny. Susjati 01.36.93
63 30-10-2018 Ny. Harsasi 01.22.63
Sasaran Keselamatan Pasien 6

Bulan : November 2018

Assessment Resiko Jatuh
No Tanggal MRS Nama Pasien No. RM Keterangan
Terisi Tidak Terisi
1 1-11-2018 An. Herald 01.40.59 √
2 1-11-2018 An. Marsha 01.40.74 √
3 1-11-2018 Nn. Dianisa 01.27.32 √
4 2-11-2018 An. Tavisha 00.02.59 √
5 2-11-2018 Tn. Bachrul 01.35.86 √
6 3-11-2018 Tn. Eddy 01.41.05 √
7 4-11-2018 An. Jinanthea 00.37.28 √
8 5-11-2018 Sdr. Nanang 01.41.42 √
9 5-11-2018 Tn. Heddy 01.37.02 √
10 5-11-2018 Nn. Devi 01.41.72 √
11 5-11-2018 Nn. Berna 01.41.64 √
12 5-11-2018 Nn. Vira 01.41.73 √
13 6-11-2018 Ny. Novita 01.06.09 √
14 7-11-2018 An. Abdullah 00.48.26 √
15 7-11-2018 Ny. Siti 01.42.14 √
Cholifah
16 7-11-2018 Tn. Tameri 01.30.66 √
17 7-11-2018 Tn. Roy 01.42.28 √
18 8-11-2018 Tn. Suwito 01.36.12 √
19 8-11-2018 SDR. Wan 01.42.70 √
Suwito
20 8-11-2018 Ny. Widayati 01.4194 √
21 8-11-2018 Ny. Lulu 01.30.22 √
22 8-11-2018 By. Ny. Lulu 01.42.78 √
23 9-11-2018 Ny. Rianah 01.35.65 √
24 9-11-2018 Sdr. Hilmi √
25 10-11-2018 Ny. Ismurtiani 01.41.53 √
26 11-11-2018 Tn. Rony 01.42.81 √
27 11-11-2018 Ny. Intri 01.42.90 √
28 11-11-2018 Ny. Arianah 01.43.42
29 11-11-2018 By. 01.43.43 √
Mohammed
30 11-11-2018 Ny. Nadia 00.94.76 √
31 12-11-2018 Tn. Eddi P 01.43.65 √
32 13-11-2018 Tn. Nur H 01.43.81 √
33 13-11-2018 Ny. Putri D 01.44.09 √
34 13-11-2018 Tn. Sugianto 00.17.89 √
35 13-11-2018 Ny. Yuna 01.44.27 √
36 13-11-2018 Nn. Aisyah 00.44.74 √
37 13-11-2018 Sdr. Khodimul 01.44.34 √
38 14-11-2018 Nn. Enosi 01.44.37 √
39 15-11-2018 Nn. Yolawati 00.95.88 √
40 15-11-2018 Ny. Misiah 01.44.98 √
41 15-11-2018 Sdr. Lucas 01.45.00 √
42 15-11-2018 An. Zahira 01.45.12 √
43 15-11-2018 Sdr.Hilmi 01.45.15 √
44 16-11-2018 Sdr. Erza 01.45.10 √
45 16-11-2018 Sdr. Chesa 00.02.74 √
46 17-11-2018 Tn. Fiyas H 01.27.97 √
47 17-11-2018 Ny. Farianna 00.08.20 √
48 18-11-2018 An. Rengga 00.02.74 √
49 18-11-2018 Ny. Mas Nur 01.27.97 √
50 18-11-2018 Tn. Sukri 01.45.80 √
51 18-11-2018 Tn. Fathoni 01.46.82 √
52 19-11-2018 Nn. Mita 01.46.15 √
53 19-11-2018 M. Zenurianto 01.46.16 √
54 19-11-2018 Nn. Ismya 01.46.19 √
55 20-11-2018 Tn. Bambang 01.46.29 √
56 20-11-2018 Tn. M. Taufik 01.46.34 √
57 20-11-2018 Ny. Sukamah 00.81.55 √
58 22-11-2018 Ny. Diana U 01.16.05 √
59 22-11-2018 By. Danish D 01.46.87 √
60 22-11-2018 Ny. Anna 01.32.43 √
61 23-11-2018 Ny. Sri W 01.47.47 √
62 24-11-2018 Ny. 01.47.57 √
Komariyah
63 24-11-2018 Ny. Mariati 01.47.64 √
64 25-11-2018 Ny. Kusriani 01.47.77 √
65 26-11-2018 Ny. Yatemi 00.57.32 √
66 26-11-2018 Ny. Ria Tri 00.81.35 √
67 26-11-2018 Nn. Hilma 01.46.78 √
68 26-11-2018 Nn. Rifa 01.48.34 √
69 26-11-2018 Sdr. Denny 01.48.00 √
70 27-11-2018 Nn. Salsabila 00.38.89 √
71 27-11-2018 Nn. Dewi K 01.48.77 √
72 28-11-2018 Tn. Yudianto 01.48.84 √
73 28-11-2018 Ny. Rita R 01.28.53 √
74 28-11-2018 An. Rahma 00.16.23 √
75 29-11-2018 Ny. Novita 00.41.77 √
76 29-11-2018 By. Ny. Novita 01.49.63 √
77 29-11-2018 An. Harun 01.49.68 √
78 29-11-2018 Ny. Ditha 00.13.91 √
79 30-11-2018 Ny. Widia 01.23.33 √
Sasaran Keselamatan Pasien 6

Bulan : Desember 2018

Assessment Resiko Jatuh
No Tanggal MRS Nama Pasien No. RM Keterangan
Terisi Tidak Terisi
1 1-12-2018 Sdr. Aryo 01.50.17 √
2 1-12-2018 Ny. Dhivya 01.49.59 √
3 1-12-2018 By. Kirania 01.50.26 √
4 1-12-2018 Ny. Fanny A 00.80.25 √
5 1-12-2018 By. Diajeng 01.50.30 √
6 2-12-2018 An. Raysha 00.68.12 √
7 2-12-2018 An. Abdullah 00.48.26 √
8 3-12-2018 Ny. Windiyati 01.41.94 √
9 3-12-2018 An. Ghaisan 01.22.02 √
10 3-12-2018 Tn. M. Jamil 01.50.77 √
11 3-12-2018 An. Indie 00.68.90 √
12 4-12-2018 Sdr. M. Fajrin 01.51.06 √
13 4-12-2018 Ny. Sumiati 01.42.49 √
14 4-12-2018 Ny. Indah 01.50.37 √
15 4-12-2018 Ny. Dwi Eva 00.13.77 √
16 5-12-2018 Nn. Risa 01.51.55 √
17 5-12-2018 Ny. Lidia 01.51.32 √
18 6-12-2018 Tn. M 01.52.17 √
Djamjuri
19 6-12-2018 Djoko P 00.62.29 √
20 6-12-2018 An. Sabrina 01.52.48 √
21 7-12-2018 Tn. Ulum 01.21.53 √
22 8-12-2018 Sdr. Krisna 01.52.98 √
23 8-12-2018 An. Mirza 00.20.79 √
24 11-12-2018 Ny. Halimah 01.54.26 √
25 11-12-2018 Ny. Suryanti 00.29.62 √
26 12-12-2018 Tn. Teguh 01.29.73 √
27 14-12-2018 An. Aisyah 00.66.62 √
28 14-12-2018 Tn. Reza 00.37.40
29 16-12-2018 Sdr. Aditya 01.55.72 √
30 16-12-2018 Ny. Emmy 01.55.74 √
31 17-12-2018 Sdr. Junaedi 01.53.26 √
32 17-12-2018 Tn. Suwarno 01.56.13 √
33 17-12-2018 Tn. Slamet R 01.55.95 √
34 17-12-2018 Ny. Istini 01.12.64 √
35 17-12-2018 Nn. Ismelia 01.56.21 √
36 18-12-2018 Ny. Oky D 00.13.42 √
37 18-12-2018 An. Aisyah 00.53.02 √
38 19-12-2018 Ny. Endang 01.57.17 √
39 19-12-2018 Ny. Fitriarny 01.57.24 √
40 20-12-2018 Sdr. Arya D 01.57.38 √
41 20-12-2018 Sdr. Axel 00.23.44 √
42 23-12-2018 An. Athaillah 01.58.36 √
43 24-12-2018 Sdr. Axel 00.21.66 √
44 25-12-2018 Sdr. Abdul 01.56.94 √
45 25-12-2018 Sdr. Ivan R 00.70.70 √
46 25-12-2018 Nn. Selia F 01.58.86 √
47 26-12-2018 tn. Herman 01.55.17 √
48 26-12-2018 Tn. Ach. Aufa 00.74.48 √
49 26-12-2018 An. Viola 00.79.17 √
50 26-12-2018 M. Zuhdi 01.59.12 √
51 27-12-2018 Ny. Halimah 01.49.34 √
52 27-12-2018 An. Okta L 01.59.45 √
53 27-12-2018 Ny. Aulia 01.20.90 √
54 28-12-2018 Tn. Suwarno 01.56.13 √
55 28-12-2018 By. Kanaya 01.59.67 √
56 28-12-2018 Sdr. Chandra 01.59.77 √
57 28-12-2018 Ny. Emmy 01.55.74 √
58 31-12-2018 Tn. Mutasam 01.60.51 √