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RS ……………………. IDENTIFIKASI DAN TELUSUR SHEET POTENSIAL PELUANG PENINGKATAN PERFORMA
Dept./Unit/: ___________________ (Manager menyimpan berkas asli dan mengirim kopi ke KMKP.)
Date: __________________________________ Dibuat oleh: ________________________________________
NoPeluang peningkatan performa?
Apa masalahnya atau peluang untuk peningkatan
performa?
Bagaimana anda mengetahuinya?
IDENTIFIKASI DAN TELUSUR SHEET POTENSIAL PELUANG PENINGKATAN PERFORMA
Dept./Unit/: ___________________ (Manager menyimpan berkas asli dan mengirim kopi ke KMKP.)
Date: __________________________________ Dibuat oleh: ________________________________________
Bagaimana hal ini berdampak pada
perawatan pasien?
Apa kemungkinan penyebab?
Aksi yang akan dilaksanakan, dan siapa yang bertanggungjawab
menyelesaikan masalah?
QUALITY IMPROVEMENT PROJECT WORKSHEET
PROJECT TITLE : Peningkatan kelengkapan pengisian Asesmen awal medik dalam waktu 24 jamTEAM LEADERTEAM MEMBER :
WHO WILL BENEFIT :
PROBLEM / OPPORTUNITY STATEMENT Kelengkapan pengisian asesmen awal medik dalam waktu 1X24 jam hanya 20 %(WHAT'S WRONG WITH QUALITY ?)
AIM / GOAL : Meningkatkan kelengkapan pengisian Asesmen awal medik pasien dalam waktu 1X 24 jam 100% dalam 1 tahun(WHAT ARE WE TRYING TO ACCOMPLISH?)(TARGET & TIME)
MEASURE :
v PATIENTS ☐FAMILY ☐STAFF
☐ STRUCTURE ☐ PROCESS ☐ OUTCOME
QUALITY IMPROVEMENT PROJECT WORKSHEET
Peningkatan kelengkapan pengisian Asesmen awal medik dalam waktu 24 jam
Kelengkapan pengisian asesmen awal medik dalam waktu 1X24 jam hanya 20 %
Meningkatkan kelengkapan pengisian Asesmen awal medik pasien dalam waktu 1X 24 jam 100% dalam 1 tahun
FLOW CHART
FISHBONE DIAGRAM
Number of Main Causes: 6
‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗ ‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗Methods Manpower
‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾╗ ╗
╗ ╗╗ Keluarga tidak ada ╗ Malas
╗ ‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾ ╗ ‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾╗ ╗
╗ Informed consent ╗ Kurang Disiplin╗ ‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾ ╗ ‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾
╗ ╗╗ Kelengkapan Berkas ╗ Petugas Tidak Siap
╗ ‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾ ╗ ‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾
╝ ╝╝ Lift mati ╝ Mesin kurang
╝ ‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾ ╝ ‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾╝ ╝
╝ Pemeliharaan kurang ╝ Pengadaan╝ ‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾ ╝ ‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾
╝ ╝╝ ╝ Birokrasi
╝ ‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾ ╝ ‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾╝ ╝
‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗ ‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗Environment Machines
‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾
FISHBONE DIAGRAM
‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗
‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾╗
╗╗
╗ ‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾╗
╗╗ ‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾
╗╗
╗ ‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾Penundaan Operasi
╝╝ Instrumen tidak siap
╝ ‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾╝
╝ Belum steril╝ ‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾
╝╝ Alat terbatas
╝ ‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾╝
‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗‗Material
‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾‾
╗
╝
##################
CausesMalas Alat terbatas Birokrasi
Criteria
Impact on patient 5 4 5 5 5Reputation 4 3 3 5 3Acceptance 5 5 4 2 4
Time Needed 5 3 5 2 1Total Score 19 15 17 14 13
Impact Dampak semakin berat semakin tinggi nilai (5 -1)Reputasi Reputasi buruk semakin tingi nilai (5-1)
mudah dilaksanakan semakin tinggi nilai (5 -1)
Waktu yg dibutuhkanwaktu singkat semakin tinggi nilai (5-1)
Keluarga tidak ada
Pemeliharaan kurang
Accept / Dpt diteriman /
dilaksanakan
0 0 0 0 0 0 0
0
© 2009 Vertex42 LLC Templates by Vertex42.com
Pareto Analysis
[Brief Project Description][Date]
[42]
The first 4 Causes cover 83.33% of the Total Defects
Cumulative Percentage Cutoff: 80%
# Causes Defects Cumulative%1 Malas 19 24.4%2 Alat terbatas 17 46.2%3 Keluarga tidak ada 15 65.4%4 Birokrasi 14 83.3%5 Pemeliharaan kurang 13 100.0%6 100.0%7 100.0%8 100.0%9 100.0%
10 100.0%11 100.0%12 100.0%13 100.0%
100.0%100.0%
0
2
4
6
8
10
12
14
16
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20
0%
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40%
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100%
[Chart Title]
Vital Few Useful Many Cumulative% Cut Off %
Causes
De
fec
ts
Cum
ulat
ive
%
[42]
ACTION PLAN TOOL
WHAT WHO WHENACTION 1 sosialisasi…. ka bid keperawatan agustus
ACTION 2
ACTION 3
ACTION 4
……
WHEREruang perawata
Gantt Chart Version 1.7.3 © 2006-2012 Vertex42 LLC
[Project Name][Company Name] Today's Date:
Project Lead: [Name]
Start Date: 1/2/2012 Monday
[42]
WBS Tasks Start End Dur
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(Day
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% C
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1 sosialisai yayuk 1/2/12 1/31/12 30 0%
1.1 Sub Task level 2 1/2/12 1/6/12 5 0%
1.2 Sub Task level 2 1/7/12 1/11/12 5 0%
1.2.1 Sub Task level 3 1/12/12 1/16/12 5 0%
1.2.2 Sub Task level 3 1/17/12 1/21/12 5 0%
1.3 Sub Task level 2 1/22/12 1/26/12 5 0%
1.4 Sub Task level 2 1/27/12 1/31/12 5 0%
2 Task Category 2 [Name] 1/2/12 1/27/12 26 25%
2.1 Sub Task level 2 1/2/12 1/6/12 5 25%
2.2 Sub Task level 2 1/9/12 1/13/12 5 25%
2.3 Sub Task level 2 1/16/12 1/20/12 5 25%
2.4 Sub Task level 2 1/23/12 1/27/12 5 25%
3 Task Category 3 [Name] 1/2/12 1/28/12 27 50%
3.1 Sub Task level 2 1/2/12 1/7/12 6 50%
3.2 Sub Task level 2 1/9/12 1/14/12 6 50%
3.3 Sub Task level 2 1/16/12 1/21/12 6 50%
3.4 Sub Task level 2 1/23/12 1/28/12 6 50%
4 Task Category 4 [Name] 1/2/12 1/21/12 20 0%
4.1 Sub Task level 2 1/2/12 1/6/12 5 0%
4.2 Sub Task level 2 1/7/12 1/11/12 5 0%
4.3 Sub Task level 2 1/12/12 1/16/12 5 0%
4.4 Sub Task level 2 1/17/12 1/21/12 5 0%
1 Task Category 1 1/5/09 1/5/09 1 0%
1.1 Sub Task level 2 1/5/09 1/5/09 1 0%
1.1.1 Level 3 Task 1/5/09 1/5/09 1 0%
TaskLead
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1.1.1.1 Level 4 task 1/5/09 1/5/09 1 0%
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Graphs of Key Measures Put Your Center Name Here
LATIHAN SOAL ENTRI DATA INDIKATOR
Month %
Pemeriksaan Kritis Waktu pelaporan 100Jan #N/A 100feb #N/A 100maret #N/A 100april #N/A 100mei #N/A 100juni #N/A 100juli #N/A 100agustus #N/A 100september #N/A 100okt #N/A 100nov #N/A 100des #N/A 100
#N/A 100#N/A 100#N/A 100#N/A #DIV/0! 100
Pasien Baru (Denum)
Pengkajian Awal selesai dlm wkt 24 j
(Num)
Jumlah Pasien yg Melakukan Pemeriksaan
Kritis
Waktu Pelaporan Hasil
Kritis < 1 jam
Goal for % with
Notification w/in 1 hr
Graphs of Key Measures Put Your Center Name Here
6060606060606060606060606060606060
Goal for Acknow-
ledgement Time