DAFTAR ISI

HALAMAN JUDUL..............................................................................................i
KATA PENGANTAR...........................................................................................ii
DAFTAR ISI.......................................................................................................iii
BAB I. PENDAHULUAN
A. Latar Belakang.............................................................................................1
B. Definisi .......................................................................................................2
C. Demensi mutu .............................................................................................2
D. Ruang Lingkup Pelayanan...........................................................................2
E. Landasan Hukum .......................................................................................3
BAB II. INDIKATOR DAN STANDAR KERJA
A. Indikator .....................................................................................................4
B. Standar .....................................................................................................4
C. Kriteria ........................................................................................................5
BAB III. PENYELENGGARAAN
A. Penyelenggaraan .......................................................................................6
B. Organisasi ..................................................................................................6
C. Visi misi .........................................................................................................6
D. Kebijakan Mutu .............................................................................................7
E. Penetapan Indikator ......................................................................................7
F. Perencanaan dan Pelaksanaan ...................................................................17
G. Produk Pelayanan ........................................................................................17
H. Pendaftaran Pasien .....................................................................................18
I. Upaya Pengobatan ......................................................................................18
J. Pemeriksaan Laboratorium ..........................................................................19
K. Kefarmasian .................................................................................................19
L. Upaya Kesehatan Masyarakat .....................................................................19
BAB IV. STANDAR KETENAGAAN
A. Kualifikasi Sumber Daya Manusia.............................................................22
B. Jadwal Kegiatan ............................. ............................................................22
BAB V. STANDAR SARANA DAN PRASARANA
A. Standar Alat dan Fasilitas.............................................................................24
BAB VI. TATALAKSANA PELAYANAN
A. Pendaftaran Pasien .....................................................................................25
B. Upaya Pengobatan ......................................................................................25
C. Pemeriksaan Laboratorium .........................................................................25
D. Kefarmasian ................................................................................................26
E. Upaya Kesehatan Masyarakat ....................................................................26

BAB VII. LOGISTIK

A. Perencanaan .........................................................................................30
B. Penganggaran .......................................................................................31
C. Pengadaan ............................................................................................31

D. Penyimpanan ........................................................................................32
E. Pendistribusian ......................................................................................34
F. Penghapusan ........................................................................................34
BAB VIII. KESELAMATAN PASIEN
A. Sistem Patient Safety ............................................................................35
B. Adverse Event /KTD (Kejadian Tidak Diharapkan) ...............................35
C. Near miss/ KNC (Kejadian Nyaris Cedera) ...........................................36
D. Tujuh standar keselamatan pasien .......................................................36
E. Tujuh langkah menuju kesematan pasien .............................................37
BAB IX. KESELAMATAN KERJA ......................................................................39
BAB X. PENGENDALIAN MUTU .......................................................................41
BAB XI. PENUTUP ............................................................................................44
Lampiran..............................................................................................................
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