Memantau pencapaian standar pelayanan kesehatan melalui kepatuhan pelaporan indikator mutu secara real-time untuk mewujudkan pelayanan rumah sakit yang aman, bermutu, dan berstandar nasional.
Pembaruan Terakhir: 11 Februari 2026
| No | Rumah Sakit | Bulan | Tahun | Tgl Kirim (mm-dd-yyyy) | Indikator Mutu (%) | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kepatuhan Kebersihan Tangan | Kepatuhan Penggunaan APD | Kepatuhan Identifikasi Pasien | Waktu Tanggap Seksio Caesarea Emergensi | Waktu Tunggu Rawat Jalan | Penundaan Operasi Elektif | Kepatuhan Waktu Visite Dokter | Pelaporan Hasil Kritis Laboratorium | Kepatuhan Penggunaan Fornas | Kepatuhan Terhadap Clinical Pathway | Kepatuhan Upaya Pencegahan Resiko Pasien Jatuh | Kecepatan Waktu Tanggap Terhadap Komplain | Kepuasan Pasien | |||||
| 108901 | RS Umum Lirboyo | 3 | 2022 | - | 87.5% | 100% | 90.52% | 100% | 75.13% | 2.33% | 75.49% | 100% | 94.35% | 76.92% | 98.28% | 100% | 88 |
| 108902 | RS Husada Utama Surabaya | 3 | 2022 | - | 93.12% | 100% | 100% | 100% | 42% | 2.68% | 69.05% | 100% | 100% | 66.07% | 100% | 100% | 78.7 |
| 108903 | RS Muji Rahayu | 3 | 2022 | - | 92.43% | 100% | 100% | 0% | 100% | 0% | 57.56% | 100% | 81.73% | 88.3% | 0% | 100% | 85 |
| 108904 | RS Islam Garam Kalianget | 3 | 2022 | - | 78.9% | 100% | 100% | 33.33% | 42.07% | 0% | 86.89% | 94.66% | 35.16% | 0% | 100% | 100% | 88.18 |
| 108905 | RS Umum Daerah dr. Mohamad Soewandhie | 3 | 2022 | - | 99% | 100% | 99.67% | 100% | 88.89% | 0% | 88.75% | 100% | 100% | 100% | 100% | 100% | 100 |
| 108906 | RS TK. IV 05.07.02 Kediri | 3 | 2022 | - | 82.19% | 93% | 93.55% | 100% | 60.64% | 0% | 67.2% | 100% | 98.63% | 0% | 90.16% | 100% | 63.33 |
| 108907 | RS Umum Ratih | 3 | 2022 | - | 94% | 97% | 93% | 80% | 78% | 0% | 93% | 90% | 99% | 89% | 94% | 80% | 86 |
| 108908 | RS Umum Mitra Keluarga Surabaya | 3 | 2022 | - | 100% | 100% | 100% | 100% | 100% | 0% | 94.2% | 84.85% | 99.97% | 0% | 95.9% | 0% | 0 |
| 108909 | RS Umum Daerah Gambiran | 3 | 2022 | - | 61.67% | 93% | 100% | 0% | 72.21% | 3.75% | 100% | 100% | 96.91% | 39.29% | 100% | 72.73% | 97.12 |
| 108910 | RS Ibu dan Anak Pura Raharja | 3 | 2022 | - | 92.23% | 99% | 100% | 100% | 94.76% | 0% | 100% | 100% | 82.48% | 100% | 100% | 100% | 97 |
| 108911 | RS Umum Islam Surabaya Jemursari | 3 | 2022 | - | 79.55% | 72% | 100% | 100% | 88.24% | 1.49% | 97.76% | 100% | 88.55% | 0% | 100% | 100% | 0 |
| 108912 | RS Gotong Royong | 3 | 2022 | - | 47% | 95% | 99% | 100% | 33.33% | 0% | 85% | 99% | 82% | 100% | 100% | 100% | 87 |
| 108913 | RS Umum Sumekar | 3 | 2022 | - | 90.11% | 100% | 100% | 100% | 87.21% | 0% | 92.71% | 0% | 86.39% | 0% | 100% | 82.35% | 0 |
| 108914 | RS Bhakti Rahayu | 3 | 2022 | - | 98% | 99% | 100% | 60% | 36.13% | 26.09% | 56.51% | 100% | 94.74% | 100% | 100% | 100% | 79.21 |
| 108915 | RS Umum Daerah Kilisuci | 3 | 2022 | - | 100% | 100% | 100% | 100% | 97.44% | 0% | 80.49% | 0% | 0% | 0% | 100% | 100% | 98 |
| 108916 | RS Ibu dan Anak Esto Ebhu | 3 | 2022 | - | 97% | 94% | 85.71% | 100% | 85.71% | 0% | 76.8% | 100% | 100% | 0% | 96% | 100% | 0 |
| 108917 | RS Umum Daerah Bhakti Dharma Husada | 3 | 2022 | - | 85.13% | 93% | 100% | 100% | 100% | 0% | 86.77% | 100% | 99.87% | 85.33% | 100% | 100% | 0 |
| 108918 | RS Umum Bhayangkara Kediri | 3 | 2022 | - | 92.92% | 100% | 100% | 83.33% | 80.42% | 0.67% | 80.86% | 100% | 98.96% | 80.31% | 100% | 100% | 83.36 |
| 108919 | RS National Hospital | 3 | 2022 | - | 67.07% | 83% | 100% | 0% | 100% | 1.74% | 72.73% | 6.74% | 0% | 0% | 100% | 100% | 0 |
| 108920 | RS Adi Husada Undaan | 3 | 2022 | - | 99.25% | 100% | 96.59% | 100% | 89.15% | 13.16% | 84.75% | 73.03% | 95.7% | 0% | 95.71% | 0% | 0 |
| 108921 | RS Ibu dan Anak Nur Ummi Numbi | 3 | 2022 | - | 93.83% | 98% | 100% | 100% | 91.91% | 0% | 89.9% | 100% | 93.04% | 93.1% | 100% | 100% | 98.5 |
| 108922 | RS PKU Muhammadiyah Sekapuk | 3 | 2022 | - | 91.03% | 90% | 99.45% | 0% | 91.3% | 4.26% | 100% | 94.62% | 90.32% | 100% | 94.19% | 100% | 0 |
| 108923 | RS Mitra Keluarga Kenjeran | 3 | 2022 | - | 86.8% | 99% | 100% | 0% | 3.02% | 0% | 0% | 100% | 100% | 0% | 100% | 84.38% | 87.68 |
| 108924 | RS Primasatya Husada Citra (PHC) Surabaya | 3 | 2022 | - | 91.23% | 100% | 100% | 100% | 84.27% | 2.08% | 78.7% | 93.67% | 98.15% | 92.31% | 100% | 100% | 98.17 |
| 108925 | RS Umum Islam Cahaya Giri Gresik | 3 | 2022 | - | 89.38% | 100% | 100% | 0% | 88.14% | 100% | 86.84% | 0% | 0% | 0% | 0% | 0% | 83.98 |
| 108926 | RS Surya Medika | 3 | 2022 | - | 72.13% | 75% | 85.19% | 0% | 89.88% | 0% | 80.18% | 95.32% | 98.43% | 79.1% | 87.25% | 100% | 0 |
| 108927 | RS Ibu dan Anak Muhammadiyah Malang | 3 | 2022 | - | 84.5% | 99% | 100% | 100% | 80% | 0% | 54.1% | 100% | 98.67% | 100% | 100% | 100% | 88.15 |
| 108928 | RS Umum Panti Waluya Sawahan Malang | 3 | 2022 | - | 88.31% | 97% | 97.23% | 100% | 88.2% | 0% | 91.21% | 90% | 99.54% | 66.67% | 81.31% | 100% | 86.75 |
| 108929 | RS Orthopedi dan Traumatologi Surabaya | 3 | 2022 | - | 98.41% | 100% | 100% | 0% | 81.03% | 2.41% | 70.27% | 100% | 99.98% | 100% | 100% | 100% | 77.64 |
| 108930 | RS Ibu dan Anak Lombok Dua Dua | 3 | 2022 | - | 92.27% | 100% | 100% | 100% | 87.91% | 0% | 93.46% | 100% | 100% | 97.2% | 100% | 100% | 91.91 |
| 108931 | RS Ibu dan Anak Husada Bunda | 3 | 2022 | - | 85% | 92% | 93.33% | 0% | 92.31% | 0% | 100% | 88.89% | 0% | 94.12% | 100% | 0% | 0 |
| 108932 | RS Umum Wates Husada | 3 | 2022 | - | 81.52% | 100% | 97.52% | 100% | 92.17% | 0% | 70% | 100% | 90% | 85.71% | 100% | 100% | 75.96 |
| 108933 | RS TNI AL Dr. Oepomo | 3 | 2022 | - | 85.34% | 97% | 100% | 0% | 89.24% | 0% | 100% | 0% | 98% | 100% | 100% | 0% | 75 |
| 108934 | RS Umum Mabarrot MWC NU | 3 | 2022 | - | 86.96% | 93% | 97.9% | 0% | 73.44% | 0% | 76.42% | 100% | 89.06% | 0% | 86.54% | 0% | 0 |
| 108935 | RS Umum Adi Husada Kapasari | 3 | 2022 | - | 93.06% | 96% | 100% | 0% | 100% | 0% | 86.5% | 100% | 99.98% | 84.67% | 100% | 100% | 83.48 |
| 108936 | RS Umum Royal Surabaya | 3 | 2022 | - | 77.25% | 89% | 100% | 100% | 10.73% | 0% | 91.96% | 100% | 99.68% | 83.33% | 100% | 100% | 81.34 |
| 108937 | RS Fathma Medika | 3 | 2022 | - | 94.64% | 99% | 100% | 100% | 67.78% | 0% | 64.53% | 100% | 88.33% | 0% | 100% | 100% | 0 |
| 108938 | RS Mata Masyarakat Jawa Timur | 3 | 2022 | - | 92.5% | 100% | 100% | 0% | 82.52% | 0% | 100% | 100% | 100% | 90.91% | 83.33% | 100% | 0 |
| 108939 | RS Umum Panti Nirmala | 3 | 2022 | - | 99.74% | 100% | 99.74% | 100% | 89.08% | 0.66% | 45.89% | 100% | 99.74% | 76.44% | 99.67% | 100% | 81.97 |
| 108940 | RS Grha Husada Gresik | 3 | 2022 | - | 89.26% | 86% | 100% | 0% | 87.19% | 0% | 96.12% | 100% | 98.81% | 80% | 100% | 100% | 99 |
| 108941 | RS Umum Lavalette Malang | 3 | 2022 | - | 99.22% | 99% | 99.72% | 100% | 100% | 0% | 62.35% | 94.03% | 96.69% | 88.16% | 100% | 100% | 81 |
| 108942 | RS Umum Rachmi Dewi | 3 | 2022 | - | 85.54% | 94% | 100% | 100% | 82.18% | 0% | 93.55% | 0% | 98.58% | 88.46% | 0% | 100% | 0 |
| 108943 | RS Ibu dan Anak Kendangsari Surabaya | 3 | 2022 | - | 80.87% | 100% | 100% | 100% | 91.55% | 3.92% | 84.15% | 100% | 100% | 76.92% | 100% | 100% | 0 |
| 108944 | RS Petrokimia Gresik Driyorejo | 3 | 2022 | - | 97.09% | 97% | 100% | 100% | 97.62% | 0% | 90.91% | 100% | 100% | 100% | 100% | 100% | 95.52 |
| 108945 | RS Umum Lukas | 3 | 2022 | - | 85% | 97% | 80% | 0% | 85% | 26% | 62% | 87% | 100% | 57% | 80% | 100% | 75 |
| 108946 | RS Ibu dan Anak Bantuan 05.08.05 Surabaya | 3 | 2022 | - | 100% | 100% | 100% | 83.33% | 81.03% | 1.43% | 91.18% | 94.87% | 63.28% | 91.67% | 95.74% | 100% | 85.11 |
| 108947 | RS Umum Islam NU Demak | 3 | 2022 | - | 88% | 100% | 100% | 83.33% | 86.85% | 3.39% | 83.52% | 100% | 84.42% | 83.15% | 100% | 100% | 90 |
| 108948 | RS Umum Daerah Dr. R. Soetijono Blora | 3 | 2022 | - | 84.5% | 84% | 92.47% | 87.5% | 100% | 0% | 98.12% | 100% | 100% | 97.67% | 97.41% | 66.67% | 0 |
| 108949 | RS Umum Duta Mulya | 3 | 2022 | - | 92% | 94% | 100% | 100% | 52% | 0% | 83.19% | 100% | 92% | 100% | 100% | 0% | 93 |
| 108950 | RS Keluarga Sehat Tayu | 3 | 2022 | - | 100% | 100% | 100% | 100% | 86.25% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 93.49 |
Penjelasan singkat berikut bertujuan agar masyarakat umum dapat memahami makna setiap indikator mutu yang digunakan dalam pemantauan pelayanan rumah sakit.
Mengukur kepatuhan tenaga kesehatan dalam melakukan kebersihan tangan (handrub/handwash) sesuai 6 langkah dan 5 momen kebersihan tangan.
Mengukur kepatuhan petugas rumah sakit dalam menggunakan Alat Pelindung Diri (APD) pada kondisi yang terindikasi.
Menilai kepatuhan tenaga kesehatan dalam melakukan identifikasi pasien menggunakan minimal dua identitas sebelum tindakan medis.
Mengukur kecepatan tindakan operasi SC emergensi kategori 1 sejak keputusan operasi hingga insisi dilakukan.
Menilai waktu tunggu pasien rawat jalan sejak pendaftaran hingga dilayani oleh dokter.
Mengukur keterlambatan operasi terjadwal, dinilai baik jika tidak terlambat lebih dari 1 jam dari jadwal.
Menilai kepatuhan dokter dalam melakukan visite pasien rawat inap pada rentang waktu yang ditentukan.
Menilai kecepatan pelaporan hasil laboratorium kritis yang memerlukan tindak lanjut segera.
Menilai kesesuaian obat yang diresepkan dokter dengan Formularium Nasional.
Menilai kesesuaian pelayanan dengan alur klinis pada penyakit prioritas nasional.
Menilai upaya pencegahan risiko jatuh pada pasien rawat inap berisiko tinggi.
Menilai kecepatan rumah sakit dalam menangani keluhan pasien sesuai tingkat prioritas.
Mengukur tingkat kepuasan pasien terhadap 9 unsur pelayanan rumah sakit berdasarkan survei.