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 | |||||
| 116601 | RS Ibu dan Anak Bantuan 05.08.05 Surabaya | 7 | 2022 | - | 100% | 100% | 100% | 66.67% | 89.58% | 1.41% | 93.1% | 93.02% | 100% | 87.69% | 87.59% | 100% | 0 |
| 116602 | RS Umum Intan Medika | 7 | 2022 | - | 89.5% | 100% | 100% | 100% | 95% | 0.87% | 89.42% | 85.19% | 97.29% | 76.92% | 95.65% | 100% | 0 |
| 116603 | RS Surya Medika | 7 | 2022 | - | 74.18% | 82% | 93.55% | 0% | 92.53% | 0% | 83.81% | 90% | 98.23% | 83.58% | 85.22% | 100% | 85 |
| 116604 | RS Umum Daerah Mardi Waluyo | 7 | 2022 | - | 97.15% | 99% | 99.95% | 0% | 76.29% | 0% | 90.81% | 94.29% | 95% | 100% | 99.4% | 100% | 0 |
| 116605 | RS Muhammadiyah Ahmad Dahlan | 7 | 2022 | - | 87.02% | 97% | 100% | 60% | 85.44% | 0% | 61.99% | 94.13% | 90.67% | 87.5% | 100% | 100% | 0 |
| 116606 | RS Umum Daerah dr. Mohamad Saleh Kota Probolinggo | 7 | 2022 | - | 58.7% | 100% | 99.89% | 9.09% | 43.94% | 0.61% | 94.82% | 100% | 67.57% | 100% | 100% | 0% | 0 |
| 116607 | RS Selaras | 7 | 2022 | - | 94.5% | 74% | 100% | 16.67% | 98.59% | 5.26% | 100% | 100% | 99.61% | 100% | 100% | 100% | 0 |
| 116608 | RS Katolik Budi Rahayu | 7 | 2022 | - | 58% | 96% | 100% | 50% | 97.56% | 7.69% | 49.07% | 100% | 97.65% | 54.55% | 100% | 100% | 0 |
| 116609 | RS Ibu dan Anak Lombok Dua Dua Lontar | 7 | 2022 | - | 89% | 88% | 100% | 0% | 95.83% | 0% | 66.67% | 100% | 0% | 0% | 100% | 0% | 0 |
| 116610 | RS Jiwa Menur | 7 | 2022 | - | 98.25% | 99% | 100% | 0% | 89.21% | 0% | 80.73% | 100% | 91.03% | 97.91% | 100% | 0% | 0 |
| 116611 | RS Ibu dan Anak Khodijah | 7 | 2022 | - | 97.96% | 100% | 100% | 84.62% | 94.32% | 0% | 100% | 100% | 100% | 100% | 100% | 100% | 0 |
| 116612 | RS Ibu dan Anak Nirmala Kediri | 7 | 2022 | - | 93.18% | 88% | 100% | 95.04% | 86.63% | 0% | 96.15% | 100% | 84.71% | 96.92% | 100% | 100% | 0 |
| 116613 | RS Umum Hermina Tangkubanprahu | 7 | 2022 | - | 92.2% | 96% | 100% | 100% | 88.86% | 0% | 100% | 100% | 96.71% | 96% | 83.33% | 100% | 0 |
| 116614 | RS Umum Daerah Kabupaten Tangerang | 7 | 2022 | - | 98.75% | 100% | 98.75% | 96.67% | 91% | 21.5% | 100% | 100% | 81.75% | 91.5% | 99.5% | 100% | 0 |
| 116615 | RS Ibu dan Anak Kendangsari Merr | 7 | 2022 | - | 90.6% | 100% | 100% | 100% | 100% | 0% | 82.84% | 100% | 97.18% | 90% | 100% | 100% | 0 |
| 116616 | RS Umum Randegansari Husada | 7 | 2022 | - | 93.24% | 94% | 96.94% | 83.33% | 95.01% | 6.67% | 93.77% | 95.06% | 75.34% | 80.37% | 84.62% | 100% | 0 |
| 116617 | RS Umum Siloam Hospitals Surabaya | 7 | 2022 | - | 99.67% | 100% | 100% | 0% | 71.39% | 4.38% | 55.24% | 100% | 97.13% | 100% | 100% | 100% | 0 |
| 116618 | RS Abdurrahman Syamsuri (Arsy) | 7 | 2022 | - | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 75.48% | 100% | 100% | 100% | 0 |
| 116619 | RS Manyar Medical Centre | 7 | 2022 | - | 77% | 99% | 98.92% | 0% | 100% | 0% | 97.34% | 100% | 76.57% | 0% | 100% | 100% | 0 |
| 116620 | RS Misi Lebak | 7 | 2022 | - | 100% | 100% | 100% | 100% | 92.83% | 0% | 32.68% | 100% | 100% | 76.88% | 99.07% | 100% | 0 |
| 116621 | RS Ibu dan Anak Putri Surabaya | 7 | 2022 | - | 97.43% | 98% | 100% | 100% | 100% | 0% | 96.26% | 100% | 0% | 100% | 100% | 0% | 0 |
| 116622 | RS Umum Rachmi Dewi | 7 | 2022 | - | 85.18% | 95% | 100% | 100% | 82.15% | 0% | 100% | 100% | 99.33% | 90.91% | 0% | 100% | 0 |
| 116623 | RS Adi Husada Undaan | 7 | 2022 | - | 93.25% | 89% | 97.07% | 0% | 91.95% | 17.8% | 80.88% | 87.95% | 96.8% | 0% | 96.43% | 0% | 0 |
| 116624 | RS Umum Griya Husada Madiun | 7 | 2022 | - | 87.62% | 98% | 100% | 0% | 83.47% | 1.14% | 61.87% | 100% | 83.06% | 0% | 81.82% | 100% | 0 |
| 116625 | RS Umum dr. Suyudi | 7 | 2022 | - | 93.75% | 100% | 100% | 100% | 91% | 1.61% | 86% | 100% | 89.5% | 96% | 100% | 93.33% | |
| 116626 | RS Umum Daerah Kota Madiun | 7 | 2022 | - | 92.82% | 96% | 100% | 100% | 94.33% | 20.63% | 100% | 100% | 99.87% | 100% | 100% | 100% | 0 |
| 116627 | RS Kartini | 7 | 2022 | - | 80% | 80% | 81.5% | 100% | 72.33% | 32.58% | 62.33% | 100% | 93.12% | 60% | 94.67% | 100% | 0 |
| 116628 | RS Mata Undaan | 7 | 2022 | - | 90% | 100% | 100% | % | 15.06% | 0% | 100% | 100% | 100% | 94.33% | 100% | 100% | 0 |
| 116629 | RS Umum Daerah Dr. Adjidarmo | 7 | 2022 | - | 78% | 94% | 98.67% | 81% | 40.02% | 0% | 80.89% | 88.51% | 91.03% | 0% | 96.01% | 100% | 0 |
| 116630 | RS Umum Islam Cahaya Giri Gresik | 7 | 2022 | - | 85.24% | 100% | 100% | 0% | 87.97% | 0% | 86.21% | 100% | 91.81% | 83.33% | 100% | 100% | 0 |
| 116631 | RS Umum Daerah Husada Prima | 7 | 2022 | - | 91.5% | 100% | 100% | 100% | 85.88% | 1.79% | 100% | 100% | 83.06% | 87.91% | 100% | 100% | 0 |
| 116632 | RS Khusus Kanker Onkologi Sentani | 7 | 2022 | - | 99.75% | 93% | 97.83% | 0% | 72.69% | 0% | 100% | 100% | 94.41% | 100% | 100% | 100% | 0 |
| 116633 | RS Umum Daerah Malingping | 7 | 2022 | - | 56.23% | 90% | 94.71% | 100% | 11.11% | 16.1% | 95.45% | 93.33% | 90.25% | 91.67% | 88% | 100% | 0 |
| 116634 | RS Muhammadiyah Kalikapas Lamongan | 7 | 2022 | - | 92.53% | 95% | 100% | 100% | 85.88% | 0% | 71.56% | 100% | 100% | 85% | 100% | 100% | 0 |
| 116635 | RS Primasatya Husada Citra (PHC) Surabaya | 7 | 2022 | - | 90.06% | 97% | 100% | 100% | 91.27% | 0.95% | 71.07% | 100% | 99.97% | 97.14% | 100% | 100% | 0 |
| 116636 | RS Mitra Keluarga Kenjeran | 7 | 2022 | - | 95.46% | 97% | 100% | 0% | 56.21% | 0% | 91.94% | 100% | 100% | 0% | 98.94% | 92.45% | 0 |
| 116637 | RS Umum dr. Etty Asharto Batu | 7 | 2022 | - | 91.5% | 91% | 100% | 100% | 70% | 0% | 60% | 100% | 100% | 25% | 100% | 83% | 0 |
| 116638 | RS Umum Mabarrot MWC NU | 7 | 2022 | - | 85.47% | 92% | 100% | 0% | 85.94% | 0% | 37.57% | 100% | 93.75% | 100% | 69.14% | 100% | 0 |
| 116639 | RS Umum Daerah Kota Malang | 7 | 2022 | - | 87.3% | 100% | 100% | 0% | 92.11% | 2.13% | 96.76% | 100% | 80.04% | 85.71% | 100% | 100% | 0 |
| 116640 | RS Ibu dan Anak Melati Husada | 7 | 2022 | - | 100% | 100% | 100% | 100% | 88% | 2.67% | 89.52% | 100% | 100% | 90% | 100% | 100% | 0 |
| 116641 | RS Permata Hati Lamongan | 7 | 2022 | - | 75% | 100% | 100% | 0% | 80% | 0% | 91.67% | 100% | 88.33% | 100% | 100% | 100% | 96 |
| 116642 | RS Bunda | 7 | 2022 | - | 100% | 100% | 100% | 100% | 100% | 0% | 57.69% | 100% | 95.84% | 100% | 100% | 100% | 0 |
| 116643 | RS Mata Masyarakat Jawa Timur | 7 | 2022 | - | 97.5% | 100% | 100% | 0% | 91.74% | 0% | 100% | 100% | 100% | 100% | 100% | 100% | 0 |
| 116644 | RS Umum Islam Surabaya Jemursari | 7 | 2022 | - | 88.05% | 76% | 100% | 100% | 89.32% | 2.36% | 98.48% | 100% | 88.56% | 100% | 100% | 100% | 0 |
| 116645 | Mayapada Hospital Surabaya | 7 | 2022 | - | 83.17% | 90% | 100% | 0% | 92.58% | 1.82% | 75% | 100% | 0% | 0% | 66.67% | 100% | 0 |
| 116646 | RS Umum Daerah Bhakti Dharma Husada | 7 | 2022 | - | 83.61% | 94% | 100% | 100% | 100% | 0% | 87.75% | 100% | 98.87% | 93.87% | 100% | 100% | 0 |
| 116647 | RS Umum TNI AD Tk. IV 05.04.01 Kota Madiun | 7 | 2022 | - | 92.67% | 93% | 93.5% | 100% | 85.39% | 0% | 84.67% | 100% | 87.14% | 73.5% | 100% | 80.56% | 0 |
| 116648 | RS Umum Ratih | 7 | 2022 | - | 93.5% | 87% | 93.33% | 100% | 95% | 0% | 81.25% | 100% | 98.75% | 97.5% | 96% | 100% | 0 |
| 116649 | RS Ibu dan Anak Kendangsari Surabaya | 7 | 2022 | - | 83.91% | 100% | 100% | 100% | 76.25% | 5.71% | 84.7% | 100% | 100% | 75% | 100% | 100% | 0 |
| 116650 | RS Umum Daerah Ibnu Sina Kab. Gresik | 7 | 2022 | - | 99.86% | 92% | 100% | 25% | 89.06% | 0.41% | 92.86% | 93.75% | 88.67% | 100% | 100% | 100% | 0 |
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.