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 | |||||
| 26101 | RS Umum Siloam Hospitals Surabaya | 5 | 2025 | 01-01-1970 | 99.3% | 100% | 100% | % | 86.28% | 5.05% | 75.3% | 100% | 96.59% | 100% | 100% | 100% | |
| 26102 | RS Ibu dan Anak Cempaka Putih Permata | 5 | 2025 | 08-09-2025 | 97.54% | 100% | 75% | 0% | 98.53% | 0% | 100% | 100% | 99.64% | 0% | 100% | 0% | |
| 26103 | RS Ibu dan Anak Lombok Dua Dua | 5 | 2025 | 06-05-2025 | 100% | 100% | 100% | 100% | 92.74% | 0% | 90.72% | 100% | 100% | 100% | 100% | 100% | 94.46 |
| 26104 | RS Umum Adi Husada Kapasari | 5 | 2025 | 01-01-1970 | 95.06% | 96% | 100% | 0% | 73.85% | 0% | 82.14% | 100% | 99.97% | 87.04% | 100% | 100% | 0 |
| 26105 | RS Ibu dan Anak Kendangsari Surabaya | 5 | 2025 | 06-07-2025 | 85.87% | 100% | 100% | 100% | 73.51% | 4.26% | 74.89% | 100% | 100% | 100% | 100% | 100% | 0 |
| 26106 | RS Ibu dan Anak Lombok Dua Dua Lontar | 5 | 2025 | 01-01-1970 | 97.96% | 93% | 100% | 0% | 93.5% | 0% | 89% | 100% | 94.74% | 94.95% | 100% | 100% | |
| 26107 | RS Umum Al-Irsyad Surabaya | 5 | 2025 | - | 90.34% | 95% | 100% | 0% | 88.22% | 0% | 52.5% | 100% | 76.25% | 100% | 100% | 100% | 0 |
| 26108 | RS Islam Surabaya | 5 | 2025 | - | 99.13% | 99% | 100% | 100% | 95.31% | 0% | 66.99% | 100% | 90.94% | 100% | 100% | 100% | 0 |
| 26109 | RS Umum Daerah Kota Madiun | 5 | 2025 | 06-05-2025 | 97.33% | 95% | 100% | 100% | 98.85% | 1.85% | 100% | 100% | 99.95% | 100% | 100% | 100% | 0 |
| 26110 | RS Wiyung Sejahtera | 5 | 2025 | 06-05-2025 | 87.77% | 97% | 100% | 100% | 56.99% | 19.35% | 77.09% | 100% | 100% | 100% | 100% | 100% | |
| 26111 | RS Islam Surabaya | 5 | 2025 | 01-01-1970 | 99.13% | 99% | 100% | 100% | 80.47% | 0% | 67.5% | 100% | 90.94% | 100% | 100% | 100% | 0 |
| 26112 | RS Wijaya Surabaya | 5 | 2025 | 01-01-1970 | 100% | 100% | 100% | 0% | 100% | 0% | 20.54% | 100% | 99.5% | 100% | 100% | 100% | 0 |
| 26113 | RS Ibu dan Anak Kendangsari Merr | 5 | 2025 | - | 95.47% | 100% | 100% | 0% | 68.4% | 0% | 80.68% | 100% | 99.42% | 100% | 100% | 100% | 0 |
| 26114 | RS Katolik St. Vincentius a Paulo | 5 | 2025 | 01-01-1970 | 95.85% | 99% | 99.98% | 100% | 90.37% | 7.77% | 91.66% | 100% | 99.54% | 100% | 100% | 100% | |
| 26115 | RS TNI AL Dr. Oepomo | 5 | 2025 | 06-06-2025 | 88.93% | 99% | 100% | 0% | 93.87% | 0% | 98.99% | 100% | 98.86% | 100% | 100% | 0% | 0 |
| 26116 | RS Bhayangkara TK II HS. Samsoeri Mertojoso | 5 | 2025 | 01-01-1970 | 93.55% | 100% | 99.92% | 91.67% | 99.56% | 0% | 99.66% | 99.13% | 91.28% | 95.77% | 98.34% | 100% | 0 |
| 26117 | RS Umum Daerah Husada Prima | 5 | 2025 | - | 97% | 100% | 100% | 100% | 92.08% | 3.45% | 93.33% | 100% | 87.37% | 96.2% | 97.62% | 100% | 0 |
| 26118 | RS Umum Royal Surabaya | 5 | 2025 | - | 90.76% | 97% | 98.67% | % | 52.62% | 0.96% | 93.78% | 89.73% | 99.99% | 96.67% | 90.65% | 100% | |
| 26119 | RS Universitas Airlangga | 5 | 2025 | 06-05-2025 | 100% | 100% | 100% | 100% | 78.75% | 66.67% | 100% | 100% | 100% | 100% | 100% | 100% | 0 |
| 26120 | RS Manyar Medical Centre | 5 | 2025 | 01-01-1970 | 88% | 100% | 99.28% | 0% | 84.14% | 3.05% | 98.61% | 66.67% | 63.61% | 100% | 100% | 100% | |
| 26121 | RS Umum Islam Siti Aisyah | 5 | 2025 | 08-06-2025 | 95.74% | 97% | 99.29% | 0% | 56.39% | 0% | 74.08% | 88.1% | 99.74% | 72.84% | 100% | 100% | |
| 26122 | RS Mata Undaan | 5 | 2025 | 01-01-1970 | 91.17% | 100% | 100% | % | 100% | 0% | 100% | 100% | 100% | 96.67% | 100% | 100% | 0 |
| 26123 | RS Gotong Royong | 5 | 2025 | 06-04-2025 | 85% | 100% | 62.16% | 100% | 58.85% | 1.83% | 68.85% | 99.72% | 92.26% | 100% | 75% | 100% | 94.8 |
| 26124 | RS Bunda | 5 | 2025 | 06-05-2025 | 95.45% | 100% | 100% | 100% | 94.4% | 0% | 93.02% | 100% | 99.94% | 100% | 100% | 100% | 99 |
| 26125 | RS William Booth Surabaya | 5 | 2025 | 06-05-2025 | 94.37% | 97% | 100% | 0% | 72.54% | 1.48% | 84.68% | 100% | 100% | 0% | 100% | 100% | 0 |
| 26126 | RS Umum Daerah Dr. Soetomo | 5 | 2025 | - | 90.92% | 99% | 99.18% | 100% | 34.48% | 3.53% | 72.22% | 100% | 97.96% | 90.12% | 99.36% | 100% | 85.52 |
| 26127 | RSPAL dr. Ramelan | 5 | 2025 | 01-01-1970 | 95.95% | 100% | 100% | 0% | 76.59% | 16.51% | 74.71% | 94.8% | 99.61% | 78.12% | 100% | 100% | |
| 26128 | RS Umum Daerah Bhakti Dharma Husada | 5 | 2025 | - | 91.2% | 97% | 100% | % | 97.35% | 0% | 95.17% | 100% | 100% | 100% | 100% | 100% | 0 |
| 26129 | RS Ibu dan Anak Nur Ummi Numbi | 5 | 2025 | - | 100% | 100% | 100% | 100% | 83.08% | 0% | 90.48% | 100% | 97% | 100% | 100% | 100% | 0 |
| 26130 | RS Ibu dan Anak Pura Raharja | 5 | 2025 | 01-01-1970 | 97.09% | 100% | 100% | 100% | 100% | 0% | 64.17% | 100% | 96.8% | 98.53% | 100% | 100% | |
| 26131 | RS Adi Husada Undaan | 5 | 2025 | 01-01-1970 | 96.32% | 97% | 93.3% | 0% | 75.32% | 5.43% | 84.63% | 77.66% | 97.97% | 100% | 92.25% | 80% | 0 |
| 26132 | RS Ibu dan Anak Bantuan 05.08.05 Surabaya | 5 | 2025 | 01-01-1970 | 94.76% | 94% | 100% | 100% | 90.26% | 0% | 93.42% | 100% | 100% | 85.19% | 95.71% | 100% | |
| 26133 | RS Umum Islam Surabaya Jemursari | 5 | 2025 | 01-01-1970 | 95.49% | 96% | 100% | 0% | 90.06% | 4.25% | 90.85% | 100% | 84.09% | 100% | 100% | 100% | |
| 26134 | RS Umum Mitra Keluarga Surabaya | 5 | 2025 | 01-01-1970 | 100% | 100% | 100% | 0% | 97.07% | 1.21% | 98.04% | 100% | 100% | 100% | 100% | 86.36% | |
| 26135 | RS Umum Daerah dr. Mohamad Soewandhie | 5 | 2025 | - | 97.5% | 99% | 100% | 0% | 90.63% | 0% | 83.43% | 100% | 100% | 100% | 100% | 100% | 0 |
| 26136 | RS Ibu dan Anak IBI Surabaya | 5 | 2025 | 06-07-2025 | 96% | 100% | 100% | % | 95.24% | % | 93.33% | 93.02% | 100% | 0% | 100% | 100% | 0 |
| 26137 | RS Umum TNI AD Tk. IV 05.04.01 Kota Madiun | 5 | 2025 | 06-04-2025 | 95% | 96% | 100% | 100% | 93.5% | 100% | 91.33% | 100% | 93.33% | 95.45% | 100% | 95.34% | 0 |
| 26138 | RS Marinir Ewa Pangalila Gunungsari | 5 | 2025 | 01-01-1970 | 90% | 97% | 100% | % | 80% | 0% | 69.79% | 100% | 100% | 100% | 100% | 100% | |
| 26139 | RS Islam Darus Syifa | 5 | 2025 | 06-05-2025 | 80.99% | 99% | 100% | 0% | 100% | 0% | 60.43% | 100% | 100% | 84.62% | 100% | 100% | 0 |
| 26140 | RS Darmo | 5 | 2025 | 01-01-1970 | 88.33% | 99% | 100% | % | 86.23% | 0% | 53.28% | 93.48% | 94.66% | 100% | 100% | 100% | 0 |
| 26141 | RS Soemitro Lanud Moeljono Surabaya | 5 | 2025 | 01-01-1970 | 86% | 84% | 98.11% | 100% | 95.56% | 0% | 43.08% | 100% | 95.28% | 25% | 94.34% | 60% | |
| 26142 | RS Ibu dan Anak Putri Surabaya | 5 | 2025 | 01-01-1970 | 99.44% | 100% | 100% | 100% | 100% | 0% | 89.47% | 100% | 100% | 100% | 100% | 100% | 0 |
| 26143 | RS Mitra Keluarga Kenjeran | 5 | 2025 | 01-01-1970 | 100% | 100% | 100% | 0% | 82.34% | 2.78% | 98.01% | 100% | 100% | 100% | 100% | 100% | 0 |
| 26144 | RS Ibu dan Anak Perdana Medica | 5 | 2025 | 06-04-2025 | 95.24% | 100% | 100% | 100% | 89.23% | 0% | 82.61% | 0% | 31.87% | 80% | 100% | 100% | 0 |
| 26145 | RS Premier Surabaya | 5 | 2025 | 01-01-1970 | 88.84% | 100% | 100% | 100% | 53.9% | 6.67% | 71.28% | 98.96% | 0% | 100% | 100% | 95.51% | 0 |
| 26146 | RS Umum Santa Clara | 5 | 2025 | 01-01-1970 | 93.44% | 98% | 100% | 0% | 93.35% | 4.21% | 54.96% | 100% | 92.84% | 0% | 100% | 100% | 0 |
| 26147 | RS Primasatya Husada Citra (PHC) Surabaya | 5 | 2025 | 06-06-2025 | 89.23% | 100% | 100% | 100% | 90.35% | 1.17% | 72.04% | 100% | 99.91% | 93.27% | 100% | 100% | 0 |
| 26148 | RS Husada Utama Surabaya | 5 | 2025 | 06-05-2025 | 98.44% | 99% | 100% | 100% | 84.17% | 0.41% | 90.7% | 100% | 99.94% | 90% | 100% | 100% | 90 |
| 26149 | RS Jiwa Menur | 5 | 2025 | 06-08-2025 | 93.33% | 100% | 100% | % | 96.5% | 0% | 86.14% | 100% | 85.62% | 0% | 100% | 100% | |
| 26150 | RS Muji Rahayu | 5 | 2025 | 06-05-2025 | 91.4% | 100% | 100% | 0% | 100% | 0% | 60.36% | 100% | 93.54% | 54.1% | 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.