Cover Pedoman Manual Mutu

PEDOMAN MANUAL MUTU PUSKESMAS GEKBRONG TAHUN 2016

DINAS KESEHATAN KABUPATEN CIANJUR PUSKESMAS GEKBRONG Jalan Raya Cianjur - Sukabumi Km. 15 Tlp. (0266) 260422 Cianjur

PEDOMAN MANUAL MUTU PUSKESMAS GEKBRONG TAHUN 2016 PEDOMAN MUTU Pedoman

Puskesmas Gekbrong

No. Dokumen

:

No. Revisi

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Tanggal Terbit

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Halaman

: dr. Cecep Willy Budiman. NIP. 19710915 200604 1 017

DAFTAR ISI

BAB I PENDAHULUAN A. B. C. D. E.

Latar Belakang ................................................................................................. Ruang lingkup ................................................................................................... Tujuan ............................................................................................................. Landasan Hukum ............................................................................................... 6 Definisi ........................................................................................................... ..

1 4 5 6

BAB II INDIKATOR, STANDAR DAN KRITERIA A. Indikator ........................................................................................................... 7 B. Standar ............................................................................................................. C. Kriteria .............................................................................................................

7 8

BAB III PENYELENGGARAAN SISTEM MANAJEMEN MUTU DAN SISTEM PELAYANAN A. B. C. D. E. F. G.

Persyaratan umum .............................................................................................. Kebijakan Mutu ............................................................................................... 9 Penetapan Indikator ......................................................................................... Perencanaan dan Pelaksanaan ......................................................................... Tanggung jawab dan wewenang ...................................................................... 14 Pengendalian Dokumen .................................................................................. Tinjauan Manajemen ......................................................................................

9 9 13 14 15

BAB IV STANDAR KETENAGAAN A. Kualifikasi Sumber Daya Manusia ................................................................. B. Distribusi Ketenagaan ..................................................................................... C. Jadwal Kegiatan .............................................................................................. 18

16 17

BAB V STANDAR SARANA DAN PRASARANA A. Denah Gedung dan Ruang B. Standar Alat dan Fasilitas

.............................................................................. ...............................................................................

19 20

BAB VI PENYELENGGARAAN PELAYANAN................................................. 21 A. Upaya kesehatan masyarakat puskesmas ....................................................... B. Pelayanan klinis ............................................................................................ 22

21

BAB VII KESELAMATAN PASIEN A. B. C. D.

Sistem patient safety ......................................................................................... Adverse event / KTD ....................................................................................... Ner miss / KNC ................................................................................................. Tujuh standar keselamatan pasien .....................................................................

24 24 25 25

E. Tujuh langkah menuju keselamatan pasien ...................................................... 26 BAB VIII KESELAMATAN KERJA

.................................................................. 28

BAB IX PENGENDALIAN MUTU ...................................................................... 30 BAB X PENUTUP ............................................................................................... 33