Contoh - Draft Laporan Tribulanan Kpp.docx

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(Contoh Draft Laporan Tribulanan)

LAPORAN TRIBULAN I KEGIATAN PENILAIAN PERILAKU PEMBERI LAYANAN KLINIS & KESELAMATAN PASIEN PUSKESMAS ……….. KABUPATEN ………..

TAHUN 2017

KATA PENGANTAR

...…………………………………………………………………………………………………… ……………………………………………………………………………………………………… …………….

DAFTAR ISI

……………………………………………………………………………………………………… ……………………………………………………………………………………………………… …………….

BAB I PENDAHULUAN

A. Latar Belakang ……………………………………………………………………………………………… ……………………………………………………………………………………………… ………………………………………………………………………………………………

B. Tujuan 1. Tujuan Umum: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… 2. Tujuan Khusus: a. ……………………………………………………………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………... b. ……………………………………………………………………………………… ……………………………………………………………………………………… ………………………………………………………………………………………

BAB II HASIL PENILAIAN PERILAKU PEMBERI LAYANAN KLINIS & SASARAN KESELAMATAN PASIEN

Pelaksanaan kegiatan penilaian perilaku pemberi layanan klinis dan keselamatan pasien tribulan I ini di Puskesmas ……… Kabupaten ……… sebagaimana dalam perencanaan dilakukan terhadap unit/program dengan hasil sebagai berikut; A. Kegiatan Penilaian Perilaku Pemberi Layanan Klinis 1. Unit …….. (disampaikan hasil seluruh unit sampai selesai pada tribulan tersebut)

B. Kegiatan Penilaian Sasaran Keselamatan Pasien 2. Unit …….. (disampaikan hasil seluruh unit sampai selesai pada tribulan tersebut)

BAB III PENUTUP

A. KESIMPULAN ………………………………………………………………………………………………… ………………………………………………………………………………………………… …………………………………………………………………………………………………

B. SARAN ………………………………………………………………………………………………… ………………………………………………………………………………………………… …………………………………………………………………………………………………

C. RENCANA TINDAK LANJUT ………………………………………………………………………………………………… ………………………………………………………………………………………………… …………………………………………………………………………………………………

………………………….., ………………2017

Ketua Tim Manajemen Mutu

Ketua Tim PMKP

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-----------------------------------Mengetahui; Kepala Puskesmas ……………….

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