Formulir Keselamatan Pasien

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FORMULIR

SASARAN KESELAMATAN PASIEN UPT.PUSKESMAS MANGKUPALAS PROGRAM/PELAYANAN BULAN INDIKATOR TARGET

Ruang Farmasi : : Tidak terjadi kesalahan pemberian obat : 100%

JENIS INDIKATOR

1

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TANGGAL 15 16

Pembilang : Tidak terjadi kesalahan pemberian obat Penyebut

: Semua pasien yang mengambil obat

No

Masalah

Rencan

Samarinda, Penanggung Jawab,

Rizka Ariani,S. Farm., Apt

NO KODE : NO. REVISI : TGL.MULAI BERLAKU :

TANGGAL 17

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Rencana Tindak Lanjut

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Tindak Lanjut

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Jumlah

i,S. Farm., Apt

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