RAD Journal 2015:07:021
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
0&,3(% 1+2#$3+ 0(-(
SH4&(%H = 722#0&'$#
>4/'2'#'# &4,40'('# 2'#1 4*'( 7'$' 3',%, 3.&(% $'# 34*0',%/ $'/'- -4#%#1&'(&'# /.'*'# &4,40'('# %#$%T%$. '('. &)-.#%(', 34*$','*&'# &43.(.0'#5
SH%,%4#8 = 722'0'#%&
>4/'2'#'# &4,40'('# 2'#1 -4-'&,%-'/&'# -4-'&,%-'/& '# ,.-34* $'2' $'# -4#10%#$'*% 74-3)*),'#5
9.$'0 $%'&,4, = 800#11'9-#
>4/'2'#'# &4,40'('# 2'#1 (47'( :'&(.+ :'<'* ,48'*' 14)1*'H%,+ $'# $%,4$%'&'# $'/'- &4*'#1&' 2'#1 (47'( $'*% ,%,% &4(4*'-7%/'# $'# ,.-34* $'2' .#(.& -4-4.0% &43.(.0'#5
;%(4*%-' = 800#!/ = 800#!/ :;,&'#%&<0#%&"#/=
>4/'2'#'# &4,40'('# 2'#1 -4-74*(%-3'#1&'# 7%/%0'# $'# ',7%*',% %#$%T%$. 74#11.#' /'2'#'# $'# 3.$'2' &)-.#%(',#2'5
E%$'& 34*7%0'& = 7*+'&.
>4/'2'#'# &4,40'('# 2'#1 (%$'& 34*34$' $'/'- &.'/%(', &'*4#' &'*'&(4*%,(%& 74*,)#'/ ,474*(% 14#$4*+ *',+ 4(#%,+ /)&',% 14)1*'H%,+ $'# ,('(., ,),%)4&)#)-%5
J-'# = >,2#
>4/'2'#'# &4,40'('# 2'#1 -4-%#%-'/%,',% -4-%#%-'/%,', % *%,%&) $'# ?,"@5 ?,"@5
;% "#$)#4,%'+ 74#4('7'# %#$%&'()* $%7'#$. >4*'(.*'# 9 4#(4*% U4,40'('# #)5 FBV ('0.# BCCW (4#('#1 6('#$'* >4/'2'#'# 9%#%-'/ @6>9D L.-'0 6'&%(5 ;'/'- /'-7%*'# 74*-4#&4, (4*,43.(+ $%'(.* BF <4#%, 74/'2'#'# $'# FCX %#$%&'()* 2'#1 (4/'0 $%(4('7&'# ,('#$'* -%#%-'/#2' $4#1'# #%/'% (4*(4#(.5 Menyusun Indikator Mutu Rumah Sakit, Robertus Arian Datusanantyo |
1
RAD Journal 2015:07:021
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
0.%+8+,&3+
9(2#/&-./
N.-/'0 7',%4# 2'#1 -4#1'/'-% %#H4&,% N.-/'0 0'*% *':'( $4#1'# ";P5 $'/'- ,'(. 3./'#5
1#$.2+$&-./
N.-/'0 7',%4# 2'#1 $%)74*',% $'/'- N.-/'0 0'*% *':'( 7',%4# 7',8')74*',%5 ,'(. 3./'#5
;4#1'# -)$%H%&',% %#%+ 7%-7%#'# *.'#1 *':'( %#'7 34$'0 -4-.$'0&'# (%- .#(.& -4#1.-7./&'# $'(' &'*4#' ,4(%'7 0'*% 8.&.7 -4#$'(' '$' 34*'7' 7',%4# 7',8')74*',% 2'#1 $%*':'( $'# '$' 34*'7' 7',%4# 2'#1 -4#1'/'-% ";P5 N.-/'0 (4*,43.( $%('-3'0&'# -./'% ('#11'/ ,'(. ,'-7'% '&0%* 3./'# $'# $%-',.&&'# &4 $'/'- *.-.,5 64&'*'#1+ *.-'0 ,'&%( ('0. 7*4T'/4#,% ";P 3./'# (4*,43.( $'# ,43'1'% 3)#.,+ 7%-7%#'# *.'#1 *':'( %#'7 34$'0 3%,' -4#10%(.#1 34*'7' 3'#2'& ,.-34* $'2' 2'#1 $%7'&'% .#(.& -4#1.*., ";P $'# '7'&'0 7*4T'/4#,% %#% -4#.*.# '('. (%$'& $'*% 3./'# &4 3./'# @-4#.#<.&&'# -.(. /'2'#'# /.&' 7',8')74*',% $% *.'#1 *':'( %#'7 34$'0D5 Menyusun Indikator Mutu Rumah Sakit, Robertus Arian Datusanantyo |
2
RAD Journal 2015:07:021
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`)#$)#5 E'&'&%+ P+ E'&4.&%+ "+ E'&'0',0%+ U+ "Q.-%+ [+ 9.*'('+ U+ "&4$'+ 9 a K',%$'+ U BCFG+ ^_*'70%8'/ *47*4,4#('(%)# )H b.'/%(2 %#$%8'()*, 3',4$ )# -4$%8'/ ,4*T%84 )#()/)12^+ >!"'%A#" ;-+1+ T)/ B+ #)5 BXc+ 775 F?BC5 O)*/$ K4'/(0 P*1'#%Q'(%)# BCCR+ 5+,-'&. (2 0,"# D , !"(0#11 2(" @,E'%A 1&",A'0 0?('0#1 '% ?#,-&? 1.1@1 + O)*/$ K4'/(0 P*1'#%Q'(%)#+ _4#4T4+ 6:%(Q4*/'#$5
"#$()+3 J*(%&4/ %#% $%(./%, $*5 L)34*(., J*%'# ;'(.,'#'#(2)+ 95>5K5+ '/.-#% 7',8','*<'#' "/-. U4,40'('# 9',2'*'&'( $4#1'# -%#'( 9'#'<4-4# L.-'0 6'&%( d'&./(', U4$)&(4*'# I#%T4*,%(', _'$<'0 9'$'5 6''( %#% 74#./%, ,4$'#1 -4/'#<.(&'# 74#$%$%&'# $)&(4* ,74,%'/%, $% I#%T4*,%(', J%*/'#11'5 E./%,'# %#% -4*.7'&'# )7%#% 7*%3'$% $'# 74*#'0 $%(4*3%(&'# $% ,%#%5 Menyusun Indikator Mutu Rumah Sakit, Robertus Arian Datusanantyo |
3