FORMULIR AUDIT KEPERAWATAN

JUDUL AUDIT

NO VARIABEL REKAM MEDIS

1 2 3 4 5 6 7 8 9
KELAS PERAWATAN 3 3 2 1 2 2 3 3 1
LAMA PERAWATAN 3 2 1 3 2 1 3 1 2
PPJP/PA

Rekapitulasi Hasil

no kelas perawatan lama perawatan kriteria

1 2 3 1 2 3 1 2
1 1 0 0 0 0 1
2 0 0 1 0 1 0
3 0 1 0 1 0 0
4 1 0 0 0 0 1
5 0 1 0 0 1 0
jml 3 4 4 2 4 5
% 60 80 80 40 80 100
AM MEDIS
10 11 12 13 14 15
1 2 2 3 3 3
3 3 2 3 4 5

kriteria keterangan
3

lama perawatan
kelas perawatan
1 2 3
1; 18.18%

3; 45.45% 27.27%
36.36%

2; 36.36%

36.36%
FORMULIR AUDIT KEPERAWATAN
JUDUL AUDIT

NO VARIABEL REKAM MEDIS

1 2 3 4 5 6 7 8
KELAS PERAWATAN 3 3 2 1 2 2 3 3
LAMA PERAWATAN 3 2 1 3 2 1 3 1
PPJP/PA

Rekapitulasi Hasil

no kelas perawatan lama perawatan kriteria

1 2 3 1 2 3 1
1 1 0 0 0 0 1
2 0 0 1 0 1 0
3 0 1 0 1 0 0
4 1 0 0 0 0 1
5 0 1 0 0 1 0
6 0 1 0 1 0 0
7 0 0 1 0 0 1
8 0 0 1 1 0 0
9 1 0 0 0 1 0
10 1 0 0 0 0 1
jml 4 3 3 3 3 4
% 40 30 30 30 30 40
REKAM MEDIS
9 10 11 12 13 14 15
1 1 2 2 3 3 3
2 3 3 2 3 4 5

kriteria keterangan
2 3

Lama Perawatan
Kelas Perawatan

1; 30.00%
3; 40.00% 3; 30.00%
1; 40.00%

2; 30.00% 2; 30.00%