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    Formulir Laporan Bulanan Ppi

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    Dian Mithami Ritonga
    The document contains monthly usage reports of medical devices at RSU Trianda hospital from November 2017 to March 2018. It records the number of patients, and use of devices like central venous lines, intravenous lines, urinary catheters, drains, and others each day. Totals are provided at the end of each month.

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Formulir Laporan Bulanan Ppi

    Uploaded by

    Dian Mithami Ritonga
    118 views7 pages
    The document contains monthly usage reports of medical devices at RSU Trianda hospital from November 2017 to March 2018. It records the number of patients, and use of devices like central venous lines, intravenous lines, urinary catheters, drains, and others each day. Totals are provided at the end of each month.

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    Formulir Laporan Bulanan Ppi

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    The document contains monthly usage reports of medical devices at RSU Trianda hospital from November 2017 to March 2018. It records the number of patients, and use of devices like central venous lines, intravenous lines, urinary catheters, drains, and others each day. Totals are provided at the end of each month.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    118 views7 pages

    Formulir Laporan Bulanan Ppi

    Uploaded by

    Dian Mithami Ritonga
    The document contains monthly usage reports of medical devices at RSU Trianda hospital from November 2017 to March 2018. It records the number of patients, and use of devices like central venous lines, intravenous lines, urinary catheters, drains, and others each day. Totals are provided at the end of each month.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
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    FORMULIR SURVEILEN BULAN NOVEMBER 2017 PENGGUNAAN ALAT

    DI RSU TRIANDA

    Tanggal Jumlah Pasien CVL IVL Jmh UC Jmh Drain Jmh Plebitis ISK Dikubitus Keterangan
    1-Nov-17 3 3 6 1 3 1 3
    2-Nov-17 2 2 7 1 3 2 6
    3-Nov-17 9 9 27 3 9
    4-Nov-17 7 7 23 1 3
    5-Nov-17 7 7 23 2 6
    6-Nov-17 3 3 11
    7-Nov-17 7 7 20
    8-Nov-17 3 3 9
    9-Nov-17 8 8 27
    10-Nov-17 13 13 11
    11-Nov-17 9 9 30 1
    12-Nov-17 4 4 14
    13-Nov-17 8 8 23
    14-Nov-17 6 6 17
    15-Nov-17 6 6 20 1 3
    16-Nov-17 6 6 26
    17-Nov-17 5 5 14
    18-Nov-17 5 5 13 1 3
    19-Nov-17 9 9 28
    20-Nov-17 8 8 20
    21-Nov-17 3 3 7
    22-Nov-17 6 6 13 1 3
    23-Nov-17 4 4 14
    24-Nov-17 8 8 30 2 6
    25-Nov-17 3 3 9
    26-Nov-17 8 8 25 1 3
    27-Nov-17 10 10 30
    28-Nov-17 6 6 19 2 6
    29-Nov-17 7 7 23 3 9
    30-Nov-17 8 8 29
    Jumlah 191 191 568 19 57 3 9 1
    FORMULIR SURVEILEN BULAN DESEMBER 2017 PENGGUNAAN ALAT
    DI RSU TRIANDA

    Tanggal Jumlah Pasien CVL IVL Jmh UC Jmh Drain Jmh Plebitis ISK Dikubitus Keterangan
    1-Dec-17 2 2 6
    2-Dec-17 7 7 18
    3-Dec-17 5 5 16 1
    4-Dec-17 11 11 35
    5-Dec-17 8 8 24
    6-Dec-17 10 10 32 4 12
    7-Dec-17 5 5 15
    8-Dec-17 9 9 2 5
    9-Dec-17 3 3 13
    10-Dec-17 2 2 8 1 3
    11-Dec-17 7 7 15 1 3
    12-Dec-17 3 3 11
    13-Dec-17 6 6 21 1
    14-Dec-17 6 6 23 2
    15-Dec-17 3 3 10
    16-Dec-17 4 4 16 2 7
    17-Dec-17 6 6 19
    18-Dec-17 9 9 29 3 8
    19-Dec-17 8 8 31
    20-Dec-17 1 1 6
    21-Dec-17 5 5 17 3 9
    22-Dec-17 1 1 3
    23-Dec-17 3 3 9 1
    24-Dec-17 3 3 10
    25-Dec-17 4 4 15 1 3 1
    26-Dec-17 3 3 11
    27-Dec-17 12 12 26
    28-Dec-17 5 5 22
    29-Dec-17 5 5 14
    30-Dec-17 6 6 15 1 3
    31-Dec-17 2 2 2
    Jumlah 164 164 494 21 48 6
    FORMULIR SURVEILEN BULAN JANUARI 2018 PENGGUNAAN ALAT
    DI RSU. TRIANDA

    Tanggal Jumlah Pasien CVL IVL Jmh UC Jmh Drain Jmh Plebitis ISK Dikubitus Keterangan
    1-Jan-18 3 3 9
    2-Jan-18 2 2 8 2 8
    3-Jan-18 6 6 22 1 3
    4-Jan-18 5 5 18 1 3
    5-Jan-18 4 4 11 1 2
    6-Jan-18 6 6 20
    7-Jan-18 4 4 12 1 3
    8-Jan-18 4 4 19
    9-Jan-18 3 3 14 1 3
    10-Jan-18 2 2 7
    11-Jan-18 12 12 42 1 3 1
    12-Jan-18 7 7 22 4 7
    13-Jan-18
    14-Jan-18 6 6 20
    15-Jan-18 4 4 14 2 6
    16-Jan-18 5 5 15
    17-Jan-18 9 9 29 3 10
    18-Jan-18 4 4 14 1 3
    19-Jan-18 7 7 27
    20-Jan-18 4 4 12
    21-Jan-18 4 4 13
    22-Jan-18 5 5 18 1 3
    23-Jan-18 6 6 21 2 6
    24-Jan-18 5 5 15 1 3
    25-Jan-18 9 9 30 2 6
    26-Jan-18 5 5 15 1 3
    27-Jan-18 8 8 28 2 6
    28-Jan-18 5 5 15
    29-Jan-18 7 7 26
    30-Jan-18 4 4 10
    31-Jan-18 3 3 10
    Jumlah 158 158 536 27 78 1
    FORMULIR SURVEILEN BULAN FEBRUARI 2018 PENGGUNAAN ALAT
    DI RSU. TRIANDA

    Tanggal Jumlah Pasien CVL IVL Jmh UC Jmh Drain Jmh Plebitis ISK Dikubitus Keterangan
    1-Feb-18 5 - 5 26 0 0 - -
    2-Feb-18 2 - 2 11 1 3 - -
    3-Feb-18 4 - 4 19 1 3 - -
    4-Feb-18 4 - 4 20 0 0 - -
    5-Feb-18 5 - 5 18 0 0 - -
    6-Feb-18 4 - 4 19 1 3 1 - -
    7-Feb-18 5 - 5 23 3 11 1 3 1 - -
    8-Feb-18 9 - 9 36 1 3 - -
    9-Feb-18 3 - 3 11 1 3 1 - -
    10-Feb-18 8 - 8 32 1 3 - -
    11-Feb-18 2 - 2 9 0 0 - -
    12-Feb-18 6 - 6 24 0 0 - -
    13-Feb-18 3 - 3 13 0 0 - -
    14-Feb-18 2 - 2 8 0 0 - -
    15-Feb-18 9 - 9 30 3 9 - -
    16-Feb-18 3 - 3 11 0 0 - -
    17-Feb-18 7 - 7 23 1 3 - -
    18-Feb-18 1 - 1 4 0 0 - -
    19-Feb-18 10 - 10 39 1 3 - -
    20-Feb-18 6 - 6 23 3 9 - -
    21-Feb-18 8 - 8 37 2 6 - -
    22-Feb-18 7 - 7 29 2 6 - -
    23-Feb-18 5 - 5 25 0 0 1 - -
    24-Feb-18 5 - 5 21 1 3 - -
    25-Feb-18 4 - 4 14 0 0 - -
    26-Feb-18 3 - 3 13 0 0 - -
    27-Feb-18 6 - 6 23 1 3 - -
    28-Feb-18 5 - 5 18 0 0 - -
    Jumlah 141 141 579 23 71 4
    FORMULIR SURVEILEN BULAN MARET 2018 PENGGUN
    DI RSU. TRIANDA

    Tanggal Jumlah Pasien CVL IVL Jmh UC Jmh Drain


    1-Mar-18 2 - 2 8 - - -
    2-Mar-18 6 - 6 21 - - -
    3-Mar-18 7 - 7 29 - - -
    4-Mar-18 2 - 2 7 1 3 -
    5-Mar-18 6 - 6 22 3 9 -
    6-Mar-18 10 - 10 46 3 9 -
    7-Mar-18 9 - 9 39 2 6 -
    8-Mar-18 3 - 3 11 - - -
    9-Mar-18 9 - 9 38 1 3 -
    10-Mar-18 4 - 4 21 1 3 -
    11-Mar-18 6 - 6 33 1 3 -
    12-Mar-18 4 - 4 17 1 3 -
    13-Mar-18 6 - 6 23 2 6 -
    14-Mar-18 7 - 7 32 2 6 -
    15-Mar-18 12 - 12 46 5 15 -
    16-Mar-18 8 - 8 32 1 3 -
    17-Mar-18 2 - 2 10 - - -
    18-Mar-18 1 - 1 6 - - -
    19-Mar-18 6 - 6 26 1 3 -
    20-Mar-18 4 - 4 20 - - -
    21-Mar-18 5 - 5 20 1 3 -
    22-Mar-18 6 - 6 17 1 3 -
    23-Mar-18 1 - 1 5 - - -
    24-Mar-18 6 - 6 26 1 3 -
    25-Mar-18 2 - 2 8 - - -
    26-Mar-18 6 - 6 26 1 3 -
    27-Mar-18 10 - 10 48 - - -
    28-Mar-18 1 - 1 5 - - -
    29-Mar-18 2 - 2 8 - - -
    30-Mar-18 5 - 5 17 3 9 -
    31-Mar-18 4 - 4 19 - - -
    Jumlah 162 - 162 686 31 93 -
    N MARET 2018 PENGGUNAAN ALAT
    TRIANDA

    Jmh Plebitis ISK Dikubitus Keterangan


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