FORMULIR INDIKATOR MUTU TERINTEGRASI

BULAN: APRIL
IBS

Konversi Tindakan Anastesi Dari Lokal/Regional Ke General

NO RM PASIEN TGL OP DR ANASTESI DIAGNOSA

1 009654 Regine anxelia teresha 4/3/2023 dr. Alfin Tona, Sp. An Susp Perikondritis Auri Sinistra
2 009652 Jelie nauli 4/4/2023 dr. Sabar H. V. Napitu, Sp. An, KIC Haemoroid interna grade 3+haemoroid externa
3 009717 Lim siu mie 4/6/2023 LOKAL Katarak Senilis ODS
4 008252 Nena mahzira 4/6/2023 dr. Harastha Khairi Afina, MKed (An), Sp, An CPD
5 008731 Patrisia me tampubolon 4/7/2023 Dr. dr. Tasrif Hamdi, Sp. An, KMN CPD + G1P0A0 + hamil 39-40 minggu + letak kepala + anak hidup
6 009720 Lina 4/7/2023 Dr. dr. Tasrif Hamdi, Sp. An, KMN Hidronefrosis D
7 009775 Irvan rakasiwi 4/8/2023 dr. Alfin Tona, Sp. An Multiple lacerated wound regio dorsum manus (L)
8 009762 Buyung 4/8/2023 dr. Harastha Khairi Afina, MKed (An), Sp, An Fr Metacarpal Dig 5 Sin
9 009859 Amin 4/11/2023 dr. Sabar H. V. Napitu, Sp. An, KIC Hydronephrosis Ringan Dextra Ec Batu Uvj Dextra + Batu Ginjal Sinistra Non Obstruktif
10 009771 Beterida Panjaitan 4/12/2023 dr. Harastha Khairi Afina, MKed (An), Sp, An prev sc 1x + sg + kdr(38) minggu + pk + ah
11 009575 Marice Hutahaean 4/12/2023 dr. Harastha Khairi Afina, MKed (An), Sp, An Acute limb ishcaemia
12 009889 Dedi Wiyanto 4/12/2023 Dr. dr. Tasrif Hamdi, Sp. An, KMN fr radius ulna dx
13 003881 Nina Fachrina Sitepu 4/13/2023 dr. Ade Fitriani Siregar, Sp. An pe+kdr(35-36)mgg+ah
14 005145 Nisa Pratiwi Sidabalok S.SOS 4/14/2023 Dr. dr. Tasrif Hamdi, Sp. An, KMN PREV SC2X+MG+KDR (ATERM)+PK+AH
15 009947 Namoratta Rumahorbo 4/14/2023 Dr. dr. Tasrif Hamdi, Sp. An, KMN G3P1A1 + Previous SC 1x + hamil 38 minggu + Letak kepala + anak hidup
16 007954 Mutia Rahma 4/14/2023 dr. Alfin Tona, Sp. An PG + KDR (39-40 Minggu) + AH + PK + anak besar
17 009969 Robine Simatupang 4/15/2023 dr. John Frans Sitepu, Sp. An. KMN Severe OA genu bilaterals/ HNP + HT +Dislipidemia
18 009879 Yenty 4/16/2023 dr. Sabar H. V. Napitu, Sp. An, KIC LIPOMA TRUNKUS POSTERIOR
19 009970 Suwandi Khe 4/16/2023 dr. Sabar H. V. Napitu, Sp. An, KIC retensio urine ec bph dd ca prostate
20 009709 Rina Rajiani 4/17/2023 dr. Ade Fitriani Siregar, Sp. An G2P1A0 (gravida 38mgg) + Prev SC 1x + PB + AH
21 009997 Wisely Wijaya 4/17/2023 dr. Ade Fitriani Siregar, Sp. An dislokasi elbow sin
22 010003 Daniel Olo Sintong Siahaan 4/17/2023 dr. Ade Fitriani Siregar, Sp. An perianal abcess
23 009776 Fendy Chandra 4/17/2023 dr. Ade Fitriani Siregar, Sp. An pansinusitis kronis + polip nasi duplex
24 004786 Nurwulan Rizky Harahap 4/18/2023 dr. Sabar H. V. Napitu, Sp. An, KIC Primigravida 40 minggu pro SC a/i CPD
25 000053 Fitri Ardilla 4/19/2023 dr. Harastha Khairi Afina, MKed (An), Sp, An cpd + pg+ kdr(38-39) minggu + pk + ah
26 010063 Mahadi Rajib 4/19/2023 dr. Harastha Khairi Afina, MKed (An), Sp, An vulnus laseratum + skin loss o/t digiti III manus dextra
27 009870 Moria Lastina Maria Siregar 4/20/2023 dr. Anggie Hanifa Sp.An Susp Makrosomia + G1P0A0 + hamil 38 minggu + Letak kepala + anak hidup
28 010094 Guruh Jaya Saputra SH MH 4/21/2023 Dr. dr. Tasrif Hamdi, Sp. An, KMN konka hipertropi
29 005107 Hanifah 4/21/2023 dr. Ade Fitriani Siregar, Sp. An Closed comminutive fracture proximal humerus dextra
30 000798 Farachdiba 4/21/2023 Dr. dr. Tasrif Hamdi, Sp. An, KMN Close Fx Clavicula Sin
31 010103 Fachrul Rozy 4/23/2023 dr. Asmin Lubis, Sp An, KAP, KIC Multiple Lacerated Wound o/t Digiti Pedis
32 009101 Jessica Tandika 4/24/2023 dr. Anggie Hanifa Sp.An prev sc 1x + sg + kdr(38) minggu + pk + ah
33 009770 Dhani Aprisal 4/25/2023 dr. Sabar H. V. Napitu, Sp. An, KIC soft tissue tumor regio back
34 009491 Ravina Putri Indra Siregar 4/26/2023 dr. Jefri Awaluddin Pane, Sp.An cpd + pg + kdr(39) minggu + pk + ah
35 008105 Pinky Alvionita 4/27/2023 Dr. dr. Tasrif Hamdi, Sp. An, KMN cpd+kdr(38-39_mgg+ah
36 002961 Sri Dariasih Br Bangun 4/27/2023 Dr. dr. Tasrif Hamdi, Sp. An, KMN prev sc 1skdr(38-39)mgg+ah+ls
37 009933 Balqis Ditta Harmuzhan 4/27/2023 Dr. dr. Tasrif Hamdi, Sp. An, KMN Sinusitis + Khonkha hipertrophi inpertact gigi dalam sinus
38 006078 Novira 4/27/2023 Dr. dr. Tasrif Hamdi, Sp. An, KMN abses submandibula ndextra, gigi 38 impaksi, gigi 18-28-46 periodontitis
39 010123 Lili Hadiyanti 4/27/2023 Dr. dr. Tasrif Hamdi, Sp. An, KMN Diabetic ulcer bilateral cruris + bilateral foot with osteomyelitis, Sepsis sekunder, Encephalopaty ec stroke iskemik dd/ electrolyte imbalance
40 009404 Nurul Lailan 4/28/2023 dr. Asmin Lubis, Sp An, KAP, KIC prev sc 2x + mg+ kdr(38) minggu + pk + ah
41 010021 Mahesa Artito 4/28/2023 dr. Asmin Lubis, Sp An, KAP, KIC Tonsilitis Akut
42 010222 Chyntia Mamahit 4/29/2023 dr. Asmin Lubis, Sp An, KAP, KIC kista bartholin
43 006192 Andy Manang Silalahi 4/29/2023 dr. Harastha Khairi Afina, MKed (An), Sp, An Pneumonia lobaris + bronkitis kronik Acute on Chronic Subdural Hematoma Bilateral + Pneumonia PERDARAHN BILATERAL SUBDURAL CRONIC
JUMLAH PASIEN OPERASI DENGAN ANASTESI LOKAL/ REGIONAL= 43
N/D X100% =
Nama PIC : elza zikra
 JENIS ANASTESI
TINDAKAN LOKAL/ REGIONAL & ALASAN KONVERSI
JENIS GA
Pro debridemen GA TIVA
haemoroidectomy stapler Spinal
Phacoemulsifikasi + IOL OS Lokal
SC Spinal
SC Spinal
RPG-URS D Spinal
Debridement + Repair tendon extensor digiti II dan III GA-LMA
ORIF GA TIVA + Wrist Block
URS Kanan-Litotripsi KP DJ Stent Spinal
SC Spinal
Debridement Excisional Spinal
Orif Block
SC Spinal
SC Spinal
SC Spinal
SC Spinal
RADIOFREQUENCY ABLATION Lokal
EKSISI + BIOPSI + FLAP SAB
TURP+ biopsi prostate Spinal
SC Spinal
reposisi GA Tiva
debridement + drainage abcess Spinal
Fess Frontal + Konkotomi GA Tiva
SC Spinal
SC Spinal
debridement + skin graft Wrist Block
SC Spinal
konkotomy GA ETT
ORIF proximal humerus GA ETT
ORIF clavicle sinistra GA ETT
Debridement + ORIF + wound repair Spinal
SC Spinal
excision of soft tissue tumor GA Tiva
SC Spinal
SC Spinal
SC Spinal
C-IUC, khokatomy, septum reseksi GA ETT
insisi drainase abses, odontektomi dan extraksi gigi GA ETT
debridement ulcer + sequestrectomy/guttering osteomyelitis GA Tiva
sc + tubectomy GA ETT
tonsillectomy + adenoidectomy Spinal
kistektomi Spinal
Craniotomy GA ETT
 BULAN: APRIL
IBS

NO RM PASIEN TGL OP
1 009580 Zulkifli 4/2/2023
2 009654 Regine anxelia teresha 4/3/2023
3 009652 Jelie nauli 4/4/2023
4 009667 Peter halim 4/4/2023
5 009717 Lim siu mie 4/6/2023
6 008252 Nena mahzira 4/6/2023
7 008731 Patrisia me tampubolon 4/7/2023
8 009720 Lina 4/7/2023
9 009775 Irvan rakasiwi 4/8/2023
10 009762 Buyung 4/8/2023
11 009859 Amin 4/11/2023
12 009771 Beterida Panjaitan 4/12/2023
13 009575 Marice Hutahaean 4/12/2023
14 009889 Dedi Wiyanto 4/12/2023
15 003881 Nina Fachrina Sitepu 4/13/2023
16 005145 Nisa Pratiwi Sidabalok S.SOS 4/14/2023
17 009947 Namoratta Rumahorbo 4/14/2023
18 007954 Mutia Rahma 4/14/2023
19 009969 Robine Simatupang 4/15/2023
20 009879 Yenty 4/16/2023
21 009970 Suwandi Khe 4/16/2023
22 009709 Rina Rajiani 4/17/2023
23 009997 Wisely Wijaya 4/17/2023
24 010003 Daniel Olo Sintong Siahaan 4/17/2023
25 009776 Fendy Chandra 4/17/2023
26 004786 Nurwulan Rizky Harahap 4/18/2023
27 000053 Fitri Ardilla 4/19/2023
28 010063 Mahadi Rajib 4/19/2023
29 009870 Moria Lastina Maria Siregar 4/20/2023
30 010094 Guruh Jaya Saputra SH MH 4/21/2023
31 005107 Hanifah 4/21/2023
32 000798 Farachdiba 4/21/2023
33 010099 Erlina 4/21/2023
34 010103 Fachrul Rozy 4/23/2023
35 009101 Jessica Tandika 4/24/2023
36 009781 Aidan Azzahidi Dalimunthe 4/24/2023
37 009770 Dhani Aprisal 4/25/2023
38 009491 Ravina Putri Indra Siregar 4/26/2023
39 008105 Pinky Alvionita 4/27/2023
40 010165 William Citra 4/27/2023
41 002961 Sri Dariasih Br Bangun 4/27/2023
42 009933 Balqis Ditta Harmuzhan 4/27/2023
43 006078 Novira 4/27/2023
44 010123 Lili Hadiyanti 4/27/2023
45 009404 Nurul Lailan 4/28/2023
46 010021 Mahesa Artito 4/28/2023
47 010222 Chyntia Mamahit 4/29/2023
48 006192 Andy Manang Silalahi 4/29/2023
 FORMULIR IN

Perbedaan Besar Antara Diagn

DR OPERATOR
dr. Bobby Ramses Erguna Sitepu, MKed(Oph), SpM (K)
dr. Zulkifli, Sp. T.H.T.K.L
dr. Mhd. Hajrawan Martanta Tarigan, SpB -KBD
dr. Fauriski Febrian Prapiska, SpU (K)
dr. Bobby Ramses Erguna Sitepu, MKed(Oph), SpM (K)
dr. Dona Wirniaty, Mked (OG), Sp.OG
dr. Ade Ayu Chartyansari, MKed(OG), SpOG
dr. Fauriski Febrian Prapiska, SpU (K)
dr. Bayu Irvia Satria, MKed.(Surg), SpB
dr. Fitri Agus Santy, SpOT
dr. Zulfian Hasibuan, SpU
dr. Dalmy Iskandar, MKed(OG), SpOG
dr. Hashfi Fauzan Raz, Sp. BTKV
dr. Fitri Agus Santy, SpOT
dr. Irliyan Saputra, MKed(OG), SpOG
dr. Rizal Kurniawan Aritonang, MKed(OG), SpOG
dr. Ade Ayu Chartyansari, MKed(OG), SpOG
dr. Riza Rivany, SpOG(K)-Onk
Dr. dr. Tasrif Hamdi, Sp. An, KMN
dr. Arya Tjipta , Sp. BP-RE (K)
dr. Zulfian Hasibuan, SpU
dr. Dona Wirniaty, Mked (OG), Sp.OG
dr. Fitri Agus Santy, SpOT
dr. Bayu Irvia Satria, MKed.(Surg), SpB
Prof. Dr. dr. Delfitri Munir, Sp. T.H.T.K.L(K)
dr. Rizal Kurniawan Aritonang, MKed(OG), SpOG
dr. Dalmy Iskandar, MKed(OG), SpOG
dr. Arya Tjipta , Sp. BP-RE (K)
dr. Ade Ayu Chartyansari, MKed(OG), SpOG
dr. Zulkifli, Sp. T.H.T.K.L
dr. Aga Shahri Putera Ketaren, SpOT (K)
dr. Aga Shahri Putera Ketaren, SpOT (K)
dr. Muhammad Fauzi, SpB (K) V, MSurg
dr. Andrizal Yoesoef, MKed.(Surg), SpB
dr. Dalmy Iskandar, MKed(OG), SpOG
dr. Fauriski Febrian Prapiska, SpU (K)
dr. Bayu Irvia Satria, MKed.(Surg), SpB
dr. Dalmy Iskandar, MKed(OG), SpOG
dr. Irliyan Saputra, MKed(OG), SpOG
dr. Andrizal Yoesoef, MKed.(Surg), SpB
dr. Irliyan Saputra, MKed(OG), SpOG
Prof. Dr. dr. Delfitri Munir, Sp. T.H.T.K.L(K
drg. Welly Efendy Seba, SpBM (K)
dr. Andrizal Yoesoef, MKed.(Surg), SpB
dr. Dalmy Iskandar, MKed(OG), SpOG
dr. Carlo Maulana Akbar, MKed (ORL-HNS), Sp. T.H.T.K.L
Dr. dr. Khairani Sukatendel, M.Ked(OG), Sp.OG(K), SH, MH(Kes), CP(Med)
Dr. dr. Sabri, MKed, SpBS K-Spine, FINSS, FINPS
 FORMULIR INDIKATOR MUTU TERINTEGRASI

Perbedaan Besar Antara Diagnosis Pra- dan Diagnosis Pasca Operasi

DIAGNOSA PRA BEDAH
Pterygium OD
Susp Perikondritis Auri Sinistra
Haemoroid interna grade 3+haemoroid externa
Phimosis and Paraphimosis
Katarak Senilis ODS
CPD
CPD + G1P0A0 + hamil 39-40 minggu + letak kepala + anak hidup
Hidronefrosis D
Multiple lacerated wound regio dorsum manus (L)
Fr Metacarpal Dig 5 Sin
Hydronephrosis Ringan Dextra Ec Batu Uvj Dextra + Batu Ginjal Sinistra Non Obstruktif
prev sc 1x + sg + kdr(38) minggu + pk + ah
Acute limb ishcaemia
Fr Radius Ulna Dx
pe+kdr(35-36)mgg+ah
PREV SC2X+MG+KDR (ATERM)+PK+AH
G3P1A1 + Previous SC 1x + hamil 38 minggu + Letak kepala + anak hidup
PG + KDR (39-40 Minggu) + AH + PK + anak besar
Severe OA genu bilaterals/ HNP + HT +Dislipidemia
LIPOMA TRUNKUS POSTERIOR
retensio urine ec bph dd ca prostate
G2P1A0 (gravida 38mgg) + Prev SC 1x + PB + AH
dislokasi elbow sin
perianal abcess
pansinusitis kronis + polip nasi duplex
Primigravida 40 minggu pro SC a/i CPD
cpd + pg+ kdr(38-39) minggu + pk + ah
vulnus laseratum + skin loss o/t digiti III manus dextra
Susp Makrosomia + G1P0A0 + hamil 38 minggu + Letak kepala + anak hidup
konka hipertropi
Closed comminutive fracture proximal humerus dextra
Close Fx Clavicula Sin
Necrotic Pedis ec Susp Buerger's disease
Multiple Lacerated Wound o/t Digiti Pedis
prev sc 1x + sg + kdr(38) minggu + pk + ah
Fimosis
soft tissue tumor regio back
cpd + pg + kdr(39) minggu + pk + ah
cpd+kdr(38-39_mgg+ah
Close fracture of [L] hand, Dislocation of [L] carpoulnar joint, Multiple open wound [L] hand, [R] knee, [L] knee
prev sc 1skdr(38-39)mgg+ah+ls
Sinusitis + Khonkha hipertrophi inpertact gigi dalam sinus
abses submandibula dextra, gigi 38 impaksi, gigi 18-28-46 periodontitis
Diabetic ulcer bilateral cruris + bilateral foot with osteomyelitis, Sepsis sekunder, Encephalopaty ec stroke iskemik dd/ electrolyte imbalance
prev sc 2x + mg+ kdr(38) minggu + pk + ah
Tonsilitis Akut
kista bartholin
Pneumonia lobaris + bronkitis kronik Acute on Chronic Subdural Hematoma Bilateral + Pneumonia PERDARAHN BILATERAL SUBDURAL CRONIC
 DIAGNOSA PASCA BEDAH TINDAKAN
Post Ekstirpasi pterygium + conjunctival graft OD Ekstirpasi + Conjunctival Graft OD
post op canalis auricularis incision with drainage a/i perikondritis A.S Pro Debridemen
post haemoroidectomy pph 03 Haemoroidectomy Stapler
fimosis/parafimosis post sirkumsisi Sirkumsisi
Pseudophakia OS Phacoemulsifikasi + IOL OS
Post SC SC
Post SC d/t FPD + nifas hari 0 SC
Hidronefrosis D ec stenosis ureter D RPG-URS D
post op debridement + repair tendon extensor digitorum digiti II dan III manus sinistra + Foreslab Debridement + Repair Tendon Extensor Digiti II dan III
fr metacarpal dig 5 manus sin ORIF
URS Kanan-Litotripsi KP DJ Stent URS KANAN-LITOTRIPSI KP DJ STENT
post sc a/i prev sc 1x SC
infeksi luka operasi pasca amputasi a.i. acute limb ischaemia Debridement Excisional
fr radius ulna dx post orif Orif
post sc a/i pe+nh0 SC
Post SC SC
Post SC d/t Previous SC 1x + nifas hari 0 SC
Post SCLC Pfannentil a/i CPD + Anak Besar SC
Post tindakan TRF lutut kiri atas indikasi OA grade IV RADIOFREQUENCY ABLATION
POST OPERASI LIPOMA Eksisi dan Flap trunkus
SUSP CA CA PROSTATE -RETENSIO URINE POST TURP -BIOPSI PROSTATE + DM + P TURP+ biopsi prostate
post SC SC
dislokasi elbow sin post reposisi reposisi
post op debridement + drainage abcess a/i abcess perianal debridement + drainage abcess
pansinusitis + konka hipertrofi post FESS frontal+ konkotomi Fess Frontal + Konkotomi
Post SC SC
post sc a/i cpd SC
POST REKONSTRUKSI JARI DAN MANUS debridement + skin graft
Post SC d/t Susp makrosomia + nifas hari 0 SC
post turbinectomy a/i konka hipertropi konkotomy
Post ORIF proximal humerus dextra ORIF proximal humerus
Post ORIF clavicle sinistra ORIF clavicle sinistra
buerger disease /hromboangititis obliteras iskemik Debridement Non Excisional
Post Debridement + ORIF toe 3 + wound repair [R] foot Debridement + ORIF + wound repair
post sc a/i prev sc 1x SC
Phymosis post sirkumsisi Sirkumsisi
post op excision of soft tissue tumor regio back excision of soft tissue tumor
post sc a/i cpd SC
post sc a/i cpd+nh0 SC
Post close reduction external fixation dengan short arm cast + wound debridement short arm cast + Debridement Lokal anastesi
post sc a/i prev sc 1x+nh0 SC
post op L-luc +khonkhatomi +septum resesi C-IUC, khokatomy, septum reseksi
abses submandibula ndextra, gigi 38 impaksi, gigi 18-28-46 periodontitis insisi drainase abses, odontektomi dan extraksi gigi
Post debridement bilateral cruris +sequestrectomy bilateral feet debridement ulcer + sequestrectomy/guttering osteomyelitis
post SC sc + tubectomy
post op tonsillectomy + adenoidectomy a/i Tonsilitis kronis + hipertrofi adenoid tonsillectomy + adenoidectomy
kista bartholin kistektomi
post bor holes craniostomy bilateral Craniotomy
KETERANGAN