Background: Quality health care is one of the requirementsneeded by everyone, including service in the hospital. Clinicalindicators used as a quality tool that enables objective measurementto assess whether it has provided excellent serviceto customers or patients. Sardjito General Hospital has beenset and measure the performance of clinical services usingclinical indicators since 2000, but the indicators are not compiledsystematically by type of key services that can be givenby doctors in the department at the hospital.Objective: To develop a clinical indicator for measuring theperformance of clinical services of a department in the hospital,to trial the implementation of measures of clinical indicators,and to evaluate the clinical indicators that have beenmade.Methods: Qualitative research using an action research studydesign. The subject of this research is Obstetrics and GynecologyDepartment at Sardjito General Hospital, Yogyakartaand specialist doctors and doctors who follow education obstetricsand gynecology specialization final semester. Datacollection is done by analysis of the results of the workshop,the analysis results of questionnaires, analysis of interviewdata availability, analysis of test results of clinical indicators ofmeasurement, and analysis of the results of the finalized workshop.Results: Ten clinical indicators agreed to be measured in theObstetrics and Gynecology Department. Based on the resultsof the questionnaire, the ten clinical indicators are approvedby most doctors. Of the ten clinical indicators, there is oneindicator that did not have the data, the numerator of the clinicalindicators for services normal partus /vaginal partus. Theagreements in the finalized workshop are to make changesthe operational definition, the value of the achievement standardsand the availability of existing data.Conclusion: Obstetrics and Gynecology Department will performthe measurement for the ten indicators that have beenset. Clinical indicators that do not have the availability of datawill still be measured by creating a special form. Changes andimprovements to the operational definitions and standards ofachievement values need further discussion.Keywords: quality of service, clinical indicators, obstetricsand gynecology

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