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p-Index From 2021 - 2026
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All Journal Medical Laboratory Science Journal
Lia Cahya Sari
STIKES Wira Medika Bali, Indonesia

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Relationship between laboratory workload and compliance with critical value reporting procedures Kadek Dwika Vijayanti; I Gusti Putu Agus Ferry Sutrisna Putra; Lia Cahya Sari
Medical Laboratory Science Journal Vol. 1 No. 1 (2025): May 2025
Publisher : Kadewa Bakti Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67958/medlab.v1i1.24

Abstract

Reporting critical laboratory values is a vital aspect of healthcare services as it directly relates to patient safety. Compliance with standard operating procedures (SOPs) for reporting critical values is strongly influenced by various factors, including workload. This study employed an analytical observational design with a cross-sectional approach, involving all 25 laboratory personnel at BaliMed Hospital Buleleng as the sample using a total sampling technique. Data were collected through questionnaires and observation sheets, and analyzed using the chi-square test. The statistical results showed a significant relationship between workload and compliance, indicating that most respondents experienced a high workload but still demonstrated high compliance with SOPs for reporting critical values. The findings suggest that despite demanding workloads, staff maintained high procedural compliance. These results underscore the importance of institutional support in managing workload distribution to ensure sustained quality and accuracy in laboratory reporting practices. The study offers insights into optimizing laboratory performance and reinforces the relevance of workload management in strengthening procedural adherence and patient safety.
Blood utilization efficiency using the crossmatch-to-transfusion ratio in preoperative and non-preoperative patients I Gede Billy Sumantri; Moh. Fairuz Abadi; Lia Cahya Sari
Medical Laboratory Science Journal Vol. 2 No. 1 (2026): May 2026
Publisher : Kadewa Bakti Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67958/medlab.v2i1.76

Abstract

Inefficiencies in blood procurement remain a challenge in transfusion services, potentially leading to unnecessary resource utilization. However, comparative studies on the efficiency of blood use among preoperative and non-preoperative patients remain limited. This study aims to evaluate and compare the efficiency of blood use using the crossmatch-to-transfusion (C/T) ratio indicator in both patient groups at a regional hospital. This study employed a retrospective analytical design based on secondary data from the hospital's blood bank registry. A total of 16,554 units of blood collected over 20 months were used as the sample, selected through a total sampling approach. Data analysis employed descriptive statistics and the paired samples t-test to identify differences between groups. The results indicated that blood usage in preoperative patients tended to be less efficient, with the majority of C/T ratios exceeding the recommended efficiency threshold. In contrast, the C/T ratios for non-preoperative patients remained consistently within the efficient category. Statistical analysis also confirmed significant and meaningful differences between the two groups. The findings underscore the need to implement evidence-based blood ordering strategies, such as the Maximum Surgical Blood Order Schedule (MSBOS) and type-and-screen protocols, to improve efficiency and optimize transfusion practices in clinical care.
Correlation of leukocyte and hematocrit with platelet counts in dengue hemorrhagic fever I Gusti Ayu Inten Parnadewi; I Gusti Putu Agus Ferry Sutrisna Putra; Lia Cahya Sari
Medical Laboratory Science Journal Vol. 2 No. 1 (2026): May 2026
Publisher : Kadewa Bakti Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67958/medlab.v2i1.77

Abstract

Dengue hemorrhagic fever (DHF) is frequently accompanied by hematological alterations that play an important role in diagnosis and clinical monitoring. Leukocyte count, hematocrit value, and platelet count are among the routine hematological parameters commonly evaluated in patients with dengue infection. This study aimed to determine the correlation of leukocyte and hematocrit values with platelet counts in patients with dengue hemorrhagic fever at Wangaya Regional General Hospital, Denpasar City. An analytic observational study with a cross-sectional approach was conducted using secondary data from medical records and laboratory results of 91 DHF patients selected through purposive sampling. Data were analyzed using univariate analysis and the Pearson correlation test. The results indicated that leukocyte counts were not significantly correlated with platelet counts, whereas hematocrit was. These findings highlight the potential value of hematocrit as a relevant hematological parameter in the evaluation of DHF and may support the clinical interpretation of routine complete blood count results in dengue patients.
Co-Authors I Gede Billy Sumantri I Gusti Ayu Inten Parnadewi I Gusti Putu Agus Ferry Sutrisna Putra Kadek Dwika Vijayanti Moh. Fairuz Abadi