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All Journal Communications in Science and Technology Jurnal Analis Kesehatan Jurnal Riset Kesehatan Poltekkes Depkes Bandung JMLS: Journal of Medical Laboratory and Science Current Biomedicine Mukhtabar: Journal of Medical Laboratory Technology Jurnal Kesehatan Siliwangi Jurnal Pengabdian Masyarakat Kesehatan Indonesia Poltekita: Jurnal Pengabdian Masyarakat
Nurhayati, Betty
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Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Engineering Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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Evaluation of Quality Indicators with Lean Six Sigma In Pre and Post Analytical Laboratories Nurhadi, Muhammad Ihsan; Ridwanna, Surya; Rinaldi, Sonny Feisal; Nurhayati, Betty
Mukhtabar Journal of Medical Laboratory Technology Vol 3 No 1 (2025): Mukhtabar: Journal of Medical Laboratory Technology (April 2024)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/mjmlt.v3i1.795

Abstract

Background & Objective: Medical laboratories have an important role of 60-70% in diagnosis, patient monitoring, and prevention and treatment of diseases. Therefore, the laboratory must maintain and ensure the quality of service process. This study aims to determine the sigma value and identify waste in pre and post analytical in the laboratory, as well as determine Improvement proposals in order to reduce errors pre and post analytical laboratory. Method: This research design is descriptive study that Analyzes the process and quality indicators at pre and post analytical with the Lean Six Sigma approach, which is a combination of Lean methods that focus on eliminating waste and Six Sigma that focuses on eliminating defects. This research was conducted as a process Improvement effort with five Six Sigma work steps (DMAIC) and identified eight types of waste (DOWNTIME). Result: The results showed that the sigma value at pre and post analytical was 4.6 and 3.5 Sigma, and total sigma value for pre-post analytical was 4.3 Sigma so that both had not met the minimum target achievement of 5 Sigma (Excellent). There are two quality indicators that require improvement and enhancement including suitability of sample and TAT. The results also show that there are 4 wastes, consisting of 1 Defects, 1 Waiting, and 2 Not Utilizing Employees Knowledge. Conclusion: Proposed Improvements are then given so that all waste identified in this study can be minimized so that the achievement of sigma quality indicators can increase.
KORELASI KADAR FERRITIN DAN KADAR IL-6 TERHADAP SATURASI OKSIGEN PADA PASIEN COVID-19 DI RUMAH SAKIT ADVENT BANDUNG Tania, Monica; Nurhayati, Betty; Hayati, Eem; Durachim, Adang
Journal of Medical Laboratory and Science Vol 5 No 1 (2025): JMLS: Journal of Medical Laboratory and Science
Publisher : Jurusan Teknologi Laboratorium Medis, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/medlabscience.v5i1.2086

Abstract

Background: Covid-19 was first discovered in late 2019 in Wuhan, China caused by the coronavirus-2 or SARS-Cov-2. This virus causes a cytokine storm characterized by hyperferritinemia and increased IL-6 levels. Most Covid-19 patients require ventilator assistance due to severe pneumonia, alveoli damage, lung parenchyma damage, and the occurrence of Acute Respiratory Distress Syndrome (ARDS) characterized by decreased oxygen saturation. Objective: to find a correlation between Ferritin levels and IL-6 levels on oxygen saturation. Methods: The type of research used is descriptive. The study population and samples were all patients of Advent Hospital Bandung who were admitted to the ICU room infected with Covid-19 with a positive PCR value with a CT value <40 and examined for Ferritin, IL-6 and oxygen saturation parameters in the period January-December 2021. And using the Spearman correlation statistical test. Results: It is known that the average Ferritin level is 1,528.04 ng/mL, the average IL-6 level is 238.35 pg/mL and the average oxygen saturation value has an average value of 90.1%, and there is a correlation between Ferritin levels and oxygen saturation of 29.7%, but there is no correlation between IL-6 levels and oxygen saturation. Conclusion: there is a correlation between Ferritin levels and oxygen saturation which has a weak level of relationship. Suggestion: Ferritin is recommended as an initial examination to indicate the good and bad condition of Covid-19 patients and can help clinicians in better and faster management of Covid-19 patients, because there is a relationship with oxygen saturation values.
CORRELATION OF NEUTROPHIL LYMPHOCYTE RATIO (NLR) VALUES WITH C-REACTIVE PROTEIN (CRP) LEVELS IN PNEUMONIA PATIENTS Maryani, Nita; Nurhayati, Betty; Dermawan, Asep; Abror, Yogi Khoirul; Thayyiba, Amina
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 17 No 2 (2025): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v17i2.2831

Abstract

Pneumonia merupakan infeksi akut pada paru-paru yang disebabkan oleh mikroorganisme seperti bakteri, virus, atau jamur, yang memicu peradangan dan melemahkan sistem kekebalan tubuh. Deteksi dini penting untuk penentuan strategi pengobatan dan pengurangan risiko komplikasi. Salah satu indikator yang dapat digunakan terhadap respon inflamasi sistemik akibat infeksi pneumonia adalah Neutrofil Limfosit Ratio (NLR). Selain NLR, pemeriksaan kadar C-Reactive Protein (CRP) juga dapat dilakukan untuk mengetahui tingkat aktivitas penyakit infeksi. Tujuan penelitian ini adalah untuk mengetahui korelasi nilai NLR dengan kadar CRP pada pasien pneumonia. Metode penelitian ini adalah deskriptif korelasional dengan pendekatan cross sectional yang dilakukan terhadap 25 pasien pneumonia dewasa dan lanjut usia dengan komorbiditas, yang dipilih melalui pengambilan consecutive sampling. Penelitian ini dilakukan di RS Paru Dr. H. A Rotinsulu dengan waktu penelitian dilakukan pada 06-18 November 2024. Hasil penelitian menunjukkan bahwa nilai rata-rata pemeriksaan neutrofil pada pasien pneumonia adalah 76,9%, limfosit 13,4%, NLR 9,12, dan kadar CRP 83 mg/L. Uji korelasi Spearman menunjukkan korelasi positif yang signifikan antara NLR dan CRP (r=0,415, p=0,039). Hasil ini menunjukkan bahwa nilai NLR yang lebih tinggi berkaitan dengan peningkatan kadar CRP pada pasien pneumonia.
Implementasi Model Inkola (Informasi, Komunikasi, dan Tatakelola) dalam Pengelolaan Anak Penyandang Diabetes Tipe 1 pada Program Pengembangan Desa Sehat di Wilayah Bandung Raya dan Cimahi Widiawati, Ida; Rumahorbo, Hotma; Sasmita, Anah; Kusniasih, Susi; Nurhayati, Betty; Damayanti, Didit
Poltekita: Jurnal Pengabdian Masyarakat Vol. 6 No. 1 (2025)
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/pjpm.v6i1.4063

Abstract

There is an increasing number of cases of children with type 1 diabetes in the community, especially in the Greater Bandung area and Cimahi City, there are 50 children with diabetes who need special treatment. The InKoLa (Information, Communication and Governance) model is a sustainable care model that has been empirically proven to improve the quality of life of children with diabetes and control blood sugar. The purpose of implementing the InKoLa Model is to improve the ability and independence of parents in caring for children and improve the ability of teachers/school parties to assist children at school and provide optimal health services by Puskesmas health workers. This model was implemented using training/education and mentoring methods in partner areas with a target group of 30 children and parents, 10 teachers/school officials and 12 Puskesmas health workers. The increase in parents' knowledge in the good category by 43.3%, high self-efficacy increased by 43.5%; UKS teacher knowledge in the good category increased by 40% and high self-efficacy increased by 40%. Children's knowledge in the good category increased by 42.6% and self-efficacy increased by 60%.  The meeting resulted in a common perception and commitment to bring optimal information, communication and governance at home and school. The INKOLA model was implemented to manage children with type 1 diabetes in the community. It is recommended that the Health Office and Puskesmas use the InKoLa model to manage children with type 1 diabetes in the community.
Co-Authors Abror, Yogi Khoirul Arbie, Arbie Candra Purnawan Dermawan, Asep Didit Damayanti Djuminar, Ai Durachim, Adang Edi Pramono Eka Setiawan, Regina Endarwati, Dwi Veni Hardiana, Acep Tantan Hayati, Eem Ida Widiawati, Ida Ihsan Nurhadi, Muhammad Indra, Asep Iin Nur Juliastuti, Aditya Kurnia Kusniasih, Susi Maryani, Nita Merdekawati, Fusvita Nina Marliana, Nina Noviar, Ganjar Nur Ramadhani, Riski Nurhadi, Muhammad Ihsan Ozi Adi Saputra, Ozi Adi Pujiasih, Septi Ramadhani, Riski Nur Ridwanna, Surya Rinaldi, Sonny Faisal Rinaldi, Sonny Feisal Rizki, Vanani Nur Rumahorbo, Hotma Saputra, Fitrianingsih Sasmita, Anah Simangunsong, Kristina Suhartini, Entin Suryawan, Muhammad Raihan Tania, Monica Thayyiba, Amina Wardhani, Azkya Zhahira