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Quality Control Analysis of Creatinine Examination with Westgard Multi Rules and Six Sigma Wati, Wayan Shinta; Cahyani, Anak Agung Ayu Eka; Prihatiningsih, Diah; Parwati, Putu Ayu
Basic and Applied Nursing Research Journal Vol 6 No 1 (2025): Basic and Applied Nursing Research Journal (BANRJ)
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/banrj.06.01.05

Introduction: Creatinine is an examination parameter for kidney function and can be measured by several methods. Quality control needs to be done to ensure the results of the creatinine examination are correct. Objective: This study aims to determine the results of the quality control analysis of creatinine examination with Westgard multirules and Six Sigma in the clinical pathology laboratory at Wangaya Hospital, Denpasar, in 2023. Methods: This study used a descriptive research design, secondary data, and quality control results. Data analysis was done by determining the mean value, SD, CV, d%, sigma, and making the Levey-Jennings graph. The results showed that the bias value (d%) was still below the maximum value; the CV value in January, March, April, and July exceeded the maximum limit. Evaluation of Westgard's rules obtained the results of violations of trends, shifts, and 1- 2s, then variations in sigma values each month, namely <3 and >4 from June and September to December 2023. Results: Based on the results of the study, it can be concluded that creatinine examination obtained a good accuracy value, low precision value in certain months, there are random (1- 2s) and systematic (trend and shift) errors, and a low sigma value, which is <3 (unacceptable performance and poor performance categories). However, the sigma value has increased from June to September to December, which is >3 (marginal performance, good performance, and world-class performance categories). Conclusion: Accuracy and precision values must be maintained because good accuracy and precision values will increase the sigma value, especially in creatinine testing.

Analisa Tingkat Capaian Pelaporan Hasil Kritis Laboratorium Sebelum Dan Sesudah Penggunaan Laboratory Information System (LIS) Sari, Ni Putu Yuli Purnama; Cahyani, Anak Agung Ayu Eka; Bintari, Ni Wayan Desi; Parwati, Putu Ayu
Borneo Journal of Medical Laboratory Technology Vol. 8 No. 1 (2025): Borneo Journal of Medical Laboratory Technology
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/bjmlt.v8i1.10230

Hasil kritis laboratorium adalah hasil yang menunjukkan adanya resiko yang dapat mengancam nyawa pasien dan segera dilaporkan. Pelaporan hasil kritis laboratorium berhasil tercapai dengan baik dengan memperhatikan waktu pelaporan ≤ 30 menit, capaian indikator mutu 100%, dan informasi pelaporan lengkap terdokumentasi. Rumah Sakit menerapkan sistem LIS yang terintegrasi dengan Hospital Information System (HIS). Tujuan penelitian ini adalah untuk mengetahui tingkat capaian pelaporan hasil kritis laboratorium sebelum dan sesudah penggunaan LIS di RS Bangli Medika Canti. Jenis penelitian ini menggunakan penelitian analisis deskriptif dengan pendekatan cross-sectional. Sampel dari penelitian ini adalah seluruh capaian kegiatan pelaporan hasil pemeriksaan laboratorium tahun 2023 dan 2024 di RS Bangli Medika Canti. Hasil analisa sebelum penggunaan LIS adalah waktu pelaporan 36 menit, capaian indikator mutu 94,3%, dan informasi tidak terdokumentasi lengkap. Hasil analisa sesudah penggunaan LIS adalah waktu pelaporan 10 menit, capaian indikator mutu 100%, dan informasi lengkap terdokumentasi.Berdasarkan hasil tersebut tingkat capaian pelaporan hasil kritis laboratorium tercapai dengan baik dengan penggunaan LIS. Peran LIS dapat membantu meningkatkan efisiensi komunikasi untuk pelaporan hasil kritis laboratorium karena sedikit melibatkan pihak lain dan informasi lengkap pada sistem

Manajemen Analisis Beban Kerja Ahli Teknologi Laboratorium Medis di Puskesmas Kota Denpasar Sutha, I Made Wira; Cahyani, Anak Agung Ayu Eka; Yanti, Ni Luh Gede Puspita; Sudarsana, I Dewa Agung Ketut
Borneo Journal of Medical Laboratory Technology Vol. 8 No. 1 (2025): Borneo Journal of Medical Laboratory Technology
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/bjmlt.v8i1.10384

Puskesmas sebagai fasilitas pelayanan kesehatan tingkat pertama memainkan peran penting dalam pelayanan kesehatan masyarakat. Ahli Teknologi Laboratorium Medik (ATLM) memiliki fungsi vital dalam mendukung proses diagnostik. Beban kerja yang tinggi dapat menyebabkan kelelahan dan menurunkan mutu pelayanan laboratorium. Penelitian ini bertujuan untuk mengetahui kesesuaian beban kerja dengan jumlah tenaga ATLM di Puskesmas Kota Denpasar menggunakan metode Workload Indicators of Staffing Need (WISN). Metode yang digunakan adalah deskriptif kuantitatif dengan total sampling terhadap 24 ATLM di 11 Puskesmas. Data dikumpulkan melalui kuesioner WISN dan dokumentasi aktivitas kerja, lalu dianalisis menggunakan perhitungan beban kerja nyata dan waktu kerja efektif. Hasil penelitian menunjukkan bahwa 81,8% Puskesmas mengalami kekurangan tenaga ATLM. Rata-rata beban kerja tahunan melebihi waktu kerja efektif (5.571 jam vs. 1.752 jam). Total kekurangan tenaga ATLM mencapai 11 orang. Dapat disimpulkan bahwa sebagian besar Puskesmas di Kota Denpasar belum memiliki jumlah tenaga ATLM yang sesuai dengan beban kerja aktual.

Duration of Occupational Exposure as a Predictor of Helminthiasis in Pig Farmers in Tabanan Idayani, Sri; Amanda, Ni Kadek Sylvia; Cahyani, Anak Agung Ayu Eka
Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Vol 17 No 4 (2025): JIKM Vol 17, Issue 4, November 2025
Publisher : Public Health Undergraduate Program, Faculty of Health Science, Universitas Pembangunan Nasional Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar

Background: Helminthiasis is a group of diseases caused by parasitic worms and remains a persistent public health challenge in Indonesia, with the heaviest burden borne by agricultural communities. Due to frequent exposure to contaminated environments, pig farming presents a substantial risk for parasitic infections, including nematode infestations. This study aims to examine the association between work duration and the incidence of helminthiasis among pig farmers in Bongan Village, Tabanan Methods: This study employed an analytical observational approach with a cross-sectional design. A total of 30 pig farmers from Bongan Village, Tabanan, were selected using a purposive sampling technique. Data were collected through laboratory examination of fecal samples and structured interviews using questionnaires. Descriptive analysis was conducted, followed by Fisher’s Exact Test to assess the association between work duration and helminthiasis. Results: The prevalence of helminthiasis was 10% (3 of 30 respondents). Three respondents tested positive for helminthiasis, with two for Taenia sp. eggs and one for Ascaris lumbricoides eggs. The statistical test showed an increased risk of helminthiasis among individuals with a work duration of >35 years (POR: 16.1; 95% CI: 1.8–145.3; p = 0.032) compared to those with ≤35 years. The result indicated a statistically significant association between work duration and helminthiasis. Conclusion: There is a significant association between work duration and the incidence of helminthiasis among pig farmers in Tabanan. Strengthening personal hygiene practices and ensuring consistent use of protective equipment are recommended to reduce the risk of infection.

Quality Control Analysis of Creatinine Examination with Westgard Multi Rules and Six Sigma Wati, Wayan Shinta; Cahyani, Anak Agung Ayu Eka; Prihatiningsih, Diah; Parwati, Putu Ayu
Basic and Applied Nursing Research Journal Vol. 6 No. 1 (2025): Basic and Applied Nursing Research Journal (BANRJ)
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/banrj.06.01.05

Introduction: Creatinine is an examination parameter for kidney function and can be measured by several methods. Quality control needs to be done to ensure the results of the creatinine examination are correct. Objective: This study aims to determine the results of the quality control analysis of creatinine examination with Westgard multirules and Six Sigma in the clinical pathology laboratory at Wangaya Hospital, Denpasar, in 2023. Methods: This study used a descriptive research design, secondary data, and quality control results. Data analysis was done by determining the mean value, SD, CV, d%, sigma, and making the Levey-Jennings graph. The results showed that the bias value (d%) was still below the maximum value; the CV value in January, March, April, and July exceeded the maximum limit. Evaluation of Westgard's rules obtained the results of violations of trends, shifts, and 1- 2s, then variations in sigma values each month, namely <3 and >4 from June and September to December 2023. Results: Based on the results of the study, it can be concluded that creatinine examination obtained a good accuracy value, low precision value in certain months, there are random (1- 2s) and systematic (trend and shift) errors, and a low sigma value, which is <3 (unacceptable performance and poor performance categories). However, the sigma value has increased from June to September to December, which is >3 (marginal performance, good performance, and world-class performance categories). Conclusion: Accuracy and precision values must be maintained because good accuracy and precision values will increase the sigma value, especially in creatinine testing.

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