Jurnal Multidisiplin Indonesia
Vol. 5 No. 9 (2026): Jurnal Multidisiplin Indonesia

Analysis of the Implementation of Reporting Critical Laboratory Results and Its Impact on Quality Improvement and Service Benefits in the Inpatient Unit at Amanda Hospital in North Cikarang (A Case Study)

Adnan Firdaus (Universitas Esa Unggul Jakarta)
Andry Andry (Universitas Esa Unggul Jakarta)
Mohamad Reza Hilmy (Universitas Esa Unggul Jakarta)



Article Info

Publish Date
03 Sep 2026

Abstract

Timely reporting of critical laboratory values is essential for patient safety, service quality, and clinical decision-making. However, Amanda Hospital in North Cikarang recorded 684 critical laboratory results in 2024, of which 79 were reported beyond the established 30-minute standard. This study aimed to evaluate the reporting of critical laboratory values, examine its implications for service quality, identify process waste, and develop an improved reporting model. A qualitative phenomenological design was employed. Data were collected through interviews with five informants, direct observation, and reviews of standard operating procedures, medical records, patient progress notes, and quality reports. Three experts participated in validating the proposed model. Data were analyzed thematically using NVivo 12 Plus, while lean management principles and the DMAIC framework were applied to evaluate process efficiency. The findings revealed inconsistent compliance resulting from reporting delays, incomplete documentation, difficulties in contacting attending physicians, high service workloads, and nonstandardized communication practices. Lean analysis streamlined the laboratory examination process from 12 to 9 stages, reduced the critical-value reporting process from 5 to 4 stages, and shortened the mean examination time from 21.2 to 17.35 minutes. The proposed model incorporated automated notifications, structured documentation, clearly defined responsibilities, and systematic evaluation. In conclusion, integrated communication systems and lean process redesign can improve reporting timeliness, service quality, operational efficiency, and patient safety.

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Journal Info

Abbrev

rp

Publisher

Subject

Education Law, Crime, Criminology & Criminal Justice Public Health Social Sciences Veterinary

Description

Journal Multidisiplin Indonesia is an national /scientific journal, double-blind peer-reviewed, open acces journal published monthly by CV Riviera Publishing. Journal Multidisiplin Indonesia provides a means for ongoing discussion of relevant issues that fall within the focus and scope of the ...