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"Hasil pemeriksaan laboratorium yang cepat dan akurat sangat penting untuk pengarnbilan keputusan bagi dokter. Kesalahan hasil pemeriksaan laboratorium akan berdampak pada kesalahan dokter dalam mendiagnosis suatu penyakit serta penatalaksanaan pasien (pemantauan jalannya penyaldt dan evaluasi efektivitas pengobatan). Untuk itu upaya mencegah atau meminimalisasi faktor-faktor penyebab kesalahan analisis, harus dilkukan dengan kegiatan pengendalian mutu balk internal maupun eksternaI (uji profisiensi). Penelitian ini bertujuan untuk mengetahui faktor dominan pada kinerja laboratorium klinik di Provinsi Jawa Barat yang berperan dalam penyimpangan hasil pemeriksaan melalui uji profiiensi. Desain penelitian adalah cross sectional dengan pendekatan kuantitatif. Responden adalah petugas laboratorium klinik peserta uji profisiensi. Sampel penelitian berupa total populasi sebanyak 77 laboratorium. Pengumpulan data dilakukan dengan kuesioner dari melihat hasil evaluasi kegiatan pengendalian mutu eksternal laboratorium kesehatan provinsi Jawa Barat tahun 2007. Hasil penelitian menunjukan bahwa faktor manusia, alat, lingkungan, dan sistem memiliki hubungan yang bermakna dengan kinerja laboratorium. Hasil analisa multivariat menunjukan bahwa faktor manusia raerupakan faktor dominan penyebab kesalahan analisis di laboratorium klinik. Studi ini menyarankan agar pimpinan laboratorium dan dinas kesehatan provinsi Jawa Barat lebih meningkatkan kualitas tenaga laboratoriuna dengan mengikutsertakan path program pendidikan berkelanjutan sesuai keahlian dan spesifikasi pekerjaannya.

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A quick and precise clinical laboratory examination result was very important for a physician in making medical decision. Any inaccuracies of laboratory results could affect the medical decision suggested by the physician and as well as for the effectiveness of patient treatment.There were some efforts proposed to minimize laboratory examination inaccuracy, i.e., internal quality control and external quality control, called as proficiency test.

The research objectives were to determine any factors which are involved in making of any inaccuracy in some clinical laboratories in West Java Province, using proficiency test. The research was designed as a quantitative approach of cross-sectional method. Respondents who involved in the research were laboratory technicians (called health analyst) taken from seventy-seven (77) clinical laboratories located around West Java Province. Data collecting were conducted using interviewing and questionnaires check-list, and also secondary data collecting from West Java Health Laboratory External Quality Control Program conducted in year 2007.

The results have been concluded that individual skills (human factor), laboratory equipments, job environments and laboratory management system show a significant correlation with the laboratory performance. Statistical multivariate analysis has determined that individual skill (human factors) was as dominant factor in making inaccuracy of laboratory examination result. Based of the conclusion and discussion, the research recommended that West Java Health Agency and related stakeholders could make some efforts in improvement of laboratory's individual quality which is can be realized with academic upgrading based on their specific jobs. "

"Industri jasa kesehatan saat ini berkembang pesat termasuk laboratorium klinik. Dengan jumlah kompetitior yang terus meningkat, laboratorium klinik menghadapi persaingan yang ketat. Laboratorium klinik membutuhkan suatu rencana strategis untuk mengetahui posisinya serta menyusun langkah-langkah yang tepat untuk mencapai tujuannya. Laboratorium Klinik XYZ sebagai bagian dari industri jasa kesehatan juga mengalami persaingan yang ketat. Dengan didapatkannya strategi yang tepat, Laboratorium Klinik XYZ dapat terus eksis. Penelitian ini bertujuan mendapatkan formulasi rencana strategi yang tepat dan dapat dilaksanakan dalam mengantisipasi terjadinya perubahan lingkungan eksternal Laboratorium Klinik XYZ. Penelitian ini menggunakan penelitian operasional (operational research) memakai analisis deskriptif dengan pendekatan kualitalif dan kuantitatitif. Sebagai hasil penelitian didapat posisi Laboratorium Kiinik XYZ yaitu di Kuadran 2 (Internal Fix-it Quadranz) dengan memakai TOWS Matrix, Kuadran Konsrrvatif dengan memakai SPACE Matrix, Sei V (Hold and Maintain) dengan memakai IE Matrix dan Kuadranl dengan memakai GRAND Matrix. Setelah melakukan matching strategi, didapatkan strategi pengembangan produk. Alternatif-alternatif strategi yanng diusulkan kemudian dibuat skala prioritas memakai Qsm dengan hasil sebagai berikut:

1. Penambahan alal penunjang canggih PCR
2. Meningkatkan pelayanan paket medical check-up dengan menambah ketenagaan dokter ahli THT full time dan dokter gigi part time.
3. Pengembangan Sistem Informasi Laboratorium klinik supaya program online dengan alat dan hasil menjadi lebih cepat
4. Meningkatkan pelayanan defagan memberikan hasil laboratorium melalui email

Dengan mengimplementasikan strategi penambahan alat penunjang canggih PCR dan memperbaiki kelemahan-kelemahan internal yang ada diharapkan Laboratorium Klinik XYZ dapat mencapai tujuannya.

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Nowadays health services industry is rapidly growing including clinical rsbomwry. with me number ofeompeuwrs that me increasing, ermieu raboraory new tight competition. Clinical laboratory needs a strategic planning to recognize its position as well as develop accurate steps in oder to fulllill its goals.

XYZ Clinical Laboratory as part of the health services industry also faces tight competition. By acquiring an accurate strategy, XYZ Clinical Laboratory may continue to exist.

This research has an objective to acquire the accurately formulated strategic planning and can implement it in order to anticipate exstcmal environment changes of XYZ Clinical Laboratory.

This research uses an operational reseach based on descriptive analysis with qualitative and quantitative approach.

As for the research result, XYZ Clinical Laboratory’s position was discovered as follows: Second Quadrant (internal Fix-it Quadrant) using TGWS lviatix, Conservative Quadrant using SPACE Matrix, Fitlh Cell (Hold and Maintain) with IE Matrix and First Quadrant using GRAND Matrix.

Alter performing strategy matching, product development strategy is acquired. Strategic alternatives that were proposed then were made into priority scale using QSPM with the following results:

1. Addition of PCR equipment
2. Improve the medical check-up package service by adding full time ENT doctors and part time dentists
3. Development ofclinical laboratory lnformation System a to the program can connect with the equipment thus results can be expedited
4. Improve services by giving laboratory results through email

By implementing the strategy of adding PCR equipment and fixing the existing intenal weaknesses, it is hoped that XYZ Clinical Laboratory can achieve its objectives."

"Laboratory Medicine is an essential text for medical students and residents studying clinical pathology, medical technology students, and for practitioners working in a clinical setting. By selecting the appropriate tests and interpreting the results correctly, physicians using this book should be able to optimize patient outcomes and reduce the cost of achieving a diagnosis.This full-color guide features an easy-to-follow, consistent presentation for each disease discussed. Chapters begin with a brief description of the disorder followed by a discussion that includes tables detailing the laboratory evaluation of specific disorders, and coverage of diagnosis, baseline tests to exclude diagnostic possibilities, and clinical indications thatwarrant further screening and special testing."

"Recognized as the definitive reference in laboratory medicine since 1908, Henry's clinical diagnosis continues to offer state-of-the-art guidance on the scientific foundation and clinical application of today's complete range of laboratory tests. Employing a multidisciplinary approach, it presents the newest information available in the field, including new developments in technologies and the automation platforms on which measurements are performed. Provides guidance on error detection , correction, and prevention, as well as cost-effective test selection. Features a full-color layout , illustrations and visual aids , and an organization based on organ system."