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"Pelayanan pemeriksaan laboratorium Klinik Pratama KKP dirasakan masih rendah. Berdasarkan hasil studi pendahuluan pemantapan mutu internal pada tahap pra analitik, pasien mengeluhkan darah tidak berhenti sebanyak 3%, terdapat bekuan darah tabung EDTA sebanyak 7,5%, terjadi hemolisis sebanyak 10,5%. Pada tahap analitik, tidak adanya catatan evaluasi pada nilai control sedangkan pada tahap pasca analitik tidak dilakukan verifikasi validasi hasil pemeriksaan laboratorium dan ketidaklengkapan data pasien pada lembar hasil sebanyak 1,5%.Penelitian ini dilakukan untuk menganalisis pemantapan mutu internal pada instalasi Laboratorium Klinik Pratama Kementerian Kelautan dan Perikanan. Penelitian ini adalah penelitian kualitatif menggunakan metode wawancara mendalam dan telaah dokumen. Penelitian ini dilakukan pada bulan Maret – Juli 2020. Kriteria informan penelitian adalah terdiri unsur pimpinan, pelaksana dan pengguna jasa laboratorium. Hasil penelitian ditemukan bahwa terdapat komponen input (organisasi dan manajemen) belum sepenuhnya terlaksana dengan baik, kemudian secara garis besar pada komponen proses dan ouput (tahap pra analitik, analitik dan pasca analitik) terdapat factor penghambat yaitu ketidaklengkapan SOP pada tiap tahapan. Sedangkan factor pendukungnya adalah tersedianya insfrastruktur penunjang kegiatan laboratorium. Dari hasil dapat disimpulkan bahwa pemantapan mutu internal laboratorium belum terlaksana dengan baik dan masih terdapat ketidaklengkapan acuan di tiap tahap pra analitik, analitik dan pasca analitik. Perlu dilakukan monitoring seberapa jauh unsur organisasi dan sistem manajemen guna meningkatkan mutu laboratorium, kemudian dukungan sarana dan prasana dalam menunjang kegiatan laboratorium. Pada tahap pra analitik, analitik dan pasca analitik, petugas laboratorium perlu menambahkan kelengkapan SOP di setiap tahapan.

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Primary KKP Clinic laboratory examination services are still felt low. Based on the results of a preliminary study of internal quality assurance in the pre-analytical stage, patients complained of non-stopping blood by 3%, there was a 7.5% EDTA tube blood clot, hemolysis occurred by 10.5%. At the analytical stage, there was no evaluation record on the control value while at the post analytic stage there was no verification and validation of the results of the laboratory examination and incomplete patient data on the result sheet as much as 1.5%.

This study was conducted to analyze internal quality assurance at the Primary Laboratory Laboratory in the Ministry of Marine Affairs and Fisheries. This research is a qualitative study using in-depth interviews and document review. This research was conducted in March – July 2020. The criteria for the research informants consisted of elements of leadership, executors and users of laboratory services.

The results of the study found that there are input components (organizational and management) that have not been fully implemented well, then in broad outline in the procces and output components (pre-analytic, analytic and post-analytic stages) there are inhibiting factors namely incomplete Standard Operating Procedure at each stage. While the supporting factor is the availability of supporting infrastructure for laboratory activities. From the results it can be concluded that the strengthening of laboratory internal quality has not been carried out properly and there are still incomplete references in each component pre-analytic, analytic and post-analytic. It is necessary to monitor the extent of the elements of the organization and management system in order to improve the quality of laboratories, then to support facilities and infrastructure to support laboratory activities. In the pre-analytical, analytic and post-analytic stages, laboratory staff need to add the completeness of the Standard Operating Procedure at each stage."

"Laboratorium memiliki potensi bahaya dan risiko yang cukup tinggi karena dalam aktivitas pekerjaannya terkait dengan penggunaan bahan-bahan dan peralatan yang berbahaya. Tidak terkecuali di Laboratorium FKUI yang dalam proses kerjanya sering menggunakan bahan-bahan kimia dan biologi. Terdapat berbagai macam upaya yang dapat dilakukan untuk meminimalisasi risiko K3 di tempat kerja, salah satunya adalah dengan cara memberikan pelatihan K3 guna meningkatkan skill dan pengetahuan para pekerja tentang K3. Sebelum melaksanakan suatu pelatihan maka terlebih dahulu perlu dilakukan analisis kebutuhan pelatihan. Analisis kebutuhan pelatihan terdiri dari tiga tahap analisis, yaitu analisis organisasi, analisis personal dan analisis tugas. Tujuan dari penelitian ini adalah untuk menganalisis kebutuhan pelatihan K3 yang diperlukan oleh para Laboran sehingga pelatihan K3 yang akan diberikan dapat berjalan efektif dan efisien serta dapat menjawab permasalahan terkait K3 di Laboratorium. Desain yang digunakan dalam penelitian ini adalah desain penelitian deskriptif kualitatif. Terdapat 8 informan yang diambil dari 6 Departemen-departemen preklinik FKUI. Metode pengambilan data dilakukan dengan mewawancarai 8 informan, observasi di Laboratorium dan telaah dokumen dari Laboratorium atau Departemen. Hasil dari penelitian ini menunjukkan bahwa organisasi telah mendukung pelaksanaan K3 di Laboratorium meskipun belum secara maksimal dan merata di semua Laboratorium. Terdapat 4 jenis tugas utama Laboran yaitu membantu praktikum mahasiswa, maintenance rutin alat, administrasi dan membantu penelitian Dosen atau Departemen serta sudah dapat menggambarkan jenis pelatihan yang dibutuhkan. Terkait aspek personal didapatkan bahwa pengetahuan dan keterampilan Laboran akan bahaya dan risiko yang ada di Laboratorium sudah cukup baik. Berdasarkan ketiga hal tersebut, pelatihan yang harus segera dilaksanakan adalah Chemical Hazards, Chemical Hygiene Plan, Develop Controls, General Laboratory Safety, Hazardous Materials, Job Safety Analysis, Laboratory Hygiene, Material Safety Data Sheet (MSDS), dan Safe Storage.

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Laboratory has a potential of occupational health and safety (OHS) hazards and risks because of the usage of hazardous materials and dangerous equipments. Laboratories of Faculty of Medicine University of Indonesia (FKUI) for instance use number of chemicals and biological materials and thus reduction of OHS risks is necessary. Training is one method of risk control by improving the OHS skills and the OHS knowledge of the workers. Prior to the training implementation, assessing the need of training is necessary.

Training needs analysis consists of three stages which are organizational, personal and task analysis. The purpose of this study was to analyze the need of OHS training for the Laboratory Assistants in order to have an effective and efficient training programs that can address the OHS related issues in the Laboratory. The research design was descriptive qualitative. There were 8 informants sampled from 6 FKUI preclinical Departments were interviewed . Observation and document analysis were also done to collect data.

The results of this study was shown that the organization has supported the OHS implementation in the Laboratories although not optimally and evenly distributed in all Laboratories. There were 4 Laboratory Assistant main types of tasks that consists of help students practice, routine maintenance tools, administration and assist Departments and Lecturer’s research and was able to describe the type of training required. Related to personal aspects obtained that Laboratory Assistant’s knowledge and skills about hazards and risks in the Laboratories were good enough. Based on those three, the training must be implemented was Chemical Hazards, Chemical Hygiene Plan, Develop Controls, General Laboratory Safety, Hazardous Materials, Job Safety Analysis, Laboratory Hygiene, Material Safety Data Sheet (MSDS) and Safe Storage."

"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."

"Pelaporan nilai kritis laboratorium merupakan salah satu indikator mutu yang sangat penting. Kegagalan melaporkan nilai kritis kepada DPJP akan menjadi sebab potensial untuk menimbulkan kejadian yang tidak diharapkan. Di Rumah Sakit Umum Pusat sanglah Denpasar tingkat pelaporan nilai kritis baru mencapai 15,8%. Tujuan dari penelitian ini adalah untuk mendapatkan gambaran pelaporan nilai kritis laboratorium berdasarkan parameter pemeriksaan, jenis pasien (rawat jalan dan rawat inap), area perawatan, sub laboratorium, dan waktu dalam satu hari dan untuk melihat implementasi manajemen dalam pelaporan nilai kritis tersebut. Ada variasi jumlah hasil kritis berdasarkan parameter, jenis pasien, ruang perawatan, sub laboratorium dan waktu dalam sehari. Implementasi manajemen dari pelaporan nilai kritis tidak dilakukan secara utuh.

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Laboratory critical value reporting is one of important quality indicator. Failure to report critical values to care givers will be a potential cause of adverse events. In Sanglah Central General Hospital critical values reporting rate only reached 15.8%. The purpose of this study was to obtain an overview of laboratory critical values reporting based on parameters, patient type, treatment areas, sub-laboratory, time of the day and to see the management implementation of the critical value reporting. There were variations in the number of critical values based on parameters, patient type, treatment areas, sub-laboratory, and time of the day. Management implementation in the critical values reporting system is not executed comprehensively."

"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."

""Kaplan and Pesce's Clinical Chemistry: Theory, Analysis, Correlation, Fifth Edition is a comprehensive, readable text that is designed for clinical laboratory science students but also works as a great resource for practitioners and pathology residents. You'll stay up-to-date with new information and revised sections reflecting recent advances in the field. The test is divided into two parts ensuring that you'll learn about all areas of clinical chemistry. Part 1 focuses on Laboratory Techniques and Laboratory Management whereas Part 2, Physiology and Pathophysiology, provides descriptions of how specific diseases affect the human body. The text provides chapter outlines, key terms, key concepts, and section objectives to aid students with studying."--BOOK JACKET."

"Recognized as the definitive book in laboratory medicine since 1908, Henry's Clinical Diagnosis and Management by Laboratory Methods, edited by Richard A. McPherson, MD and Matthew R. Pincus, MD, PhD, is a comprehensive, multidisciplinary pathology reference that gives you state-of-the-art guidance on lab test selection and interpretation of results. Revisions throughout keep you current on the latest topics in the field, such as biochemical markers of bone metabolism, clinical enzymology, pharmacogenomics, and more!"--Provided by publisher"

"In the United States, the Clinical Laboratory Improvement Act (CLIA) of 1988 describes requirements and guidelines for implementing a quality control/quality assurance (QC/QA) program for moderate and high complexity laboratories. These requirements and guidelines apply to Assisted Reproductive Technology (ART) laboratories as well. The general topic of QC and QA as it pertains to in vitro fertilization (IVF) and embryo transfer (ET) is extensively reviewed. This review summarizes many of the QC and QA events that contribute to the advancement of knowledge in this biotechnological field. These events include control of the culture environment inside and outside of the incubator, as well as factors that affect culture media. This review also discusses, in considerable detail, the QC and the QA that pertain to equipment used within the laboratory and how to control for potential contaminants, which reside within the laboratory. This review provides evidence to indicate the need for laboratory personnel to monitor quality improvement issues on a continuous basis. Personnel must be willing to change as improvements in technology occur in order to meet the ever-evolving demands of a more difficult patient population. Suggestions for meeting these demands are offered."

"Laboratorium Parasitologi Klinik Departemen Parasitologi Fakultas Kedokteran Universitas Indonesia merupakan laboratorium khusus rujukan nasional penyakit parasitik di Indonesia. Sebagai laboratorium yang telah terakreditasi A dan laboratorium rujukan nasional penyakit parasitik di Indonesia sebaiknya dapat menetapkan target KPI kepuasan pengguna jasa pengguna laboratorium setiap tahunnya lebih besar dari 82%. Permasalahan sebagaimana dijumpai hal mengenai KPI kepuasan pengguna jasa Laboratorium Parasitologi Klinik FKUI yang tidak mencapai minimal 88,31% sesuai Permenpan No. 14 Tahun 2017 Tentang Survey Kepuasan Masyarakat untuk mutu pelayanan mengenai kinerja unit pelayanan sangat baik. Penelitian ini bertujuan untuk mengetahui kondisi terkait mutu layanan kesehatan mengenai Laboratorium Parasitologi Klinik FKUI. Jenis penelitian ini merupakan penelitian kualitatif menggunakan desain studi kasus. Penelitian dilaksanakan pada bulan Oktober dan November 2020 di Laboratorium Parasitologi Klinik FKUI dengan 7 orang informan dari Laboratorium Parasitologi Klinik FKUI yaitu kepala laboratorium, petugas laboratorium dan 6 orang informan pasien yang melakukan pemeriksaan di laboratorium. Hasil penelitian menunjukkan bahwa dari dimensi kehandalan segi sumber daya manusia sebenarnya sudah mencukupi akan tetapi karena Laboratorium Parasitologi Klinik FKUI selain menerima pasien yang datang saja namun juga melakukan penelitian dan pendidikan sehingga menyebabkan terjadinya double job pada karyawan dan mengakibatkan salah satu penyebab lamanya waktu tunggu pada pelayanan laboratorium. Dalam segi jaminan, petugas juga masih dianggap kurang ahli dalam melakukan tindakan dibandingkan di laboratorium lain. Serta dalam bukti fisik yang ada di laboratorium masih pelu diperbaiki atau diperhatikan agar pelanggan dapat merasa nyaman. Hasil penelitian ini menyarankan mengefektifkan pengawasan pelaksanaan SOP oleh koordinator laboratorium agar pegawai pada unit laboratorium melaksanakan pelayanan sesuai dengan SOP yang telah ada, perlu adanya indikator waktu tunggu untuk meningkatkan pelayanan laboratorium, adanya analisa beban kerja dan penyesuaian tenaga kerja sesuai dengan beban kerjanya.

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The Clinical Parasitology Laboratory of the Department of Parasitology, Faculty of Medicine, University of Indonesia is a specialized national reference laboratory for parasitic diseases in Indonesia. As a laboratory that has been accredited A and a national reference laboratory for parasitic diseases in Indonesia, it should be able to set a KPI target for the satisfaction of users of laboratory service users each year greater than 82%. Problems are encountered regarding KPI satisfaction of users of the Clinical Parasitology Laboratory FKUI which does not reach a minimum of 88.31% according to Permenpan No. 14 of 2017 concerning the Community Satisfaction Survey for service quality regarding service unit performance is very good. This study aims to determine the conditions related to the quality of health services regarding the Clinical Parasitology Laboratory, FKUI. This type of research is a qualitative study using a case study design. The research was conducted in October and November 2020 at the Clinical Parasitology Laboratory of FKUI with 7 informants from the FKUI Clinical Parasitology Laboratory, namely the head of the laboratory, laboratory staff and 6 patient informants who carried out examinations in the laboratory. The results showed that from the dimension of reliability in terms of human resources, it was actually sufficient, but because the Clinical Parasitology Laboratory of FKUI, apart from accepting patients who came but also carried out research and education, it caused double jobs for employees and resulted in one of the causes of the long waiting time for services. laboratory. In terms of assurance, officers are still considered less skilled in performing actions compared to other laboratories. And the physical evidence in the laboratory still needs to be repaired or considered so that customers can feel comfortable. The results of this study suggest to streamline the supervision of SOP implementation by the laboratory coordinator so that employees in the laboratory unit carry out services in accordance with existing SOPs, need a waiting time indicator to improve laboratory services, workload analysis and adjust workforce according to their workload."