Dr. Dra. Ellis Susanti, M.M., M.Pd., M.Si., Apt

July 13, 2019 | Author: Doyy Setiawan | Category: N/A
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Dr. Dra. Ellis Susanti, M.M., M.Pd., M.Si., Apt

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Tujuan utama dari setiap laboratorium klinik adalah menguji menguji sampel sampelsampel pasien dan melaporkan hasil-hasil

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  Jika true value sebuah sampel pasien

adalah ‘X’, harus seberapa dekat hasil yang dilaporkan ke ‘X’ agar klinisi dapat membuat keputusan diagnostik yang benar?”   Agar klinisi mendiagnosa secara benar

seorang pasien, nilai pasien yang dilaporkan

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 Di dalam QC laboratorium, mean dan SD memberitahu kita dimana kita berada, atau termasuk dimana hasil-hasil sampel QC kita. Target dan batas TEa memberitahu letak kita kit a seharusnya berada.

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 Validitas Hasil Laboratorium 

Mean dan SD menggambarkan akurasi akurasi dan  dan presisi metode presisi  metode aktual,



Target dan batas TEa menjelaskan spesifikasispesifikasi kualitas, kualitas, yang tanpanya QC akan menjadi tak berarti.

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Target value tetap konstan dari waktu ke waktu.



Target value berubah hanya jika sebuah perubahan

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Didasarkan pada : 1. Nilai Nilai rata rata-r -rat ataa yang yang dip diper erol oleh eh sela selama ma seb sebua uah h program perbandingan inter-laboratorium untuk sebuah kelompok peer dengan

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Konsep perencanaan kualitas modern mengharuskan penggunaan spesifikasi-spesifikasi

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Empat nilai kunci harus valid harus  valid untuk menilai kinerja metode

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1. Biological Variation: From Principal to Practice, karya Callum GF. Batasan TEa saat ini paling baik didasarkan pada variasi biologis.

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Total Error

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PROSEDUR QC Prosedur QC yang efektif dengan penerapan yang benar sangat dibutuhkan untuk mem ema ak s i malk an kua k ualli tas ,

memuda udahk hka an int i nte er pr pre etas i ha hass i l kont k ontrr ol ol,, mem empe perr c ep epa at peng peng erj erja aan s ampe pell pas pas i en, deng de ng an pr pr os es ana nalli s a ya yang ng lebih efi efiss i en.

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 AKURASI  AKURASI (d%, bias)



 PRESISI (SD, CV)



TOTAL ERROR



SIX SIGMA



WESTGARD MUL MULTIRULES TIRULES

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ALUR WESTGARD MULTIRULE

Data Kontrol

1-2S

T

IN CONTROL

Y

1 -3 S Y

T T

2 -2 S Y

T

R-4 S

T

Y

OUT OF CONTROL

4-1S Y

T

10 (X) Y

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QC Multirule Kondisi saat ini :   Prosedur

QC sama untuk semua pemeriksaan (aturan kontrol dan jumlah kontrol nya)   Aturan kontrol yang digunakan 1-3S, 2-2S, R-4S, 4-1S, 10x (Multirule)  Frekuensi kontrol 2 level per hari (sesuai dengan rekomendasi CLIA 1998)   Batasan kontrol yang digunakan 2 SD

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Dr.. Westgard guideli Dr guideline ne :  Prosedur

QC idealnya berbeda untuk setiap jenis tes, didasarkan kepada kualitas yang diperlukan untuk suatu tes dan presisi-akurasi suatu metode

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Bagaimana menetapkan efektifitas prosedur QC dalam suatu laboratorium ?

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Total Erro All Allowab owable le (TEa) (TEa)

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Try Scribd FREE for 30 days to access over 125 million titles without ads or interruptions! Start Free Trial Cancel Anytime.

Trusted by over 1 million members

Try Scribd FREE for 30 days to access over 125 million titles without ads or interruptions! Start Free Trial Cancel Anytime.

Trusted by over 1 million members

Try Scribd FREE for 30 days to access over 125 million titles without ads or interruptions! Start Free Trial Cancel Anytime.

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