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Abstract
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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References
2. Wangi, N. P. A. C., Prihatiningsih, D., Nopita Wati, N. M., Cahyani, A. A. A. E., & Yanti, N. L. G. P. (2023). Determinants Factors Related to Patient Satisfaction with Laboratory Services at Permata Hati General Hospital. Basic and Applied Nursing Research Journal, 4(2), 77–84. https://doi.org/10.11594/banrj.04.02.03
3. Farlina, M., Mansur, A. R., Sari, I. M., Herien, Y., Deswita, Neherta, M., & Sukma, N. P. (2024). Assessment of Nutrition Screening Tools in Pediatric Oncology: A Systematic Review. Basic and Applied Nursing Research Journal, 5(1), 1–16. https://doi.org/10.11594/banrj.05.01.01
4. Farikha, N. S., Astuti, T. D., & Hadi, W. S. (2023). Analisis Kontrol Kualitas Pemeriksaan Trombosit Dan Leukosit. 8, 98–108.
5. Nabilah, S., Khotimah, E., & Pramitaningrum, I. K. (2023). Pemantapan Mutu Internal Pra-Analitik Pada Pemeriksaan Glukosa Darah Puasa Di Laboratorium Duren Sawit. 5, 58–64.
6. Krihariyanti, dwi dan sasongkowati retno dkk. (2020). Penggunaan Six Sigma Pada Pemeriksaan Jumlah Leukosit Di RSUD Panembahan Senopati Bantul. 1(1), 76–90.
7. Gounden, V., Bhatt, H., & Jialal, I. (2024). Renal function tests. In StatPearls [Internet]. StatPearls Publishing.
8. Salsabella, A., & Aryani, T. (2022). Sigma Matrix of Ureum and Creatinine in Some Laboratories: Overview. Medicra (Journal of Medical Laboratory Science/Technology), 5(1), 40–46. https://doi.org/10.21070/medicra.v5i1.1628
9. Ebert, N., Bevc, S., Bökenkamp, A., Gaillard, F., Hornum, M., Jager, K. J., Mariat, C., Eriksen, B. O., Palsson, R., Rule, A. D., van Londen, M., White, C., & Schaeffner, E. (2021). Assessment of kidney function: clinical indications for measured GFR. Clinical Kidney Journal, 14(8), 1861–1870. https://doi.org/10.1093/ckj/sfab042
10. Nurul Marifah. (2022). Quality Control (Qc) Pemeriksaan Kreatinin Dan Ureum. 1811304070.
11. Teshome, M., Worede, A., & Asmelash, D. (2021). Total clinical chemistry laboratory errors and evaluation of the analytical quality control using sigma metric for routine clinical chemistry tests. Journal of Multidisciplinary Healthcare, 14, 125–136. https://doi.org/10.2147/JMDH.S286679
12. Al-azizah, D. A., Widyantara, A. B., Aulia, I., & Mua, U. (2022). Analisis Kontrol Kualitas Ureum dan Kreatinin Menggunakan Grafik Levey-Jennings dan Sigma Metrik Quality Control Analysis Of Urea and Creatinine Using Levey-Jennings Charts And Sigma Metrics. 12(63).
13. Lara. (2022). Analisis Pengendalian Mutu Internal Pemeriksaan Kimia Klinik dengan Metode Six Sigma di Laboratorium Patologi Klinik RSUD Dr. H. Abdul Moeloek Provinsi Lampung. 27(8.5.2017), 2003–2005.
14. Kashyap, A., Sampath, S., Tripathi, P., & Sen, A. (2021). Sigma Metrics: A Valuable Tool for Evaluating the Performance of Internal Quality Control in Laboratory. Journal of Laboratory Physicians, 13(04), 328–331. https://doi.org/10.1055/s-0041-1731145
15. Lincy Raj C, Poornima RT, & Malawadi BN. (2024). Sigma metrics – a good quality control guide to assess analytical performance of a clinical chemistry laboratory. Asian Journal of Medical Sciences, 15(7), 45–50. https://doi.org/10.3126/ajms.v15i7.64838
16. Permenkes RI. (2013). Peraturan Menteri Kesehatan Republik Indonesia Nomor 43 Tahun 2013 Tentang Cara Penyelenggaraan Laboratorium Klinik Yang Baik. Kementerian Kesehatan Republik Indonesia.
17. Muhammad Dwirifqi Kharisma Putra, Jahja Umar, Bahrul Haya, A. P. U. (2017). Pengaruh Ukuran Sampel dan Intrclass Corerelation Coefficiens (ICC) Terhadap Bias Estimasi Parameter Multilevel Latent Variable Moddeling: Studi Dengan Simulasi Monte Carlo. Jurnal Penelitian Dan Evaluasi Pendidikan, 21.
18. Sukorini, et al. (2010). Dasar – Dasar Kontrol Kualitas Internal. Kumpulan Artikel Pemantapan Mutu Internal. Alfa Media.
19. Wibowo, M. A., & Aryani, T. (2020). Analisis Hasil Kontrol Kualitas Pemeriksaan Glukosa dan Kolesterol di Di RS PKU Muhammadiyah Yogyakarta. Universitas ’Aisyiyah Yogyakarta.
20. Siregar, M. T., Winke, S., Doni, S., Anik, N. (2018). Bahan Ajar Teknologi Laboratorium Medik (TLM): Kendali Mutu. Kementerian Kesehatan Republik Indonesia.