Martini,S.

Si
Surabaya,13 September 2018
P M E adalah suatu program untuk menilai penampilan
laboratorium Pada saat tertentu secara periodik,
serentak, dan berkesinambungan yang dilakukan oleh
pihak luar laboratorium dengan membandingkan
laboratorium peserta dengan nilai target.

TUJUAN

• Evaluasi kinerja laboratorium dalam pengujian dan

pemantauan kinerja laboratorium berkesinambungan .

. Peningkatan kepercayaan pelanggan terhadap

laboratorium .
TERDIRI 3 BIDANG :
1. Bidang Kimia Klinik
2. Bidang Hematologi
3. Bidang Urinalisis

Pelaksanaan tiap 1 tahun mengirim 2 siklus

Tiap 1 siklus ada 2 botol .
 Kimia Klinik :
Bilirubin total, kolesterol,kreatinin,Glukosa,Protein
total,Ureum, Asam Urat, Trigliserida, SGOT, SGPT,
Calsium total, Albumin, Alkali Fosfatase, Gamma GT,
Natrium, Kalium, Chlorida, CK, Fosfor.

 Hematologi :
Hb, Lekosit, Eritrosit, Hematokrit, MCV, MCH, MCHC,
Trombosit.

 Urinalisis :
Berat Jenis, PH, Keton, Albumin, Glukosa, Bilirubin,
Urobilinogen, Bood, Nitrit, Lekosit, Tes Kehamilan.
 Pengumuman website :
Pelaksanaan Input hasil sec.
bblksurabaya.com
PNPME online (sesuai
(sesuai jadwal) jadwal)

Pendaftaran online :
simultan.bblksurabaya.com

Evaluasi hasil
Pengiriman bahan
oleh
ke peserta
penyelenggara
Peserta registrasi  log
in (user nama dan
password)  mengisi
data, memilih parameter
Verifikasi
yang diikuti, mengupload Pengiriman
keuangan oleh
bukti pembayaran sertifkat
penyelenggara
 160

140

120

100

80

60

40

20

0
KKL KKL KKL HEMA HEMA HEMA URI URI URI
2016 2017 2018 2016 2017 2018 2016 2017 2018
PEMERINTAH 59 76 114 60 107 145 47 52 94
SWASTA 72 91 87 74 92 81 41 52 41
 KIMIA KLINIK
100 95
90
88 87

80
72
70

60
KKL 2016
50
43 KKL 2017
40 35 KKL 2018
31
30
21
20

9 8 7
10
3
0

RS PUSKESMAS MANDIRI LAIN-LAIN

 HEMATOLOGI
120

107
102
100
90 90

80

60
HEMA 2016

46 HEMA 2017

40 37 HEMA 2018
33
27

20

8 9 7
3
0

RS PUSKESMAS MANDIRI LAIN-LAIN

80
URINALISA

70 68 69 68

60

50
45
URI 2016
40
URI 2017
30 URI 2018
23
20 18 18

10 7
5 4
2
0
0

RS PUSKESMAS MANDIRI LAIN-LAIN

250
226

201 199
200

167

150
131 134 135

104
100 88

50

KKL KKL KKL HEMA HEMA HEMA URI URI URI

2016 2017 2018 2016 2017 2018 2016 2017 2018
 2016-1 2016-2 2017-1 2017-2 2018-1 2018-2

Jumlah Peserta 203 203 252 252 286 286

Kirim Hasil 202 203 251 249 285 proses

Tidak Kirim Hasil 1 - 1 3 1 proses

Alasan Alat - Bhn yg Alat Permsl proses

rusak sdh rusak. hn di
ditrm, Tidak pendftr
tdk ada
langsn tenaga,
g k lab tutup
 2016-1 2016-2 2017-1 2017-2 2018-1 2018-2

Jumlah Peserta 204 204 295 295 292 292

Kirim Hasil 204 204 294 293 289 proses

Tidak Kirim Hasil - - 1 2 3 proses

Alasan - - Bahan Tdk ada Tdk proses

yg sdh tenaga , ada tng
diterim renovas Permsl
,tdk di
langsg pendft
ke lab
 2016-1 2016-2 2017-1 2017-2 2018-1 2018-2

Jumlah Peserta 138 138 168 168 171 171

Kirim Hasil 138 138 167 168 170 proses

Tidak Kirim Hasil - - 1 - 1 proses

Alasan - - Bhn yg - Permsl proses

sdh hn di
ditrm, pendfr
Tdk
langs k
lab.
 BIDANG KIMIA KLINIK :
Evaluasi hasil secara kwantitatif , hasil di kel. per peserta, metode
dan alat . Penentuan nilai target (median) dan SD dengan uji
statistik robust , dihitung mengunakan metode Z –score dengan
rumus :

Z Score = Si – median
SD

Keterangan :
Si : Hasil peserta
Median : Nilai target yang sudah tegar
SD : SD yang sudah tegar
 BIDANG HEMATOLOGI :
Evaluasi hasil secara kwantitatif, hasil di kel. per
peserta, metode dan alat . Penentuan nilai target
(median ) dan SD dengan uji statistik robust , dihitung
mengunakan metode Z –score dengan rumus :

Z Score = Si – median
SD
Keterangan :
Si : Hasil peserta
Median : Nilai target yang sudah tegar
SD : SD yang sudah tegar
PENILAIAN I Z Score I ≤ 2 = Memuaskan
KRITERIA

2<I Z Score I ≤ 3 = Peringatan

I Z Score I>3 = Tidak memuaskan

 BIDANG URINALISIS :
Evaluasi hasil dilakukan secara semi kwalitatif,
hasil dibandingkan dengan nilai target ( median )
konsensus peserta .

 Cara penilaian menggunakan score :

Nilai 4 = hasil benar
Nilai 3 = hasil selisih 1 tingkat
Nilai 2 = hasil selisih 2 tingkat
Nilai 1 = hasil selisih 3 tingkat
Nilai 0 = hasil selisih > 3 tingkat
Sangat baik : Nilai > 3,00
Baik : Nilai > 2,00 – 3,00
Kurang : Nilai > 1,00 – 2,00
Buruk : Nilai <= 1,00
 KKL 2016-1 KKL 2016-2 KKL 2017-1

30.0% 30.5% 36.9%

52.7% 52.5% 53.7%

9.5%

9.7% 4.9%
4.5%
7.6% 7.5%

KKL 2017-2 KKL 2018-1

MEMUASKAN
37.3% 43.1%
49.5% PERINGATAN
53.2% TIDAK MEMUASKAN

5.1% TIDAK ANALISIS

3.8%
3.6%
4.4%
 HEMA 2016-1 HEMA 2016-2 HEMA 2017-1
5.8% 5.8%
4.4% 4.6% 5.3% 5.8%

89.8% 89.6%
88.9%

HEMA 2017-2 HEMA 2018-1

5.8%
5.8%
5.2% 5.4%

MEMUASKAN

PERINGATAN

89.0% 88.8% TIDAK MEMUASKAN

 URI 2016-2 URI 2017-1
URI 2016-1
6.7% 11.5%

100%

93.3% 88.5%

SANGAT BAIK BAIK SANGAT BAIK BAIK SANGAT BAIK BAIK

URI 2017-2 URI 2018-1

8.7% 4%
1%

91.3%
95%

SANGAT BAIK BAIK BURUK

SANGAT BAIK BAIK
 Chol
AU
Glu
TG
SGOT
SGPT
Kreat
Ureum
Bil
Alb
Prot
K
Na
Cl
Alkp
GGT
Ca
Fos
CK

0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% 90.0% 100.0%

CK Fos Ca GGT Alkp Cl Na K Prot Alb Bil Ureum Kreat SGPT SGOT TG Glu AU Chol
TIDAK ANALISIS 93.7% 91.9% 82.1% 74.3% 73.6% 63.2% 62.1% 62.1% 57.1% 48.2% 44.5% 20.3% 18.4% 10.5% 10.2% 3.5% 2.3% 1.1% 1.1%
KOLESTEROL
KELOMPOK PESERTA KELOMPOK METODE KELOMPOK ALAT
Kriteria
2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1
memuaskan 81.4% 81.4% 81.3% 81.3% 81.4% 72.5% 72.0% 77.6% 74.8% 73.8% - - - - 18.5%
peringatan 8.5% 8.5% 8.6% 8.6% 8.4% 9.0% 9.5% 7.3% 7.1% 7.9% - - - - 1.0%
tidak
memuaskan 9.0% 9.0% 9.2% 9.2% 9.1% 6.8% 7.6% 5.2% 7.2% 8.0% - - - - 1.4%
tidak analisis 1.1% 1.1% 0.9% 0.9% 1.1% 1.1% 1.1% 0.9% 0.9% 1.1% - - - - 1.7%
tidak dievaluasi 0.0% 0.0% 0.0% 0.0% 0.0% 10.6% 9.8% 9.0% 10.0% 9.2% - - - - 77.4%
JUMLAH 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% - - - - 100.0%

TRIGLISERIDA
KELOMPOK PESERTA KELOMPOK METODE KELOMPOK ALAT
Kriteria
2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1
memuaskan 84.7% 84.7% 84.5% 84.6% 84.6% 78.0% 79.6% 78.4% 76.5% 77.0% - - - - 19.5%
peringatan 7.5% 7.5% 7.7% 7.7% 7.7% 4.5% 4.0% 5.9% 6.5% 5.9% - - - - 0.4%
tidak
memuaskan 4.0% 4.0% 4.1% 4.2% 4.2% 3.2% 2.8% 4.2% 4.6% 4.2% - - - - 1.7%
tidak analisis 3.8% 3.8% 3.7% 3.5% 3.5% 3.8% 3.8% 3.7% 3.5% 3.5% - - - - 4.5%
tidak dievaluasi 0.0% 0.0% 0.0% 0.0% 0.0% 10.5% 9.8% 7.8% 8.9% 9.4% - - - - 73.9%
JUMLAH 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% - - - - 100.0%

BILIRUBIN TOT.
KELOMPOK PESERTA KELOMPOK METODE KELOMPOK ALAT
Kriteria
2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1
memuaskan 47.0% 47.0% 47.0% 47.0% 47.0% 38.3% 40.4% 41.5% 41.5% 40.1% - - - - 6.6%
peringatan 1.8% 1.8% 1.8% 1.8% 1.8% 2.0% 2.0% 0.7% 1.3% 1.7% - - - - 0.3%
tidak
memuaskan 7.0% 7.0% 7.0% 7.0% 7.0% 7.5% 6.4% 5.0% 5.0% 5.6% - - - - 0.3%
tidak analisis 44.2% 44.2% 44.2% 44.2% 44.2% 44.2% 44.2% 44.2% 44.2% 44.2% - - - - 44.7%
tidak dievaluasi 0.0% 0.0% 0.0% 0.0% 0.0% 8.0% 7.0% 8.6% 8.0% 8.4% - - - - 48.1%
JUMLAH 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% - - - - 100.0%
SGOT
KELOMPOK PESERTA KELOMPOK METODE KELOMPOK ALAT
Kriteria
2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1
memuaskan 80.5% 80.5% 81.2% 81.2% 81.1% 64.7% 64.6% 66.3% 66.3% 65.2% - - - - 13.2%
peringatan 3.4% 3.4% 3.1% 3.1% 3.2% 2.4% 1.9% 0.7% 0.3% 2.4% - - - - 0.7%

tidak memuaskan 5.7% 5.7% 5.6% 5.6% 5.6% 2.5% 2.0% 6.1% 6.1% 5.6% - - - - 0.8%
tidak analisis 10.4% 10.4% 10.1% 10.1% 10.2% 10.4% 10.4% 10.1% 10.1% 10.2% - - - - 10.8%

tidak dievaluasi 0.0% 0.0% 0.0% 0.0% 0.0% 20.0% 21.1% 16.8% 17.2% 16.6% - - - - 74.5%
JUMLAH 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% - - - - 100.0%

SGPT
KELOMPOK PESERTA KELOMPOK METODE KELOMPOK ALAT
Kriteria
2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1
memuaskan 78.8% 78.8% 78.4% 78.4% 78.6% 67.5% 68.0% 65.3% 62.6% 64.1% - - - - 11.5%
peringatan 5.4% 5.4% 5.4% 5.4% 5.6% 4.5% 5.6% 2.0% 3.5% 3.5% - - - - 2.4%

tidak memuaskan 5.2% 5.2% 5.4% 5.4% 5.3% 3.2% 2.9% 4.4% 5.0% 5.2% - - - - 0.7%
tidak analisis 10.6% 10.6% 10.8% 10.8% 10.5% 10.6% 10.6% 10.8% 10.8% 10.5% - - - - 11.1%

tidak dievaluasi 0.0% 0.0% 0.0% 0.0% 0.0% 14.2% 12.9% 17.5% 18.1% 16.7% - - - - 74.3%
JUMLAH 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% - - - - 100.0%

PROTEIN TOT
KELOMPOK PESERTA KELOMPOK METODE KELOMPOK ALAT
Kriteria
2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1
memuaskan 35.6% 35.6% 35.8% 35.8% 35.8% 33.5% 34.3% 35.6% 35.4% 34.1% - - - - 5.6%
peringatan 4.1% 4.1% 4.4% 4.4% 4.2% 4.5% 4.0% 2.0% 2.5% 3.1% - - - - 0.3%

tidak memuaskan 2.9% 2.9% 2.7% 2.7% 2.8% 1.1% 1.5% 0.8% 1.0% 2.8% - - - - 0.0%
tidak analisis 57.4% 57.4% 57.1% 57.1% 57.2% 57.4% 57.4% 57.1% 57.1% 57.2% - - - - 57.5%

tidak dievaluasi 0.0% 0.0% 0.0% 0.0% 0.0% 3.5% 2.8% 4.5% 4.0% 2.8% - - - - 36.6%
JUMLAH 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% - - - - 100.0%

ALBUMIN
KELOMPOK PESERTA KELOMPOK METODE KELOMPOK ALAT
Kriteria
2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1
memuaskan 47.7% 47.7% 47.8% 47.8% 47.7% 45.2% 44.2% 49.2% 46.6% 44.9% - - - - 6.3%
peringatan 1.0% 1.0% 1.0% 1.0% 1.1% 3.0% 2.0% 1.0% 0.7% 1.0% - - - - 0.0%

tidak memuaskan 3.0% 3.0% 3.3% 3.3% 3.2% 1.0% 2.0% 0.7% 2.8% 2.8% - - - - 0.3%
tidak analisis 48.3% 48.3% 47.9% 47.9% 48.1% 48.3% 48.3% 47.9% 47.9% 48.1% - - - - 48.4%

tidak dievaluasi 0.0% 0.0% 0.0% 0.0% 0.0% 2.5% 3.5% 1.2% 2.0% 3.2% - - - - 45.0%
JUMLAH 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% - - - - 100.0%
ALKP
KELOMPOK PESERTA KELOMPOK METODE KELOMPOK ALAT
Kriteria
2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1
memuaskan 24.5% 24.5% 24.7% 24.7% 24.6% 16.1% 14.5% 17.9% 19.1% 16.6% - - - - 2.8%
peringatan 1.6% 1.6% 1.3% 1.3% 1.4% 0.7% 2.0% 0.7% 0.7% 0.7% - - - - 0.0%

tidak memuaskan 0.3% 0.3% 0.5% 0.5% 0.4% 2.0% 1.0% 1.4% 0.7% 1.4% - - - - 0.0%
tidak analisis 73.6% 73.6% 73.5% 73.5% 73.7% 73.6% 73.6% 73.5% 73.5% 73.7% - - - - 73.9%

tidak dievaluasi 0.0% 0.0% 0.0% 0.0% 0.0% 7.6% 8.9% 6.5% 6.0% 7.6% - - - - 23.3%
JUMLAH 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% - - - - 100.0%

GAMMA GT
KELOMPOK PESERTA KELOMPOK METODE KELOMPOK ALAT
Kriteria
2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1
memuaskan 22.7% 22.7% 22.8% 22.8% 22.8% 16.6% 16.9% 19.2% 17.7% 18.3% - - - - 2.8%
peringatan 1.6% 1.6% 1.9% 1.9% 1.8% 2.0% 0.7% 1.5% 0.3% 1.0% - - - - 0.0%

tidak memuaskan 1.2% 1.2% 1.0% 1.0% 1.1% 0.2% 0.7% 1.5% 2.1% 0.7% - - - - 0.0%
tidak analisis 74.5% 74.5% 74.3% 74.3% 74.4% 74.5% 74.5% 74.3% 74.3% 74.4% - - - - 74.6%

tidak dievaluasi 0.0% 0.0% 0.0% 0.0% 0.0% 6.7% 7.2% 3.5% 5.6% 5.6% - - - - 22.6%
JUMLAH 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% - - - - 100.0%

UREUM
KELOMPOK PESERTA KELOMPOK METODE KELOMPOK ALAT
Kriteria
2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1
memuaskan 61.4% 61.4% 61.5% 61.5% 61.4% 65.9% 65.0% 59.0% 62.1% 56.2% - - - - 13.6%
peringatan 5.9% 5.9% 6.1% 6.1% 6.0% 2.2% 3.0% 4.0% 2.5% 3.8% - - - - 0.3%

tidak memuaskan 12.5% 12.5% 12.3% 12.3% 12.3% 5.2% 4.4% 7.0% 6.1% 8.7% - - - - 0.3%
tidak analisis 20.2% 20.2% 20.1% 20.1% 20.4% 20.2% 20.2% 20.1% 20.1% 20.4% - - - - 20.6%

tidak dievaluasi 0.0% 0.0% 0.0% 0.0% 0.0% 6.5% 7.4% 9.9% 9.2% 10.9% - - - - 65.2%
JUMLAH 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% - - - - 100.0%

KREATININ
KELOMPOK PESERTA KELOMPOK METODE KELOMPOK ALAT
Kriteria
2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1
memuaskan 78.0% 78.0% 77.9% 77.9% 77.9% 64.6% 61.7% 66.9% 66.5% 64.4% - - - - 13.2%
peringatan 1.9% 1.9% 1.8% 1.8% 1.8% 3.1% 2.4% 6.5% 3.9% 4.2% - - - - 0.3%

tidak memuaskan 1.8% 1.8% 1.6% 1.6% 1.8% 6.0% 8.1% 3.6% 5.8% 5.9% - - - - 1.0%
tidak analisis 18.3% 18.3% 18.8% 18.8% 18.6% 18.3% 18.3% 18.8% 18.8% 18.6% - - - - 18.5%

tidak dievaluasi 0.0% 0.0% 0.0% 0.0% 0.0% 8.0% 9.5% 4.2% 5.0% 6.9% - - - - 67.0%
JUMLAH 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% - - - - 100.0%
CHLORIDA
KELOMPOK PESERTA KELOMPOK METODE KELOMPOK ALAT
Kriteria
2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1
memuaskan 33.8% 33.8% 33.7% 33.7% 33.7% 33.8% 34.5% 34.0% 34.4% 31.9% - - - - 5.1%
peringatan 2.0% 2.0% 2.0% 2.0% 2.1% 2.0% 0.3% 0.4% 0.3% 1.7% - - - - 1.7%

tidak memuaskan 1.1% 1.1% 1.2% 1.2% 1.1% 0.3% 0.7% 0.5% 1.2% 1.0% - - - - 0.7%
tidak analisis 63.2% 63.2% 63.1% 63.1% 63.2% 63.2% 63.2% 63.1% 63.1% 63.2% - - - - 61.0%

tidak dievaluasi 0.0% 0.0% 0.0% 0.0% 0.0% 0.7% 1.3% 2.0% 1.0% 2.2% - - - - 31.5%
JUMLAH 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% - - - - 100.0%

CK
KELOMPOK PESERTA KELOMPOK METODE KELOMPOK ALAT
Kriteria
2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1
memuaskan 5.5% 5.5% 5.6% 5.6% 5.6% 4.5% 3.1% 4.0% 4.1% 3.9% - - - - 0.0%
peringatan 0.3% 0.3% 0.3% 0.3% 0.4% 0.3% 0.3% 0.7% 0.3% 0.7% - - - - 0.0%

tidak memuaskan 0.4% 0.4% 0.3% 0.3% 0.4% 0.7% 1.0% 0.3% 1.0% 0.3% - - - - 0.0%
tidak analisis 93.8% 93.8% 93.8% 93.8% 93.7% 93.8% 93.8% 93.8% 93.8% 93.7% - - - - 93.7%

tidak dievaluasi 0.0% 0.0% 0.0% 0.0% 0.0% 0.7% 1.8% 1.2% 0.8% 1.4% - - - - 6.3%
JUMLAH 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% - - - - 100.0%

FOSFOR
KELOMPOK PESERTA KELOMPOK METODE KELOMPOK ALAT
Kriteria
2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1
memuaskan 6.1% 6.1% 6.1% 6.1% 6.0% 4.7% 4.5% 6.0% 3.8% 5.3% - - - - 0.0%
peringatan 1.0% 1.0% 1.0% 1.0% 1.1% 1.0% 0.7% 0.0% 1.0% 0.7% - - - - 0.0%

tidak memuaskan 1.1% 1.1% 1.0% 1.0% 1.1% 0.0% 0.0% 0.3% 0.3% 0.3% - - - - 0.0%
tidak analisis 91.8% 91.8% 91.9% 91.9% 91.9% 91.8% 91.8% 91.9% 91.9% 91.9% - - - - 92.0%

tidak dievaluasi 0.0% 0.0% 0.0% 0.0% 0.0% 2.5% 3.0% 1.8% 3.0% 1.8% - - - - 8.0%
JUMLAH 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% - - - - 100.0%

KALSIUM TOT
KELOMPOK PESERTA KELOMPOK METODE KELOMPOK ALAT
Kriteria
2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1
memuaskan 12.3% 12.3% 12.2% 12.2% 12.3% 8.0% 8.0% 7.1% 6.6% 8.6% - - - - 0.0%
peringatan 1.7% 1.7% 1.8% 1.8% 1.8% 0.0% 0.2% 0.3% 0.3% 0.3% - - - - 0.0%

tidak memuaskan 3.9% 3.9% 3.9% 3.9% 3.9% 0.2% 0.0% 0.2% 0.7% 1.0% - - - - 0.0%
tidak analisis 82.2% 82.2% 82.2% 82.2% 82.1% 82.2% 82.2% 82.2% 82.2% 82.1% - - - - 82.2%

tidak dievaluasi 0.0% 0.0% 0.0% 0.0% 0.0% 9.6% 9.6% 10.2% 10.2% 8.0% - - - - 17.8%
JUMLAH 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% - - - - 100.0%
HEMOGLOBIN
KELOMPOK PESERTA KELOMPOK METODE KELOMPOK ALAT
Kriteria
2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1
Memuaskan 91.0% 92.8% 91.4% 91.1% 92.5% 80.1% 76.3% 76.5% 76.7% 71.8% 58.3% 59.8% 64.0% 66.8% 62.9%
Peringatan 5.5% 4.0% 4.2% 5.5% 5.1% 2.0% 1.6% 2.5% 2.6% 3.8% 2.5% 4.0% 3.1% 2.8% 3.1%
Tidak 3.5% 3.2% 4.4% 3.4% 2.4% 2.5% 3.5% 3.5% 3.9% 3.8% 9.2% 10.0% 8.8% 8.0% 7.0%
Memuaskan
Tidak di Evaluasi 0.0% 0.0% 0.0% 0.0% 0.0% 15.4% 18.6% 17.5% 16.8% 20.6% 30.0% 27.0% 24.1% 22.4% 27.0%
Tidak Kirim Hasil 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
JUMLAH 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.8% 100.0% 100.0% 100.0%

HITUNG LEKOSIT

KELOMPOK PESERTA KELOMPOK METODE KELOMPOK ALAT

Kriteria
2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1
Memuaskan 84.8% 84.4% 86.2% 84.9% 85.6% 69.9% 71.3% 71.0% 72.7% 73.3% 51.6% 53.3% 62.5% 57.9% 60.9%
Peringatan 5.2% 4.4% 5.0% 5.7% 4.8% 3.9% 2.5% 4.0% 3.1% 4.1% 1.7% 0.7% 2.0% 1.0% 1.7%
Tidak 10.0% 11.2% 8.8% 9.4% 9.6% 12.0% 11.1% 8.9% 9.9% 10.3% 7.6% 8.0% 6.0% 5.5% 6.2%
Memuaskan
Tidak di Evaluasi 0.0% 0.0% 0.0% 0.0% 0.0% 14.2% 15.1% 16.1% 14.3% 12.3% 39.1% 38.0% 29.5% 35.6% 31.2%
Tidak Kirim Hasil 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
JUMLAH 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%

HITUNG ERITROSIT

KELOMPOK PESERTA KELOMPOK METODE KELOMPOK ALAT

Kriteria
2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1
Memuaskan 93.5% 92.7% 93.4% 93.6% 95.2% 84.1% 82.7% 83.9% 81.4% 81.9% 66.1% 65.3% 70.0% 68.9% 66.7%
Peringatan 2.0% 2.2% 1.6% 2.0% 1.4% 1.5% 2.0% 0.7% 1.9% 1.0% 2.0% 1.3% 1.9% 1.0% 0.7%
Tidak 4.5% 5.1% 5.0% 4.4% 3.4% 3.2% 2.5% 1.5% 2.2% 2.7% 2.0% 1.3% 2.5% 1.7% 1.4%
Memuaskan
Tidak di Evaluasi 0.0% 0.0% 0.0% 0.0% 0.0% 11.2% 12.8% 13.9% 14.5% 14.4% 29.9% 32.1% 25.6% 28.4% 31.2%
Tidak Kirim Hasil 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
JUMLAH 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%
MCHC

KELOMPOK PESERTA KELOMPOK METODE KELOMPOK ALAT

Kriteria
2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1
Memuaskan 92.5% 92.4% 91.9% 91.8% 94.2% 87.1% 85.7% 85.5% 83.4% 86.7% 60.0% 59.4% 63.1% 61.9% 63.6%
Peringatan 2.0% 1.7% 4.6% 5.2% 3.4% 2.0% 2.3% 3.5% 4.0% 2.7% 1.0% 1.6% 0.7% 1.1% 1.4%
Tidak 5.5% 5.9% 3.5% 3.0% 2.4% 4.0% 4.5% 3.0% 3.5% 2.0% 4.0% 3.1% 2.8% 2.5% 3.1%
Memuaskan

Tidak di Evaluasi 0.0% 0.0% 0.0% 0.0% 0.0% 6.9% 7.5% 8.0% 9.1% 8.6% 35.0% 35.9% 33.4% 34.5% 31.9%
Tidak Kirim Hasil 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
JUMLAH 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%

HITUNG TROMBOSIT

KELOMPOK PESERTA KELOMPOK METODE KELOMPOK ALAT

Kriteria
2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1 2016-1 2016-2 2017-1 2017-2 2018-1
Memuaskan 87.7% 85.3% 85.2% 86.7% 87.6% 62.9% 64.9% 72.8% 71.2% 67.9% 69.1% 66.0% 60.0% 62.1% 64.0%
Peringatan 6.2% 5.7% 9.0% 8.6% 6.2% 2.8% 3.5% 5.1% 4.6% 3.4% 3.2% 2.1% 4.0% 3.5% 1.7%
Tidak 6.1% 9.0% 5.8% 4.7% 6.2% 3.3% 2.7% 2.1% 1.7% 2.7% 2.2% 3.5% 1.7% 2.4% 3.1%
Memuaskan

Tidak di Evaluasi 0.0% 0.0% 0.0% 0.0% 0.0% 31.0% 28.9% 20.0% 22.5% 26.0% 25.5% 28.4% 34.3% 32.0% 31.2%
Tidak Kirim Hasil 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
JUMLAH 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%
 Kriteria 2016-1 2016-2 2017-1 2017-2 2018-1

sangat baik 100.0% 93.3% 88.5% 91.3% 95.0%

baik 0.0% 6.7% 11.5% 8.7% 4.0%

kurang 0.0% 0.0% 0.0% 0.0% 0.0%

buruk 0.0% 0.0% 0.0% 0.0% 1.0%

jumlah 100.0% 100.0% 100.0% 100.0% 100.0%

Kemungkinan Penyebab Rekomendasi
ketidaksesuaian
Pra analitik :

Cara pelarutan dan Untuk bahan lyphylisat harus

menghomogenkan bahan diperlakukan sesuai petunjuk yang
diberikan.
Analitik :

 Keterbatasan kesesuaian  Menyesuaikan dan memahami

metode, alat dengan bahan PME keterbatasan
 Kesalahan teknik  Pemeriksaan dilakukan sesuai
prosedur
 Kesalahan instrument  Dilakukan kalibrasi secara
teratur

Pasca analitik :

Kesalahan penulisan hasil (misal : Meneliti kembali hasil yang sudah

satuan, koma (,)) ditulis sebelum hasil dikirim
 Melakukan perbaikan dari hasil evaluasi yang
didapat berdasarkan identifikasi
kesenjangan antara kondisi saat ini dengan
kondisi yang diharapkan.
- Program pme digunakan untuk
mengetahui kemampuan suatu laboratorium
dilihat dari keseluruhan proses pemeriksaan.

- Untuk mendapatkan hasil yang baik suatu

laborotorium harus memperhatikan seluruh
proses yang berlangsung mulai pra analitik,
analitik sampai pasca analitik, sehingga
dapat memenuhi kebutuhan , harapan
pengguna dan pelanggan.