Articles
| Open Access |
DOI: Systematic Review: Internal Quality Assurance of The Hematology Laboratory
Abstract
Quality in the laboratory is closely related to the results of the analysis test. The data from the analysis test is said to be high if the data can make customers/patients feel satisfied by considering technical values so as to achieve accuracy and precision. Quality assurance of health laboratories is all activities that are shown to ensure the accuracy and precision of laboratory examination results. Several factors that influence internal quality assurance include commitment to achieve quality results, facilities, funds, competent staff, control measures for pre-analytical, analytical and post-analytical factors, statistical control monitoring and the existence of problem-solving mechanisms. This article aims to analyze the results of internal quality assurance that have been carried out in hematology laboratories, whether they have been running well and correctly. Data collection of PMI results for a month was observed using the Westgard multirules system rules, Levey-Jennings charts that have been routinely programmed on each laboratory tool. The results obtained from the PMI hematology laboratory that has been carried out are good and accurate, so that the laboratory can produce examinations that can be trusted -and accounted for.
Keywords
Internal Quality Assurance (PMI), Hematology Laboratory, Laboratory Results
References
Anggraini, F., Khotimah, E., Ningrum, SS. (2022). Analysis of Internal Quality Improvement of Blood Glucose Examination at the Bhayangkara Hospital Laboratory, Level I Raden Said Sukanto in 2021. https://journal.binawan.ac.id/index.php/bsj/article/download/320/244/2045 . Accessed on September 1, 2024.
BB Binomika Kemenkes. (2023). Registration for External Quality Assurance in 2023, https://sipamela.bbbinomika.id/ . Accessed on August 20, 2024.
BB Binomika Kemenkes. (2023). Procedures for Downloading External Quality Improvement Results in 2023, https://sipamela.bbbinomika.id/ . Accessed on August 20, 2024.
Clinical Pathology. (2018). External Laboratory Quality Assurance. https://patologiklinik.com/2018/03/24/pemantapan-mutu-eksternal-laboratorium/ . Accessed on September 1, 2024
Dian Sukma, H. (2018). Improving the Quality of Health Center Laboratories. https://patologiklinik.com/wp-content/uploads/2018/10/Pemantapan-Mutu-Puskesmas-13-10-2018.pdf . Accessed on August 19, 2024.
Firda, Bajuber. (2024). Clinical Laboratory Quality Control. https://www.scribd.com/presentation/389191142/KUALITAS-KONTROL-ppt?_gl=1*fd9gp4*_gcl_au*MjEyMzEwNTkzMC4xNzE3NTQ5NTQz . Accessed on August 25, 2024.
Hadipranoto, I., Wikandari, R. J., Widiya nto, S. Y. D., & Kahar, F. (2022). Risk Level Analysis in the Health Analyst Department Laboratory of the Ministry of Health Polytechnic of Semarang in 2021. Sulolipu: Media Komunikasi Sivitas Akademika Dan Masyarakat, 22(1), 120–134.
Infolabmed. (2020). Internal Quality Assurance (PMI) of Clinical Laboratory. https://www.infolabmed.com/2020/11/pemantapan-mutu-internal-pmi-laboratorium-klinik.html . Diaskes on September 1, 2024.
Kahar, Fitriani and Akhsin Syifa Aulia Nur.2025. Literatur Review: Scope Of Quality Control And Introduction Of Levels Of Quality Control. IJGAM Vol. 1, No. 3, October 2025
Kahar, F. (2022). Basic Instrument Textbook. Eureka Media Aksara.
Kahar, F., Budihardjo, T., & Priyatno, D. (2025). Analysis of the Use of Desiccator Instruments : Literature Review. 1(1), 1–8
Karyaty, Rosdarni. Analysis of Internal Quality Improvement of Blood Glucose Examination at the Regional Health Laboratory Center of Southeast Sulawesi Province. J MediLab Mandala Waluya Kendari. 2018;2(2):39–46.
Ministry of Health. (2013). Regulation of the Minister of Health of the Republic of Indonesia Number 43 of 2013 Concerning the Implementation of Good Clinical Laboratories. Page 2. https://www.kemhan.go.id/itjen/2017/03/14/peraturan-menteri-kesehatan-republik-indonesia-nomor-43-tahun-2013-tentang-cara-penyelenggaraan-laboratorium-klinik-yang-baik.html . Accessed on August 22, 2024.
Muslim M, Kustiningsih Y, Yanuarti E. (2015). Utilization of Pool Serum as a Control Material for the Accuracy of Blood Glucose Examination. Med Lab Technol J.
Munit, I. (2017). Manual vs Automated Hematology Principles. https://www.scribd.com/presentation/379942438/PrinsipManualvsOtomatisHEMATOLOGY?_gl=1*2giky6*_gcl_au*MTA1NDA3OTIwOS4xNzI1MzQ0NTY5 . Accessed on September 1, 2024.
Surabaya Health Laboratory Center. (2023). Procedures for Downloading External Quality Assurance Results in 2023, https://bblabkesmas-surabaya.go.id/ . Accessed on August 20, 2024.
Sunarya. (2021). Good Laboratory Management. Quality Assurance p. 126. https://ugmpress.ugm.ac.id/userfiles/product/daftar_isi/Manajemen_Pengelolaan_Laboratorium.pdf . Accessed on August 27, 2024.
Sunarya. (2021). Good Laboratory Management. Requirements for Quality and Competence of Medical Laboratories Pages 129 - 187. https://ugmpress.ugm.ac.id/userfiles/product/daftar_isi/Manajemen_Pengelolaan_Laboratorium.pdf . Accessed on August 27, 2024.
Sari, C. F. P., Kahar, F., Irnawati, I., Yusuf, M., Salam, A., & Wadood, A. (2023).
Comparison of Urine Protein Test Results Using Dipstick, 6% Acetic Acid, and 20% Sulfosalicylic Acid Methods Based on Westgard Rules. Jaringan Laboratorium Medis, 5(2), 84–94.
Wicaksono, M. S., Rinaldi, S. F., Kurniawan, E., Rinaldi, S. F., & Kurnaeni, N. (2019). Analysis of Factors Influencing Quality Control Implementation in the Laboratory. Jurnal Riset Kesehatan Poltekkes Depkes Bandung, 11(2), 218–223. https://doi.org/10.34011/juriskesbdg.v11i2.746.
Download and View Statistics
Copyright License
Copyright (c) 2026 Widarti, Fitriani Kahar
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain the copyright of their manuscripts, and all Open Access articles are disseminated under the terms of the Creative Commons Attribution License 4.0 (CC-BY), which licenses unrestricted use, distribution, and reproduction in any medium, provided that the original work is appropriately cited. The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations.