Nama : Imi Cankraw

NIM : 18.72.019256
Prodi & Kelas : Analis Kesehatan A
Semester : V (Lima)
Mata Kuliah : Pengendalian Mutu
Dosen Pengampu : Dwi Purbayanti, S.ST., M.Si

Judul : QC Kimia Klinik

Tujuan Praktikum :
1. Memiliki keterampilan dalam pemeriksaan serum kontrol.
2. Mampu membuat kurva QC.
3. Mampu menginterpretasikan hasil pemeriksaan serum kontrol menggunakan aturan westgard.
4. Mampu mengitung Assay Performance (TE dan Sigma)

Parameter GGT (Gamma Glutamyl Transferase)

Metode IFCC (Internasional Federation Of Clinical Chemistry)
No. Lot Level 1 = 090 Level 2 = 083
Mean Level 1 = 40 U/L Level 2 = 187 U/L
SD Level 1 = 2, 4 U/L Level 2 = 11 U/L
Pembahasan

Tabel 1 Level 1 Level 2

Mean 40 187
SD 2.4 11

Percobaan Ke Level 1 Z1 Aturan Westgard Rules

1 33 -2.9 1-2S
2 35 -2.1 1-2S
3 39 -0.4 1-1S
4 37 -1.3 1-1S
5 34 -2.5 1-2S
6 36 -1.7 1-1S
7 35 -2.1 1-2S
8 37 -1.3 1-1S
9 47 2.9 1-2S
10 39 -0.4 1-1S
11 38 -0.8 R-4S
12 22 -7.5 R-4S
13 49 3.8 1-1S
14 36 -1.7 1-3S
15 26 -5.8 1-3S
16 29 -4.6 1-1S
17 36 -1.7 1-1S
18 36 -1.7 1-2S
19 37 -1.3 1-2S
20 34 -2.5 1-2S
21 33 -2.9 1-3S
22 28 -5.0 1-3S
23 35 -2.1 1-2S
24 36 -1.7 1-1S
25 35 -2.1 1-2S
26 35 -2.1 1-2S
 Interpretasi Hasil
PERINGATAN
PERINGATAN
PERINGATAN
PERINGATAN
PERINGATAN
PERINGATAN
PERINGATAN
PERINGATAN
PERINGATAN
PERINGATAN
TOLAK
TOLAK QC GGT LEVE
PERINGATAN
3.0
TOLAK Out Of Control
TOLAK Out Of Control
2.0
PERINGATAN
PERINGATAN 1.0
PERINGATAN
PERINGATAN 0.0
1 2 3 4 5 6 7 8 9 10 11 12 13 14
PERINGATAN
-1.0
TOLAK Out Of Control
TOLAK Out Of Control -2.0
PERINGATAN
PERINGATAN -3.0
PERINGATAN
PERINGATAN
 QC GGT LEVEL 1
3.0

2.0

1.0

0.0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 2
-1.0

-2.0

-3.0
20 21 22 23 24 25 26
 Tabel 2 Level 1 Level 2
Mean 40 187
SD 2.4 11

Percobaan Ke Level 2 Z2 Aturan Rules Westgard

1 138 -4.5 1-3S
2 149 -3.5 1-1S
3 191 0.4 1-3S
4 125 -5.6 1-3S
5 192 0.5 1-1S
6 184 -0.3 1-1S
7 204 1.5 1-1S
8 193 0.5 1-1S
9 143 -4 1-3S
10 143 -4 1-3S
11 148 -3.5 1-3S
12 114 -6.6 1-3S
13 153 -3.1 1-3S
14 149 -3.5 1-3S
15 200 1.2 1-1S
16 133 -4.9 1-3S
17 145 -3.8 1-3S
18 153 -3.1 1-3S
19 150 -3.4 1-3S
20 146 -3.7 1-3S
21 138 -4.5 1-3S
22 119 -6.2 1-3S
23 150 -3.4 1-3S
24 154 -3 1-2S
25 131 -5.1 1-3S
26 143 -4 1-3S
 Interpretasi Hasil
TOLAK Out Of Control
PERINGATAN
TOLAK Out Of Control
TOLAK Out Of Control
PERINGATAN
PERINGATAN QC GGT LEVEL 2
PERINGATAN
PERINGATAN 3.0
TOLAK Out Of Control
TOLAK Out Of Control 2.0
TOLAK Out Of Control
TOLAK Out Of Control
1.0
TOLAK Out Of Control
TOLAK Out Of Control
PERINGATAN 0.0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
TOLAK Out Of Control
TOLAK Out Of Control -1.0
TOLAK Out Of Control
TOLAK Out Of Control -2.0
TOLAK Out Of Control
TOLAK Out Of Control
-3.0
TOLAK Out Of Control
TOLAK Out Of Control
PERINGATAN
TOLAK Out Of Control
TOLAK Out Of Control
C GGT LEVEL 2

Z2

11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
 Tabel 3 Level 1 Level 2
Mean 40 187
SD 2.4 11

Percobaan Ke Level 1 Level 2 Z1 Z2 Interpretasi Hasil

1 33 138 -2.9 -4.5 TOLAK
2 35 149 -2.1 -3.5 TOLAK
3 39 191 -0.4 0.4 TOLAK
4 37 125 -1.3 -5.6 TOLAK
5 34 192 -2.5 0.5 TOLAK
6 36 184 -1.7 -0.3 TOLAK
7 35 204 -2.1 1.5 TOLAK
8 37 193 -1.3 0.5 TOLAK
9 47 143 2.9 -4.0 TOLAK
10 39 143 -0.4 -4.0 TOLAK
11 38 148 -0.8 -3.5 TOLAK
12 22 114 7.5 -6.6 TOLAK
13 49 153 3.8 -3.1 TOLAK
14 36 149 -1.7 -3.5 TOLAK
15 26 200 -5.8 1.2 TOLAK
16 29 133 -4.6 4.9 TOLAK
17 36 145 -1.7 -3.8 TOLAK
18 36 153 -1.7 -3.1 TOLAK
19 37 150 -1.3 -3.4 TOLAK
20 34 146 -2.5 -3.7 TOLAK
21 33 138 -2.9 -4.5 TOLAK
22 28 119 -5.0 -6.2 TOLAK
23 35 150 -2.1 -3.4 TOLAK
24 36 154 -1.7 -3.0 TOLAK
25 35 131 -2.1 -5.1 TOLAK
26 35 143 -2.1 -4 TOLAK
 QC CHART GGT JANUARI
3.0

2.0

1.0

0.0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
-1.0

-2.0

-3.0

Level 1 Level 2
 QC CHART GGT LEVEL 1
3.0

2.0

1.0

0.0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2
-1.0

-2.0

-3.0

QC CHART GGT LEVEL 2

3.0

2.0

1.0

0.0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
-1.0

-2.0

-3.0
T JANUARI

14 15 16 17 18 19 20 21 22 23 24 25 26

Level 2
EVEL 1

5 16 17 18 19 20 21 22 23 24 25 26

GT LEVEL 2

14 15 16 17 18 19 20 21 22 23 24 25 26
 Percobaan Ke Level 1 Level 2 Interpretasi
1 33 138
2 35 149
3 39 191
4 37 125
5 34 192
6 36 184
7 35 204
8 37 193
9 47 143
10 39 143
11 38 148
12 22 114
13 49 153
14 36 149
15 26 200
16 29 133
17 36 145
18 36 153
19 37 150
20 34 146
21 33 138
22 28 119
23 35 150
24 36 154
25 35 131
26 35 143

Jumlah 917 3988 Bias = Rerata (Januari) - Mean (Kit Ins

Mean (Rerata) 35.269 153.38 Level 1
SD 5.44 25.0 35.269 −
CV % 15.4 16.3
Bias % -11.82692 -17.97614 Level 2
153.38 −

TE = [Bias] + 2 *SD
Level 1 0.1
Level 2 -11.6

% TE = [% Bias] + 2 *CV
Level 1 19.0
Level 2 14.6
s = Rerata (Januari) - Mean (Kit Insert) % Bias = Rerata (Januari) - Mean (Kit Insert) : Mean (Kit)
Level 1 Level 1
40 Bias -4.73 35.269 − 40 % Bias

Level 2 Level 2
187 Bias -33.6 153.38 − 187 % Bias

Sigma = (TEa-[Bias])/SD
Level 1 2.2
Level 2 0.9

Sigma = (Tea (%) - [Bias (%)])/CV

Level 1 2.00
Level 2 2.00
nsert) : Mean (Kit)

-11.8

-18.0