QC KK Laboratorium 01-2106

INTERNAL QUALITY CONTROL CHART
Jl. Raya Darmo 143 Surabaya, Telp. (031)
INSTITUTION LABORATORIUM PROLAB
TEST NAME GOT (AST) INSTRUMENT
REAGENT BIOCON NO. LOT
METHOD IFCC tanpa aktifasi pyridoxal phosphate PRECINORM
PRECINORM U
PERIOD April-09 UNIT U/L
PRECIPATH U
No. DATE C.FACTOR R.BLANK VALUE PNU ERROR VALUE PPU ERROR
-4.00 -2.00
1 01/08/08 36.8 253 12S 0
2 02/08/08 36 253 12S 22S 1
3 04/08/08 38.1 253 12S 22S 31S 2
4 05/08/08 36.3 253 12S 22S 31S 41S

3
5 06/08/08 33.6 253 12S 22S 31S 41S
4
6 07/08/08 39.5 253 12S 22S 31S 41S
5
7 08/08/08 44.5 253 12S 22S 31S 41S 7X
6
8 09/08/08 40.1 253 12S 22S 31S 41S 7X
7
9 11/08/08 41.1 253 12S 22S 31S 41S 7X
8
10 12/08/08 37.7 203
9
11 13/8/2008 42.6 203
10
12 14/8/2008 40.7 203
11
13 15/8/2008 42 203
12
14 16/8/2008 39.1 204
13
15 19/8/2008 39.3 204
16 20/8/2008 46 204 14
17 21/8/2008 38 204 15
18 22/8/2008 42.1 204 16
19 23/8/2008 41 204 17
20 25/8/2008 42 204 18
21 26/8/2008 204 19
22 27/8/2008 204 20
23 28/8/2008 204
21
24 29/8/2008 204
22
25 30/8/2008 204
23
26 204
24
27
25
28
26
29
27
30 PNU
31
QC PERFORMANCE
PRECINORM U PRECIPATH U
MEAN 39.8 SIGMA 2.17 MEAN 221.5
SD 3.02 SEC 0.60 SD 23.89
CV % 7.57 TE % 16.07 CV % 10.79
BIAS % 3.57 TE a 20 BIAS % 8.57
PERFORMANCE SIGMA 2.3 PERFORMANCE
BULAN LALU SEC 0.63 BULAN LALU
DESAIN RULE DESAIN RULE
CATATAN : Penanggun
dr. Adi Pramono H

INSTRUMENT PHOTOMETER 5010 V5+
123456789
PRECINORM - 2S TARGET + 2S
PRECINORM U 31.8 41.3 50.8
PRECIPATH U 157 204 251
SD
-4.00 -2.00 0.00 2.00 4.00

0
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
PNU PPU
PRECIPATH U
SIGMA 1.06
SEC -0.67
TE % 26.37
TE a 20
SIGMA 3.44
SEC 1.71
Penanggung jawab
dr. Adi Pramono Hendrata Sp.PK

RS.Umum Bunda - Sidoarjo
Jln. Kundi no.70 Kepuhkiriman Waru
INSTITUTION LABORATORIUM RS Umum Bunda Sidoarjo
TEST NAME GOT (ASAT) INSTRUMENT
REAGENT Lab Kid NO. LOT HUMATROL
METHOD IFCC tanpa aktifasi pyridoxal phosphate PRECINORM
PRECINORM U
PERIOD 2016 januari 2016 UNIT U/L
PRECIPATH U
SD
-4.00 -2.00 0.00
-4.00 -2.00 0.00
0
1 01/01/16 35 0
1
2 01/02/16 1
3 01/03/16 2
2
4 01/04/16 3
3
5 01/05/16 4
4
6 01/06/16 5
5
7 01/07/16 34 R4S
6
6
8 01/08/16
7
7
9 01/09/16
8
10 01/10/16 8
9
11 01/11/16 9
10
12 01/12/16 10
13 01/13/16 33 R4S 7X 10X 11

11
14 01/14/16 12
12
15 01/15/16 13
13
16 01/16/16 14
14
17 01/17/16
15
15
18 01/18/16
16
16
19 01/19/16 32 R4S 7X 10X
17
17
20 01/20/16
18
21 01/21/16 18
19
22 01/22/16 19
20
23 01/23/16 20
24 01/24/16 21
21
25 01/25/16 35 22 22
26 01/26/16 23 23
27 01/27/16 24 24
28 01/28/16
25 25
29 01/29/16
26 26
30 01/30/16 PNU
PNU PPU
PPU
31 01/31/16 34 R4S
QC PERFORMANCE
PRECINORM U PRECIPATH U
MEAN 33.8 SIGMA 4.51 MEAN #DIV/0! SIGMA
SD 1.30 SEC 2.98 SD #DIV/0! SEC
CV % 3.86 TE % 8.96 CV % #DIV/0! TE %
BIAS % 2.59 TE a 20 BIAS % #DIV/0! TE a
PERFORMANCE SIGMA PERFORMANCE SIGMA
BULAN LALU SEC BULAN LALU SEC
CATATAN : Penanggung jawab
Dr.Paulus,Sp.PK
HUMATROL /LOT N/023
- 2S TARGET + 2S
26.7 34.7 42.7
SD
-2.00 0.00 2.00 4.00
-2.00 0.00 2.00 4.00
PNU
PNU PPU
PPU
ECIPATH U
#DIV/0!
SEC #DIV/0!
TE % #DIV/0!
TE a 20
SIGMA
SEC
Penanggung jawab
Dr.Paulus,Sp.PK

TEST NAME GPT
REAGENT Labkid
METHOD IFCC tanpa aktifasi pyridoxal phosphate
PERIOD 2013 januari 2016 UNIT
No. DATE C.FACTOR R.BLANK VALUE PNU ERROR VALUE PPU
1 01/01/16 32
2 01/02/16
3 01/03/16
4 01/04/16
5 01/05/16
6 01/06/16
7 01/07/16 33 R4S 7X
8 01/08/16
9 01/09/16
10 01/10/16
11 01/11/16
12 01/12/16
13 01/13/16
14 01/14/16 31 R4S 7X 10X
15 01/15/16
16 01/16/16
17 01/17/16
18 01/18/16
19 01/19/16
20 01/20/16 30
21 01/21/16
22 01/22/16
23 01/23/16
24 01/24/16
25 01/25/16
26 01/26/16 33
27 01/27/16
28 01/28/16
29 01/29/16
30 01/30/16
31 01/31/16 34 R4S
QC PERFORMANCE
PRECINORM U
MEAN 31.5 SIGMA 3.46
SD 1.30 SEC 2.02
CV % 4.14 TE % 12.52
BIAS % 5.69 TE a 20
PERFORMANCE SIGMA
BULAN LALU SEC
DESAIN RULE
CATATAN :
LITY CONTROL CHART
m Bunda - Sidoarjo
o.70 Kepuhkiriman Waru
INSTRUMENT
NO. LOT HUMATROL /LOT N/023
PRECINORM U 25.7 33.4 41.1
U/L
PRECIPATH U
ERROR
-4.00 -2.00 0.00 2.00 4.00
0
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
PNU PPU
SD
RFORMANCE
PRECIPATH U
MEAN #DIV/0! SIGMA #DIV/0!
SD #DIV/0! SEC #DIV/0!
CV % #DIV/0! TE % #DIV/0!
BIAS % #DIV/0! TE a 20
PERFORMANCE SIGMA
BULAN LALU SEC
DESAIN RULE
Penanggung jawab
Dr.Paulus,Sp.PK

TEST NAME ALBUMIN
REAGENT Lab Kid
METHOD Bromcresol green
1 01/01/16 4
2 01/02/16
3 01/03/16
4 01/04/16
5 01/05/16 3.5 R4S 31S 41S
6 01/06/16
7 01/07/16
8 01/08/16
9 01/09/16
10 01/10/16 4.2 R4S 7X 10X
11 01/11/16
12 01/12/16
13 01/13/16
14 01/14/16
15 01/15/16 3.8 R4S 7X 10X
16 01/16/16
17 01/17/16
18 01/18/16
19 01/19/16
20 01/20/16 3.9
21 01/21/16
22 01/22/16
23 01/23/16
24 01/24/16
25 01/25/16 4.1
26 01/26/16
27 01/27/16
28 01/28/16
29 01/29/16
30 01/30/16 3.9 R4S 7X 10X
31 01/31/16
QC PERFORMANCE
PRECINORM U
MEAN 3.9 SIGMA 1.88
SD 0.25 SEC 0.40
CV % 6.34 TE % 18.52
BIAS % 8.06 TE a 20
PERFORMANCE SIGMA
BULAN LALU SEC
DESAIN RULE
CATATAN :
LITY CONTROL CHART
m Bunda - Sidoarjo
o.70 Kepuhkiriman Waru
INSTRUMENT Mindray BA-88A

PRECINORM U 3.28 4.26 5.24
U/L
PRECIPATH U
ERROR
-4.00 -2.00 SD
0.00 2.00 4.00
0
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
PNU PPU
RFORMANCE
PRECIPATH U
PERFORMANCE SIGMA
BULAN LALU SEC
DESAIN RULE
Penanggung jawab
Dr.Paulus,Sp.PK
INTERNAL QUALITY CONTROL CHAR

TEST NAME CHOLESTEROL
REAGENT Lab Kid
METHOD CHOD-PAP
1 01/01/16 150
2 01/02/16
3 01/03/16
4 01/04/16
5 01/05/16
6 01/06/16 160 R4S
7 01/07/16
8 01/08/16
9 01/09/16
10 01/10/16
11 01/11/16 140 R4S
12 01/12/16
13 01/13/16
14 01/14/16
15 01/15/16
16 01/16/16 149 R4S
17 01/17/16
18 01/18/16
19 01/19/16
20 01/20/16
21 01/21/16 151 R4S
22 01/22/16
23 01/23/16
24 01/24/16
25 01/25/16
26 01/26/16 148
27 01/27/16
28 01/28/16
29 01/29/16
30 01/30/16
31 01/31/16 150 R4S
QC PERFORMANCE
PRECINORM U
SD 6.41 SEC 2.84
CV % 4.27 TE % 7.72
BIAS % 0.67 TE a 20
PERFORMANCE SIGMA
BULAN LALU SEC
DESAIN RULE
CATATAN :
ALITY CONTROL CHART
mum Bunda - Sidoarjo
no.70 Kepuhkiriman Waru
INSTRUMENT
PRECINORM U 128 149 170
U/L
PRECIPATH U
ERROR
-4.00 -2.00 SD
0.00 2.00 4.00
0
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
PNU PPU
ERFORMANCE
PRECIPATH U
PERFORMANCE SIGMA
BULAN LALU SEC
DESAIN RULE
Penanggung jawab
Dr.Paulus,Sp.PK

TEST NAME GLUCOSE
REAGENT lab kid
METHOD GOD-PAP
1 01/01/16 100
2 01/02/16
3 01/03/16
4 01/04/16
5 01/05/16
6 01/06/16 99 R4S
7 01/07/16
8 01/08/16
9 01/09/16
10 01/10/16
11 01/11/16 98 R4S 7X 10X
12 01/12/16
13 01/13/16
14 01/14/16
15 01/15/16
16 01/16/16 97 R4S 7X 10X
17 01/17/16
18 01/18/16
19 01/19/16
20 01/20/16
21 01/21/16 107 R4S
22 01/22/16
23 01/23/16
24 01/24/16
25 01/25/16 105
26 01/26/16
27 01/27/16
28 01/28/16
29 01/29/16
30 01/30/16 98 R4S
31 01/31/16
QC PERFORMANCE
PRECINORM U
SD 4.05 SEC 2.86
CV % 4.01 TE % 8.23
BIAS % 1.61 TE a 20
PERFORMANCE SIGMA
BULAN LALU SEC
DESAIN RULE
CATATAN :
ALITY CONTROL CHART

PRECINORM U 83.5 99.4 115
U/L
PRECIPATH U
ERROR
-4.00 -2.00 SD
0.00 2.00 4.00
0
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
PNU PPU
ERFORMANCE
PRECIPATH U
PERFORMANCE SIGMA
BULAN LALU SEC
DESAIN RULE
Penanggung jawab
Dr.Paulus,Sp.PK

TEST NAME TRIGLISERIDA
REAGENT lab kid
METHOD GPO-PAP
PERIOD 2013 januari 2016 UNIT U/L
1 01/01/16 160
2 01/02/16
3 01/03/16
4 01/04/16
5 01/05/16
6 01/06/16 161 R4S
7 01/07/16
8 01/08/16
9 01/09/16
10 01/10/16
11 01/11/16 159 R4S 7X 10X
12 01/12/16
13 01/13/16
14 01/14/16
15 01/15/16
16 01/16/16 163 R4S
17 01/17/16
18 01/18/16
19 01/19/16
20 01/20/16
21 01/21/16 158 R4S
22 01/22/16
23 01/23/16
24 01/24/16
25 01/25/16
26 01/26/16 164
27 01/27/16
28 01/28/16
29 01/29/16
30 01/30/16
31 01/31/16 159 R4S
QC PERFORMANCE
PRECINORM U
MEAN 160.2 SIGMA 13.06 MEAN
SD 2.32 SEC 11.56 SD
CV % 1.45 TE % 3.50 CV %
BIAS % 1.11 TE a 20 BIAS %
PERFORMANCE SIGMA PERFORMANCE
BULAN LALU SEC BULAN LALU
CATATAN :
ONTROL CHART
doarjo
riman Waru
INSTRUMENT
PRECINORM U 133 162 191
U/L
PRECIPATH U
-4.00 -2.00 SD
0.00 2.00 4.00
0
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
PNU PPU
ANCE
PRECIPATH U
#DIV/0! SIGMA #DIV/0!
PERFORMANCE SIGMA
BULAN LALU SEC
DESAIN RULE
Penanggung jawab
Dr.Paulus,Sp.PK

TEST NAME URIC ACID
REAGENT lab kid
METHOD URICASE-PAP
1 01/01/16 5.4
2 01/02/16
3 01/03/16
4 01/04/16
5 01/05/16
6 01/06/16 5.5 R4S
7 01/07/16
8 01/08/16
9 01/09/16
10 01/10/16
11 01/11/16 5.7 R4S
12 01/12/16
13 01/13/16
14 01/14/16
15 01/15/16
16 01/16/16 5.2 R4S
17 01/17/16
18 01/18/16
19 01/19/16
20 01/20/16
21 01/21/16 5 R4S 7X 10X
22 01/22/16
23 01/23/16
24 01/24/16
25 01/25/16
26 01/26/16 5.4
27 01/27/16
28 01/28/16
29 01/29/16
30 01/30/16
31 01/31/16 5.5 R4S
QC PERFORMANCE
PRECINORM U
MEAN 5.4 SIGMA 4.43
SD 0.24 SEC 2.78
CV % 4.52 TE % 7.46
BIAS % 0.00 TE a 20
PERFORMANCE SIGMA
BULAN LALU SEC
DESAIN RULE
CATATAN :
ALITY CONTROL CHART

PRECINORM U 4.61 5.36 6.11
U/L
PRECIPATH U
ERROR
-4.00 -2.00 SD
0.00 2.00 4.00
0
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
PNU PPU
ERFORMANCE
PRECIPATH U
PERFORMANCE SIGMA
BULAN LALU SEC
DESAIN RULE
Penanggung jawab
Dr.Paulus,Sp.PK

TEST NAME CREATININE
REAGENT lab kid
METHOD JAFFE
1 01/01/16 1.6
2 01/02/16
3 01/03/16
4 01/04/16
5 01/05/16
6 01/06/16 1.62 R4S
7 01/07/16
8 01/08/16
9 01/09/16
10 01/10/16
11 01/11/16 1.63 R4S
12 01/12/16
13 01/13/16
14 01/14/16
15 01/15/16
16 01/16/16 1.59 R4S
17 01/17/16
18 01/18/16
19 01/19/16
20 01/20/16
21 01/21/16 1.6 R4S 7X 10X
22 01/22/16
23 01/23/16
24 01/24/16
25 01/25/16
26 01/26/16 1.58
27 01/27/16
28 01/28/16
29 01/29/16
30 01/30/16
31 01/31/16 1.57 R4S 7X 10X
QC PERFORMANCE
PRECINORM U
SD 0.02 SEC 14.68
CV % 1.16 TE % 3.26
BIAS % 1.35 TE a 20
PERFORMANCE SIGMA
BULAN LALU SEC
DESAIN RULE
CATATAN :
ALITY CONTROL CHART

PRECINORM U 1.27 1.63 1.99
U/L
PRECIPATH U
ERROR
-4.00 -2.00 SD
0.00 2.00 4.00
0
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
PNU PPU
ERFORMANCE
PRECIPATH U
PERFORMANCE SIGMA
BULAN LALU SEC
DESAIN RULE
Penanggung jawab
Dr.Paulus,Sp.PK

TEST NAME UREA
REAGENT lab kid
METHOD UREASE
1 01/01/16 50.1
2 01/02/16
3 01/03/16
4 01/04/16
5 01/05/16
6 01/06/16 51 R4S
7 01/07/16
8 01/08/16
9 01/09/16
10 01/10/16
11 01/11/16 49.8 R4S 7X 10X
12 01/12/16
13 01/13/16
14 01/14/16
15 01/15/16
16 01/16/16 53 R4S
17 01/17/16
18 01/18/16
19 01/19/16
20 01/20/16
21 01/21/16 51.2 R4S
22 01/22/16
23 01/23/16
24 01/24/16
25 01/25/16
26 01/26/16 50.9
27 01/27/16
28 01/28/16
29 01/29/16
30 01/30/16
31 01/31/16 50.8 R4S 7X 10X
QC PERFORMANCE
PRECINORM U
SD 1.12 SEC 6.60
CV % 2.20 TE % 5.89
BIAS % 2.26 TE a 20
PERFORMANCE SIGMA
BULAN LALU SEC
DESAIN RULE
CATATAN :
ALITY CONTROL CHART

PRECINORM U 40.7 52.2 63.7
U/L
PRECIPATH U
ERROR
-4.00 -2.00 SD
0.00 2.00 4.00
0
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
PNU PPU
ERFORMANCE
PRECIPATH U
PERFORMANCE SIGMA
BULAN LALU SEC
DESAIN RULE
Penanggung jawab
Dr.Paulus,Sp.PK

TEST NAME TOTAL PROTEIN
REAGENT lab kid
METHOD BIURET
1 01/01/16
2 01/02/16
3 01/03/16
4 01/04/16
5 01/05/16
6 01/06/16
7 01/07/16
8 01/08/16
9 01/09/16
10 01/10/16
11 01/11/16
12 01/12/16
13 01/13/16
14 01/14/16
15 01/15/16
16 01/16/16
17 01/17/16
18 01/18/16
19 01/19/16
20 01/20/16
21 01/21/16
22 01/22/16
23 01/23/16
24 01/24/16
25 01/25/16
26 01/26/16
27 01/27/16
28 01/28/16
29 01/29/16
30 01/30/16
31 01/31/16
QC PERFORMANCE
PRECINORM U
PERFORMANCE SIGMA
BULAN LALU SEC
DESAIN RULE
CATATAN :
ALITY CONTROL CHART

PRECINORM U 4.72 5.33 5.92
U/L
PRECIPATH U
ERROR
-4.00 -2.00 SD
0.00 2.00 4.00
0
5
PNU PPU
ERFORMANCE
PRECIPATH U
PERFORMANCE SIGMA
BULAN LALU SEC
DESAIN RULE
Penanggung jawab
Dr.Paulus,Sp.PK

QC KK Laboratorium 01-2106

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INTERNAL QUALITY CONTROL CHART

Jl. Raya Darmo 143 Surabaya, Telp. (031)

INSTITUTION LABORATORIUM PROLAB

TEST NAME GOT (AST) INSTRUMENT

REAGENT BIOCON NO. LOT

METHOD IFCC tanpa aktifasi pyridoxal phosphate PRECINORM

2 02/08/08 36 253 12S 22S 1

3 04/08/08 38.1 253 12S 22S 31S 2

4 05/08/08 36.3 253 12S 22S 31S 41S

18 22/8/2008 42.1 204 16

MEAN 39.8 SIGMA 2.17 MEAN 221.5

SD 3.02 SEC 0.60 SD 23.89

CV % 7.57 TE % 16.07 CV % 10.79

BIAS % 3.57 TE a 20 BIAS % 8.57

PERFORMANCE SIGMA 2.3 PERFORMANCE

BULAN LALU SEC 0.63 BULAN LALU

DESAIN RULE DESAIN RULE

dr. Adi Pramono H

PRECINORM U 31.8 41.3 50.8

PRECIPATH U 157 204 251

-4.00 -2.00 0.00 2.00 4.00

dr. Adi Pramono Hendrata Sp.PK

INSTITUTION LABORATORIUM RS Umum Bunda Sidoarjo

TEST NAME GOT (ASAT) INSTRUMENT

REAGENT Lab Kid NO. LOT HUMATROL

METHOD IFCC tanpa aktifasi pyridoxal phosphate PRECINORM

13 01/13/16 33 R4S 7X 10X 11

MEAN 33.8 SIGMA 4.51 MEAN #DIV/0! SIGMA

SD 1.30 SEC 2.98 SD #DIV/0! SEC

CV % 3.86 TE % 8.96 CV % #DIV/0! TE %

BIAS % 2.59 TE a 20 BIAS % #DIV/0! TE a

PERFORMANCE SIGMA PERFORMANCE SIGMA

BULAN LALU SEC BULAN LALU SEC

DESAIN RULE DESAIN RULE

CATATAN : Penanggung jawab

26.7 34.7 42.7

INSTITUTION LABORATORIUM RS Umum Bunda Sidoarjo

PERIOD 2013 januari 2016 UNIT

No. DATE C.FACTOR R.BLANK VALUE PNU ERROR VALUE PPU

INSTITUTION LABORATORIUM RS Umum Bunda Sidoarjo

PERIOD 2013 januari 2016 UNIT

No. DATE C.FACTOR R.BLANK VALUE PNU ERROR VALUE PPU

INSTRUMENT Mindray BA-88A

INSTITUTION LABORATORIUM RS Umum Bunda Sidoarjo

PERIOD 2013 januari 2016 UNIT

No. DATE C.FACTOR R.BLANK VALUE PNU ERROR VALUE PPU

INSTITUTION LABORATORIUM RS Umum Bunda Sidoarjo

PERIOD 2013 januari 2016 UNIT

No. DATE C.FACTOR R.BLANK VALUE PNU ERROR VALUE PPU

INSTRUMENT Mindray BA-88A

INSTITUTION LABORATORIUM RS Umum Bunda Sidoarjo

PERIOD 2013 januari 2016 UNIT U/L

INSTITUTION LABORATORIUM RS Umum Bunda Sidoarjo

PERIOD 2013 januari 2016 UNIT

No. DATE C.FACTOR R.BLANK VALUE PNU ERROR VALUE PPU

INSTRUMENT Mindray BA-88A

INSTITUTION LABORATORIUM RS Umum Bunda Sidoarjo

PERIOD 2013 januari 2016 UNIT

No. DATE C.FACTOR R.BLANK VALUE PNU ERROR VALUE PPU

INSTRUMENT Mindray BA-88A

INSTITUTION LABORATORIUM RS Umum Bunda Sidoarjo

PERIOD 2013 januari 2016 UNIT

No. DATE C.FACTOR R.BLANK VALUE PNU ERROR VALUE PPU