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Medical testing laboratories applying critical Sigma value to establish appropriate internal quality control schemes for quantitative tests |
JIAO Fangyan1,2, ZHANG Yu1,2, ZOU Guoying1, JIANG Weiping1, XU Fei1 |
1. Brain Hospital of Hunan Province /The Second People's Hospital of Hunan Province, Changsha 410007, China; 2. Hunan Center For Clinical Laboratory, Changsha 410007, China |
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Abstract Objective In order to avoid the possible lack of control or over-control in the design of internal quality control (IQC) scheme, an appropriate IQC scheme based on critical sigma value and meeting the quality control (QC) performance objectives was established for the Medical laboratory. Method By using QC software and office software, the probability of error detection (Ped) and the probability of false rejection (Pfr) of common QC rules were calculated when the system error ranged from 0 to 4.50s. The sigma metric graph and the operational process specifications (OPSpecs) charts were drawn. Results The critical sigma value was obtained when Ped was 90% and Pfr was less than 5%, and the appropriate QC scheme was obtained. The standardized OPSpecs charts were drawn when the analysis quality assurance was 90%. Conclusion The IQC scheme based on the critical sigma value can effectively ensure the Ped of the QC scheme and maintain a low Pfrfor the Medical laboratory, so as to prevent lack of control or over-control. It is not recommended to use only one level of QC material, which is not conducive to the use of QC rules, and can not provide quality assurance for low-medium sigma level tests.
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Received: 21 September 2023
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[1] WS/T 641-2018, 临床检验定量测定室内质量控制[S]. 中华人民共和国国家卫生健康委员会, 2018. [2] WESTGARD JO.Internal quality control: planning and implementation strategies[J]. Ann Clin Biochem, 2003, 40(Pt 6): 593-611. [3] The2021 Great Global QC Survey Results. [EB/OL]. (2021-11) [2023-09-01]. https: //www. westgard. com/2021-global-qc-survey-results. htm [4] 张裕, 余启华, 杨丽华. 利用EXCEL制作单规则质量控制方法功效函数图及操作过程规范图[J]. 临床检验杂志, 2019, 37(3): 229-232. [5] WESTGARD JO.Statistical Quality Control Procedures[J]. Clin Lab Med, 2013, 33(7): 111-124. [6] WESTGARD JO, GROTH T.Power functions for statistical control rules[J]. Clin Chem, 1979, 25(6): 863-869. [7] WESTGARD JO.Charts of Operational Process Specifications (OPSpecs Charts) for assessing the precision, accuracy, and quality control needed to satisfy proficiency testing criteria[J]. Clin Chem, 1992, 38(7): 1226-1233. [8] CLSI. Statistical quality control for quantitative measurement procedures: principles and definitions; Approved guideline-Third edition[S]. CLSI document C24-A3. Wayne, PA: CLSI; 2006. [9] WESTGARD JO.A Total Quality-Control Plan with Right-Sized Statistical Quality-Control[J]. Clin Lab Med, 2017, 37(1): 137-150. [10] 张鸿伟, 敖帅, 张社强, 等. Westgard西格玛规则在设定生化个性化质控策略中的应用[J]. 标记免疫分析与临床, 2023, 30(6): 1072-1076, 1080. [11] 肖亚玲, 王薇, 赵海建, 等. 全国431家临床实验室常规生化专业室内质量控制现状调查与分析[J]. 临床检验杂志, 2015, 33(8): 618-621. [12] WESTGARD JO.Basic QC Practices[M]. Madison, WI: Westgard QC, Inc, 2016. [13] 刘长德, 马颖, 周杏园, 等. Westgard 多规则质量控制中22S规则的理解与应用[J]. 国际检验医学杂志, 2016, 37(19): 2680-2684. [14] WESTGARD JO, BAYAT H, WESTGARD SA.Advanced QC Strategies[M]. Madison, WI: Westgard QC, Inc, 2022. [15] 孙慧珍, 王薇, 赵海建, 等. 临床检验定量测定项目室内统计质量控制程序的研究进展[J]. 中华检验医学杂志, 2019, 42(10): 879-883. |
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