一种新的方法,用于例行评估实验室Sigma指标,用于广泛的自动化测试
Johanna J Miller1, Alistair J Gammie2
1Automation and Portfolio Solutions, QuidelOrtho Corporation, Rochester, NY, United States.
The journal of applied laboratory medicine
|February 23, 2024
概括
临床实验室Sigma指标评估测试性能,较高的水平表明更好的质量. 这项研究发现,大多数测试都达到高西格玛水平,即使有现实世界的变化,也证明了质量评估的强有力的方法.
科学领域:
- 临床化学 临床化学
- 实验室质量管理的质量管理.
- 测试绩效评价 测试绩效评价
背景情况:
- 西格玛指标在临床实验室中用于评估基于准确性,精度和允许总误差的测试性能.
- 更高的Sigma指标值意味着更高的工艺性能.
- 之前的研究经常在有限的,高度控制的系统上评估西格玛指标.
研究的目的:
- 开发和验证一种方法,在多个临床实验室系统中为众多分析物推导单一的Sigma指标.
- 用Sigma指标评估实验室临床试验在现实环境中的性能.
主要方法:
- 创建了一个算法,从QuidelOrtho E-Connectivity®数据库中提取115个分析物的质量控制 (QC) 数据.
- 用提取的QC数据计算了每个分析物的Sigma指标.
- 对于每个测试,确定了SIGMA指标的中位数,以代表整体性能.
主要成果:
- 在115个分析试验中,79个 (68.7%) 获得了6或更高的Sigma指标.
- 在115个分析试验中,共有98个 (85.2%) 达到5或更高的Sigma指标.
- 尽管实验室和仪器具有固有的变异性,但仍观察到这些高的Sigma水平.
结论:
- 建立了一种新的方法,将数百个分析仪的Sigma指标整合到一个单一的测试质量指标中.
- 这种方法为了解在各种实验室条件下测试性能提供了基线.
- 该研究强调,大多数试验都显示出高西格玛性能,即使考虑到实验室环境,仪器仪表,材料和试剂的变化.
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