在错误检测之前受影响的患者样本数量:对内部质量控制和基于患者的质量控制实践的战略影响
Hui Qi Low1, Corey Markus2, Tze Ping Loh3
1Engineering Cluster, Singapore Institute of Technology, Singapore.
Clinica chimica acta; international journal of clinical chemistry
|January 27, 2025
概括
基于患者的质量控制 (PBQC) 可以比内部质量控制 (IQC) 更有效地检测错误,即使实验室体积较小. 该ANPed指标有助于设计质量控制策略,以最大限度地降低错误风险.
科学领域:
- 临床化学 临床化学
- 实验室医学 实验室医学
- 质量控制 质量控制 质量控制
背景情况:
- 内部质量控制 (IQC) 不经常执行的风险错过的错误.
- 基于患者的质量控制 (PBQC) 常常被认为需要大量的实验室数据来有效检测错误.
研究的目的:
- 用"错误检测前受影响的患者样本平均数量" (ANPed) 度量来评估质量控制 (QC) 实践的表现.
- 为了比较各种IQC和PBQC设置在错误检测中的相对有效性.
主要方法:
- 模拟使用常规的和酸氨基转移酶 (AST) 试验进行.
- 采用ANPed指标来评估在不同质量控制场景中的错误检测能力.
主要成果:
- 较高的ANPed值在每次运行较少的IQC样本或在IQC运行之间更多的患者样本中观察到.
- 对于和AST的PBQC模型显示,每100个样本执行的ANPed低于IQC,除了AST中的小系统错误.
结论:
- 该ANPed指标有效地说明了IQC频率和IQC水平数量的影响.
- 即使在体积较小的实验室中,PBQC也可以优于IQC.
- 通过ANPed,可以根据特定的风险承受能力设计定制的质量控制策略.
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