Method Evaluation & Quality Control
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is used to verify the acceptability of new methods prior to reporting patient results.
method evaluation
The foundation for monitoring performance (known as QC)
descriptive statistics
The three most commonly used descriptions of the center of a data set
Mean, median, mode
There are four commonly used descriptions of spread:
Range, SD, CV, SDI
the most frequently used measure of variation.
SD
represent the “average” distance from the center of the data (the mean) and every value in the data set.
CV
a calculation to show the number of SDs a value is from the target mean.
SDI
Three factors are generated in a linear regression
Slope, y-intercept, correlation coefficient (r)
is a measure of the strength of the relationship between the two methods.
correlation coefficient (r)
indicates that both variables increase and decrease together,
positive r
indicates that as one variable increases, the other decreases.
negative r
An r value of ___ indicates no relationship,
0
r = ___ indicates a perfect relationship.
1.0
An alternate approach to visualizing paired data is the difference plot, which is also known as the:
Bland-Altman plot
The difference between test and reference method results is called
error
is present in all measurements and can be either positive or negative, typically a combination of both positive and negative errors on both sides of the assigned target value.
Random error
influences observations consistently in one direction higher or lower
Systematic error
exists when there is a continual difference between the test method and the comparative method values, regardless of the concentration.
Constant systematic error
exists when the differences between the test method and the comparative method values are proportional to the analyte concentration.
Proportional error
TRUE/FALSE: The CLIA final rule requires that waived tests simply follow the manufacturer’s instructions.
TRUE
Systematic error can be due to constant or proportional error and is estimated from three types of study:
recovery, interference, and COM
Ability of a method to detect small quantities or small changes in concentration of an analyte.
Analytic sensitivity
Ability of a method to detect only the analyte it is designed to determine, also known as cross-reactivity.
Analytic specificity
Also known as linear or dynamic range. Range of analyte concentrations that can be directly measured without dilution, concentration, or other pretreatment.
AMR (analytic measurement range)