How to assess the quality of your analytical method?

被引:45
|
作者
Topic, Elizabeta [1 ]
Nikolac, Nora [2 ]
Panteghini, Mauro [3 ]
Theodorsson, Elvar [4 ,5 ]
Salvagno, Gian Luca [6 ]
Miler, Marijana [7 ]
Simundic, Ana-Maria [2 ]
Infusino, Ilenia [3 ]
Nordin, Gunnar [8 ]
Westgard, Sten [9 ]
机构
[1] Chair Comm Educ & Training, Zagreb 10000, Croatia
[2] Univ Hosp Sestre Milosrdnice, Univ Dept Chem, Sch Med, Zagreb, Croatia
[3] Univ Milan, Ctr Metrol Traceabil Lab Med CIRME, Milan, Italy
[4] Linkoping Univ, Dept Clin Chem, Linkoping, Sweden
[5] Linkoping Univ, Dept Clin & Expt Med, Linkoping, Sweden
[6] Univ Verona, Lab Clin Biochem, Dept Neurol Biomed & Movement Sci, I-37100 Verona, Italy
[7] Sestre Milosrdnice Univ Hosp Ctr, Univ Dept Chem, Zagreb, Croatia
[8] Equalis, Uppsala, Sweden
[9] Westgard QC, Client Serv & Technol, Orange, CT USA
关键词
biological variation; detection limit; IQC/EQA; measurement uncertainty; method verification/validation; methods comparability; ANALYTICAL PERFORMANCE SPECIFICATIONS; VITRO MEDICAL DIAGNOSTICS; METROLOGICAL TRACEABILITY; BIOLOGICAL VARIATION; LABORATORY MEDICINE; REFERENCE INTERVALS; CLINICAL-CHEMISTRY; PREANALYTICAL VARIABILITY; REFERENCE VALUES; VERIFICATION;
D O I
10.1515/cclm-2015-0869
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
Laboratory medicine is amongst the fastest growing fields in medicine, crucial in diagnosis, support of prevention and in the monitoring of disease for individual patients and for the evaluation of treatment for populations of patients. Therefore, high quality and safety in laboratory testing has a prominent role in high-quality healthcare. Applied knowledge and competencies of professionals in laboratory medicine increases the clinical value of laboratory results by decreasing laboratory errors, increasing appropriate utilization of tests, and increasing cost effectiveness. This collective paper provides insights into how to validate the laboratory assays and assess the quality of methods. It is a synopsis of the lectures at the 15th European Federation of Clinical Chemistry and Laboratory Medicine (EFLM) Continuing Postgraduate Course in Clinical Chemistry and Laboratory Medicine entitled "How to assess the quality of your method?" (Zagreb, Croatia, 24-25 October 2015). The leading topics to be discussed include who, what and when to do in validation/verification of methods, verification of imprecision and bias, verification of reference intervals, verification of qualitative test procedures, verification of blood collection systems, comparability of results among methods and analytical systems, limit of detection, limit of quantification and limit of decision, how to assess the measurement uncertainty, the optimal use of Internal Quality Control and External Quality Assessment data, Six Sigma metrics, performance specifications, as well as biological variation. This article, which continues the annual tradition of collective papers from the EFLM continuing postgraduate courses in clinical chemistry and laboratory medicine, aims to provide further contributions by discussing the quality of laboratory methods and measurements and, at the same time, to offer continuing professional development to the attendees.
引用
收藏
页码:1707 / 1718
页数:12
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