Detection and Correction of Systematic Laboratory Problems by Analysis of Clustered Proficiency Testing Failures

作者: Peter Mockridge , Gerald A. Hoeltge , Patricia E. Styer , Mari Gina Phillips

DOI: 10.5858/2005-129-186-DACOSL

关键词: Diagnostic testMedical physicsAccreditationProficiency testingComputer science

摘要: Abstract Context.—The Laboratory Accreditation Program of the College American Pathologists monitors performance its subscribers in proficiency testing (PT). Failure to perform as expected prompts program query laboratory. Objective.—To determine whether laboratories are correcting apparent problems when contacted by about repeatedly unacceptable a diagnostic test. Design.—Retrospective analysis 1 year's records (2002–2003) from College's Proficiency Testing Exception Summary correspondence, which identifies clusters PT failures. The focused on those algorithm identified repeated failures over 3 or 4 events; is monitored condition accreditation. During survey year, approximately 6300 accredited collectively tested 1 205 000 analytes and submitted results their providers more than 3 500 000 challenges. Duri...

参考文章(9)
S. J. Steindel, S. W. Renner, P. J. Howanitz, Reasons for proficiency testing failures in clinical chemistry and blood gas analysis: a College of American Pathologists Q-Probes study in 665 laboratories. Archives of Pathology & Laboratory Medicine. ,vol. 120, pp. 1094- 1101 ,(1996)
Patricia E. Styer, Delmiro Anthony Vasquez, Martin H. Kroll, Calibration verification performance relates to proficiency testing performance. Archives of Pathology & Laboratory Medicine. ,vol. 128, pp. 544- 548 ,(2004) , 10.1043/1543-2165(2004)128<544:CVPRTP>2.0.CO;2
R H Laessig, S S Ehrmeyer, B J Lanphear, B J Burmeister, D J Hassemer, Limitations of proficiency testing under CLIA '67. Clinical Chemistry. ,vol. 38, pp. 1237- 1244 ,(1992) , 10.1093/CLINCHEM/38.7.1237
F W Sunderman, The history of proficiency testing/quality control. Clinical Chemistry. ,vol. 38, pp. 1205- 1209 ,(1992) , 10.1093/CLINCHEM/38.7.1205
S Shahangian, Proficiency testing in laboratory medicine: uses and limitations Archives of Pathology & Laboratory Medicine. ,vol. 122, pp. 15- 30 ,(1998)
Klee Gg, Forsman Rw, A user's classification of problems identified by proficiency testing surveys. Archives of Pathology & Laboratory Medicine. ,vol. 112, pp. 371- 373 ,(1988)
Duckworth Jk, Proficiency testing. Its role in a voluntary clinical Laboratory Accreditation Program. Archives of Pathology & Laboratory Medicine. ,vol. 112, pp. 346- ,(1988)
Lum G, Tholen Dw, Floering Da, The usefulness of calibration verification and linearity surveys in predicting acceptable performance in graded proficiency tests. Archives of Pathology & Laboratory Medicine. ,vol. 119, pp. 401- 408 ,(1995)
Hoeltge Ga, Duckworth Jk, Review of proficiency testing performance of laboratories accredited by the College of American Pathologists. Archives of Pathology & Laboratory Medicine. ,vol. 111, pp. 1011- 1014 ,(1987)