Coskun Abdurrahman
Duzce University, School of Medicine, Department of Clinical Biochemistry, Duzce, Turkey.
Clin Chem Lab Med. 2006;44(10):1183-7. doi: 10.1515/CCLM.2006.233.
In clinical laboratories, many test results such as low-density lipoprotein (LDL)-cholesterol can be calculated using the results of specifically measured tests. However, quality control programs deal only with measured tests and there is no adequate quality assessment procedure for calculated tests. I aimed to apply the Westgard multirule to calculated tests as a part of routine quality procedures.
I prepared a Levey-Jennings chart for calculated tests and all their measured components (Equation chart) and then applied the Westgard multirule to these tests.
Applying the Westgard multirule to calculated LDL-cholesterol (and other calculated tests) was simple, and increased the reliability of the results of the calculated tests.
Checking the reliability of only measured tests by quality control procedures before reporting patient results may be inadequate. Applying the Westgard multirule to calculated tests as part of total quality management will increase the reliability of test results.
在临床实验室中,许多检测结果,如低密度脂蛋白(LDL)胆固醇,可以通过特定测量检测的结果来计算。然而,质量控制程序仅处理测量检测,对于计算检测没有足够的质量评估程序。我的目的是将韦斯特加德多规则应用于计算检测,作为常规质量程序的一部分。
我为计算检测及其所有测量成分准备了一张利维-詹宁斯图(公式图),然后将韦斯特加德多规则应用于这些检测。
将韦斯特加德多规则应用于计算的LDL胆固醇(以及其他计算检测)很简单,并且提高了计算检测结果的可靠性。
在报告患者结果之前,仅通过质量控制程序检查测量检测的可靠性可能是不够的。将韦斯特加德多规则应用于计算检测作为全面质量管理的一部分将提高检测结果的可靠性。