Salas Angel, Ricós Carmen, Prada Enrique, Ramón Francisco, Morancho Jorge, Jou Josep M, Blazquez Raquel
Comité de Programas Externos de la Calidad, Spanish Society of Clinical Chemistry and Laboratory Medicine (SEQC), Barcelona, Padilla 323-325 BCN 08025, Spain.
Comité de Programas Externos de la Calidad, Spanish Society of Clinical Chemistry and Laboratory Medicine (SEQC), Barcelona, Padilla 323-325 BCN 08025, Spain.
Clin Lab Med. 2017 Mar;37(1):73-84. doi: 10.1016/j.cll.2016.09.007. Epub 2016 Dec 6.
Four external quality assurance programs combined their data to calculate the minimum acceptable quality specifications for laboratory testing. Other sources of quality specifications may be too stringent for the current market, or too lenient given the clinical demands on the test result, but these state-of-the-art goals may be practical and useful. Two main approaches were used: (1) defining the 95% percentile and comparing with other quality specifications, and (2) using an iterative approach to increase the quality specification until 90% of laboratories could achieve 75% of their results within the specification. 72 out of 82 analytes followed procedure 2.
四个外部质量保证项目合并了它们的数据，以计算实验室检测的最低可接受质量规范。其他质量规范来源对于当前市场可能过于严格，或者鉴于对检测结果的临床要求又过于宽松，但这些最先进的目标可能是切实可行且有用的。使用了两种主要方法：(1) 定义第95百分位数并与其他质量规范进行比较，以及 (2) 使用迭代方法提高质量规范，直到90%的实验室能够在规范内达到其75%的结果。82种分析物中有72种遵循方法2。
