Abdel Ghafar Muhammad T, El-Masry Muhammad I
Tanta University, Faculty of Medicine, Departments of Clinical Pathology, Egypt.
Kafr El-sheikh University, Faculty of Medicine, Departments of Clinical Pathology, Egypt.
J Med Biochem. 2021 Jun 5;40(3):225-236. doi: 10.5937/jomb0-24764.
Globally, all medical laboratories seeking accreditation should meet international quality standards to perform certain specific tests. Quality management program provides disciplines targeted to ensure that quality standards have been implemented by a laboratory in order to generate correct results. The hallmark of the accreditation process is method verification and quality assurance. Before introducing a new method in your laboratory, it is important to assess certain performance characteristics that reflect the concept of method verification.
In this review, we illustrated how to verify the performance characteristics of a new method according to the recent guidelines. It includes an assessment of precision, trueness, analytical sensitivity, detection limits, analytical specificity, interference, measuring range, linearity, and measurement uncertainty.
Although the presence of several updated guidelines used to determine the performance characteristics of new methods in clinical chemistry laboratories, the real practice raised several concerns with the application of these guidelines which in need for further consideration in the upcoming updates of these guidelines.
在全球范围内,所有寻求认可的医学实验室都应符合国际质量标准,以进行某些特定检测。质量管理程序提供了旨在确保实验室已实施质量标准以产生正确结果的规范。认可过程的标志是方法验证和质量保证。在实验室引入新方法之前,评估反映方法验证概念的某些性能特征很重要。
在本综述中,我们说明了如何根据最新指南验证新方法的性能特征。这包括对精密度、准确性、分析灵敏度、检测限、分析特异性、干扰、测量范围、线性和测量不确定度的评估。
尽管有若干用于确定临床化学实验室新方法性能特征的更新指南,但实际应用中对这些指南的应用提出了一些问题,需要在这些指南的后续更新中进一步考虑。