Buchta Christoph, Marrington Rachel, De la Salle Barbara, Albarède Stéphanie, Badrick Tony, Berghäll Heidi, Bullock David, Coucke Wim, Delatour Vincent, Geilenkeuser Wolf-Jochen, Griesmacher Andrea, Henriksen Gitte M, Huggett Jim F, Luppa Peter B, Pelanti Jonna, Pezzati Paola, Sandberg Sverre, Spannagl Michael, Thelen Marc, Restelli Veronica, Perrone Lucy A
Austrian Association for Quality Assurance and Standardization of Medical and Diagnostic Tests (ÖQUASTA), Vienna, Austria.
Birmingham Quality (UK NEQAS), Part of University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Clin Chem Lab Med. 2025 Jan 6;63(5):859-867. doi: 10.1515/cclm-2024-1290. Print 2025 Apr 28.
External quality assessment (EQA) cycles are the smallest complete units within EQA programs that laboratories can use to obtain external assessments of their performance. In each cycle, several samples are distributed to the laboratories registered for participation, and ideally, EQA programs not only cover the examination procedures but also the pre- and post-examination procedures. The properties and concentration range of measurands in individual samples are selected with regard to the intended challenge for the participants so that each sample fulfils its purpose. This aims to ensure the most significant possible information gain in every cycle using the lowest possible number of EQA samples and thus, under economically optimal conditions. Participants examine samples and the results are reported to the EQA provider, who compares them with the target values for individual measurands in every sample. The EQA provider assesses the laboratory performance, and finally communicates the assessment results to the participant. The participants evaluate the outcomes of the assessment of their examination results and can draw conclusions in the case of both failing and passing and, if necessary, define improvement measures. After completion, each cycle is evaluated by the provider so that limitations and weaknesses of the EQA program can be identified and appropriate measures taken, or to confirm its continued suitability and appropriateness.
外部质量评估(EQA)周期是EQA计划中的最小完整单元,实验室可利用这些周期获得其性能的外部评估。在每个周期中,会向注册参与的实验室分发若干样本,理想情况下,EQA计划不仅涵盖检验程序,还包括检验前和检验后程序。会根据对参与者的预期挑战来选择各个样本中被测量物的特性和浓度范围,以便每个样本都能实现其目的。这旨在使用尽可能少的EQA样本数量,在经济最优条件下确保每个周期都能获得最有意义的信息。参与者对样本进行检测,并将结果报告给EQA提供者,后者会将这些结果与每个样本中各个被测量物的目标值进行比较。EQA提供者评估实验室的性能,最后将评估结果传达给参与者。参与者评估其检测结果评估的结果,在未通过和通过的情况下都可得出结论,如有必要,还可确定改进措施。完成后,提供者会对每个周期进行评估,以便识别EQA计划的局限性和弱点并采取适当措施,或确认其持续适用性和适宜性。