Cc lab Flashcards
Includes maneuvers encountered in the pre-analytic, analytic and post analytic phases of laboratory testing.
Monitors performance starting from the ordering of a laboratory determination to its reporting, the interpretation of results, and application to patient care
Quality Assurance
Concerned with the analytic phase of a QA
* Monitors the overall reliability of laboratory results in terms of accuracy and precision.
Quality Control
2 Major types of Quality control
External QC ( Inter-laboratory QC)
Internal QC ( Intra-laboratory )
involves proficiency testing programs that periodically provide sample of unknown concentration of analytes to participating laboratories.
External QC ( Inter-laboratory QC)
involves the analyses of control samples together with the patient specimens.
Detects changes in performance between the present operation and “stable” operation.
Important for the daily monitoring of accuracy and precision of analytical methods.
Detects both random and systemic errors
Internal QC ( Intra-laboratory )
closeness of the result compared with the true or actual value.
Accuracy
Ability to produce a series of results that agree closely with each other; commonly expressed in terms of standard deviation ( SD ); called reproducibility.
Precision
solutions with a known amount of a substance and are used to calibrate an assay method ( e.g. standards & calibrators ); vital in a procedure to determine the most “true “ value of an analyte.
Reference Material
The range of values for a given constituent in healthy individuals; determined by performing a specific measurement on a large number of healthy individuals often grouped by age and sex; important factors should be standardized
Reference range
Solution known characteristics and of known value; composed of one known constituent only and used as a basis or reference for the calculation of the value of unknown.
Standard Solution
Solution (either commercially or non- commercially prepared) composed of several known constituents which can be run simultaneously with the test to check for the accuracy of the results.
● Human control materials are preferred but because of limited sources and Bovine-Based QC materialisnot the choice for immunochemistry, dye-binding, and certain bilirubin assays
Control solution
ability of a method to detect the smallest concentration of a given analyte.
Analytic sensitivity
ability of a method to detect only the analyte it is designed to determine
Analytic specificity
Ability of a test to detect a given disease or condition
Diagnostic Sensitivity
ability of a test to detect the absence of a given disease or condition
Diagnostic Specificity