Lab automation & quality control Flashcards

1
Q

automation

A

the mechanization of the steps in a procedure

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2
Q

Why do we use automation?

A

Accommodate increased volume of tests

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3
Q

turnaround time

A

the total time it takes for the physician to get the test result back after it is ordered

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4
Q

test repertoire

A

how many tests/ analytes it can perform

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5
Q

dwell time

A

the minimum time required to obtain a result after the initial pipetting of the specimen by the instrument. Instruments that perform multiple tests have dwell times

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6
Q

throughput

A

the maximum number of samples that can be processed in an hour

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7
Q

cost

A

the resources consumed in producing a patient’s test results

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8
Q

Advantages of automation

A

lower labor costs
reduced error rates
increased analytical speed
increased capacity at little additional cost

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9
Q

Point of care testing (POCT)

A

testing that is done at the bedside or near the bedside and away from the central laboratory

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10
Q

Advantages of POCT

A

Short turnaround time, increased patient-physician interactions decreased specimen volume, low specimen acquisition cost, low preanalytical errors, lower lab fixed costs

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11
Q

Disadvantages of POCT

A

Increased cost of each test cartridge, decreased accuracy, high quality monitoring cost, increased liability

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12
Q

Quality management

A

designing a service or process that never fails or results in error
(Plan, design or organise protocols, which reduce failures or errors)

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13
Q

Quality management (3 parts)

A

control, improvement, assurance

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14
Q

Quality control

A

operational techniques and activities carried out to fulfill the quality requirements. This process monitors or maintains quality performance of tests w/in acceptable standards

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15
Q

random error

A

the imprecision or scatter of values around the mean

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16
Q

standard deviation

A

the variance

17
Q

Coefficient of variation (CV)

A

the expression of the SD as a percentage of the mean

18
Q

systematic error

A

the inaccuracy in one direction from the true correct value (bias)

19
Q

total error

A

the combined effect of random and systematic errors

20
Q

Internal QC

A

checks for the precision (reproducability) of the method

21
Q

External QC

A

checks for the accuracy of the method

22
Q

L-J QC chart

A

results are plotted as a pattern of change:

12s: warning rule: violated when one control result exceeds +- 2 SD from the mean
22s: violated when two consecutive results from one level of control exceeds +/- 2 in either direction
10x: when ten consecutive control results for one control occur on the same side of the mean