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Investigation of internal quality control parameters of routine biochemical tests in 18 third-grade class A hospitals of Hebei Province / 中华检验医学杂志
Chinese Journal of Laboratory Medicine ; (12): 1155-1158, 2012.
Article in Chinese | WPRIM | ID: wpr-429439
ABSTRACT
Objective To explore the feasibility of carrying out the common imprecision range among different biochemical systems in different laboratories.Methods Biochemical professionals visited 18 third-grade class A hospitals in Hebei Province,investigated the internal quality control data of 21 biochemical tests and made classification according to certain parameter criterias.Data were collected from April to September,2010 and calculated for cumulative mean,standard deviation (s) and CV.Data were compared according to 1/3,1/4 of TEa established by CLIA'88 and allowable CVb% derived from biological variants.Results Among 18 hospitals,5 (27.8%) set their target value by mean value of 6 months,5(27.8%) by continuous 20 days and 8(44.4%) by the given value of the supplier.CVs of 21biochemical tests were quite different among 18 biochemistry laboratories,in which LDH was 6.79 times and CK was 76.79 times different from one another.35.5%-94.1% biochemical tests met the requirement of CV < 1/3TEa and 0.0%-91.7% met the requirement of CV < 1/4TEa.0.0%-94.1% of tests were below allowable CVb% 16/21 (76.2%) tests could satisfy the requirement of CV < 1/3TEa.The top five tests which didn't meet the requirements were Na,Urea,TBIL,ALT and Glu.Conclusions The internal quality control among biochemistry laboratories in Hebei Province has not been standardized yet.According to the survey data,biochemistry laboratories of third-grade class A hospitals may set 75% point of imprecision as a reference.After a period of improvement,we will set common imprecision range among biochemistry laborotories in Hebei Province and even in China.

Full text: Available Index: WPRIM (Western Pacific) Language: Chinese Journal: Chinese Journal of Laboratory Medicine Year: 2012 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Language: Chinese Journal: Chinese Journal of Laboratory Medicine Year: 2012 Type: Article