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Ann Biol Clin (Paris) ; 78(5): 574-580, 2020 10 01.
Article in French | MEDLINE | ID: mdl-32716002

ABSTRACT

Laboratories need to set up effective overall management of their internal quality control (IQC) and external quality assessment (EQA) results as key elements in statistical process control. Quality targets need to be defined, with methods to ensure durable control with respect to the relevant specifications. The hemostasis laboratory of the Lyon Hospitals Board (HCL, Lyon, France) uses model 3 from the Milan consensus conference, which is the state of the art in terms of quality targets, and uses a common EQA provider supplying as many real patient samples as possible. Giving priority to adopted methods, the lab optimizes the use of manufacturers' prior data: maximum acceptable inter assay coefficient of variation (CV) and prior IQC target values. Bayesian inference brings the method under control with respect to the manufacturers' prior data without the need for a preliminary phase. It links the IQC and EQA plans by the maximum acceptable CVs defined by the manufacturer.


Subject(s)
Hematologic Tests/statistics & numerical data , Hematologic Tests/standards , Laboratories, Hospital/statistics & numerical data , Quality Assurance, Health Care , Bayes Theorem , Blood Coagulation Tests/instrumentation , Blood Coagulation Tests/methods , Blood Coagulation Tests/standards , Blood Coagulation Tests/statistics & numerical data , Clinical Laboratory Services/organization & administration , Clinical Laboratory Services/standards , Clinical Laboratory Services/statistics & numerical data , France/epidemiology , Hematologic Tests/instrumentation , Hematologic Tests/methods , Hemostasis/physiology , Humans , Laboratories, Hospital/organization & administration , Laboratories, Hospital/standards , Laboratory Proficiency Testing/organization & administration , Laboratory Proficiency Testing/standards , Laboratory Proficiency Testing/statistics & numerical data , Professional Practice/organization & administration , Professional Practice/standards , Professional Practice/statistics & numerical data , Quality Assurance, Health Care/methods , Quality Assurance, Health Care/organization & administration , Quality Assurance, Health Care/standards , Quality Assurance, Health Care/statistics & numerical data , Quality Control , Retrospective Studies
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