[The advantages of dynamic evaluation of measurement quality in clinical diagnostic laboratory].

The national standard of laboratory quality control is based on a assumption about normal distribution of random error. The data of procedure of quality control get from analyzer Flexor XL during three months period were examined. The distributions of random error were non-Gauss ones in almost half of all examined tests by reason of both abnormal asymmetry and excess. To prevent possible clinical mistakes the actual level of quality is to be evaluated using dynamic values of bias, variation coefficient and o-metrics based on simple consecutive means. The most appropriate time of averaging consisted about 10 days and had no dependencies of type of test. The actual standard cab y easily improved taking into account the discovered advantages and simplicity of proposed approach.

[The algorithms of evaluation of economic effectiveness of laboratory technologies].

The article considers several practical situations requiring estimation of economic effectiveness. The protocols of estimation, costs and effectiveness accounting requirements of practical public health are proposed. The necessity of development of correct epidemiological model is demonstrated to estimate profit of innovations of diagnostic stage. The estimation "costs-effectiveness" is made for troponins at diagnostic of cardiac infarction and prostate-specific antigen under screening of prostate cancer.