Clinical Chemistry
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Clinical Chemistry 41: 575-580, 1995;
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Clinical Chemistry, Vol 41, 575-580, Copyright © 1995 by American Association for Clinical Chemistry

Behavior of frozen serum pools and lyophilized sera in an external quality-assessment scheme

CA Ferrero, A Carobene, F Ceriotti, A Modenese and C Arcelloni
Istituto Scientifico H. S. Raffaele, Laboratorio Analisi, Milano, Italy.

To further improve analytical accuracy in clinical chemistry, proficiency testing needs amelioration in the quality of materials tested and in target value assignment. To obtain information on the actual state-of-the-art in the Lombardy region of Italy, and to examine the behavior of different types of control materials (fresh-frozen human sera and lyophilized materials), we developed the following experimental design. Two human serum pools and two lyophilized sera were distributed to 32 laboratories for determination of glucose, creatinine, cholesterol, sodium, potassium, and gamma- glutamyltransferase (gamma-GT). Each analyte was measured in triplicate on each of 3 days. Target values for the controls were obtained with Reference Methods. The results show a good intralaboratory precision for every component but some accuracy problems for glucose, creatinine, cholesterol, and gamma-GT. Lyophilized materials showed some commutability problems for glucose, electrolytes, and gamma-GT, mainly with dry chemistry technology.


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Copyright © 1995 by the American Association for Clinical Chemistry.