Clinical Chemistry
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Clinical Chemistry 44: 1014-1023, 1998;
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(Clinical Chemistry. 1998;44:1014-1023.)
© 1998 American Association for Clinical Chemistry, Inc.


Laboratory Management

Optimizing frequency and number of controls for automatic multichannel analyzers

Aljoscha Neubauera, Christian Wolter, Christine Falkner, and Dieter Neumeier

a Author for correspondence. Fax 49-89-4140 4875; e-mail A_S_Neubauer{at}hotmail.com

Sampling strategy fundamentally influences the effectiveness of quality control with control charts. This study shows a simple approach for optimizing the control strategy for automatic multichannel analyzers that takes into account cost-efficiency considerations. Our main focus is on the frequency of controls necessary. The methods used are based on a field study (on a Hitachi/BM 747), the views of experts, and computer simulations of customary cost-models together with a survey of the literature. We found that industrial cost-models are applicable only with distinct limitations, but–unlike the test-yield model–they offer consistent solutions. On the basis of the field study and the opinions of experts, we adjusted the control strategy to account for inadequacies in the theoretical models. The combined result is that, for effective operation, the number of samples between controls may reach values up to 100 and should not require controls more often than every 30 samples on comparable multichannel analyzers. For adequate statistical performance, a simple 3-SD Shewhart chart usually requires not more than two controls of the same material at each time.




The following articles in journals at HighWire Press have cited this article:


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Clin. Chem.Home page
C. A. Parvin and S. Robbins III
Evaluation of the Performance of Randomized versus Fixed Time Schedules for Quality Control Procedures
Clin. Chem., April 1, 2007; 53(4): 575 - 580.
[Abstract] [Full Text] [PDF]




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