Design of internal quality control for reference value studies.
Internal quality control should assure that the desired quality goals are achieved during reference value studies. Quality goals are often stated in the form of allowable limits of error, such as an allowable total error or an allowable bias. For reference value studies, it may be more appropriate to utilize a goal for allowable bias. In either case, it is possible to calculate a metric in the form of the critical systematic error that can be used to guide selection or design of the internal quality control procedure. A graphical tool, called the critical-error graph, facilitates the selection by superimposing the calculated critical systematic error on the power curves of different control rules and numbers of control measurements. Examples are provided to illustrate the calculation of the critical systematic error from both an allowable total error goal and an allowable bias goal, using figures from an extensive tabulation of available total error and bias goals.
Department of Pathology and Laboratory Medicine, University of Wisconsin Medical School, Madison, WI 53706, USA. jowestgard@med.wisc.edu
James O
JO
Westgard
D015982:Bias; D003627:Data Interpretation, Statistical; D006801:Humans; D011786:Quality Control; D012016:Reference Values; D015203:Reproducibility of Results