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Tools, Technologies and Training for Healthcare Laboratories

Is Cutting Your QC driven by Risk? Or increasing it?
Sten Westgard
Uncategorized
Another timely question from our Cut Your QC webinar 9/25/26: "What model can be used with planning QC based on the clinical risk to the patient, as considered ISO 15189? One of the challenges lies in selecting quality specifications – specifically, how to determine whether the approach is too lax or too strict." Risk-driven, Risk-focused, Risk-cen...
Cut your QC Question: a 1-2s by the light of the moon
Sten Westgard
Uncategorized
We got a lot of questions during our Cut Your QC webinar, too many to answer during the session. So here's one that we didn't get to "In the evening I run one level of QC and it fails 1:2s. Do I need to rerun?" This is a curious question. QC results are not different depending on the time of day. A 1:2s in the morning is the same as a 1:2s at night...
What does "Cut Your QC" actually mean?
Sten Westgard
Uncategorized
As we prepare for our Cutting Your QC webinar, we've gotten nearly two thousand registrations, along with a lot of questions. https://us02web.zoom.us/webinar/register/WN_F5IRlqySRR6eRcrm9Zz9mQ The most common question we're getting is, What does "Cut your QC" mean? I believe this comes from a perspective of many labs, that QC cannot be reduced...
AI is getting the Westgard Rules Rong...
Sten Westgard
Uncategorized
Over the past few months, I've gained a bit of a reputation as a LinkedIn grouch. When I come across posts here that describe the Westgard Rules, analytical Sigma metrics, QC in general, I am quite direct about pointing out errors. In the flood of AI-generated images and flyers, there is currently an overwhelming trend to get things wrong. Over the...
Cut Your QC - The caveats
Sten Westgard
Uncategorized
More than 600 of your laboratory peers are already registered for Cut Your QC. https://us02web.zoom.us/webinar/register/WN_F5IRlqySRR6eRcrm9Zz9mQ Now there are some qualifiers, of course. Not every lab nor every instrument is going to be able to reduce QC. A badly engineered instrument. Or a poorly maintained and deteriorating instrument. Or a poor...
Diagnostics Peer-Group Sigma Study: Roche beats Siemens
Sten Westgard
Uncategorized
An Indonesian study in Diagnostics attempted to make a comparison between Siemens and Roche instrumentation using Peer Group Sigma metrics. Out of 30 assays, Roche won 29 of 30. I can't say I wholeheartedly agree with the methodology of the study: peer group data can obscure what individual laboratories experience. The details can get lost in ...
Six Sigma for Agriculture and Textile Chemical?
Sten Westgard
Uncategorized
Like many authors, I keep track of where I'm cited. So I was a bit surprised to see I had been referenced in a paper in the Agricultural Association of Textile Chemical and Critical Reviews Journal: https://doi.org/10.21276/AATCCReview.2026.14.03.22 Not the usual journal I expect. But even more curious, the title of the paper is "An overview of qua...
Cut Your QC! Free webinar 9/25/26 11 am cst
Sten Westgard
Uncategorized
After premiering this event at ADLM, we are opening it up to everyone through zoom. Please join us September 25th, at 11 am central standard time. At last, a frank look at why we need to do less QC, and how we can make those reductions safely.  If you enjoy being out of control every day, if you get a thrill every time you have to repeat a con...
Q and A: Establishing a new mean and SD within the manufacturer's range
Sten Westgard
Uncategorized
"I have a question about establishing a Levey-Jennings control chart. laboratories should collect a minimum of 20 measurements over at least 10 days to calculate the mean and SD for the chart. My question is: Is it required that these initial 20 data points must fall within the manufacturer's declared range (or assigned values) for the control...
Should Labs impose Desperation Premiums?
Sten Westgard
Uncategorized
Every so often it's useful to transpose a few practices from outside the laboratory into the laboratory, just to see how we would evaluate them. The new Tech powers are gleefully implementing a system called "surveillance pricing", which they sell as a dynamic way to sell things to customers, except it turns out that they really only want the prici...

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