Tools, Technologies and Training for Healthcare Laboratories

Coming in March: Westgard in Alexandria, Egypt
Sten Westgard
Where in the World is Westgard Now?
Posted by Sten Westgard, MS
Q & A: The Deleting Data Dilemma
Sten Westgard
QC Applications
Posted by Sten Westgard, MS "We have a department supervisor that instructs the techs to delete (not omit) qc values outside of three s.d..Is there a specific CLIA rule against this? Where I come from, deleting qc values is wrong." What do you think? The answer, after the jump... -----
Theranos: could it get worse?
Sten Westgard
Current Affairs
Posted by Sten Westgard, MS
Setting specifications for setting specifications for...
Sten Westgard
Journal Watch
Posted by Sten Westgard, MS
The Great Global QC Survey
Sten Westgard
Quality
Posted by Sten Westgard, MS
What's New: January 2017
Sten Westgard
What's New on Westgard Web
Posted by Sten Westgard, MS
Pop Quiz: What's the Sigma on Hospital Harm in the US?
Sten Westgard
Current Affairs
Posted by Sten Westgard, MS The third year of Medicare penalties has been meted out. This year hospitals were penalized for avoidable complications such as various types of infections, blood clots, bed sores, falls, and new to the list this year, the prevalence of two types of bacteria resistant to drugs. Do you want to guess the percentage of injuries that impacted patients in US healthcare? 15% 11.5% 1.15% 0.115% The answer, after the jump... -----
Q & A: Establishing new control ranges for unassayed chem controls
Sten Westgard
QC Applications
Posted by Sten Westgard, MS Another question coming in from one of our website members: Could you give me some suggestions on establishing QC ranges for unassayed chem. Controls? We currently use [Brand X] unassayed chem controls (much less in cost than assayed controls) for some of our chemistry analytes. For these controls, we are provided a “target mean” and a range. Occasionally, our established mean (i.e. n=30) for a new lot  is outside of the range provided for “target mean” provided by manufacturer. Could you suggest guidelines for acceptance of lab established means for unassayed controls?  Obviously, I would like to know how far from the “target mean” could the new lab established mean be? The answer, following the jump... -----
Q & A: Is this a 4:1s violation?
Sten Westgard
QC Applications
Posted by Sten Westgard, MS We got the following question emailed to the website recently: Greetings, I was [wondering] if the following case represents [violation] of 4 1s rule? Control (A) point 1= EXCEEDS 2 SD /-2 SD lines >> warning Control (A) point 2= WITHIN 2 SD/-2 SD lines >> accepted Control (A) point 3= EXCEEDS 2 SD /-2 SD lines >> warning Control (A) point 4= WITHIN 2 SD/-2 SD lines >> rejection all the point[s] on the same side of the mean. What do you think? The answer, after the jump -----
Stats of 2016
Sten Westgard
"Housekeeping"
Posted by Sten Westgard, MS

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