Tools, Technologies and Training for Healthcare Laboratories

"Real" analytical Sigma metrics, a rarity

[Full disclosure, Westgard QC has a partnership with Beckman Coulter. However, this paper was not prepared by Westgard, but was written completely independently. We are simply calling attention to the study's unique approach and findings.] A new study from Tamil Nadu, India, has gone into unprecedented detail of the analytical performance. Typicall...

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CGM quality, compromised?

A significant new paper just became available online, tackling the difficult challenge of CGM quality: Clinical assessment and acceptance criteria for continuous glucose monitoring (CGM) system performance: A proposed guideline by the IFCC Working Group on CGM, Pleus S, Eichenlaub M, Dabla PK, Diem P, Boija EE, Fokkert M, Hinzmann R, Jendle J, Klon...

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What Six Sigma Feels like... (and 2,3,4, and 5 too)

Interesting study published recently in the October 2025 issue of Philippine Journal of Pathology: Mark Angelo Ang, Karen Cybelle Sotalbo, Quantifying Total Allowable Error Violations in Serum-Sodium Quality Control: A Computer Simulation Experiment of Two- to Six-Sigma Processes, October 2025, Philippine Journal of Pathology 10(2), DOI: 10.21141/P...

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Are labs getting ensh***fied?

The term "enshittification" is having a moment right now. It was coined in 2022 by the author/essayist Cory Doctorow, and named the 2023 and 2024 word of the year by the American Dialect Society  and the Macquarie Dictionary, but the publication of the eponymous book is bringing it to the fore. Enshittification is a on...

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198 Questions: Where do I start with Six Sigma?

We're still working through questions that came up in our Global QC Survey results webinar. Question: What's your advice to labs new to Sigma metrics? How to gradually transition? We're at an interesting time in the evolution of analytical Six Sigma metrics. Many of the major control vendors have built analytical Sigma metric calculations righ...

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199 Questions: What can poor labs do?

199 questions from the Beckman Coulter Webinar. Another common inquiry I have gotten over the last few months concerns the advanced technique of Six Sigma and its applicability in not-so-advanced laboratories. In other words, what can resource-challenged laboratories do with Six Sigma metrics? This question applies not only to hematology, but to an...

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A new game: 200 questions?

Driving Quality in Hematology: New Global Standards, Interlaboratory Data, and Real-World Sigma Metric Success | Beckman Coulter DX HGM .... https://app.livestorm.co/beckman-coulter-dx-hgm/driving-quality-in-hematology-new-global-standards-interlaboratory-data-and-real-world-sigma-metric-success?s=0b6c18b1-6f1e-4c6f-90ee-48cf88783f8d We had more th...

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#CLINICAL24 celebrates the lab

Happy to be part of the #CLINICAL24 celebration of laboratory professionals and laboratory medicine again this year. My own small contribution to this global conversation can be found here: https://www.selectscience.net/video/maintaining-qc-accuracy-in-clinical-labs-through-responsible-ai-use #clinical24 #westgardrules #westgardsurveys

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European QC habits: more QC, more problems

Where do labs run more QC more often than anywhere else?https://westgard.com/qc-applications/basic-qc-practices/2025-qc-survey-europe.html See the latest findings from the Westgard Global QC Survey.Sometimes more QC just means more (self-inflicted) problems. #westgardrules And if you don't want to glance through hundreds of graphs, you can get the ...

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