Tools, Technologies and Training for Healthcare Laboratories

W.o.W., part I: Total Error vs. Trueness and Measurement Uncertainty

September 2007

Total Error. Trueness. Uncertainty. Can these terms coexist? Under ISO, will defining an allowable error for a test become unacceptable? Will the embrace of ISO accreditation mandate the rejection of all non-ISO-conforming terminology and concepts?

The debate - and the future - is uncertain.

Truthful Guidance about Trueness, Uncertainty and Quality

February 2007

We need some truthful guidance about Trueness, Uncertainty and Quality. This year's regulations feature new terminology that adheres to ISO conventions. As we leave behind our familiar concepts of precision, bias, and total error, are we gaining anything? Are we just changing names, or are we changing our goals, too?

Quality Management - the Gospel according to ISO

In the face of failed CLIA regulations, where do we now turn? We may need to look to standards and practices outside the US. With this in mind, Dr. Westgard introduces a new series of articles about ISO and quality management. Guest authors Dr. Rogerio Rabelo and Dr. Daniel Perigo come to us from Fleury Diagnostics in Brazil, where they have experienced the ISO certification process.

ISO Says So: Recommendations for Validation of User QC

The CLSI came out with a recommendation on Validation of User QC for ISO. Dr. Westgard reviews these recommendations, and examines the ISO system as a whole. (Preview)

To Be Uncertain or In Error?

Do you know the new ISO terms? Dr. Westgard weighs in on the new terminology and suggests there are practical applications for the new uncertainty concepts as well as the old error concepts. He also asks, should we be spending time improving terminology or improving lab performance?

(Preview)