Lesson 4: How do you build quality into a laboratory testing process?

In Putting Quality into Quality Control, Dr. Westgard emphasizes the need for quality planning, with particular attention to selecting statistical QC procedures that are appropriate for detecting medically important errors. Four practical approaches for QC planning are identified in Starting a QC Planning Process. A detailed example of QC planning using analytical quality requirements is provided for a Cholesterol test subject to CLIA proficiency testing. Another example considers a Cholesterol test and a clinical quality requirement based on NCEP guidelines for interpretation of a screening test.
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Objectives:

Describe available QC planning approaches 
Introduce a step-by-step QC planning process 
Demonstrate QC planning with use of preprinted OPSpecs charts 
Demonstrate QC planning with use of a computer program 

Web materials:

Essay: Putting Quality into Quality Control  
Lesson: Starting a QC Planning Process 
QC planning application: Cholesterol with analytical quality requirement 
QC planning application: Cholesterol with clinical quality requirement 

Things to do:

Study the materials. 
Find out how your laboratory does quality-planning. 

Assessment: View the Answers

What are the 4 different approaches for QC planning? 
What are the 8 steps of a QC planning process? 
What graphical tools are used to support QC planning? 
What are some sources of graphical tools? 

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