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LJ Chart, Westgard Rules and %CV Mr. Shashikant G. Mahadik, Scientific Officer, Hematopathology, TMH

Mr. Shashikant G. Mahadik, Scientific Officer, Hematopathology, TMH

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Mr. Shashikant G. Mahadik, Scientific Officer, Hematopathology, TMH Slide 2 - Plotting of Levey-Jennings chart - Application of Westgard Rules - Calculation of coefficient of variance Slide 3 Control Material Commercial / In-house (for coagulation) Tri-levels 1 st or 3 rd party controls Monitoring of control L-J charts, Westgard rules and %CV Slide 4 Accuracy : Closeness of a result to the true value Precision : refers to the reproducibility of a result You cannot have accuracy without precision, but can have precision without accuracy Slide 5 Calibration : is done to standardize the instrument for accuracy Calibrator : is a certified reference material used calibrate a measurement on analyzer Slide 6 Why do laboratory errors occur? Inadequate Understaffed & Underequipped Poor Workload Management Time Pressures Poor Sample Control Poor Results Verification Inadequate Internal Quality Control (IQC) & Assessment (EQAS) Attention To Detail Poor Quality Management Non-validated Tests Slide 7 ISO 15189 Slide 8 Slide 9 The Levey-Jennings Chart's Inventors In 1931, Dr. Walter Shewhart, a scientist at the Bell Telephone Laboratories, proposed applying statistical based control charts to interpret industrial manufacturing processes. In 1950, S. Levey and E.R. Jennings suggested the use of Dr. Shewharts control chart in the clinical laboratory. Father of statistical quality control Slide 10 Slide 11 Slide 12 Slide 13 Slide 14 Slide 15 Slide 16 Slide 17 Slide 18 Slide 19 Slide 20 Slide 21 Slide 22 Slide 23 Slide 24 Slide 25 Slide 26 Slide 27 Slide 28 Slide 29 Slide 30 Slide 31 Slide 32 Slide 33 Slide 34 Slide 35 Slide 36