Task & Finish Group Total Error Wytze Oosterhuis Task & - - PowerPoint PPT Presentation

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Task & Finish Group Total Error Wytze Oosterhuis Task & - - PowerPoint PPT Presentation

Task & Finish Group Total Error Wytze Oosterhuis Task & Finish Group Total Error Terms of Reference: To come up with a proposal for how to use the total error concept and how to possible combine performance specifications for bias and


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Task & Finish Group Total Error

Wytze Oosterhuis

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Terms of Reference: To come up with a proposal for how to use the total error concept and how to possible combine performance specifications for bias and imprecision. Deliverable: A manuscript dealing with this topic. Task & Finish Group Total Error

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Members: Dave Armbruster (US) Hassan Bayat (IR) Patrick Bossuyt (NL) Abdurrahman Coskun (TR) Peter Deman (NL) Ana-Paula Faria (PT) Kathleen Freeman (UK) Per Hyltoft-Petersen (DK) Anders Kallner (SW) Dave Koch (US) Finlay MacKenzie (UK) Gabriel Migliarino (AR) Matthias Orth (DE) Hanna Ritzen (SW) Marit Sverresdotter Sylte (NO) Johan Surtihadi (US) Elvarr Theodorsson (SW) Sten Westgard (US)

Task & Finish Group Total Error

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Problems: Conventional model is flawed: TEA = 0,25CVB + 1,65(0,5CVI) Summing of mutual exclusive terms.

Clinical Chemistry 57:9 (2011)

Task & Finish Group Total Error

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Task & Finish Group Total Error

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Other problems:

In general Maximum imprecision CVA < 0.5CVB Maximum bias < 0.25CVB Monitoring Maximum imprecision CVA < 0.5CVI Maximum bias < 0.25(CVI

2+CVG 2)1/2

Diagnosis? Maximum imprecision CVA < 0.5(CVI

2+CVG 2)1/2

Maximum bias < 0.25(CVI

2+CVG 2)1/2

Task & Finish Group Total Error

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  • Correct of bias
  • Take all sources of uncertainty into account

Task & Finish Group Total Error

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Task & Finish Group Total Error

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Task & Finish Group Total Error

CLSI

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Method Ideal performance specification (e.g. for manufacturer) Realistic IQC-limits Method performance Sigma metrics can be calculated CVa<½CVi

+

  • +
  • Total error (conventional

theory)

+ + (-) + +

Gowans

+

  • +
  • RCV (Larsen)

+

  • +
  • Adapted Gowans/RCV

(Oosterhuis/Sandberg)

  • + (-)

+ +

RiLiBAK

  • +

+

  • CLSI
  • +
  • GUM
  • +
  • ISO Draft measurement

uncertainty

  • +
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Questions:

  • What is the minimum analytical performance?
  • What are realistic performance goals?
  • How can a Internal Quality Control scheme be derived from

quality goals?

  • How can we calculate one measure for analytical

performance? Task & Finish Group Total Error

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