Statistical
Quality Control is
paramount for accurate medical testing in the clinical laboratory. In the healthcare environment,
analyte assays have come under the regulatory spotlight, and have also
made the news, as an area of significant deficiency. The cause of deficiency in these
cases resulted from the absense of, or insufficient application of,
proper QC protocols. This
type of statistical QC deficiency can be seen not only in many clinical
testing laboratories but also in the operations of diagnostic test kit
manufacturers.
Simultaneously,
as CLIA and other regulatory agencies tighten up the quality
requirements, the population of laboratorians are, of necessity, playing
catch-up in what is often, to many, a little known subject area. Today, this education effort is
generally carried out in the midst of an environment of higher caseload
volumes and greater demands on turnaround time.
Choices
surrounding quality control processes in the laboratory are handled as
each institution sees best fit.
On the other hand, all the decisions surrounding the process of
accepting or rejecting a given run of tests must follow clearly defined
rules. The applied set of
rules for a given test usually arises as some combination of minimally
meeting compliance directives, and the institution’s own guidelines for
providing the best results to patients, based, in part, upon the unique
nature of each specific test under consideration. Putting this initiative into
place, including research, training and ongoing deployment, is a major
investment of time and money.
Factored strongly in choosing specific quality
control processes are also the practical considerations of long and
short-term costs involved.
The minimization of potential
litigation is one very important consideration for this reason, in
addition to the desire for best serving patients and preserving reputation. Good statistical QC in itself,
without the ability to easily create accurate documentation, is,
therefore, a pitfall to be avoided. Having a sensitive
testing methodology which can minimize the number of costly re-runs
would also be important.
Evaluating whether or not a given test has
satisfactorily passed the set of rules in place can be a tedious and
time-consuming manual process requiring
additional personnel.
Why QCflex?