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An overview of various terms and concepts related to laboratory analysis, including accuracy, bias, precision, imprecision, control, and statistical methods. It covers topics such as analytical and diagnostic sensitivity, specificity, and predictive value, as well as quality control and proficiency testing.
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Typology: Summaries
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Also known as linear or dynamic range. Range of analyte concentrations that can be directly measured without dilution, concentration, or other Pretreatment
regulations signed into federal law in 1988; mandate standards in clinical laboratory operations and testing
range of analyte that a method can quantitatively report, allowing for dilution, concentration, or other pretreatment used to extend AMR
Range of values that include a specified probability, usually 90% or 95%. For example, consider a 95% confidence interval for slope = 0.972 - 0.988 from a method comparison experiment. If this same experiment were conducted 100 times, then the slope would fall between 0.9772 and 0.988 in 95 of the 100 times. Confidence intervals serve to convey the variability of estimates and quantify the variability
a type of systemic error in the sample direction and magnitude; the magnitude of change is constant and not dependent on the amount of analyte
statistics or values (e.g., mean, median, and mode) used to summarize the important features of a group of data; analysis of a data set that helps describe, show or summarize data in a meaningful way such that, for example, patterns might emerge from the data
values or statistics used to compare the features of two or more groups of data; techniques that allow us to use representative samples to make generalizations (inferences, probabilities) about the populations from which the samples were drawn
a chart illustrating the allowable limits of error in laboratory test performance, the limits being a defined deviation from the mean of a control serum,most commonly +/-2 standard deviations
Lowest amount of analyte accurately detected by a method
statistical calculations of the slope (b), the y intercept (a), and the standard deviation of the points about the regression line (sy/x), and the correlation coefficient (r) to compare two methods
Decision criteria to determine if an analytic run is in control; used to detect random and systematic error over time
Chance an individual does not have a given disease or condition if the test is within the reference interval; NPV = TN/(TN + FN) × 100
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Statistical test that makes no specific assumption about the distribution of data. Nonparametric methods rank the reference data in order of increasing size. Because the majority of analytes are not normally (Gaussian) distributed, nonparametric tests are the recommended analysis for most reference range intervals
Statistical test that assumes the observed values, or some mathematidcal transformation of those values, follow a (normal) Gaussian distribution
Chance of an individual having a given disease or condition if the test is abnormal; PPV = TP/(TP + FP) × 100
referring to diagnostic sensitivity, specificity, and predictive value. The predictive value of a test can be expressed as a function of sensitivity, specificity, and disease prevalence
confirmation of the quality of laboratory testing by means of "unknown" samples; the results are compared with other external laboratories to give an objective indication of test accuracy
A type of systemic error where the magnitude changes as a percentage of the analyte present; error dependent on analyte concentration
system for recognizing and minimizing (analytical) errors. The purpose of the quality control system is to monitor analytical processes, detect analytical errors during analysis, and prevent the reporting of incorrect patient values. Quality control is one component of the quality assurance system
the usual values for a healthy population; also normal range
an analytical method used for comparison. It is a method with negligible inaccuracy in comparison with its imprecision
ability of a method to detect small quantities of an analyte
the ability of a test to detect a given disease or condition; the proportion of patients with a given disease or condition in which a test intended to identify that disease or condition yields positive results; % Diagnostic Sensitivity = TP/(TP + FN) × 100
ability of the method to measure only the analyte of interest; in regard to quality control, the ability of an analytical method to quantitate one analyte in the presence of others in a mixture such as serum
the ability of a test to correctly identify the absence of a given disease or condition; % Diagnostic Specificity = TN/(TN + FP) × 100
Refers to the difference between the measured value and the mean expressed as a number of SDs. An SDI = 0 indicates the value is accurate or in 100% agreement; an SDI = 3 is 3 SDs away from the target (mean) and indicates error. SDI may be positive or negative
results from inaccuracy; a type of analytical error that arises from factors that contribute a constant difference, either positive or negative, and directly affects the estimate of the mean. Increases in systematic error can be caused by poorly made standards or reagents, failing instrumentation, poorly written procedures, etc