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KMID : 0861420120160010115
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Korean Journal of Nuclear Medicine Technology
2012 Volume.16 No. 1 p.115 ~ p.118
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Application of Westgard Multi-Rules for Improving Nuclear Medicine Blood Test Quality Control
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Jung Heung-Soo
Bae Jin-Soo
Shin Yong-Hwan
Kim Ji-Young
Seok Jae-Dong
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Abstract
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Purpose: The Levey-Jennings chart controlled measurement values that deviated from the tolerance value (mean ± 2SD or ± 3SD). On the other hand, the upgraded Westgard Multi-Rules are actively recommended as a more efficient, specialized form of hospital certification in relation to Internal Quality Control. To apply Westgard Multi-Rules in quality control, credible quality control substance and target value are required. However, as physical examinations commonly use quality control substances provided within the test kit, there are many difficulties presented in the calculation of target value in relation to frequent changes in concentration value and insufficient credibility of quality control substance. This study attempts to improve the professionalism and credibility of quality control by applying Westgard Multi-Rules and calculating credible target value by using a commercialized quality control substance.
Materials and Methods: This study used Immunoassay Plus Control Level 1, 2, 3 of Company B as the quality control substance of Total T3, which is the thyroid test implemented at the relevant hospital. Target value was established as the mean value of 295 cases collected for 1 month, excluding values that deviated from ± 2SD. The hospital quality control calculation program was used to enter target value. 12s, 22s, 13s, 2 of 32s, R4s, 41s, 10x?, 7T of Westgard Multi-Rules were applied in the Total T3 experiment, which was conducted 194 times for 20 days in August. Based on the applied rules, this study classified data into random error and systemic error for analysis.
Results: Quality control substances 1, 2, and 3 were each established as 84.2 ng/㎗, 156.7 ng/㎗, 242.4 ng/㎗ for target values of Total T3, with the standard deviation established as 11.22 ng/㎗, 14.52 ng/㎗, 14.52 ng/㎗ respectively. According to error type analysis achieved after applying Westgard Multi-Rules based on established target values, the following results were obtained for Random error, 12s was analyzed 48 times, 13s was analyzed 13 times, R4s was
analyzed 6 times, for Systemic error, 22s was analyzed 10 times, 41s was analyzed 11 times, 2 of 32s was analyzed 17 times, 10x? was analyzed 10 times, and 7T was not applied. For uncontrollable Random error types, the entire experimental process was rechecked and greater emphasis was placed on re-testing. For controllable Systemic error types, this study searched the cause of error, recorded the relevant cause in the action form and reported the information to the Internal Quality Control committee if necessary.
Conclusions: This study applied Westgard Multi-Rules by using commercialized substance as quality control substance and establishing target values. In result, precise analysis of Random error and Systemic error was achieved through the analysis of 12s, 22s, 13s, 2 of 32s, R4s, 41s, 10x?, 7T rules. Furthermore, ideal quality control was achieved through analysis conducted on all data presented within the range of ± 3SD. In this regard, it can be said that the quality control method formed based on the systematic application of Westgard Multi-Rules is more effective than the Levey-Jennings chart and can maximize error detection.
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KEYWORD
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Westgard Multi-Rules, Levey-Jennings, Target value, Total T3
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