Quality Control
Quality Control
Quality Control is defined as the study of errors which are the responsibility of the laboratory
and the procedures used to recognise and minimize them.
The high quality and accuracy of the test results are achieved when the following points
are taken into consideration: 1) Cleanliness of glassware, 2) Daily maintenance of instrument,
3) Use of specific and sensitive methods for assay, 4) Well trained laboratory person.
QC Material:
The pooled and lyophilised normal serum forms the quality control material. The
materials are supplied by several companies along with analysed values. The lyophilized
material is dissolved in deionized water and divided into several vials and freezed. Each day a
vial of low and high value control is selected , thawed and run as sample.
Types of QC
Internal quality control: Procedures done in a lab for the continuous assessment of the day
today work and evaluation of result of test to decide reliability.
External quality control: It is a system of comparing results from different labs. (EQAS)
QC is done to detect and correct errors in the analytical procedures in the laboratory. It
is done in the beginning of each shift; after an instrument is serviced; when reagent lots are
changed; after calibration, and when patient results seem inappropriate. Quality control data
is most easily visualized using a Levey Jennings chart.
The dates of analyses are plotted along the X-axis and control values are plotted on the Y-
axis. The mean and one, two, and three standard deviation limits are also marked on the Y-
axis. Inspecting the pattern of plotted points helps to detect increased random error and shifts
or trends in calibration
Westgard Multirule chart