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Comparison of evaluation procedures used by European external quality assessment scheme organizers for haemoglobin concentration and leukocyte concentration
Authors:Marjan Van Blerk  Stéphanie Albarède  André Deom  Gabriela Gutiérrez  Silke Heller  Aida Nazor  Anja Pakkanen  Robert Rej  Kathleen M. Curran  Erika Sarkany  Milan Skitek  Joan-Lluis Vives-Corrons  Evgeny Zaikin  Jean-Claude Libeer
Affiliation:1. Department of Clinical Biology, Scientific Institute of Public Health, J. Wytsmanstraat 14, 1050, Brussel, Belgium
2. Département de l’évaluation externe de la qualité des analyses de biologie médicale, Agence Fran?aise de Sécurité Sanitaire des Produits de Santé (AFSSAPS), Paris, France
3. Swiss Centre for Quality Control (CSCQ), Chêne-Bourg, Switzerland
4. Asociación Espa?ola de Hematología y Hemoterapia (AEHH) Scheme CDB, Hospital Clínic i Provincial, Barcelona, Spain (1)
5. Instand, Berlin, Germany
6. National EQAS in Medical Biochemistry, Laboratory Haematology and Coagulation, Zagreb, Croatia
7. Labquality, Helsinki, Finland
8. Wadsworth Center for Laboratories and Research, New York State Department of Health, Albany, NY, USA
9. QualiCont, Szeged, Hungary
10. Slovenian National EQAS in Haematology (SNEQAS-H), Ljubljana, Slovenia
11. QC-System, On-line Proficiency Testing, Barcelona, Spain (2)
12. National Centre for External Quality Assessment in Laboratory Medicine, Moscow, Russia
Abstract:This study aimed to assess currently used evaluation procedures for haemoglobin concentration and leukocyte concentration in European external quality assessment schemes (EQAS). Participating EQAS organizers were asked to complete a questionnaire gathering information on the statistical procedures used to assess the performance of participants, and to analyse an Excel file with 262 results for haemoglobin concentration and leukocyte concentration. Responses were received from the New York State Proficiency Testing programme in the US and from 11 European EQAS: Belgium, Croatia, Finland, France, Germany, Hungary, Russia, Slovenia, Spain (two organizers), and Switzerland. Five of the 11 European EQAS use fixed limits based upon experience, biological variation, state of the art, or professional consensus. The other EQAS use variable limits based upon statistical analysis of the performance attained. With the exception of the German, Hungarian, and Slovenian schemes, all European EQAS use consensus target values. The percentage of unsatisfactory results obtained by the European EQAS organizers for the given set of data varied between 0.4 and 15.6% for haemoglobin concentration and between 0 and 19.8% for leukocyte concentration.
Keywords:Acceptability criteria  External quality assessment scheme  Haemoglobin concentration  Leukocyte concentration
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