This procedure generates Levey-Jennings control charts on single variables. The Levey-Jennings control chart is a special case of the common Shewart Xbar . The Levey-Jennings chart was created in the s to answer questions about the quality and consistency of measurement systems in the. The Levey-Jennings chart usually has the days of the month plotted on the X-axis and the control observations plotted on the Y-axis. On the right is the Gaussian.

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Plot these results, one from Control 1 and one from Control 2, for each day. In spite of this serious limitation, many laboratories continue to use 2s control limits an just routinely repeat the run and the controls, or sometimes repeat only the controls by themselves.

InGauss proposed using leveu normal distribution as a model for the errors of measurement. Once the control charts have been set up, you start plotting the new control values that are being collected as part of your routine work.

It is named after S. So, while the Levey-Jennings chart will work with good levwy, it fails to work when the measurement system is operating inconsistently. White Blood Cell Differential Simulator. These measurements are good to the nearest megohms, and rounding to the nearest megohms does not degrade the quality of the information they contain. The central line is generally taken to be the average value, although when testing a known standard, the central line may be set at the accepted value for the standard.

Apply the 1 2s and 1 3s control rules and make a decision whether you should accept or reject the run for each day.

QC: The Levey-Jennings Control Chart – Westgard

You can contact him at djwheeler spcpress. There are some similarities between the Levey-Jennings chart and an individuals X-mR control chart see our October newsletter for more information on X-mR control charts. It is both primitive and naive.

To remedy this weakness the Levey-Jennings jeennings was modified in by the addition of some additional criteria for detecting problems. The data for thirty days is in the table below. We can no longer take for granted that everyone jennongs how to build a control chart, plot the control values, and interpret those results correctly.

  ASTM E1225 PDF

Use of Control Charts Once the control charts have been set up, you start plotting the new control values that are being collected as part of your routine work.

From these data, the means and standard deviations were calculated to be: Tools, Technologies and Training for Healthcare Laboratories. The data are shown in figure 2.

Laboratory quality control

Be deliberate about the sample size you use. Scale and label x-axis. The Good, the Bad, and the Ugly. You will need two sheets, one for each chart of the two control materials. And if increased sensitivity is desired for this consistency chart, the standard Western Electric zone tests may always be used. A control chart is a more specific kind of a run chart. Calculation of control limits Two sets of control limits will be needed to implement the rules described above. This assumes you already have a selected appropriate control materials, b analyzed those materials to characterize method performance by collecting a minimum of 20 measurements over at least 10 days, c calculated the mean and standard deviation of those data, and d selected the number of control measurements to be used per run and e selected the control rules to be applied.

A model for complex measurements. Laboratory quality control material is usually run at the beginning of each shift, after an instrument is serviced, when reagent lots are changed, after calibration, and whenever patient results seem inappropriate. Inspecting the pattern of plotted points provides a simple way to detect increased random error and shifts or trends in calibration.

Patient results obtained in runs where the 1 3s rule is violated are most likely incorrect. Think of the mean of the distribution in figure 8 as the value of an item being measured, and let the distribution represent a series of repeated measurements of that item.

We’ll provide more discussion of multirule QC procedures in a later lesson. The other two lines represent distances of one and two standard deviations from the average. How good are your measurements? Thus, our three-sigma limits for the X chart are to and the upper limit for the range chart is Two sets of control limits will be needed to implement the rules described above. Laboratory quality control is designed to detect, reduce, and correct deficiencies in a laboratory’s internal analytical process prior to the release of patient results, in order to improve the quality of the results reported by the laboratory.


With a consistent and predictable measurement system the Levey-Jennings chart will mimic the XmR chart. While the data in figure 5 are recorded to the nearest 5 megohms, they are only good to the nearest megohms. For practice, the accompanying table provides some control results for our example cholesterol method.

Each test is designed to send a signal that something in the lab test has shifted.

These data were collected as part of a research project on measuring the resistivity cyart megohms of an electrical insulator. And if we are going to err by one probable error or more half the time, it does not pay to interpret a measurement more precisely than plus or minus one probable error.

Basic QC Practices

The formulation of Westgard rules were based on statistical methods. So, which is better for laboratory tests? Here is an example of a Levey-Jennings chart: Views Read Edit View history. Include the name of the test and the name of the control material in a prominent place so that this information is quickly and easily discerned when viewing the chart. While we typically do not know the value uennings the item to be measured, we can still think about the error of a single measurement as the difference between that measurement and jennungs value of the item.

The 1 3s rule provides an alternative QC procedure that has lower false rejections, but also lower error detection. No items in your cart.

That means it will be somewhat unusual to see a control value that exceeds a 2s control limit and very rare to see a control value that exceeds a 3s control limit. The distance from the mean is measured in standard jenninge SD. For this example, divide the x-axis into evenly sized increments and number them sequentially from 1 to