朗道--质控管理解决方案

$%&quality management solutions 质控管理解决方案Why is it important for laboratories to use 247?--为什么要使用247?Importance for laboratories to use 247使用247的重要性1. Improper Quality Control leads to increased costs in the laboratory-质量控制做的不好会导致实验室成本增加–Due to possible repeated tests-可能导致重复检测–Improper patient treatment because of incorrect test results –因检验结果不准确导致的治疗不当Could be detected using 247 –可通过247发现问题Importance for laboratories to use 247使用247的重要性2. Result Validation-结果的确认–Data being entered can be validated using multi rule QC procedures-可通过多规则质控程序保证结果可靠–The advantages of Multirule QC procedures are that false rejections can be kept low while at the same time maintaining high error detection-使用多规则质控程序的好处在于可降低误拒绝率同时提高错误检出率Importance for laboratories to use 247使用247的重要性3.Turnaround time for reporting test result to clinicians can be reduced–Through minimising false rejections that requires repeat analysis of controls and re-runs of patient samples–误拒绝的结果需进行质控和样本的重新检测，通过最小化这种错误拒绝，可减少向临床报告检验结果的时间Importance for laboratories to use 247 4.Can be used as a trouble-shooting tool–If there are concerns that the controlmaterial is not performing well-如果担心质控物有问题–247 enables the lab to separate the effects of the method from suspected effects ofthe control by looking at the effect of thesame controls in other labs-可通过247观察其他实验室的数据迅速区分是质控物的问题还是分析系统的问题–Leading to more rapid and effectiveproblem solving –更加快速有效的解决问题Importance for laboratories to use 247 5. 247 provides means and SD’s for the material that are relevant because they reflect current testing conditions among labs 247软件可以提供相关质控物的均值和SD范围，反映实验室间的检测情况Importance for laboratories to use 247 6. Many managers ‘sign off’on the results without really investigating if those results are in fact accurate–247 provides an easy and fast way for laboratory managers to be confident that the results theysign for are correct.–实验室管理者在检验报告单上签字时往往并没有去考察结果是否可靠。

247提供一个快速有效的途径让管理者可以确保结果的准确。

Why is it important to use the right serum controls?－使用正确的质控血清的重要性Importance of right control material Some manufacturer’s controls are advertised as “human serum based”-很多质控品上标注是人血清基质的–These are quite different to fully human-人基质和全人基质是有很大区别的Use of ‘human based’serum withantibody/antigen methodologies can lead to target values shifting between reagent lots–Extra work needed to re-set targets–Extra time and costs－免疫方法学项目的质控使用人基质血清会导致不同批号的试剂间靶值浮动，需要花时间去定值，导致时间和成本的浪费Importance of right control material When used in peer group reporting and EQAthis becomes even more important-在同群组报告和EQA中这一点更加重要Chances are that participants that is comparing to each other are using different reagent batches-很可能参加数据比对者使用的试剂都是不同的，其中的抗体也不一样–Different antibodies in each batchDifferences between participants will be greater-不同参加者差异更大CVs will be higher within Instrument and/or Method groups-同仪器/方法群组中CVs更高Importance of right control material Therefore all RANDOX controls using immunological / immunoassay methods are 100%fully human-RANDOX质控中涉及到免疫学方法的质控物都是100％全人基质的For Example:•Immunoassay-免疫•Specific Protein-特定蛋白•Lipid-血脂•Cardiac-心肌Importance of right control material Our aim is to have much more over our control range working with 247 in the future –我们的目标是拥有更广范围的247配套质控物Chemistry Controls-生化Specific Protein Controls-特定蛋白Immunoassay Controls-免疫TDM Controls-治疗药物Lipid Controls-血脂Cardiac Control-心肌Urine Controls-尿液C.S.F. Controls-脑脊液Cytokine Controls-细胞因子 Single analyte Controls-单个分析物Blood gas Controls-血气Coagulation Controls-血凝Maternal Screening Controls-孕妇筛查Tumour Marker Controls-肿瘤标志物Liquid Cardiac (NT-proBNP & BNP) Controls-液态心肌质控Urinalysis Controls-尿常规Urine Toxicology Controls-尿毒理学质控Range of RANDOX QCNew Developments-新发展New Features in Software-软件的新特点24/7 software is getting a complete new look Including many new features and functions Upgrades to the 24/7 software will come in 3 PhasesPhase 1 almost complete全新的界面，包含很多新的特点和功能，软件升级将分三阶段进行，第一阶段已基本完成Phase 1 New designand coloursPhase 1It will work differently than before Let’s show you some examples: 几个新界面的例子First the Instruments are shownWhen opening it up, the lots used on that instrument is shownAfter that the analytes used in the lot numbers are showedMenus have been replaced with ‘Tabs’ for quicker navigationReports are also easily accessed from the main Data Entry ScreenLevey-Jennings can be viewed with date plotted based on both SD or % DeviationPeer Groups can be changed on the same page as the chart allowing for troubleshootingPop up calendar to change datesPhase 1ƒ When Transferring Data there is now a window to show that the software is exchanging data with host server – This was a comment that came from users in Guangxi ƒ This window will change again in the future to show more detail how far along the transfer is – At the moment only showing that transfer is on going传输数据时有一个窗口显示正在进行与主服务器交换数据，这也是一位 来自广西的用户的建议，将来升级到更新的阶段，会显示更详细的传 输进度的信息，现在仅显示正在传输Phase 1ƒ Making the system open so that the user can add parameters, methods, instruments, reagents and units– These added items will not used as part of peer groupƒ 系统更加开放，用户可以添加参数，方法学，仪器，试剂和单位等信 息；这些新增数据不会在同群组数据中使用Phase 1Inclusion and display of performance limits –Standard Deviation, % Deviation, BiologicalVariation, CLIA etc...Improve communication to LIS and instruments–On board LIMS integration software包含并显示各评价指标提高LIS系统和仪器的通讯功能－在线的实验室信息系统管理整合软件Phase 2Data Logging–Records when data is entered or removed and by whomData Review option–Ability to review all/suspect data and mark asreviewed数据录入；记录数据何时输入，何时更改，以及是谁更改的，数据查看；查看所有或可疑数据，并做标记Phase 2Information appearing on individual data points when mouse is placed on them–Date, result etc.Multiple levels of controls on one chart overlappingMultiple instruments on one chart to see differences鼠标点在某个数据上，会显示这个数据的相关信息，例如日期，结果 多个水平的质控显示在同一个图表上，多台仪器显示在同一图表以进行对比Phase 2Levey Jennings chart–Ability to scroll through charts back in time-图表可按时间滚动查看，Improve panel setup to make it easierImprove communication to peer group host –To make transferring date quickerData entry to log time of entry改进了组合设置,使其更简易改进了与同组群主机的通讯，使数据传输更快捷根据登陆时间查询数据录入Phase 2Import facility of fixed means for Randox controls-RANDOX质控品固定均值输入更加便捷–Eliminating manual input-取消了手工输入Improve group co-ordinator report-改进同群组报告功能–To display individual lab‘s charts-显示独立实验室图表 Report for poor results only for quick review of performance-不好的结果也可以报告，仅用于快速浏览回顾 Improve searching abilities through statistics 提高统计搜索功能Phase 2Simplify system for setup-简化了系统设置–Selection of Multirules to apply for all assays–Not having to set rules for each one-质控规则的选择应用于所有项目，不需每个项目单独设置Improve network setup installation–To allow for several user computers in the same lab for the same programme-提高网络工作安装功能，允许同实验室的几台电脑都可以操作这个程序Improve data entry screen with colour coding system–Red, Yellow or Green showing performance使色彩编码改进数据输入界面–红, 黄或绿色显示Phase 3Provide ability to archive expired lots and associated QC test results/stats-可存档过期批号的质控结果和统计数据–Easy access to relevant and up-to-date data-更易于查询相关和更新的数据Ability to free type in comments section –Instead of numbers-自由添加备注的功能，取代数字编号的备注Ability to add comments on manually un-rejected results-可对手工接受的结果进行备注Additional PhasesWeb based software?-基于WEB的软件–No installation required-无需安装247软件Continuing to improve the functions of the software and benefits to our customers-将根据用户的需求不断改进以帮助用户解决更多问题SummaryRANDOX always listen to our customers-倾听用户的声音 This is very clear in these changes we have made and the changes we have planned–They are all comments from our customers-这在我们已经做的和正在计划进行的改进中都可以清楚的看到。