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CD Rom 7 Slides Westgard Multirule System

The document describes the Westgard Multirule System, which is a combination of statistical rules developed by Dr. James Westgard to assess if an analytical system is in control. It uses multiple decision criteria or rules to evaluate quality control data when at least two levels of control materials are analyzed per run. Some of the rules described include the 12S rule, 22S rule, R4S rule, and 41S rule. The document also provides examples of applying the rules to evaluate control values from different days.

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Saradha Pellati
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308 views11 pages

CD Rom 7 Slides Westgard Multirule System

The document describes the Westgard Multirule System, which is a combination of statistical rules developed by Dr. James Westgard to assess if an analytical system is in control. It uses multiple decision criteria or rules to evaluate quality control data when at least two levels of control materials are analyzed per run. Some of the rules described include the 12S rule, 22S rule, R4S rule, and 41S rule. The document also provides examples of applying the rules to evaluate control values from different days.

Uploaded by

Saradha Pellati
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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Westgard Multirule System

 a “multi-rule” system developed by


Dr. James O. Westgard based on statistical
concepts
 a combination of decision criteria or
rules to assess if a system is in control
 use when at least 2 levels of control
are run with the examination run
 cannot use with only one control

Dr. Westgard

Quantitative QC-Module 7
1
Westgard Multirule System Titles
 12S rule Used when 2 levels of
 13S rule control material are
 22S rule analyzed per run.
 R4S rule
 41S rule
 10X rule

Quantitative QC-Module 7
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Westgard – 12S Rule
 WARNING RULE – not cause for
rejecting a run
 One of two control results falls
outside ±2SD
 Alerts technologist to possible
problems
 Must then evaluate the 13S rule

Quantitative QC-Module 7
3
Westgard – 22S Rule
 Two consecutive control values for
the same level fall outside of ±2SD
in the same direction, or
 Both controls in the same run exceed
±2SD.
 Patient results cannot be reported.
 Requires corrective action

Quantitative QC-Module 7
Quantitative QC - Module 8 4
Westgard – R4S Rule

 One control exceeds the mean by –


2SD, and the other control exceeds
the mean by +2SD.
 The range between the two results
will therefore exceed 4 SD.
 Random error has occurred, test run
must be rejected.

Quantitative QC-Module 7
5
Westgard – 41S Rule
 requires control data from previous
runs
 four consecutive QC results for one
level of control are outside ±1SD, or
 both levels of control have
consecutive results that are outside
±1SD.

Quantitative QC-Module 7
6
Westgard – 10X Rule

 requires control data from


previous runs
 ten consecutive QC results for one level
of control are on one side of the mean, or
 both levels of control have five
consecutive results that are on the same
side of the mean

Quantitative QC-Module 7
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Westgard Multirule QC

Quantitative QC-Module 7
8
Activity

Using the Westgard


Multirule System,
describe the control
values for each day in
the following slide.

Quantitative QC-Module 7
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Quantitative QC-Module 7
10
Answers for activity
 Day 21, 22, 24, 26, 27, 30, 31, 33,
34, 36-44 – in control

 Day 23, 28, 29 – 12s


 Day 25 - 13s
 Day 32 – 22s
 Day 35 - R4s

Quantitative QC-Module 7
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