Preview

Medical alphabet

Advanced search

Measurement uncertainty estimation technology: justification, conditions and experience of implementation in medical practice

https://doi.org/10.33667/2078-5631-2022-19-7-11

Abstract

   In accordance with GOST R ISO 15189–2015 ‘Medical laboratories. Particular requirements for quality and competence’ for the report on the values of the measured value in the patient’s samples, the laboratory must determine and use the measurement uncertainty in the analytical phase. The article discusses in detail the differences between the general analytical error and measurement uncertainty. The authors have tested a typical algorithm for estimating measurement uncertainty. Mandatory conditions and an algorithm for calculating measurement uncertainty (at the analytical stage) in medical laboratories using quantitative immunochemiluminescence analysis are presented.

About the Authors

N. A . Kovyazina
EMERCOM of Russia
Russian Federation

Nadezhda A. Kovyazina, PhD Med, head of Laboratory

The Nikiforov Russian Center of Emergency and Radiation Medicine

Dept of Laboratory Diagnostics

Laboratory of Serological Research and Allergy Diagnostics

Saint Petersburg



N. A . Alkhutova
EMERCOM of Russia
Russian Federation

Natalya A. Alkhutova, PhD Bio Sci, senior researcher

The Nikiforov Russian Center of Emergency and Radiation Medicine

Dept of Laboratory Diagnostics

Laboratory of Serological Research and Allergy Diagnostics

Saint Petersburg



A. G. Chunovkina
D. I. Mendeleyev Institute for Metrology; Interregional Public Association ‘Metrological Academy’
Russian Federation

Anna G. Chunovkina, DTech Sci, head of Dept

Metrological Dept

Saint Petersburg



V. L. Emanuel
Interregional Public Association ‘Metrological Academy; Ministry of Health of Russia
Russian Federation

Vladimir L. Emanuel, DM Sci, professor, academician, director, head of Dept

Pavlov First Saint Petersburg State Medical University

Dept of Clinical Laboratory Diagnostics with a Course in Molecular
Medicine

Scientific and Methodological Centre for Molecular Medicine

Saint Petersburg



References

1. ГОСТ Р ИСО 15189–2015. Лаборатории медицинские. Частные требования к качеству и компетентности: национальный стандарт Российской Федерации. – Москва: Стандартинформ, 2015. – 45 с. – GOST R ISO 15189–2015. Medical laboratories. Particular requirements for quality and competence: National standard of the Russian Federation. Moscow: Standartinform, 2015. 45 p.

2. ГОСТ Р 53133.1–2008. Контроль качества клинических лабораторных исследований. Часть 1. Пределы допускаемых погрешностей результатов измерения аналитов в клинико-диагностических лабораториях: национальный стандарт Российской Федерации. – Москва: Стандартинформ, 2009. – 28 с. – GOST R 53133/1–2008. Clinical laboratory technologies. Quality control of clinical laboratory tests. Part 1. Limits of allowable errors of the results of the analyte measurements in clinical-diagnostics laboratories: national standard of the Russian Federation. Moscow: Standartinform, 2009. 29 p.

3. Клименкова О. А. Выбор стандартов (целей) аналитического качества как первый этап его создания в медицинских лабораториях / О. А. Клименкова [и др.] // Лабораторная служба. – 2014. – № 4. – С. 31–38. – O. A. Klimenkova, G. A. Ivanov, G.S Turkovskiy, A. V. Emanuel. Choice of standards (purposes) of analytical quality as the first stage of its creation in medical laboratories. Laboratory service. 2014. No. 4. P. 31–38.

4. Арефьева И. А. Планирование аналитического качества количественных лабораторных исследований с использованием коммерческих контрольных материалов: методические рекомендации / И. А. Арефьева, М. М. Федорова, А. В. Мошкин. – М., Тверь : ООО «Издательство «Триада», 2013. – 63 с. – Arefieva I. A., Fadeev M. M., Moshkin A. V. Planning analytical quality of the quantitative laboratory studies using commercial control materials: methodical recommendation. Moscow, Tver.: Triada, 2013. 63 p. (in Russ.).

5. ГОСТ 34100.3–2017/ISO/IEC Guide 98–3: 2008: Неопределенность измерения. Часть 3. Руководство по выражению неопределенности измерения: межгосударственный стандарт. – Москва: Стандартинформ, 2019. – 105 с. – GOST 34100.3–2017/ISO/IEC Guide 98–3: 2008: Uncertainty of measurement. Part 3. Guide to the expression of uncertainty in measurement (ISO/IEC Guide 98–3: 2008, IDТ). Moscow: Standartinform, 2019. 105 p.

6. F. Ceriotti, P. Fernandes-Calle, G. G. Klee, G. Nordin, S. Sandberg, T. Streichert, J.-L. Vives-Corrons, M. Panteghini, on behalf of the EFLM Task and Finish Group on Allocation of laboratory tests to different models for performance specifications (TFG-DM). Clin Chem Lab Med. 2017; 55 (2): 189–194. https://doi.org/10/1515/cclm-2016–0091

7. ISO/TS 20914: 2019: Medical laboratories – Practical guidance for the estimation of measurement uncertainty. https://cdn.standards.iteh.ai/samples/69445/052a72b353ed4a9b90a418211d087b0f/ISO-TS-20914–2019.pdf

8. JCGM 100: Evaluation of measurement data – Guide to the expression of uncertainty in measurement (GUM: 1995) https://www.bipm.org/documents

9. Ковязина Н. А. От теории к практике. Роль контроля качества аналитического этапа исследований в повышении клинической информативности лабораторных тестов / Н. А. Ковязина [и др.] // Клиническая лабораторная диагностика. – 2016. – № 3. – С. 188–192. – Kovyazina N. A., Alhutova N. A., Bardysheva N. A. [et al]. From theory to practice. The role of quality control of analytical stage of studies in increasing clinical informativeness of laboratory tests. Russian Clinical Laboratory Diagnostic. 2016. Vol. 3. P. 188–192 (in Russ).

10. МИ 3664–2022: рекомендация Государственной системы обеспечения единства измерений «Медицинские лаборатории. Оценивание неопределенности измерения при количественном иммунохемилюминесцентном анализе. Практическое руководство». – 2022. – MI 3664–2022: Recommendation of the State System for ensuring the Uniformity of Measurements ‘Medical laboratories. Estimation of measurement uncertainty in quantitative immunochemiluminescence analysis. Practical guide’. 2022.

11. ГОСТ Р 51088–2013. Медицинские изделия для диагностики ин витро. Реагенты, наборы реагентов, тест-системы, контрольные материалы, питательные среды. Требования к изделиям и поддерживающей документации: национальный стандарт Российской Федерации. – Москва: Стандартинформ, 2014. – 21 с. – GOST R 51088–2013. In vitro diagnostic medical devices. Reagents, kits, the test-systems, control materials, culture media. Requirements to devices, and to supporting documentation: national standard of the Russian Federation. Moscow: Standartinform, 2014. 21 p.


Review

For citations:


Kovyazina N.A., Alkhutova N.A., Chunovkina A.G., Emanuel V.L. Measurement uncertainty estimation technology: justification, conditions and experience of implementation in medical practice. Medical alphabet. 2022;(19):7-11. (In Russ.) https://doi.org/10.33667/2078-5631-2022-19-7-11

Views: 315


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)