A new approach to calculating the Sigma Metric in clinical laboratories

Verfasser / Beitragende:
[Abdurrahman Coskun, Mustafa Serteser, Meltem Kilercik, Fehime Aksungar, Ibrahim Unsal]
Ort, Verlag, Jahr:
2015
Enthalten in:
Accreditation and Quality Assurance, 20/2(2015-04-01), 147-152
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00769-015-1113-8  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00769-015-1113-8 
245 0 2 |a A new approach to calculating the Sigma Metric in clinical laboratories  |h [Elektronische Daten]  |c [Abdurrahman Coskun, Mustafa Serteser, Meltem Kilercik, Fehime Aksungar, Ibrahim Unsal] 
520 3 |a In clinical laboratories, the performance of a process as Sigma Metric (SM) is calculated by the equations derived by Westgard. In the present study, we found that the Westgard equations do not reflect the real performance of the process and that the SM calculated using these equations is lower than the real SM. We measured the substance concentration of ten analytes (glucose, urea, creatinine, cholesterol, calcium, magnesium, phosphorus, LDH, sodium, and potassium) in serum and calculated the SM for each using the Westgard equations and z transformations. The SM values for the same measurand using the Westgard equations based on either the absolute or the relative (percentage) results were not equal to each other, and those related to calcium and sodium were even lower than 0. The SM obtained from the z transformation was higher than that from the Westgard equations, and none were lower than 0. We concluded that the equations suggested by Westgard to calculate the SM do not cover all of the data produced by the process and do not reflect reality. From our research, the z transformation was the optimum method of calculating the actual SM for the process. 
540 |a Springer-Verlag Berlin Heidelberg, 2015 
690 7 |a Bias  |2 nationallicence 
690 7 |a Sigma Metric  |2 nationallicence 
690 7 |a Six Sigma  |2 nationallicence 
690 7 |a Tolerance limit  |2 nationallicence 
690 7 |a z transformation  |2 nationallicence 
700 1 |a Coskun  |D Abdurrahman  |u Department of Medical Biochemistry, School of Medicine, Acibadem University, Atasehir, Istanbul, Turkey  |4 aut 
700 1 |a Serteser  |D Mustafa  |u Department of Medical Biochemistry, School of Medicine, Acibadem University, Atasehir, Istanbul, Turkey  |4 aut 
700 1 |a Kilercik  |D Meltem  |u Department of Medical Biochemistry, School of Medicine, Acibadem University, Atasehir, Istanbul, Turkey  |4 aut 
700 1 |a Aksungar  |D Fehime  |u Department of Medical Biochemistry, School of Medicine, Acibadem University, Atasehir, Istanbul, Turkey  |4 aut 
700 1 |a Unsal  |D Ibrahim  |u Department of Medical Biochemistry, School of Medicine, Acibadem University, Atasehir, Istanbul, Turkey  |4 aut 
773 0 |t Accreditation and Quality Assurance  |d Springer Berlin Heidelberg  |g 20/2(2015-04-01), 147-152  |x 0949-1775  |q 20:2<147  |1 2015  |2 20  |o 769 
856 4 0 |u https://doi.org/10.1007/s00769-015-1113-8  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00769-015-1113-8  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Coskun  |D Abdurrahman  |u Department of Medical Biochemistry, School of Medicine, Acibadem University, Atasehir, Istanbul, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Serteser  |D Mustafa  |u Department of Medical Biochemistry, School of Medicine, Acibadem University, Atasehir, Istanbul, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kilercik  |D Meltem  |u Department of Medical Biochemistry, School of Medicine, Acibadem University, Atasehir, Istanbul, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Aksungar  |D Fehime  |u Department of Medical Biochemistry, School of Medicine, Acibadem University, Atasehir, Istanbul, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Unsal  |D Ibrahim  |u Department of Medical Biochemistry, School of Medicine, Acibadem University, Atasehir, Istanbul, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Accreditation and Quality Assurance  |d Springer Berlin Heidelberg  |g 20/2(2015-04-01), 147-152  |x 0949-1775  |q 20:2<147  |1 2015  |2 20  |o 769