Individual Lab Report Hemostasis QAP Program Ci-Trol Apr,2013 UMASS MEM HEALTH ALLIANCE - LEOMINSTER LABORATORY(LAB# 4016 ) 60 HOSPITAL ROAD LEOMINSTER MA USA 01453 Abnormal Fibrinogen (mg/dL) Abnormal Fbg Control - Lot# LFC Your Lab Period Mean Apr LTD Test System Peer Method Principle Peer Total Error Graph (Peer=Test System Peer) SYSMEX CA 1500 - 3 , DADE THROMBIN SD 98.6 98.5 5.40 7.13 CV LTD # Points 5.5 7.2 CLIA 15 43 123.351 SYSMEX CA 1500/7000, DADE THROMBIN Period Avg. Mean Apr LTD 101.2 1 102.8 SD Avg. CV Peers # Points SDI CVI 3.24 4.21 5.2 5.9 7 41 192 10828 -0.8 -1.0 1.0 1.2 3.62 4.67 4.9 5.4 8 49 219 14701 -0.9 -1.1 1.1 1.3 Peer Mean 98.509 LIGHT SCATTER Apr LTD 101.9 103.7 CLIA 82.234 1. Individual means in peer 95.700, 105.390, 102.340, 98.600, 102.080, 103.600, 100.500 Abnormal Fbg Control - Lot# LFC Your Lab Test System Peer Method Principle Peer Total Error Graph (Peer=Test System Peer) SYSMEX CA 1500 - 4 , DADE THROMBIN Period Mean SD CV # Points Apr LTD 102.1 102.1 2.78 2.78 2.7 2.7 10 10 LTD CLIA 123.351 SYSMEX CA 1500/7000, DADE THROMBIN Period Avg. Mean Apr LTD 101.2 1 102.8 SD Avg. CV Peers # Points SDI CVI 3.24 4.21 5.2 5.9 7 41 192 10828 0.3 -0.2 0.5 0.5 3.62 4.67 4.9 5.4 8 49 219 14701 0.1 -0.3 0.6 0.5 Peer Mean 102.080 LIGHT SCATTER Apr LTD 101.9 103.7 CLIA 82.234 1. Individual means in peer 95.700, 105.390, 102.340, 98.600, 102.080, 103.600, 100.500 APTT (seconds) Ci-Trol 1 - Lot# 528118B Your Lab Test System Peer Period Mean SD CV # Points Apr LTD 27.6 27.6 0.71 1.01 2.6 3.7 59 107 LTD CLIA 31.795 SYSMEX CA 1500/7000, DADE ACTIN FS Period Avg. Mean 27.7 1 27.6 Apr LTD Method Principle Peer Total Error Graph (Peer=Test System Peer) SYSMEX CA 1500 - 3 , DADE ACTIN FS SD Avg. CV Peers # Points SDI CVI 0.14 0.33 2.0 2.3 6 13 344 8872 -0.8 -0.1 1.3 1.6 0.45 0.44 1.5 1.9 10 32 536 23115 0.4 0.5 1.7 1.9 Peer Mean 27.614 LIGHT SCATTER Apr LTD 27.4 27.4 CLIA 23.501 1. Individual means in peer 27.640, 27.540, 27.800, 27.610, 27.840, 27.900 Ci-Trol 3 - Lot# 548404A Your Lab Period Mean Apr LTD Test System Peer SD 66.3 66.2 1.50 2.35 CV LTD # Points 2.3 3.5 CLIA 55 108 74.646 SYSMEX CA 1500/7000, DADE ACTIN FS Period Avg. Mean Apr LTD Method Principle Peer Total Error Graph (Peer=Test System Peer) SYSMEX CA 1500 - 3 , DADE ACTIN FS 65.3 1 64.9 SD Avg. CV Peers # Points SDI CVI 0.96 1.18 2.3 2.7 6 13 345 8988 1.1 1.1 1.0 1.3 0.80 1.34 1.9 2.5 10 31 544 23245 1.6 1.3 1.2 1.4 Peer Mean 66.222 LIGHT SCATTER Apr LTD 65.0 64.5 CLIA 55.173 1. Individual means in peer 65.500, 65.100, 64.100, 66.330, 66.350, 64.330 Print Date & Time: 16-May-13 1:11:45 PM Refer to the Siemens Hemostasis QAP Report Appendix for report definitions and calculations. Part No.: D53852 Page: 1 Individual Lab Report Hemostasis QAP Program Ci-Trol Apr,2013 UMASS MEM HEALTH ALLIANCE - LEOMINSTER LABORATORY(LAB# 4016 ) 60 HOSPITAL ROAD LEOMINSTER MA USA 01453 APTT (seconds) Ci-Trol 1 - Lot# 528118B Your Lab Period Mean Apr LTD Test System Peer SD 27.8 27.8 0.62 0.62 CV LTD # Points 2.2 2.2 CLIA 43 43 31.795 SYSMEX CA 1500/7000, DADE ACTIN FS Period Avg. Mean 27.7 1 27.6 Apr LTD Method Principle Peer Total Error Graph (Peer=Test System Peer) SYSMEX CA 1500 - 4 , DADE ACTIN FS SD Avg. CV Peers # Points SDI CVI 0.14 0.33 2.0 2.3 6 13 344 8872 0.8 0.6 1.1 1.0 0.45 0.44 1.5 1.9 10 32 536 23115 0.9 1.0 1.4 1.1 Peer Mean 27.840 LIGHT SCATTER Apr LTD 27.4 27.4 CLIA 23.501 1. Individual means in peer 27.640, 27.540, 27.800, 27.610, 27.840, 27.900 Ci-Trol 3 - Lot# 548404A Your Lab Test System Peer Period Mean SD CV # Points Apr LTD 66.4 66.4 1.42 1.42 2.1 2.1 41 41 LTD CLIA 74.646 SYSMEX CA 1500/7000, DADE ACTIN FS Period Avg. Mean 65.3 1 64.9 Apr LTD Method Principle Peer Total Error Graph (Peer=Test System Peer) SYSMEX CA 1500 - 4 , DADE ACTIN FS SD Avg. CV Peers # Points SDI CVI 0.96 1.18 2.3 2.7 6 13 345 8988 1.1 1.2 0.9 0.8 0.80 1.34 1.9 2.5 10 31 544 23245 1.6 1.4 1.1 0.9 Peer Mean 66.350 LIGHT SCATTER Apr LTD 65.0 64.5 CLIA 55.173 1. Individual means in peer 65.500, 65.100, 64.100, 66.330, 66.350, 64.330 Clauss Fibrinogen (mg/dL) Ci-Trol 1 - Lot# 528118B Your Lab Test System Peer Method Principle Peer Total Error Graph (Peer=Test System Peer) SYSMEX CA 1500 - 3 , DADE THROMBIN Period Mean SD CV # Points Apr LTD 246.6 249.6 12.49 20.84 5.1 8.4 20 57 LTD CLIA 300.086 SYSMEX CA 1500/7000, DADE THROMBIN Period Avg. Mean Apr LTD 253.7 1 250.1 SD Avg. CV Peers # Points SDI CVI 6.19 6.59 4.4 4.3 8 43 215 11286 -1.2 -0.1 1.1 1.9 6.18 6.77 4.6 4.7 9 55 238 15617 -1.0 0.0 1.1 1.8 Peer Mean 249.578 LIGHT SCATTER Apr LTD 253.0 249.7 CLIA 200.057 1. Individual means in peer 254.600, 254.100, 258.400, 246.560, 242.190, 258.500, 259.600, 255.600 Ci-Trol 1 - Lot# 528118B Your Lab Period Apr LTD Test System Peer Method Principle Peer Total Error Graph (Peer=Test System Peer) SYSMEX CA 1500 - 4 , DADE THROMBIN Mean SD 242.2 242.2 8.43 8.43 CV LTD # Points 3.5 3.5 CLIA 13 13 300.086 SYSMEX CA 1500/7000, DADE THROMBIN Period Avg. Mean Apr LTD 253.7 1 250.1 SD Avg. CV Peers # Points SDI CVI 6.19 6.59 4.4 4.3 8 43 215 11286 -1.9 -1.2 0.8 0.8 6.18 6.77 4.6 4.7 9 55 238 15617 -1.7 -1.1 0.8 0.7 Peer Mean 242.190 LIGHT SCATTER Apr LTD 253.0 249.7 CLIA 200.057 1. Individual means in peer 254.600, 254.100, 258.400, 246.560, 242.190, 258.500, 259.600, 255.600 Print Date & Time: 16-May-13 1:11:45 PM Refer to the Siemens Hemostasis QAP Report Appendix for report definitions and calculations. Part No.: D53852 Page: 2 Individual Lab Report Hemostasis QAP Program Ci-Trol Apr,2013 UMASS MEM HEALTH ALLIANCE - LEOMINSTER LABORATORY(LAB# 4016 ) 60 HOSPITAL ROAD LEOMINSTER MA USA 01453 Prothrombin Time (seconds) Ci-Trol 1 - Lot# 528118B Your Lab Period Mean Apr LTD Test System Peer Method Principle Peer Total Error Graph (Peer=Test System Peer) SYSMEX CA 1500 - 3 , DADE INNOVIN SD 11.3 11.2 0.13 0.25 CV LTD # Points 1.2 2.2 CLIA 63 113 Test System Peer Method Principle Peer Period Avg. Mean SD Avg. CV Peers # Points SDI CVI Apr LTD 11.3 11.2 0.22 0.19 1.8 2.0 15 62 942 53368 -0.1 -0.1 0.6 1.1 0.26 0.25 2.0 2.2 50 169 2687 116034 1.0 0.8 0.6 1.0 Apr LTD 11.0 11.0 Period Mean SD CV # Points Apr LTD 51.2 51.2 1.10 1.78 2.1 3.5 57 111 Avg. Mean SD Avg. CV Peers # Points SDI CVI Apr LTD 51.7 50.7 3.69 2.01 3.6 3.9 15 62 919 53404 -0.1 0.2 0.6 0.9 11.250 9.556 CLIA 9.584 58.351 Apr CLIA 59.460 3.45 2.36 3.6 4.1 51 171 2669 115726 0.2 0.2 0.6 0.9 Peer Mean 51.170 Peer Mean 51.170 LIGHT SCATTER Apr LTD 50.6 50.6 Mean SD 11.2 11.2 0.15 0.15 CLIA 43.129 CLIA 43.949 Total Error Graph (Peer=Test System Peer) SYSMEX CA 1500 - 4 , DADE INNOVIN CV LTD # Points 1.3 1.3 CLIA 46 46 12.929 Apr CLIA 12.967 SYSMEX CA 1500/7000, DADE INNOVIN Period Avg. Mean SD Avg. CV Peers # Points SDI CVI Apr LTD 11.3 11.2 0.22 0.19 1.8 2.0 15 62 942 53368 -0.3 -0.2 0.7 0.7 0.26 0.25 2.0 2.2 50 169 2687 116034 0.8 0.7 0.7 0.6 Peer Mean 11.200 Peer Mean 11.200 LIGHT SCATTER Apr LTD 11.0 11.0 Mean SD 50.9 50.9 1.18 1.18 CLIA 9.556 CLIA 9.584 Total Error Graph (Peer=Test System Peer) SYSMEX CA 1500 - 4 , DADE INNOVIN Apr LTD Method Principle Peer Peer Mean LTD Period Period Test System Peer CLIA CLIA Ci-Trol 3 - Lot# 548404A Your Lab 11.228 SYSMEX CA 1500/7000, DADE INNOVIN Apr LTD Method Principle Peer Peer Mean Total Error Graph (Peer=Test System Peer) SYSMEX CA 1500 - 3 , DADE INNOVIN Period Test System Peer 12.967 LIGHT SCATTER Ci-Trol 1 - Lot# 528118B Your Lab Apr CLIA SYSMEX CA 1500/7000, DADE INNOVIN Ci-Trol 3 - Lot# 548404A Your Lab 12.929 CV 2.3 2.3 Apr LTD # Points CLIA 45 45 58.351 CLIA 59.460 SYSMEX CA 1500/7000, DADE INNOVIN Period Avg. Mean SD Avg. CV Peers # Points SDI CVI Apr LTD 51.7 50.7 3.69 2.01 3.6 3.9 15 62 919 53404 -0.2 0.1 0.6 0.6 3.45 2.36 3.6 4.1 51 171 2669 115726 0.1 0.1 0.6 0.6 Peer Mean 50.860 Peer Mean 50.860 LIGHT SCATTER Apr LTD Print Date & Time: 16-May-13 1:11:45 PM 50.6 50.6 CLIA 43.129 Refer to the Siemens Hemostasis QAP Report Appendix for report definitions and calculations. Part No.: D53852 CLIA 43.949 Page: 3 Individual Lab Report Hemostasis QAP Program Ci-Trol Apr,2013 UMASS MEM HEALTH ALLIANCE - LEOMINSTER LABORATORY(LAB# 4016 ) 60 HOSPITAL ROAD LEOMINSTER MA USA 01453 Prothrombin Time INR (INR) Ci-Trol 1 - Lot# 528118B Your Lab Period Mean Apr LTD Test System Peer SD 1.1 1.1 0.02 0.03 CV LTD # Points 1.8 3.1 +3SD 63 113 Period Avg. Mean 1.128 ↑ SYSMEX CA 1500/7000, DADE INNOVIN Apr LTD Method Principle Peer Total Error Graph (Peer=Test System Peer) SYSMEX CA 1500 - 3 , DADE INNOVIN SD Avg. CV Peers # Points SDI CVI 1.1 1 1.1 0.01 0.02 1.9 2.4 6 15 293 8236 0.2 0.7 1.0 1.3 1.1 1.1 0.03 0.03 2.0 2.6 9 23 417 9818 0.5 0.6 0.9 1.2 1.077 Peer Mean CALCULATED Apr LTD -3SD 0.996 1. Individual means in peer 1.100, 1.097, 1.060, 1.090, 1.090, 1.090 Ci-Trol 3 - Lot# 548404A Your Lab Test System Peer Period Mean SD CV # Points Apr LTD 5.2 5.1 0.11 0.19 2.1 3.7 57 111 LTD +3SD Period Avg. Mean 5.488 ↑ SYSMEX CA 1500/7000, DADE INNOVIN Apr LTD Method Principle Peer Total Error Graph (Peer=Test System Peer) SYSMEX CA 1500 - 3 , DADE INNOVIN SD Avg. CV Peers # Points SDI CVI 5.1 1 5.0 0.06 0.16 3.2 3.9 6 15 288 8472 0.4 0.7 0.7 1.0 5.0 5.0 0.21 0.20 5.1 4.4 9 23 409 10088 0.7 0.8 0.4 0.8 5.116 Peer Mean CALCULATED Apr LTD -3SD 4.533 1. Individual means in peer 5.213, 5.185, 5.080, 5.160, 5.120, 5.080 Ci-Trol 1 - Lot# 528118B Your Lab Period Mean Apr LTD Test System Peer SD 1.1 1.1 0.05 0.05 CV LTD # Points 4.6 4.6 +3SD 46 46 Period Avg. Mean 1.090 SD Avg. CV Peers # Points SDI CVI 1.1 1 1.1 0.01 0.02 1.9 2.4 6 15 293 8236 0.2 1.3 2.5 1.9 1.1 1.1 0.03 0.03 2.0 2.6 9 23 417 9818 0.5 1.1 2.3 1.8 Peer Mean CALCULATED Apr LTD 1.128 ↑ SYSMEX CA 1500/7000, DADE INNOVIN Apr LTD Method Principle Peer Total Error Graph (Peer=Test System Peer) SYSMEX CA 1500 - 4 , DADE INNOVIN ↓ -3SD 0.996 1. Individual means in peer 1.100, 1.097, 1.060, 1.090, 1.090, 1.090 Ci-Trol 3 - Lot# 548404A Your Lab Test System Peer Period Mean SD CV # Points Apr LTD 5.1 5.1 0.14 0.14 2.7 2.7 46 46 LTD +3SD 5.488 SYSMEX CA 1500/7000, DADE INNOVIN Period Avg. Mean Apr LTD Method Principle Peer Total Error Graph (Peer=Test System Peer) SYSMEX CA 1500 - 4 , DADE INNOVIN SD Avg. CV Peers # Points SDI CVI 5.1 1 5.0 0.06 0.16 3.2 3.9 6 15 288 8472 -0.4 0.7 0.8 0.7 5.0 5.0 0.21 0.20 5.1 4.4 9 23 409 10088 0.5 0.8 0.5 0.6 Peer Mean 5.120 CALCULATED Apr LTD -3SD 4.533 1. Individual means in peer 5.213, 5.185, 5.080, 5.160, 5.120, 5.080 QAP Reports are designed primarily to summarize data on Siemens Hemostasis Controls. The Statistics are calculations from user input and are provided as a service to customers. No claim is made as to the validity of values, tests and methods beyond those specifically identified on Siemens Hemostasis Control inserts and product literature. Print Date & Time: 16-May-13 1:11:45 PM Refer to the Siemens Hemostasis QAP Report Appendix for report definitions and calculations. Part No.: D53852 Page: 4 Hemostasis QAP Program Report Appendix DATA CODES Any code that may appear with data on Siemens Hemostasis QAP reports is listed here with a brief description. 1 This symbol prints next to the Test System Peer Avg Mean when the number of peers in the peer group is 10 or fewer, signifying a small peer group. For these small sample sizes, the individual means of each peer in the group are printed at the end of the data for the control level. "-" This statistic was Not Calculated for the indicated data collection period due to the presence of incongruent data in the calculation. C This data has been changed or added by Siemens Hemostasis QAP at the request of your laboratory. G This value did not pass the Gross Outlier Check, which excludes extremely discrepent data that falls outside of present limits for each test. This data was not processed and is not included in QAP Reports. L This value did not pass the Laboratory Outlier Check, which excludes values more than +/- 3 standard deviations from the lab’s mean for the month. This value was excluded from the calculation of the lab’s mean and SD for this month. N The SD and CV for a set of control data points for an individual lab are not displayed when the number of points for the set is less than five. P Your lab’s mean did not pass the Peer Outlier Check, which excludes lab means from peer statistics that are discrepant from the average peer mean. S Your lab’s All Shift mean did not pass the Peer Outlier Check, which excludes lab means from peer statistics that are discrepent from the average peer mean. Data from all shifts has been excluded from the peer statistics. DEFINITIONS Avg. Mean The peer average mean is calculated by averaging the individual means in a peer group. Comparing the lab mean to the peer average can aid in evaluating analytical accuracy. CV The coefficient of variation is the SD expressed as a percentage of the mean and is calculated by dividing the SD by the mean and multiplying by 100. It is useful in evaluating precision. CVI The coefficient of variation index compares the lab’s CV to the peer group median CV for evaluating precision. The CVI calculation is: Lab CV Peer Average CV LTD Lot-to-Date describes a data collection period which includes all QC data received thus far for this control lot, either for the lab or the peer, as indicated. Avg. CV The peer average CV (coefficient of variation) is calculated by averaging the individual CV’s in a peer group. Comparing the lab CV to the peer average CV aids in evaluationg precision. Print Date & Time: 16-May-13 1:11:45 PM Part No.: D53865 Page: 1 Hemostasis QAP Program Method Principle Peer Report Appendix For Chemistry tests, the statistics for this peer group category are calculated by combining data submitted from peers using the same method principle, with any instrument and reagent. For Hemostasis tests, the statistics for this peer group category are calculated by combining data submitted from peers using the same method principle and reagent, with any instrument. Peer SD The Peer SD is the standard deviation (SD) of all the acceptable current or cumulative (LTD) lab means used in the calculation of the Test System, Method Principle or J&J Vitros Peer standard deviation index (SDI). SD The standard deviation for a lab represents the spread of a set of individual data points around their mean. It is useful in evaluating precision. SDI The standard deviation index compares the lab’s mean to the peer group average mean for evaluating accuracy. The reports identify the peer group used in the SDI calculation. The SDI calculation is: Lab mean - Peer Avg. Mean Peer SD Test System Peer The statistics for this peer group category are calculated by combinig data submitted from peers using the same or similarly performing instrumentation, and the same reagent and reaction temperature (when applicable). Total Error (TE) Total Error (TE) refers to the total analytical error of a lab’s analytical method and may be used to assess its inaccuracy and imprecision. The Total Error Graph compares the Total Error of the lab’s analytical method to the Total Error Limits (calculated using the Test System Peer mean). To assess the acceptability of the lab’s Total Error, the lab’s mean +/-2 SD range is compared to the Total Error Limits. This range should be within the Total Error Limits. The Total Error Limits are calculated using test performance guidelines from one of the following: U.S. CLIA, Medical Society of Germany or Test System Peer +/- 3 SD. Using these guidelines, the lower and upper limits are established with this calculation: the Test System Peer Average Mean +/- test specific guidelines. When such guidelines are not available, the limits are not calculated. When a Total Error Limit is exceeded, it may be necessary to investigate for sources of either inaccuracy or imprecision. While this information may assist with predicting proficiency testing performance due to peer and methodological differences, it is suggested that discretion be used in interpretation. In addition, the lab must define its own analytical goals for minimizing bias and imprecision, and medical decision levels. Print Date & Time: 16-May-13 1:11:45 PM Part No.: D53865 Page: 2