This procedure generates Levey-Jennings control charts on single variables. The Levey-Jennings control chart is a special case of the common Shewart Xbar . The Levey-Jennings chart was created in the s to answer questions about the quality and consistency of measurement systems in the. The Levey-Jennings chart usually has the days of the month plotted on the X-axis and the control observations plotted on the Y-axis. On the right is the Gaussian.

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Levey-Jennings Quality Control Charts – , Laboratory Continuing Education

In this example, it is the standard deviation of the results. Any point that falls outside these limits is taken as evidence of an inconsistency in the measurement process. This exercise is intended to show, in step-wise fashion, how to construct a Levey-Jennings control chart, plot control values, and interpret those results. Therefore, when the control values fall within the expected distribution, you classify the run to be ” in-control, ” accept the results, and report patient test results.

White Blood Cell Differential Simulator. In figure 6 the average moving range for the measurement system was Here is an example of a Levey-Jennings chart: This month’s newsletter examines Levey-Jennings charts. While the Westgard rules do help the Levey-Jennings chart to some degree, they cannot overcome the inherent fatal flaw of using a global measure of dispersion.

The materials were analyzed once per day for a period of twenty days. The dates of analyses are plotted along the X-axis and control values are plotted on the Y-axis.

The central line is generally taken to be the average value, although when testing a known standard, the central line may be set at the accepted value for the standard. This is a “false alarm” problem that is inherent with the use of 2s control limits with an N of 2. The control values for the first day are in-control and the patient results can be reported.


Basic QC Practices

Ten successive values all fall on the same side of the central line; or 5. By using this site, you agree to the Terms of Use and Privacy Policy. You can print the Levey-Jennings Chat Practice Exercise below to obtain a worksheet that shows all these control results. This is particularly true in the healthcare industry. Apply the 1 2s and 1 3s control rules and make a decision whether you should accept or reject the run for each day.

Calculate the overall process average if the control value is not being used for the center line:. Includes all the tools to comply with quality standards and reduce variability. What are the 3s control limits for Control 1? This article or section may have been copied and pasted from another location, possibly in violation of Wikipedia’s copyright policy. Use of Control Charts Once the control charts have been set up, you start plotting the new control values that are being collected as part of your routine work.

You will need two sheets, one for each chart of the two control materials. Since this test was destructive, these measurements were made on samples cut from the same sheet of material.

Westgard rules are programmed in to automated analyzers to determine when an analytical run should be rejected. If you do not have graph paper available at this time, print out the lower resolution grids below. Levey-Jennings chart is a graph that quality control data is plotted on to give a visual indication whether a laboratory test is working well.


A lab runs a cholesterol test.

We hope you find it informative and useful. The Levey-Jennings chart for the data of figure 5 oevey shown in figure 7. This lesson discusses one of the cornerstones of QC practice.

Now their measurement system is not only consistent but it is also operating with less measurement error than before. Stability Variable Measurement Systems – Part 2: The horizontal or x-axis represents time and you will typically set the scale to accomodate 30 days per month or 30 runs per month.

So, which is better for laboratory tests? When we include the points in the runs with the out-of-limits points we find 34 of the 64 values to be associated with changes in the measurement process. Days 4 and 5 are out of control.

The limits are then placed at a distance of three times the standard deviation statistic on either side of the central line. Other common values used include 8 and Strategic investment positions EtQ to accelerate innovation efforts and growth strategy. Example application QC procedure s to be implemented Calculation of control limits Preparation of control charts Use of control charts Answers for this exercise Interpretation of example test results Please Note: Happy charting and uennings the data always support your position.

Original Levey-Jennings chart for resistivity measurements of figure 2.

Laboratory quality control

Select the frequency with which the data will be collected e. The Levey-Jennings charts can be interpreted using the Westgard rules. Yet, many labs use Levey-Jennings charts to monitor the stability of their lab tests.