1What are descriptive statistics used for?
to summarize the important features of a group of data
2What are the components of descriptive statistics?
measures of center, spread, and shape
3What are the measures of center in descriptive stats?
mean (average)
median (middle pt)
mode (most frequent)
4What is the spread of descriptive stats?
how far the data is distributed
5What is the shape of descriptive stats?
distribution
6What is gaussian distribution?
mean, median, and mode are identical;
distribution is symmetrical (bell curve)
7What is a gaussian distribution (her ?) ?
A bell shaped distribution of results from a normal sample population.
Theoretical distribution with finte mean and variance.
8What types of data fit a gaussian distribution?
A. if number of events is large, describes physical events
B. shown under general assumptions that the distribution of random errors of observation takes on a normal distribution as number of obervations become large
9What is the advantage of using Guassian distribution?
ease of interpretibility
10For a QC results to follow a Gaussian / normal distribution, what needs to happen?
68% of results fall within +1 or -1
95% of results fall within +2 or -2
5% falls outisde of + / - 2
11What fraction falls outside the gassian +1 / -1?
1/ 6 on each side (total 2/ 3)
12What fraction falls outside the gassian +2 / -2?
1/ 40 (total 1/ 20)
13What fraction falls outside the gassian +3 / -3?
1/ 200 (total 1/ 100)
14What are the Guassian probabilities of falling within +/ - 1s range?
68.3%
1 in 3
15What are the Guassian probabilities of falling within +/ - 1.64s range?
90%
1 in 10
16What are the Guassian probabilities of falling within +/ - 2s range?
95%
1 in 20
17What are the Guassian probabilities of falling within +/ - 3s range?
99%
1 in 100
18What does location of descriptive stats refer to?
mode
mean
median
19What does the dispersion of descriptive stats refer to?
range
variance
st dev
CV
20How can groups of Gaussian observations be described?
by statistics that summarize location and dispersion;
MEAN is a measure of centrality of a set of data
21What is the mode?
value that occurs most often;
mode is the most frequent observation
22What is the median?
value for which half of the remaining are above and half are below
23What is the formula for variance?
24How is range calculated?
Xmax - Xmin
25What are the units of variance?
whatever it is SQUARED
26How do you fix the squared units of variance?
by using standard deviation (sq root of variance)
27When N increases in st dev, what happens to the st dev?
it goes down; st dev and N is indirectly proportional
28What is the formula for standard deviation?
29What is an example of bimodal distribution?
mens height AND women's height in one graph (each one is gaussian)
30What is the problem with standard deviation?
Cannot compare 2 kinds of data if the units are different
31How many measurements must we average to improve precision by a factor of 2?
if we want S to go DOWN 2 (improve) then N needs to go UP 4
32What is another way to express st dev?
coefficient of variation (RSD)
33What is the formula for CV?
34One control is beyond +/I 2 s from mean. How frequently would this occur on the basis of chance alone?
5:100 (1:20)
352 consecutive controls are both beyond -2s from mean. How frequently would this occur on the basis of chance alone?
1:1600
(1/40 x 1/40=1/1600)
36What is precision?
the degree of closeness of the measurements with each other;
getting consistnet results of repeated measurements
37What is precision referred to as?
repeatability and reproducbility error
38What is accuracy?
degree of closeness of the measurements to the target or reference value;
measuring near the target or true or ref value
39What is accuracy often referred to as?
bias error
40What is the equation for precision?
41What is the desirable measurement from precision?
the smaller the % the better your reproducibility and hence performance
42What is the true value in clinical application of accuracy?
a range
mean ± 2s
43What does it mean if your data falls within the given range?
accurate
44What is the purpose of accuracy?
ability to reproduce SOMEONE ELSE'S results!
45What is the source of error in precision?
random error
46How do you fix random error in precision?
increase # of measurements
47What is the pattern of random error in precision?
no direction, unpredictable
48What kind of errors are associated with accuracy?
systematic errors:
constant error
proportional error
49What is confidence interval?
gives est range of values which is likely to include known population parameter,
est range being calculated from a given set of sample data
(mean ±2s)
50What is confidene interval usually set as?
as 95%,
but can produce 90%, 99%, 99.9%
51What values are analysts interested in?
values that are consistently outside the statistical variation
52If ± 1s was the limit of acceptable variation, how many samples would be reassayed? Why?
33% samples reassayed
to see which values outside the limit due to statistical variation and which for other reasons
53If ± 2s was the limit of acceptable variation, how many samples would be reassayed? Why?
5% samples reassayed;
this is called 95% confidence limit
54What are the 2 kinds of systematic error?
proportional
constant
55What is random error?
present in all measurements
either positive or negative
56What factors can lead to random error?
instrument
reagent
operator techniques
environmental conditions
57What can lead to systematic errors?
instrument calibration
reagent
method
58How is constant error defined?
always consistent and predictable
has direction
59How is proportional error defined?
trend;
increased concentration, increased source of error etc
60What is the purpose of quality control?
to ensure data collected remains valid overtime
61What does QC involve?
systematic monitoring of analytic processes to detect analytic errors that occur during analysis
62What does QC prevent?
reporting of incorrect pt test results
63How is QC accomplished?
by assaying stable control materials and comparing determined vs expected values
64What does QC graphically represent?
observed values of a control material over time in context of upper / lower limit controls
65What happens if QC values fall within control limits?
method was performed adequately
66What happens if QC values fall outside of control limits?
problems are developing
67How are QC control limits expressed?
as means ± st dev
68What causes QC random errors?
variation in technique
69How do QC systematic errors arise?
from factors that contribute to constant diff between measurements (pos or neg)
70What is the req of QC materials?
stable
range of concentration
has the same matrix of specimens
71How many QC materials does general chem assay?
2 levels of control
72How many QC materials do immunoassays test?
3 levels of control
73What is the QC chart?
graphic representation to help monitor how a process changes over time
74What are the limits of acceptability in QC charts?
± 2s
75What are the 1 2S multirule procedure of QC charts?
one control > 2S
rejection warning
76What is the 1 3S multirule procedure of QC charts?
reject a run when ONE control observation > 3S
77What is the 2 2S multirule procedure of QC charts?
reject run when 2 consecutive control observations are on the same side of mean and > 2S
78What is the 4 1S multirule procedure of QC charts?
Reject run when 4 consecutive control obs are on the same side of mean and > 1S
79What is the R 4S multirule procedure of QC charts?
Reject run if range or diff between the max and min control observations >4S
80Which of the following QC rules would be broken 1 out of 20 times by chance alone?
1 2S
81One of 2 controls within a run is >2S and the other control is <2S from mean, what do these results indicate?
poor precision has led to random error (RE)
82A trend in QC results is most likely caused by:
deterioration of the reagent