Method Eval

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1
What are descriptive statistics used for?
to summarize the important features of a group of data
2
What are the components of descriptive statistics?
measures of center, spread, and shape
3
What are the measures of center in descriptive stats?
mean (average)
median (middle pt)
mode (most frequent)
4
What is the spread of descriptive stats?
how far the data is distributed
5
What is the shape of descriptive stats?
distribution
6
What is gaussian distribution?
mean, median, and mode are identical;
distribution is symmetrical (bell curve)
7
What is a gaussian distribution (her ?) ?
A bell shaped distribution of results from a normal sample population.
Theoretical distribution with finte mean and variance.
8
What 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
9
What is the advantage of using Guassian distribution?
ease of interpretibility
10
For 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
11
What fraction falls outside the gassian +1 / -1?
1/ 6 on each side (total 2/ 3)
12
What fraction falls outside the gassian +2 / -2?
1/ 40 (total 1/ 20)
13
What fraction falls outside the gassian +3 / -3?
1/ 200 (total 1/ 100)
14
What are the Guassian probabilities of falling within +/ - 1s range?
68.3%
1 in 3
15
What are the Guassian probabilities of falling within +/ - 1.64s range?
90%
1 in 10
16
What are the Guassian probabilities of falling within +/ - 2s range?
95%
1 in 20
17
What are the Guassian probabilities of falling within +/ - 3s range?
99%
1 in 100
18
What does location of descriptive stats refer to?
mode
mean
median
19
What does the dispersion of descriptive stats refer to?
range
variance
st dev
CV
20
How 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
21
What is the mode?
value that occurs most often;
mode is the most frequent observation
22
What is the median?
value for which half of the remaining are above and half are below
23
What is the formula for variance?
24
How is range calculated?
Xmax - Xmin
25
What are the units of variance?
whatever it is SQUARED
26
How do you fix the squared units of variance?
by using standard deviation (sq root of variance)
27
When N increases in st dev, what happens to the st dev?
it goes down; st dev and N is indirectly proportional
28
What is the formula for standard deviation?
29
What is an example of bimodal distribution?
mens height AND women's height in one graph (each one is gaussian)
30
What is the problem with standard deviation?
Cannot compare 2 kinds of data if the units are different
31
How 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
32
What is another way to express st dev?
coefficient of variation (RSD)
33
What is the formula for CV?
34
One control is beyond +/I 2 s from mean. How frequently would this occur on the basis of chance alone?
5:100 (1:20)
35
2 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)
36
What is precision?
the degree of closeness of the measurements with each other;
getting consistnet results of repeated measurements
37
What is precision referred to as?
repeatability and reproducbility error
38
What is accuracy?
degree of closeness of the measurements to the target or reference value;
measuring near the target or true or ref value
39
What is accuracy often referred to as?
bias error
40
What is the equation for precision?
41
What is the desirable measurement from precision?
the smaller the % the better your reproducibility and hence performance
42
What is the true value in clinical application of accuracy?
a range
mean ± 2s
43
What does it mean if your data falls within the given range?
accurate
44
What is the purpose of accuracy?
ability to reproduce SOMEONE ELSE'S results!
45
What is the source of error in precision?
random error
46
How do you fix random error in precision?
increase # of measurements
47
What is the pattern of random error in precision?
no direction, unpredictable
48
What kind of errors are associated with accuracy?
systematic errors:
constant error
proportional error
49
What 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)
50
What is confidene interval usually set as?
as 95%,
but can produce 90%, 99%, 99.9%
51
What values are analysts interested in?
values that are consistently outside the statistical variation
52
If ± 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
53
If ± 2s was the limit of acceptable variation, how many samples would be reassayed? Why?
5% samples reassayed;
this is called 95% confidence limit
54
What are the 2 kinds of systematic error?
proportional
constant
55
What is random error?
present in all measurements
either positive or negative
56
What factors can lead to random error?
instrument
reagent
operator techniques
environmental conditions
57
What can lead to systematic errors?
instrument calibration
reagent
method
58
How is constant error defined?
always consistent and predictable
has direction
59
How is proportional error defined?
trend;
increased concentration, increased source of error etc
60
What is the purpose of quality control?
to ensure data collected remains valid overtime
61
What does QC involve?
systematic monitoring of analytic processes to detect analytic errors that occur during analysis
62
What does QC prevent?
reporting of incorrect pt test results
63
How is QC accomplished?
by assaying stable control materials and comparing determined vs expected values
64
What does QC graphically represent?
observed values of a control material over time in context of upper / lower limit controls
65
What happens if QC values fall within control limits?
method was performed adequately
66
What happens if QC values fall outside of control limits?
problems are developing
67
How are QC control limits expressed?
as means ± st dev
68
What causes QC random errors?
variation in technique
69
How do QC systematic errors arise?
from factors that contribute to constant diff between measurements (pos or neg)
70
What is the req of QC materials?
stable
range of concentration
has the same matrix of specimens
71
How many QC materials does general chem assay?
2 levels of control
72
How many QC materials do immunoassays test?
3 levels of control
73
What is the QC chart?
graphic representation to help monitor how a process changes over time
74
What are the limits of acceptability in QC charts?
± 2s
75
What are the 1 2S multirule procedure of QC charts?
one control > 2S
rejection warning
76
What is the 1 3S multirule procedure of QC charts?
reject a run when ONE control observation > 3S
77
What 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
78
What 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
79
What is the R 4S multirule procedure of QC charts?
Reject run if range or diff between the max and min control observations >4S
80
Which of the following QC rules would be broken 1 out of 20 times by chance alone?
1 2S
81
One 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)
82
A trend in QC results is most likely caused by:
deterioration of the reagent
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