User Guide Unity Web 2.0
User Guide Unity Web 2.0
0
TM
Welcome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Contact Bio-Rad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Organization of this Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Typographical Styles and Conventions. . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Software Items . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Keyboard Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Notes, Tips, and Important Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Note . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Tip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Important . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Essential Startup Tasks for New Users . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
First Time Log In . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
QC Configuration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Program Hints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Tabs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Menu Items . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Links . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Check Boxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Lists. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Scroll Bars and Scroll Arrows. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Unavailable Items. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
7T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Nx Rules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
8x Within a Control Level . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
9x Across Control Levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Recommended Steps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Determine Quality Requirements for the Test . . . . . . . . . . . . . . . . . . . . . . . . . 43
Identify Appropriate QC Materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Evaluate Test Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Six Sigma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Use of Six Sigma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Qualitative Evaluation of a Test's Bias and Imprecision . . . . . . . . . . . . . . 49
Identify Possible QC Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Predict the Performance of the QC Procedures. . . . . . . . . . . . . . . . . . . . . . . 51
Choose Goals Based on Required Quality. . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Select a QC Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Troubleshoot QC Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Repeat the Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Try a New Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Recalibrate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Good Laboratory Habits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Determine the Type of Error . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Relate the Error to Possible Causes . . . . . . . . . . . . . . . . . . . . . . . . 56
Consider Common Factors on Multi Test Systems . . . . . . . . . . . . . 57
Relate the Problem to Recent Changes . . . . . . . . . . . . . . . . . . . . . 58
Systematic Error . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Random Error . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Verify and Document . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Keys to a Productive Review of the Laboratory Quality System . . . . . . . . . . . 60
Issues to Consider . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Labs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Types of Lab Numbers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Primary Lab Number. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
Additional Lab Numbers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
Affiliated Lab Numbers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
Add and Update Lab Numbers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Add a Lab Number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Update Lab Number Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Duplicate a Lab Number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108
Open and Close Lab Numbers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
Close a Lab Number. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
Open a Lab Number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
Delete Lab Numbers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110
Lots . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Add a Bio-Rad Lot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
Add Non-Bio-Rad Lots . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
Duplicate Lots. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114
Items Automatically Duplicated . . . . . . . . . . . . . . . . . . . . . . . . . . 114
Optional Items When Duplicating . . . . . . . . . . . . . . . . . . . . . . . . . 114
Duplicate a Bio-Rad Lot Number . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
Duplicate a Non-Bio-Rad Lot Number. . . . . . . . . . . . . . . . . . . . . . . . . 116
Edit Lot Numbers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117
Edit a Bio-Rad Lot Number. . . . . . . . . . . . . . . . . . . . . . . . . . . . 117
Edit a Non-Bio-Rad Lot Number and Expiration Date . . . . . . . . 117
Close and Open Lots . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118
Close a Lot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118
Open a Closed Lot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
Arrange and Sort Lots . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
Delete Lot Numbers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120
Lot Expiration Notifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120
Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121
Add Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124
Direct Methods of Adding Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124
Indirect Methods of Adding Tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124
Add Tests Manually . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125
Add Tests With Instrument Setup. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126
Limitations of Instrument Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126
Add Tests Using Instrument Setup . . . . . . . . . . . . . . . . . . . . . . . . 127
Add Tests with a Code of “Other” . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128
Test Rules and Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129
Select SPC Rules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129
Select Test Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129
Use a Fixed Mean and SD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130
Specify a Fixed Mean and SD. . . . . . . . . . . . . . . . . . . . . . . . . . . . 130
Duplicate Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132
Update Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132
Update a Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132
Close and Open Tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
Close a Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
Open a Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
Sort Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134
Sort Tests for a Lab Number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134
Sort Tests in a Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135
Delete Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136
Delete a Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136
VITROS® Slide Generation Numbers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138
Change the VITROS® Slide Generation Number. . . . . . . . . . . . . . . . . . 138
Update the VITROS® Slide Generation Number . . . . . . . . . . . . . . . . . . 140
Panels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
Create a Panel and Add Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142
Sort Tests in a Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142
Remove Tests from a Panel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143
Rename a Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143
Sort Panel Names. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143
Delete a Panel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144
Data Groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145
Overview of Groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145
Change the Current Data Option. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146
Define or Edit a Group. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146
Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161
Overview of the Single Test Data Entry Dialog Boxes. . . . . . . . . . . . . . . . . . 163
Lab, Panel, Lot, and Test Information . . . . . . . . . . . . . . . . . . . . . . . . . 163
Command Buttons and Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164
Data Entry Grid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166
Paging Arrows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166
Summary Statistics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167
Example of Summary Statistics . . . . . . . . . . . . . . . . . . . . . . . . . . 167
Group Statistics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167
Example of Group Statistics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167
Fixed Mean and SD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168
Data Entry Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169
Use the Set Date Feature. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169
Change the Date and Time for a Row of Data . . . . . . . . . . . . . . . . . . . 170
View a Levey-Jennings Chart. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170
View Rules and Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170
Navigate the Single Test Data Entry Dialog Boxes . . . . . . . . . . . . . . . . 171
Single Test Point Data Entry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172
Single Test Point Data Entry Grid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172
Fixed Statistics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174
Important Facts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174
Floating Mean/Floating SD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174
Floating Mean/Fixed SD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175
Fixed Mean/Fixed SD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175
Fixed Mean/Floating SD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175
Enter Single Test Point Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 176
Single Test Summary Data Entry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177
Summary Data Entry Grid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178
Enter Single Test Summary Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179
Qualitative Data Entry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180
Enter Qualitative Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181
Send Qualitative Data to the Unity™ Interlaboratory Program . . . . . . . . 182
Multi Test Data Entry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 183
Multi Test Data Entry Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 183
Multi Test Data Entry Grid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185
Enter Multi Test Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 186
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 187
Change Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 187
Data Entry Permissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 188
Edit Data, Date, and Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 189
Edit Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 190
Edit the Date and Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191
Change a Data Point's Accepted/Rejected Status . . . . . . . . . . . . . . . . . . . 192
Change the Accepted/Rejected Status . . . . . . . . . . . . . . . . . . . . . . . 193
Insert Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 194
Insert a Data Row . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 194
Delete Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 196
Delete a Row of Data from the Data Entry dialog box . . . . . . . . . . . . . 196
Delete a Range of Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197
Operator Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 198
Operator Setup Shifts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201
Bench Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 202
Perform Bench Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203
Select a Data Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 204
Review Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205
Manage Columns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205
Document the Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206
All Data Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206
Save and Transmit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 207
InstantQC™ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 208
Actions and Comments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209
Actions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209
View Actions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209
Configure Actions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210
Add a Custom Action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210
Edit an Action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211
Delete an Action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211
Add, Edit, and Delete Actions in the Data Entry Dialog Boxes . . . . 212
Add an Existing Action to a Row of Data . . . . . . . . . . . . . . . . 212
Add a New Action to a Row of Data . . . . . . . . . . . . . . . . . . . 212
Edit the Action List from the Data Entry Dialog Box . . . . . . . . 213
Delete an Action from the Action List from the Data Entry
Dialog Box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 214
Automatic Action Logs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 215
Set Up Automatic Action Logs . . . . . . . . . . . . . . . . . . . . . . . 215
Turn Off Automatic Action Logs . . . . . . . . . . . . . . . . . . . . . . 215
Comments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 216
View Comments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 216
Add a Comment to a Row of Data . . . . . . . . . . . . . . . . . . . . . . . . 217
Actions and Comments by Instrument . . . . . . . . . . . . . . . . . . . . . . . . . 218
Add an Action by Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219
Add a Comment by Instrument. . . . . . . . . . . . . . . . . . . . . . . . . . . 220
Add an Action and Comment by Instrument . . . . . . . . . . . . . . . . . 221
Require Audit Trail Comments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 222
Require Audit Trail Comments . . . . . . . . . . . . . . . . . . . . . . . . 222
Turn Off the Require Audit Trail Comments Feature . . . . . . . . 222
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223
General Chart Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 224
Fill background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 224
Select Fill Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 224
Grid Lines and Color . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225
Edit Grid Lines and Color . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225
Chart Header Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 226
Example of a Chart Header . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 226
Select Chart Header Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . 227
Save and Print Charts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 228
Levey-Jennings Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 230
How to Use the Levey-Jennings Chart . . . . . . . . . . . . . . . . . . . . . . . . 230
Select Levey-Jennings Chart Options . . . . . . . . . . . . . . . . . . . . . . . . 231
Levey-Jennings Chart Legend . . . . . . . . . . . . . . . . . . . . . . . . . . 233
Other Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 234
Create a Levey-Jennings Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 234
Multi-LJ Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235
Select Multi-LJ Chart Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235
Create a Multi-LJ Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235
Bar Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 236
Select Bar Chart Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 236
Other Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 237
Create a Bar Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 237
Youden Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 238
How to Use the Youden Chart. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 238
Select Youden Chart Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 238
Other Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239
Create a Youden Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 240
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 241
Save and Print Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 242
Save Reports. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 242
Print Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 243
Document Report Reviews . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 244
Data Review Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 245
Create a Data Review Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 245
Point Data Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 246
Point Data Report Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 246
Create a Point Data Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 246
Summary Data Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247
Summary Data Report Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247
Create a Summary Data Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247
Statistical Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 248
Statistical Report Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 248
Create a Statistical Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 248
Supervisor's Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 249
Supervisor's Report Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 249
Create a Supervisor’s Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 249
Operator Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251
Operator Report Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251
Create an Operator Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251
Audit Trail Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 253
Audit Trail Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 253
Create an Audit Trail Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 253
Listings Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 255
Listings Report Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 256
Create a Listings Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 256
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 257
Submit Data Monthly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 258
Submit Data Manually . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 258
Activate Automatic Monthly Transmission . . . . . . . . . . . . . . . . . . . . . . 259
Submit Data from the Bench Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 260
Activate Transmission for InstantQC™ . . . . . . . . . . . . . . . . . . . . . . . . . 260
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 261
Monthly Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 262
Comprehensive Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 263
Optional Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 263
InstantQC™ Reports and Charts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 263
Consensus Groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 264
View and Print Interlaboratory Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . 265
Monthly Reports. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 266
Monthly Evaluation Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 266
How to Use This Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 266
Example Monthly Evaluation Report . . . . . . . . . . . . . . . . . . . . . . 267
Data Rejection Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 268
How to Use This Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 268
Limits for the Mean . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 268
Limits for the CV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 268
Example Data Rejection Report . . . . . . . . . . . . . . . . . . . . . . . . . 269
Laboratory Performance Overview Report . . . . . . . . . . . . . . . . . . . . . 270
How to Use This Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 270
Example Laboratory Performance Overview Report . . . . . . . . . . 271
Laboratory Comparison Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 272
How to Use This Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 272
Example Laboratory Comparison Report . . . . . . . . . . . . . . . . . . 273
Laboratory Histogram Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 274
How to Use This Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 274
Example Laboratory Histogram Report . . . . . . . . . . . . . . . . . . . . 275
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 297
CLIA Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 298
CAP Accreditation Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 306
ISO 15189 Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 320
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 323
View Existing QC Rules. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 324
View Lab Data and Group Statistics . . . . . . . . . . . . . . . . . . . . . . . . . . 325
Configure Westgard Advisor™ online . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 326
Total Allowable Error (TEa) Options . . . . . . . . . . . . . . . . . . . . . . . . . . . 326
View TEa Details . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 327
Configure the TEa for an Analyte . . . . . . . . . . . . . . . . . . . . . . . . . 327
Configure the TEa for All Analytes . . . . . . . . . . . . . . . . . . . . . . . . 328
Return TEa Selections to the Default . . . . . . . . . . . . . . . . . . . . . . 329
Data Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 330
Specify Data Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 330
Grid Display Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 331
Select Grid Display Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 331
Generate Rules with Westgard Advisor™ online. . . . . . . . . . . . . . . . . . . . . . 332
Consensus Groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 333
Use the Westgard Advisor™ online Wizard . . . . . . . . . . . . . . . . . . . . . . 334
Use the Advanced Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 336
Use the Westgard Advisor™ online Defaults . . . . . . . . . . . . . . . . . . . . 338
Apply Rules with Westgard Advisor™ online . . . . . . . . . . . . . . . . . . . . . . . . 339
Apply Rules. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 339
Westgard Advisor™ online Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 341
Print the Westgard Advisor™ online Report . . . . . . . . . . . . . . . . . . . . . 341
QC References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 355
Articles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 355
Books . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 356
Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 356
Glossary 357
Index 381
In This Chapter
Welcome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Essential Startup Tasks for New Users . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Program Hints. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Welcome
Welcome to UnityWeb™, Bio-Rad's expert quality control (QC) data
management software. New users will find this powerful and user-friendly
software provides access to advanced tools and functions designed to meet or
exceed clinical laboratory quality requirements. UnityWeb™ provides data
access, analysis, review, management, storage, and reporting.
Existing users of other Bio-Rad software will find UnityWeb™ provides familiar
functionality plus several new features. New features include:
Contact Bio-Rad
Every attempt has been made to ensure this guide is accurate and complete.
However, if you need to contact Bio-Rad for assistance, you can:
Software Items
Items on the screen such as tabs, menu items, dialog boxes, buttons, options,
and check boxes appear in bold.
Keyboard Keys
Names of keys on the keyboard appear in all capital letters. For example, press
the TAB key on the keyboard.
Note
A note indicates information supplementing the main text. A note supplies
information that may only apply in special cases and is separated from the
surrounding text by a box. For example:
Tip
A tip provides useful extra information and suggestions for implementation. A
tip is not essential to the basic understanding of the text and is separated from
the surrounding text by a box. For example:
Tip: For convenience, rearrange the order of tests in the Open tests list to
match your instrument or LIS printout.
Important
An important note provides information essential to the completion of a task.
Do not disregard information in an important note. An important note is
separated from the surrounding text by a shaded box. For example:
Note: See Chapter 5, “User Profiles and Security” for more information
about adding additional users and security basics.
QC Configuration
Perform the following tasks before manually entering data:
Program Hints
UnityWeb™ contains common software elements you have probably used with
other Internet-based software. Each element provides a specific function for
performing different actions.
Tabs
Software functions in UnityWeb™ are organized by different tabs. Click each tab
to access different functionality of the software.
Tab
Menu Items
First level
sub-menu item
Second level
sub-menu item
Links
Click a link to go to or open another window in the software. Links are
underlined in blue.
Buttons
Click a button to initiate an action.
Check Boxes
A square box selected or cleared to turn on or off an option. More than one
check box can be selected.
Options
A round button used to select one of a group of options. Unlike check boxes,
only one option can be selected.
Lists
A list has a down-pointing arrow next to it. Click the arrow to open the list and
make a selection.
Click the Maximize button to enlarge the screen to its largest size and to
minimize scrolling.
Maximize button
Scroll arrow
Scroll bar
Unavailable Items
Items in the software appear dimmed if not available. Items that may appear
dimmed include buttons, options, check boxes, and icons. Items may be
dimmed if a user does not have the required permission to perform a task or if
another action is required before the item is available.
In This Chapter
What is Quality Control? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Basic QC Statistics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
SPC Rules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
What indicates this test is truly reliable? Perhaps the instrument is out of
calibration and the patient's true potassium value is 4.2 mmol/L, which is a
normal result.
Resolve the question of reliability for most testing by regular testing of quality
control materials and the application of statistical process control values.
Example Scenario
The following example QC log shows normal and abnormal control results
as well as patient results for a seven-day period.
Analyte: Potassium
Instrument: Instrument Number 1
Unit of measure: mmol/L
Level 1 Level 2
(Normal Control) (Abnormal Control) Patient Results
Range: 3.7 – 4.3 mmol/L 6.7 – 7.3 mmol/L
Date: Dec-01 4.0 7.0 4.2, 4.0, 3.8, 5.0, 5.8, 4.2
Dec-02 4.1 7.0 3.8, 4.4, 4.6, 3.9, 4.6, 4.4, 3.9
Dec-07 4.2 8.0 2.8, 4.6, 4.2, 3.2, 3.9, 4.1, 6.0, 4.3
The acceptable range for Level 1 (normal control) is 3.7–4.3 mmol/L. The
acceptable range for Level 2 (abnormal control) is 6.7–7.3 mmol/L. When
comparing the daily QC result obtained for the normal control to the range
calculated for the normal control, each result is within the expected range.
This indicates the analytical process is “in control” at the normal level on the
day of testing.
When comparing the daily QC result for Level 2 (abnormal control) to the
defined range for the abnormal control, the analytical process is “in control”
for each day of testing except for the last day (Dec-07 in the example
above). On December 1 through December 6, both levels were “in control,”
and the laboratory could report patient values reliably.
Example Scenario
However, the laboratory was “out of control” for abnormal high potassium on
December 7 because the value obtained for the QC material (8.0 mmol/L)
was outside the acceptable range (6.7–7.3 mmol/L). This result indicates
some type of error occurred which may have produced unreliable patient
results which are abnormally high. In this scenario, the laboratory should not
report any patient samples with an abnormally high potassium until resolving
the error and re-testing the abnormally high sample.
From this example, it is apparent the range defined for each level of control
is fundamental to the quality control system. The section “Basic QC
Statistics” on page 17 describes the calculations required to develop an
acceptable control range.
CLIA Requirements
In the United States, the Clinical Laboratory Improvement Amendments (CLIA)
of 1988, as modified by the final CLIA Rule, requires the testing of two levels of
control (one normal and one abnormal) each day the test is performed. This
requirement applies to all non-waived tests, unless the Centers for Medicare
and Medicaid Services (CMS) approves an equivalent quality testing procedure
as specified in Appendix C of the State Operations Manual.
If the instrument does not verify calibration internally, a laboratory must test
these same controls with each patient sample.
Basic QC Statistics
A total QC system must control both trueness and precision. The goal is for a
test to have both low bias and low imprecision. Problems with imprecision are
less likely to cause analytical failure in the modern laboratory due to
computerization and mechanization of the analytical process. Therefore, bias is
brought to the forefront.
The following illustration represents low bias and low imprecision as a target,
where the center of the target represents the target value.
Note: Bias and imprecision are most important at the clinical decision levels.
For example, ß-hCG clinical decision levels are at low concentrations
(corresponding to early pregnancy in the female and early testicular cancer
in the male) or at moderate concentrations (to diagnose the progression of
pregnancy).
Useful Statistics
Evaluation of a test's bias and imprecision uses several calculations. Although
UnityWeb™ performs these calculations, it is useful to understand the
calculations, which include:
Mean
The mean for a group of data points is simply the calculated average. The
mean provides a laboratory's best estimate of the analyte's “true” value for a
specific level of control. The mean ± a predetermined number of standard
deviations represents the error expected in a test when the analytical system is
stable. Use the following formula to calculate the mean:
Xn
Mean = ∑n
where: ∑ = sum
Xn = each value in the data set
n = the number of values in the data set
The standard deviation measures a test's precision; that is, how close
individual measurements are to each other. (The standard deviation does not
measure bias, which requires the comparison of your results to a target value
such as your peer group.) The standard deviation provides an estimate of how
repeatable a test is at specific concentrations. Test repeatability can be
consistent (low standard deviation, low imprecision) or inconsistent (high
standard deviation, high imprecision).
∑ ⎛⎜⎝ Xn
− X ⎞⎟
⎠
SD =
n −1
Tip: Levey-Jennings Charts allow you to visually review data points plotted
against a ±3SD range. See “Levey-Jennings Chart” on page 230 for more
information.
Important: Use product insert ranges as guidelines only. Ranges are based
on reagent lots and materials available at the time of value assignment.
During the life of the control lot, manufacturers may reformulate tests or
begin using a new source of raw materials for kit/reagent production.
Published ranges cannot account for variables such as instrumentation
software updates or performance differences over time.
The SDI expresses bias as increments of the standard deviation. A SDI of -1.8
indicates a negative bias of 1.8 standard deviations from the consensus group
mean. This is not favorable.
≤ 1.25 Acceptable
Bias
Bias measures how far your observed value is from a target value. Determine
bias by a reference value or estimate from outside sources such as proficiency
testing results or the Bio-Rad Unity™ Interlaboratory Program. Express bias as a
percentage. Use the following formula to calculate bias:
Standard Deviation
CV % = × 100
Mean
Using the CV makes it easier to compare the overall precision of two analytical
systems. The CV is a more accurate comparison than the standard deviation
as the standard deviation typically increases as the concentration of the analyte
increases. Comparing precision for two different methods using only the
standard deviation can be misleading.
Example Scenario
Compare a hexokinase method and glucose oxidase method for
measuring glucose. The standard deviation for the hexokinase method is
4.8. The standard deviation for the glucose oxidase method is 4.0. Based
on the standard deviation, you might conclude the glucose oxidase
method is more precise than the hexokinase method.
Determining an Acceptable CV
When determining an acceptable CV, several sources provide expected levels
of precision, including:
These sources are useful for evaluating the CV for a test or when comparing
two test systems.
Laboratory CV
CVR =
Consensus Group CV
⎛ Laboratory TE ⎞
TE Budget % = ⎜ ⎟ × 100
⎝ TEa ⎠
With the optional Westgard Advisor™ online, choose a TEa and the program
suggests SPC rules based on test data and Unity™ Interlaboratory Program
information.
z-score
The z-score is the number of standard deviations a control result is from the
expected mean. Use the following formula to calculate the z-score:
A z-score of 2.3 indicates the observed value is 2.3SD away from the expected
mean. A data point with this z-score would violate the 12s rule, but not the 13s
rule. The z-score appears on the Single Test Point Data Entry dialog box.
SPC Rules
In 1981 Dr. James Westgard of the University of Wisconsin published an article
on laboratory quality control setting the basis for evaluating analytical run
quality for medical laboratories. The Westgard system is based on the
principles of statistical process control used in manufacturing nationwide since
the 1950s. There are six basic rules in the Westgard scheme: 13s, 22s, R4s,
12s, 41s, and 10x. Use these rules individually or in combination (multi-rule) to
evaluate the quality of analytical runs.
• Reduce false rejections made when applying just the 12s rule for run
rejection.
• Increase error detection more than provided when applying just the 13s
rule for run rejection.
• Include rules to detect and distinguish random and systematic error
(13s and R4s to detect random error and 22s, 41s, and 10x to detect
systematic error).
12s
The 12s rule is usually a warning rule violated when a single control observation
is outside the ±2SD limit.
Some laboratories consider any quality control value outside its ±2SD limit to
be out of control, and therefore incorrectly decide the patient specimens and
QC values are invalid.
An analytical run usually should not be rejected if a single quality control value
is outside the ±2SD QC limit but within the ±3SD QC limit. Approximately 4.5%
of all valid QC values will fall somewhere between ±2SD and ±3SD limit.
Laboratories universally rejecting values outside the ±2SD limit end up rejecting
good runs too frequently.
The 12s rule was originally designed as a warning rule for manual application of
the Westgard rules. If one control measurement within a run exceeds the mean
±2SD in a manual application of Westgard rules, evaluate other controls in the
run (within the run) and in previous runs (across runs) before accepting the run
and reporting the results. With computer-based applications of Westgard rules,
the 12s rule is usually not necessary.
Using the 12s rule alone in performing quality control tests causes frequent
rejection of valid runs. According to Dr. Westgard, failure to allow for valid
points between 2SD and 3SD may result in falsely rejecting:
These false rejections result in the unnecessary repeat of patient samples, the
waste of labor and materials, and the unnecessary delay of patient results.
The following figure shows a Levey-Jennings Chart with a data point between
+2SD and +3SD.
+3s Level 1
+2s
12s
+1s
Mean
-1s
-2s
-3s
1 2 3 4 5 6 7 8 9 10 11 12
12.5s
The 12.5s rule indicates random error and may also point to systematic error.
This rule is applied within the run only. The following figure shows a
Levey-Jennings Chart with a data point outside the ±2.5SD limit.
+3s Level 1
+2s
+1s
Mean
-1s
1 2.5s
-2s
-3s
1 2 3 4 5 6 7 8 9 10 11 12
13s
The 13s rule identifies unacceptable random error or possibly the beginning of
a large systematic error. Any QC result outside ±3SD violates this rule. Since
only 0.3% or 3 out of 1000 points will fall outside the ±3SD limit, any value
outside of ±3SD is usually considered to be associated with a significant error
condition.
The following figure shows a Levey-Jennings Chart with a data point outside
the ±3SD limit.
+3s Level 1
+2s 1 3s
+1s
Mean
-1s
-2s
-3s
1 2 3 4 5 6 7 8 9 10 11 12
13.5s
The 13.5s rule indicates random error and may also indicate systematic error.
The run is considered out of control when one control value exceeds the mean
±3.5SD. This rule is applied within the run only. The following figure shows a
Levey-Jennings Chart with a data point outside the ±3.5SD limit.
+4s Level 1
+3s
1 3.5s
+2s
+1s
Mean
-1s
-2s
1 2 3 4 5 6 7 8 9 10 11 12
14s
Violation of the 14s rule indicates random error and may also point to
systematic error. The run is considered out of control when one control value
exceeds the mean ±4SD. This rule is applied within the run only. The following
figure shows a Levey-Jennings Chart with a data point outside the ±4SD limit.
+6s Level 1
+4s
+2s 1 4s
Mean
-2s
-4s
-6s
1 2 3 4 5 6 7 8 9 10 11 12
15s
Violation of this rule indicates random error and may also point to systematic
error. The run is considered out of control when one control value exceeds the
mean ±5SD. This rule is applied within the run only. The following figure shows
a Levey-Jennings Chart with a data point outside the ±5SD limit.
+6s Level 1
+4s
+2s
Mean
-2s
-4s
1 5s
-6s
1 2 3 4 5 6 7 8 9 10 11 12
22s
The 22s rule detects systematic error only. The 22s rule is violated when two
consecutive QC results are:
The following figures show a Levey-Jennings Chart with a data point violating
the 22s rule within and across a run.
+3s Level 1
+2s
22s
+1s
Mean
-1s
-2s
-3s
1 2 3 4 5 6 7 8 9 10 11 12
+3s Level 1
+2s Level 2
+1s
Mean
-1s 22s
-2s
-3s
1 2 3 4 5 6 7 8 9 10 11 12
2 of 32s
This is a variation of the 22s rule and detects systematic errors. It is triggered
when any two of all three levels of control in a run exceed 2SD on the same
side of the mean. The following figure shows a Levey-Jennings Chart with two
points violating the 2 of 32s rule.
+3s Level 1
+2s Level 2
Level 3
+1s
Mean
-1s 2 of 32s
-2s
-3s
1 2 3 4 5
R4s
The R4s rule identifies random error. It is applied only within the current run.
This rule is violated when there is at least a 4SD difference between control
values within a single run.
For example, assume both Level 1 and Level 2 have been tested within the
current run. Level 1 is +2.8SD above the mean and Level 2 is -1.3SD below
the mean. The total difference between the two control levels is greater than
4SD (+2.8SD - (-1.3SD) = 4.1SD).
The following figure shows a Levey-Jennings Chart with two points violating the
R4s rule.
+3s Level 1
+2s Level 2
+1s
Mean R 4s
-1s
-2s
-3s
1 2 3 4 5 6 7 8 9 10 11 12
31s and 4 1s
These rules are violated when three or four consecutive results are:
The following figures show a Levey-Jennings Chart with a data point violating
the 31s rule within a run and a 41s rule across a run.
+3s Level 1
+2s
+1s
Mean 31s
-1s
-2s
-3s
1 2 3 4 5 6 7 8 9 10 11 12
+3s Level 1
+2s Level 2
+1s
4 1s
Mean
-1s
-2s
-3s
1 2 3 4 5 6 7 8 9 10 11 12
7T
The 7T rule is violated when a group of seven consecutive data points for a
single level of control show either a “strict” increasing or decreasing pattern. A
“strict” increasing pattern is defined as a series of points increasing
incrementally from the previous point (each point greater than the last) without
a break in the pattern. A “strict” decreasing pattern is the same pattern in the
opposite direction.
The following figure shows a Levey-Jennings Chart with points violating the 7T
rule.
+3s Level 1
+2s
7T
+1s
Mean
-1s
-2s
-3s
1 2 3 4 5 6 7 8 9 10 11 12
Nx Rules
Nx rules are violated when there are 7, 8, 9, 10, or 12 control results on the
same side of the mean.
The 7x control rule is far more sensitive to analytical bias than the 12x rule. The
chance of finding seven consecutive control observations on one side of the
mean is much higher than finding twelve.
The following figures show a Levey-Jennings Chart with data points violating
the 8x rule within a run and the 9x rule across a run.
+3s Level 1
+2s
+1s
Mean
-1s
8x-
-2s
-3s
1 2 3 4 5 6 7 8 9 10 11 12
+3s Level 1
+2s Level 2
Level 3
+1s
9x-
Mean
-1s
-2s
-3s
1 2 3 4 5
In This Chapter
Recommended Steps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Determine Quality Requirements for the Test . . . . . . . . . . . . . . . . . . . . . . . . . 43
Identify Appropriate QC Materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Evaluate Test Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Identify Possible QC Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Predict the Performance of the QC Procedures. . . . . . . . . . . . . . . . . . . . . . . 51
Choose Goals Based on Required Quality. . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Select a QC Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Troubleshoot QC Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Keys to a Productive Review of the Laboratory Quality System . . . . . . . . . . . 60
Recommended Steps
When setting up a QC system, it is important to make sure you choose
statistical process control (SPC) rules to maximize error detection while
minimizing false rejections.
Obviously, this is not a simple process which may explain why many
laboratories fall back on the 12s rule. Although the 12s rule produces too many
false alarms, it feels safe.
Tip: The optional Westgard Advisor™ online makes the complex task of
choosing the appropriate SPC rules easier. See Chapter 18, “Westgard
Advisor™ online” for more information.
Note: When available and appropriate, models higher in the list are preferred
to those lower in the list.
This formula shows a test can have a higher bias as long as the CV
(imprecision) is low, and vice versa. The objective is to limit the total error in
patient test results.
You can evaluate the bias and imprecision of a test using the standard
deviation index (SDI) and coefficient of variation ratio (CVR). Several Unity™
Interlaboratory Reports contain both.
Six Sigma
Six sigma provides a convenient way to monitor the performance capability of
a testing system. During the 1980s, Motorola set out to improve their
manufacturing process so virtually no defective product would be produced.
Motorola defined this as having six sigmas (standard deviations) of process
variation fit within the product tolerances.
Assuming a normal (Gaussian) distribution, the following table shows the effect
of product specifications (expressed as standard deviations) on the defect rate
and defects per million.
±4SD 0.0063 63
Unfortunately, not all processes are six sigma and as process capability
decreases, the choice of QC procedures becomes increasingly important in
detecting significant errors. In fact, some processes may have such low
process capacity (that is, a high total error), that they cannot be controlled to a
defined level of quality. This condition would trigger a maximum QC condition in
the optional Westgard Advisor™ online.
For clinical laboratory tests, the total error (TE) for a test provides an indication
of the process capability of the test because the TE combines bias and
imprecision. The following formula is used to calculate sigma:
Note: The optional Westgard Advisor™ online calculates and displays sigma
based on the data for a test, the selected TEa, and the consensus group.
It is possible to correlate sigma with the TEa as shown in the following table.
(The table assumes bias is zero.)
Note: When the bias is not zero, the sigma classification of a process
decreases as its bias increases.
The information in this chapter was abstracted from the Six Sigma Quality
Management and Desirable Laboratory Precision lesson available on
[Link] Dr. Westgard provides an interesting correlation
between CLIA performance requirements and the performance requirements
for a five or six sigma process. As Dr. Westgard concludes, “Six sigma quality
management sets demanding standards of performance for laboratory testing
processes.”
So how is six sigma achieved? The obvious answer is to choose a test method
with a six sigma process. Laboratories can take steps to control precision
through proper training, instrument maintenance, and so on; however, to a
large extent, method precision is a function of instrument methodology.
Note: The optional Westgard Advisor™ online calculates sigma values and
displays them on the Grid and Chart options on the Design QC Rules
dialog box. The sigma value also appears on the Westgard Advisor™ online
Report.
OPSpecs Charts and sigma values are available in the optional Westgard
Advisor™ online and provide information about a test's maximum allowable bias
(inaccuracy) and imprecision. See Chapter 18, “Westgard Advisor™ online” for
more information.
Consider the following when making decisions about how to apply these
components to the QC procedure:
The optional Westgard Advisor™ online module is an excellent tool for assisting
in the design of QC procedures. While considering the selected quality
specifications, Westgard Advisor™ online makes recommendations as to the
SPC rules to apply and the number of control samples to run. See Chapter 18,
“Westgard Advisor™ online” for more information.
Note: AQA (SE) is the percent of analytical quality assurance (AQA) for
systematic error (SE) and indicates the chance of detecting medically
important systematic errors. Percent AQA (SE) is synonymous with
probability of error detection (Ped).
Select a QC Procedure
When selecting a QC procedure for implementation, select the procedure that
best fits the following parameters:
Troubleshoot QC Results
Inevitably, a QC system will indicate an out-of-control situation. What does a
laboratory do then? In a lesson titled “QC–The Out-of-Control Problem,” Elsa F.
Quam BS, MT (ASCP) describes two common bad habits and provides five
good habits to use when troubleshooting QC results.
When using the 12s rule, some laboratories think it is reasonable to simply
repeat the test for the control. However, with carefully chosen SPC rules, this
approach is unnecessary. As an example, consider that the false rejection rate
for a 13s rule is only 0.3%. It is also important to remember that even if the
repeat value is within control limits and the run is accepted, it is possible that a
problem is being ignored until a future run.
Recalibrate
Although not mentioned in Ms. Quam’s lesson, another bad habit is frequent
recalibration. It is important to be concerned about the number of times a test
is recalibrated as each calibration or recalibration potentially introduces new or
additional systematic errors. Frequent recalibration can indicate a defective
SPC protocol (rules applied, mean, and range in use), instrument malfunction,
sub-optimal reagent quality, or failure to follow the manufacturer's instructions
and schedule for maintenance.
• The 13s and the R4s rules usually indicate increased random error
because they test the tails or width of a distribution.
• The 22s, 41s, and 10x rules usually indicate systematic error because they
examine consecutive QC results that exceed the same limit.
Tip: When possible, always identify the type of error before trying to identify
the cause of the problem. Further classification of systematic error as a shift
or trend is also useful.
data (for example, a data point outside the ±3SD limit). Random errors can
be caused by bubbles in reagents and reagent lines, inadequately mixed
reagents, unstable temperature and incubation, unstable electrical supply,
and individual operator variation in pipetting, timing, and so on.
Erratic performance due to occasional air bubbles in sample cups or
syringes or defective unit-test devices are a different kind of random error,
often called “flyers.” Flyers are not actually caused by a change in the
imprecision of the method, but rather represent an occasional disaster. It is
very difficult to catch flyers using quality control. Patient replicate
determinations are a better way of detecting these types of events.
Systematic Error
If a sudden shift is observed, inspect the reagent, calibration, and maintenance
records, and note any recent actions. For example, if the shift occurred
immediately following a reagent replacement, verify the lot number is correct,
that it has been checked out or calibrated, that the reagent has been properly
prepared, and the reagent is indeed the correct reagent.
Random Error
The causes of increased random error are generally more difficult to determine
because of their random nature. Random errors are more likely due to bubbles
in the reagent, reagent lines, sampling or reagent syringes, an improperly mixed
or dissolved reagent, pipette tips not fitting properly, a clog in the pipettor,
imprecise pipettor, the power supply, and even power fluctuations.
If a run is repeated and the controls are acceptable but concern remains that a
problem still exists, perform a precision run using ten back-to-back
determinations on the same patient sample. This precision run may help
Note: UnityWeb™ provides reports and charts that are useful for problem
solving, especially for unusual problems.
Issues to Consider
• Statistical out-of-control events.
• Frequency of outliers (QC values outside the established total allowable
error limits) during the period or across periods.
• The amount of bias present, if any.
• Are the statistical process control (SPC) rules in effect for the test too
restrictive when the capability of the methodology or technology and TEa
are considered jointly?
• Should another more stringent single rule or more complex multi-rule be
applied to improve error detection?
• Should the mean for the test be adjusted?
• How much imprecision is present and is it a significant contributor to total
error? Should the laboratory focus its efforts on improving precision?
• How much comparative bias is present and is it a significant contributor to
total error? Should efforts be focused on removing or reducing analytical
bias?
• Is the appropriate consensus group (Peer, Method, All Labs) being used to
estimate the laboratory's comparative bias for the test?
• Are the performance goals for test imprecision and bias (which also affect
TEa), set appropriately?
• How frequently do SPC errors occur for the test during the review period?
Are the errors across review periods? Are frequent errors due to
inappropriate selection of SPC rules, larger than expected imprecision, or
the presence of bias? Does the mean and range need adjustment?
• How frequently is the test being recalibrated? Does calibration exceed the
frequency recommended by the manufacturer?
There is probably not enough time to ask all of these questions during each
review cycle. However, each of these questions represents an opportunity to
measure and appraise the effectiveness of the process control in effect for a
specific test.
In This Chapter
First Time Log In . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Regular Log On and Log Off Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Current Lab, Panel, Lot, and Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Understand the Navigation Tree . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
UnityWeb™ Tabs and Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Functions and Where to Find Them. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Download Adobe® Reader® . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
System Requirements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Update the License. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
Upgrade to UnityWeb™ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Configure UnityWeb™ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Database Basics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
6 Type the server password in the Password field. This is the server
password provided by Bio-Rad.
7 Type the database name provided by Bio-Rad in the Database field or
click (ellipsis button) located to the right of the Database field and
select the database from the list.
8 Click OK.
The Login dialog box appears.
9 Type the group login ID provided by Bio-Rad in the User field.
10 Type the password in the Password field.
11 Click Login.
Note: See Chapter 5, “User Profiles and Security” for more information on
adding additional users and security basics.
Note: See “User Permissions” on page 100 for more information about
users and security.
Select the appropriate lab number from the Lab list to access a lot for the lab
number.
Select the appropriate lot number from the Lot list to access a test for the lot
number.
Example Lists
Lab
Lot
Tests
• Click + (plus sign) to the left of the lab number to view the lots.
• Click + (plus sign) to the left of the lot number to view the tests.
TM
UnityWeb Tabs and Functions
UnityWeb™ organizes software functions by different tabs. Click each tab to
access different functions of the software.
UnityWeb™ tabs
Tab Items
Configure • Lab
• Lot
• Test
• Panel
– Add
– Update/Sort Tests
– Delete/Rename/Sort Panel Name
• Rules/Settings
– Rules
– Fixed Mean and SD
– Settings
Tab Items
Charts • Levey-Jennings
• Multi-LJ
• Bar
• Youden
• Options
– General
– Header
– Levey-Jennings
– Bar
– Youden
Tab Items
Tools • Security
– Administrator
– Update License
– Change Password
• Unity™ Interlab
– Send Data to Bio-Rad
• Utilities
– Export
– Condense
– Reconcile
– Delete Range of Data
– Operator Setup
– Configure Actions Logs
– Action/Comment by Instrument
– View Rejection Log
– Import Settings
• Setup
– Configure UnityWeb™
– Unity™ Interlab Reports
® ®
Download Adobe Reader
UnityWeb™ requires installation of the free Adobe® Reader® 5.5 or later. Follow
these steps to install Adobe® Reader®..
System Requirements
• Internet browser (Microsoft® Internet Explorer 6.0 or higher, Mozilla Firefox
2.0 or later, or Internet Explorer: Mac 4.5 or later).
• Broadband internet access for best results.
• Adobe® Reader® 5.5 or higher. (For information about downloading Adobe®
Reader®, see “Download Adobe® Reader®” on page 77.)
4 Click Browse.
5 Navigate to the location of the XML file.
6 Click Open.
7 Click Upload.
The Welcome page appears after the license is updated.
TM
Upgrade to UnityWeb
If your laboratory has been using a previous version of Bio-Rad QC software,
contact your Bio-Rad QC Program Representative to upgrade to Unity Real
Time™ online or UnityWeb™ 2.0.
UnityWeb™ 1.0
QC OnCall™
Unity Desktop™
TM
Configure UnityWeb
UnityWeb™ provides different configuration options allowing for customization of
the software. For details about the different configuration options, see the
following sections:
TM
Configure UnityWeb
1 Click the Tools tab.
2 Click Setup.
3 Click the Configure UnityWeb™ tab.
4 Select the configuration options.
5 Click Save.
Note: Select and clear the Group check box on the Single Test Point
Data Entry dialog box and the Single Test Summary Data Entry dialog
box to switch between month and group Summary Statistics.
Note: Access this information at any time by clicking on the UnityWeb™ icon
in the upper left hand corner.
Notifications
Select the Notifications check box and a message appears each time you
open Data Entry dialog box for a test in a lot expiring in 30 or fewer days.
Within the Data Entry dialog box, select the Do not display this message
again check box to stop the message from appearing.
Transmission
• Data review transmission (for InstantQC™)
Select this check box and point data is sent to the Unity™ Interlaboratory
Program from the Bench Review for inclusion in InstantQC™.
• Automatic monthly transmission
Select this check box and monthly data is automatically sent to the Unity™
Interlaboratory Program on the selected day of the month.
TM
Configure Unity Interlaboratory Report
Frequency
Specify the report frequency (monthly, quarterly, or never) and language for the
following Unity™ Interlaboratory Reports:
Database Basics
UnityWeb™ provides the following database utilities:
Export Data
Data in UnityWeb™ can be exported to formats compatible with popular
business software such as Microsoft® Access, Microsoft® Excel, and Microsoft®
Word.
10 Click the arrow located to the right of the To date and select an ending
date for the data to export.
11 Select the type of data you want to export:
• Point Data
• Summarized Data
12 Click OK.
The Download dialog box appears.
13 Click Download.
A File Download dialog box appears.
14 Click Open to view the file. Click Save to save the file.
Condense Data
Condensing data converts individual point data for each calendar month into a
single summarized entry. Condensing data conserves disk space. Condensing
data removes data points from the Single Test Point Data Entry dialog box
and adds them to the Single Test Summary Data Entry dialog box.
Note: Condensing data does not change the monthly summarized data
values; therefore, it is not necessary to resubmit condensed data to
Bio-Rad.
6 Click the arrow located to the right of the To date and select an ending
date for the data.
7 Select the Lab or Panel option for the data.
8 Select the lab number or panel name from the Lab or Panel list.
9 If using the Lab option, select the lot number from the Lot number list or
select All.
10 Select the test from the Test list or select All.
11 Click OK.
A message appears asking for confirmation to condense data.
12 Click OK.
A message appears indicating the condensing of data is complete.
13 Click OK.
Reconcile Data
Important: The Reconcile Data feature is for special use only. Do not
reconcile data unless given specific instructions from your Bio-Rad Software
Support Representative.
The Reconcile Data feature creates a file including all of the laboratory data in
the software. Use this feature to send quality control data to Bio-Rad in rare
circumstances.
When reconciling data, the file replaces any existing data in the
Unity™ Interlaboratory Program. Reconcile data for a lab number, lot number, or
all labs in the database.
Important: Deleting a range of data permanently removes the data from the
software. Bio-Rad recommends exporting the data before deleting. See
“Export Data” on page 87 for more information.
5 Click the arrow located to the right of the To date and select an ending
date for the data.
6 Select the lab number from the Lab number list or select All.
7 Select the lot number from the Lot number list or select All.
8 Select the test from the Test list or select All.
9 Click OK.
A message appears asking for confirmation of the data deletion.
10 Click OK.
A message appears indicating the data deletion is complete.
11 Click OK.
In This Chapter
Define, Modify, and Delete Users. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Passwords . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
User Permissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
Note: Only administrators and users with the Manage users permission
can create, modify, and delete users.
• Define, modify, and delete user profiles for individual users including their
passwords and permissions.
• Select the Administrator check box to create users with all permissions.
• Define password expiration periods.
The User profile section of the Administrator dialog box consists of the
User ID, User name, Password, Initials, the Password expires on
feature, and Assign Lab Numbers.
Add a User
1 Log in as a user with the Manage users permission.
2 Click the Tools tab.
3 Click Security.
4 Click Administrator.
5 Click New.
6 Type the User ID, User name, Password, and Initials of the user in the
User profile section.
7 Select the Set password expiration period to check box and select an
expiration period from the list to set a password expiration for the user.
See “Password Expiration” on page 98 for more information.
8 Select an option to apply the expiration period:
• Applied to this user only
• Applied to all users
Note: Select the Administrator check box to give the new user access to
all available software functions. See “User Permissions” on page 100 for
more information about all permissions.
10 Click OK.
11 Click Assign Lab Numbers.
12 Select the user to assign the lab number(s) to from the Operator list.
13 Select the lab numbers to assign to the user.
14 Click OK.
15 Click New and repeat steps 5-14 to add another user.
Modify a User
Note: Select the Administrator check box to give the user access to all
available software functions. See “User Permissions” on page 100 for more
information about all permissions.
7 Click OK.
Delete a User
Note: Deleting a user removes the associated User ID and Password from
the Login and Administrator dialog boxes. The user's initials remain in the
OP column of the Data Entry dialog box for any data the user previously
entered and elsewhere in UnityWeb™ where they were recorded (actions,
comments, audit trail, etc.)
Passwords
Password Requirements
• Passwords can contain between 1 and 20 characters.
• Passwords can contain any combination of letters and numbers.
• By default, the password expiration period is set to 3 months. Passwords
can be set to expire in three, six, or nine months.
The Group Login ID is set up with Administrator permissions and allows new
users initial access to the software. After creating additional users, delete this
user or change the password.
Note: At least one user must have Administrator permissions. If only one
user has Administrator permissions, you cannot delete this user or clear
the Administrator check box until another user with Administrator
permissions is set up.
Password Expiration
Users with the Manage users permission can set passwords to expire after a
set period of time.
Tip: Use of this feature is entirely optional. However, using this feature is
helpful for adding security or satisfying regulatory requirements.
Set the password expiration period when adding new users. Modify existing
users by adding or changing the expiration period. When applying a password
expiration period, apply it to the current user or to all users.
Tip: If every user has the same expiration period, it is easier to specify the
expiration one time and apply it to all users. In addition, specifying Never as
the expiration period and applying it to all users is a convenient way to
cancel the use of the password expiration feature.
Change a Password
Note: All users, regardless of permissions, can change their own password.
User Permissions
Set up specific user permissions to restrict a user’s access to specific software
features and functions.
Administration/Setup Permissions
Manage users
Users with this permission can:
Operator setup
Users with this permission can define the operator initials to appear on the data
entry screen for imported data if the transformed file does not contain operator
initials.
Database Permissions
Condense data
Users with this permission can condense data. See “Condense Data” on
page 89 for more information.
Important: The Condense data feature is for special use only. Bio-Rad
recommends limiting user access to this feature.
Reconcile data
Users with this permission can reconcile data. See “Reconcile Data” on
page 90 for more information.
Important: The Reconcile data feature is for special use only. Bio-Rad
recommends limiting user access to this feature.
Note: Users without this permission can access Westgard Advisor™ online
(optional feature) but cannot apply rules.
Manage labs/lots/tests
Users with this permission can:
Manage panels
Users with this permission can add, update, sort, delete, and rename panels.
Export data
Users with this permission can manually export data.
Data Permissions
Important: When a user edits any line but the last line of data, the data is not
evaluated against any SPC rule(s).
In This Chapter
Labs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Lots . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Labs
UnityWeb™ uses a six-digit lab number provided by Bio-Rad to uniquely identify
your laboratory and associated data. In order to use UnityWeb™, you must have
a primary lab number.
Important: Two instruments of the same type must be set up in separate lab
numbers. A lab number can only be assigned by Bio-Rad. If you need
additional lab numbers, contact your Bio-Rad QC Program Representative.
Important: Two instruments of the same type must be set up in separate lab
numbers. A lab number can only be assigned by Bio-Rad. If you need
additional lab numbers, contact your Bio-Rad QC Program Representative.
7 Click Add.
The lab number appears in the Open labs list.
Note: You can change and update any information except for the lab
number itself. You cannot update a closed lab number; you must first open
it. See “Open a Lab Number” on page 109 for more information.
To set up several lab numbers with similar information, create the primary lab
number and duplicate the lab number. Edit information for the duplicated lab
number as needed.
Note: You cannot duplicate a closed lab number; you must first open it. See
“Open a Lab Number” on page 109 for more information.
Note: Only open lab numbers can be deleted. See “Open a Lab Number”
on page 109 for more information.
Lots
UnityWeb™ uses Bio-Rad and non-Bio-Rad lots. However, Unity™
Interlaboratory Reports are available for Bio-Rad control products only.
Bio-Rad master lot numbers consist of five digits ending in zero. The lot
number for Bio-Rad control products is located on the outside of the control
product box, on the control product label, and in the package insert.
The final zero of the master lot number is changed to a number to identify each
individual control level (for example, 1, 2, or 3 designating level 1, level 2, or
level 3).
Level 1 : 45551
Level 2 : 45552
Level 3 : 45553
Tip: Only unexpired lot numbers in the same product group appear in the
Lot number list.
7 Click Add.
The new lot number appears at the bottom of the Open lots list.
8 To add additional lots, repeat steps 5–7.
Note: You can specify up to nine levels; however, the software limits the test
evaluation to four levels on non-Bio-Rad controls.
12 Click the arrow located to the right of the Expiration date and select an
expiration date from the calendar.
Note: The default expiration date is one year from the last day of the current
month.
13 Click OK.
The lot number appears at the bottom of the Open lots list.
Duplicate Lots
Duplicating a lot is helpful when switching to a new control material lot number.
Both Bio-Rad and non-Bio-Rad open lot numbers can be duplicated. When
duplicating a lot, the new lot number is set up exactly the same as the old lot
number; however, the new lot number does not contain any QC data.
• Open tests within the lot (closed tests are not duplicated).
• Test settings (levels in use, decimal places, and so on).
• Rule selections for SPC rules.
• Fixed mean
• Fixed SD
Tip: Only unexpired lot numbers in the same product group appear in the
list.
Open and unexpired lot numbers are available for data entry and submission.
Results appear on your Unity™ Interlaboratory Reports.
Closed lots are not available for data entry nor submission. However, the data
for closed lots remains in the UnityWeb™ database. Open a closed lot to view,
print, or change data.
Close a Lot
Tip: If you are no longer running tests on a lot, you can close the lot. A
closed lot is ignored by the software although the data remains in the
database.
Tip: For convenience, rearrange the order of lots in the Open lots list and
Closed lots list.
In This Chapter
Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121
Add Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124
Test Rules and Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129
Duplicate Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132
Update Tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132
Close and Open Tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
Sort Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134
Delete Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136
VITROS® Slide Generation Numbers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138
Overview
UnityWeb™ defines tests using six parameters. In combination with the lab
number and lot numbers, these codes uniquely identify your data in the Unity™
Interlaboratory Program.
• Analyte
The analyte is the constituent being measured (for example, albumin,
calcium, glucose, and so on).
• Instrument/Kit
The instrument or kit used to test the analyte.
Note: When using RIA kits, code for the kit rather than the gamma counter.
• Reagent type
– Dedicated reagent or kit
Choose Dedicated reagent or kit when the reagent manufacturer is
the same as the instrument or kit manufacturer. For VITROS®
instruments using slide generation numbers, choose Dedicated
reagent or kit and type the slide generation number in the VITROS®
slide generation number field.
– Alternate formulation/standardization
Alternate formulation/standardization is the applicable reagent
selection when using a dedicated reagent and a manufacturer update
or revision of the product results in a shift of the quality control data.
Your Bio-Rad QC Program Representative may request using this
option to ensure your data is in the correct consensus group. For
example, this selection is applicable when a manufacturer has
introduced a new formulation reagent or standardization. This
designation will be used until all of the existing formulation is
consumed or removed from the market. Once this occurs, you will be
directed by your Bio-Rad QC Program Representative to move your
data to the Dedicated reagent or kit category.
– Factored
Factored is applicable when quality control data is mathematically
altered to simulate results obtained on another instrument or at
another temperature.
– More reagents
More reagents is applicable when using a reagent that is not
supplied by the instrument or kit manufacturer. Select More reagents
and then select a reagent from the list. Select Other if the reagent
does not appear in the list.
Note: Unity™ Interlaboratory Reports are not available for reagents using a
reagent code of Other. Bio-Rad recommends using Other only on a
temporary basis until the appropriate reagent is added to the code list.
Contact your Bio-Rad QC Program Representative to have codes added to
the code list.
• Method
Only methods Bio-Rad considers “valid” for the selected analyte appear in
the list. If the method does not appear, contact your Bio-Rad QC Program
Representative.
• Unit of measure
Only units Bio-Rad considers “valid” for the selected analyte appear in the
list. If your unit does not appear, contact your Bio-Rad QC Program
Representative.
• Temperature
For enzymes, choose an available temperature. For all other analytes, the
temperature defaults to “no temperature” and cannot be changed.
Add Tests
Add tests to UnityWeb™ both directly and indirectly. Direct methods include
manually adding tests and using the Instrument Setup feature. Indirect
methods include duplicating labs, duplicating lots, changing the VITROS® slide
generation number, and the import of test configuration information when using
a Bio-Rad connectivity solution such as WebConnect™ 2.0.
When manually defining tests, select the test parameters from lists in the Test
dialog box. When using Instrument Setup, UnityWeb™ supplies the codes
based on information in the Unity™ Method Guide for Selected Instruments.
• Connectivity software
Tests are automatically configured in UnityWeb™ 2.0 when data
transformed with Bio-Rad connectivity software is imported.
• Factored
Select this option when the QC data is mathematically altered to
simulate results obtained on another instrument or at another
temperature.
More reagents
Select this option when using a reagent that is not supplied by the
instrument manufacturer. Select More reagents and then select a
reagent from the list. Select Other if the reagent does not appear in
the list.
Note: Unity™ Interlaboratory Reports are not available for reagents using a
reagent code of Other. Bio-Rad recommends using Other only on a
temporary basis until the appropriate reagent is added to the code list.
Contact your Bio-Rad QC Program Representative to have codes added to
the code list.
9 Select the method for the test from the Method list.
10 Select the unit of measure from the Unit of measure list.
11 Select the temperature from the Temperature list.
12 Click Add.
The new test appears at the bottom of the Open tests list.
Note: Only instruments appearing in the Unity™ Method Guide for Selected
Instruments are available using Instrument Setup. If the instrument does not
appear, contact your Bio-Rad QC Program Representative and ask that it
be added. The Unity™ Method Guide for Selected Instruments is available
on [Link]. Log in to QCNet™, point to QC Documents, and
click Method Guide.
Note: Tests previously defined for the instrument in the lab/lot combination
are omitted from the list.
Note: A message appears if no tests are available for the instrument and lot
combination.
By default, all tests have a check mark and are selected. It may be
necessary to scroll to the bottom of the window to see all information.
8 By default, Conventional unit is selected. Select the SI option for SI units.
9 Select and clear the check boxes so only the tests to add are selected.
Tip: The Select None button clears all the check boxes. The Select All
button selects all the check boxes.
Note: Unity™ Interlaboratory Reports are not available for tests using a test
code of Other. Bio-Rad recommends using Other only on a temporary
basis until the appropriate analyte is added to the code list. Contact your
Bio-Rad QC Program Representative to have codes added to the code list.
Note: See Chapter 9, “Applying SPC Rules” and Chapter 18, “Westgard
AdvisorTM online” for extensive information on selecting SPC rules.
Note: Any level not in use is omitted from the Data Entry dialog box. This
simplifies data entry.
6 The default decimal places for each level is 2. Type a number (0 to 4) for
each level.
7 Type the number of data points that must be entered before rule
evaluation begins in the Points before rule evaluation field. The default
is 20.
Note: The fixed mean and SD are independent; specify a fixed mean, a fixed
SD, or both.
8 If selecting Date range, click the arrow located to the right of the From
date and select a beginning date for the floating statistics.
9 Click the arrow located to the right of the To date and select an ending
date for the floating statistics.
10 Select the Mean and SD check box for each level to apply to the fixed
mean and fixed SD.
11 Click Save.
Duplicate Tests
Note: Individual tests cannot be duplicated. However, duplicating a lab or lot
number duplicates the tests.
Update Tests
Change any test parameter for an existing test, even if the test contains QC
data. This feature is useful if making a mistake when setting up a test or if your
Bio-Rad QC Program Representative asks you to make a change.
See “Update the VITROS® Slide Generation Number” on page 140 for
information about updating tests using a VITROS® slide generation number.
Update a Test
1 Log in as a user with the Manage labs/lots/tests permission.
2 Click the Configure tab.
3 Click Test.
4 Select the lab from the Lab list.
5 Select the lot from the Lot list.
6 Select the test to update in the Open tests list.
7 Select the new parameters as needed (Analyte, Instrument/Kit,
Reagent type, Method, Unit of measure, and Temperature).
8 Click Update.
Close a Test
1 Log in as a user with the Manage labs/lots/tests permission.
2 Click the Configure tab.
3 Click Test.
4 Select the lab from the Lab list.
5 Select the lot from the Lot list.
6 Select the test to close in the Open tests list.
7 Click Close.
The test moves to the Closed tests list.
Open a Test
1 Log in as a user with the Manage labs/lots/tests permission.
2 Click the Configure tab.
3 Click Test.
4 Select the lab from the Lab list.
5 Select the lot from the Lot list.
6 Select the test to open in the Closed tests list.
7 Click Open.
The test moves to the Open tests list.
Sort Tests
The order of the tests determines the order the tests appear for data entry and
in intralaboratory reports and charts.
Tip: Rearrange the order of tests to match the printout used for data entry.
This helps to speed up the data entry and review processes.
Delete Tests
Open and closed tests can be deleted. Tests can be deleted at several levels:
• Lab
Deleting a lab also deletes its associated lots, tests, and data. See “Delete
Lab Numbers” on page 110 for more information.
• Lot
Deleting a lot deletes its associated tests and data. See “Delete Lot
Numbers” on page 120 for more information.
• Test
Important: Deleting a test permanently deletes all associated data from the
UnityWeb™ database. Deleted data cannot be retrieved. Bio-Rad
recommends closing the test to make it inactive while retaining the test
data. A closed test remains in the database but is unavailable for data entry
and is omitted from Unity™ Interlaboratory Reports. See “Close a Test” on
page 133 for more information. You can also export the lab data to another
file before deleting it. See “Export Data” on page 87 for more information.
Delete a Test
1 Log in as a user with the Manage labs/lots/tests permission.
2 Click the Configure tab.
3 Click Test.
4 Select the lab from the Lab list.
5 Select the lot from the Lot list.
6 Select the test to delete in the Open tests or Closed tests list.
Important: There are two Delete buttons in the Test dialog box. One Delete
button is located to the right of the Open tests list and the other Delete
button is located to the right of the Closed tests list. The Delete button
you click determines the test that is deleted. Be careful to click the correct
button to avoid inadvertently deleting a test.
7 Click Delete.
A message appears asking for confirmation of the test deletion.
8 Click OK.
Important: The Delete option permanently deletes all data for the test. The
data cannot be retrieved. Bio-Rad recommends using the Close option to
make it inactive. You can also export the data to another file before deleting
it. See “Export Data” on page 87 for more information.
When correcting a slide generation number, update the test rather than change
the slide generation number. If a slide generation number is not correct and you
have already entered data for the test, updating the test corrects the problem
in UnityWeb™. Also, the test is updated in the Unity™ Interlaboratory Program
the next time you transmit data.
In This Chapter
Panels. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
Data Groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145
Panels
A panel is a user-defined group of tests organized to simplify data entry and
data review across lab and lot numbers. Panels provide a useful way to
organize tests in a convenient manner such as grouping a number of different
tests performed on a single instrument or the same test performed on multiple
instruments.
Any number of panels can be created. Tests added to a panel can come from
any lab number and lot number in the system. A single test may be added to
any number of panels but can only appear once in any one panel.
When the Data Entry dialog box is opened for a Panel, the navigation buttons
for data entry apply to the tests in the panel. (See “Navigate the Single Test
Data Entry Dialog Boxes” on page 171 for more information.) The panel name
appears with the current status information.
Note: Delete a panel at any time. Panels are a way of organizing tests for
data entry and data review; therefore, neither tests nor data within a panel
are deleted if the panel is deleted.
Rename a Panel
1 Log in as a user with the Manage panels permission.
2 Click the Configure tab.
3 Click Panel.
4 Click Delete/Rename/Sort Panel Name.
5 Click the edit icon .
6 Type the new name for the panel.
7 Click the save icon .
A message appears asking for confirmation of the update.
8 Click OK.
Delete a Panel
1 Log in as a user with the Manage panels permission.
2 Click the Configure tab.
3 Click Panel.
4 Click Delete/Rename/Sort Panel Name.
5 Click the delete icon located to the right of the panel to delete .
A message appears asking for confirmation of the panel deletion.
6 Click OK.
Data Groups
Categorizing tests by group name is a useful way to designate tests having
something in common. For example, tests with the same lab and lot number
can be grouped according to the reagent type. In this example, group all tests
using a specific reagent (for example, Reagent 1) into Group 1 and all tests
using another reagent (for example, Reagent 2) into Group 2. Tests can also be
grouped by calibrators, the standardization matrix of a kit, and so on.
Overview of Groups
• The Month and Group options are available for point data entry and
summary data entry.
• The Current data selection (Month or Group) in the Data entry
configuration section of the Setup dialog box applies to all tests.
• On the Single Test Point Data Entry dialog box or the Single Test
Summary Data Entry dialog box, select or clear the Group check box to
switch between Month and Group. Selecting the Group check box
changes the Summary Statistics. UnityWeb™ does not arrange data entry
rows into groups.
• UnityWeb™ assigns all data points to group 0 (zero) until a data group is
defined.
• If no Group is defined for a test, the Group and Cumulative summary
statistics are the same.
Note: Toggle between Month and Group on the Data Entry dialog box. It is
not necessary to change the Current Data option even if using groups.
Note: UnityWeb™ assigns successive data entry rows to the same group
until another group name is assigned in the Group column.
In This Chapter
Overview of Rule Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147
Set SPC Rules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150
Use a Fixed Mean and Fixed SD with SPC Rules . . . . . . . . . . . . . . . . . . . . 154
SPC Rules: Tabular Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157
Note: See “SPC Rules: Tabular Summary” on page 157 for an overview of
the available SPC rules.
For example, a test is being evaluated using the 13s and 22s rules, both set to
reject. If run four violates the 13s rule and run five violates the 12s rule, the
second run is not rejected as violating the 22s rule.
Note: Excluding rejected data is based on the assumption the test system
was evaluated in response to the rejection and the laboratory took
corrective action. UnityWeb™ assumes subsequent data points reflect these
actions.
Rule Status
Note: Only point data is evaluated against SPC rules. Data inserted or
edited is not evaluated against SPC rules unless the data is on the last line
of the Data Entry dialog box.
Note: Rules set to reject or warn are the active rules for the test.
• Reject
UnityWeb™ rejects data violating the SPC rule and excludes it from the
summary statistic calculations. The rule violated appears in the Rules
column on the Data Entry dialog box and on intralaboratory charts and
reports.
• Warn
UnityWeb™ accepts data violating the SPC rule. The rule violated appears
in the Rules column on the Data Entry dialog box and on intralaboratory
charts and reports.
• Off
UnityWeb™ ignores the rule when evaluating data points.
UnityWeb™ begins evaluating point data against SPC rules with a status of
reject or warn after the test has the number of data points specified on the
Settings tab of the Rules/Settings dialog box. See “Set SPC Rules” on
page 150 for more information.
Note: Twenty data points is generally considered the minimum for statistical
significance and therefore is the default number used in the software.
Specify a fixed mean and SD to have rule evaluation begin immediately. See
“Use a Fixed Mean and Fixed SD with SPC Rules” on page 154 for more
information.
Group 1 2 3 4 5 6 7
15s 22s 2 of 32s 12x 7T R4s 41s
Least severe rule violation
13.5s – – 9x – – –
13s – – 8x – – –
12.5s – – 7x – – –
12s – – – – – –
Set SPC rules at the test level and/or the lot level. However, Bio-Rad strongly
recommends choosing SPC rules for each individual test. Using the optional
Westgard Advisor™ online is the best method for configuring and applying SPC
rules. See Chapter 18, “Westgard Advisor™ online” for more information.
Note: View tests by lab number or by panel. Set up a panel before selecting
rules for the panel. See “Create a Panel and Add Tests” on page 142 for
more information.
The status of each rule is indicated in the Status column using the
symbols shown below:
Reject
Warn
Off
Note: Click Disable SPC Rules to set all the rules to off. Click Default
Settings to return the rules to their default settings.
10 Click Save.
Note: View tests by lab number or by panel. Set up a panel before selecting
rules for the panel. See “Create a Panel and Add Tests” on page 142 for
more information.
Note: Click the rules button to display information on rule application. If the
application of the rule is within or across control material, click the option
button to view the applicable display.
The status of each rule is indicated in the Status column using the
symbols shown below:
Reject
Warn
Off
Note: Click Disable SPC Rules to set all the rules to off. Click Default
Settings to return the rules to their default settings.
13 Click Save.
• The following message appears if you selected the This lot option in
step 11:
• The following message appears if you selected the All labs for this
lot option in step 11:
14 Click OK.
Specify a fixed mean, fixed SD, or both for each test. Fixed statistics are more
sensitive than floating statistics. However, over time, cumulative statistics
stabilize and can simulate a fixed statistic. Consequently, cumulative statistics
provide a reasonable degree of sensitivity to shifts and trends.
Note: The fixed mean and fixed SD statistics are for your laboratory use
only. Fixed statistics are not transmitted to the Unity™ Interlaboratory
Program and do not appear on Unity™ Interlaboratory Reports.
• Duplicate the fixed means and/or fixed SDs when duplicating from the
existing to the new lot number as described in “Duplicate Lots” on
page 114.
• If you prefer, UnityWeb™ allows the use of a fixed percentage as the SD.
Note: The fixed mean and fixed SD are independent of each other. Fixed
statistics do not have to be used for all levels. A fixed mean can be set
without a fixed SD and vice versa.
11 Click Save.
9 Select the Use floating statistics check box and select an option for the
floating statistics:
• Last 30 days
• Last 6 months
• Cumulative
• Date range
10 If using Date range, enter a From date and a To date.
11 Select the Apply to check boxes indicating the levels where you want to
apply the floating statistics.
Note: The Fixed mean and Fixed SD fields auto-populate based on the
selections made.
12 Click Save.
In This Chapter
Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161
Overview of the Single Test Data Entry Dialog Boxes. . . . . . . . . . . . . . . . . . 163
Data Entry Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169
Single Test Point Data Entry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172
Single Test Summary Data Entry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177
Qualitative Data Entry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180
Multi Test Data Entry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 183
Overview
Manual data entry is a basic feature of UnityWeb™. Alternatively, use one of
Bio-Rad's connectivity solutions to automatically import data from an
instrument, Laboratory Information System (LIS), or other data management
system for which Bio-Rad has an interface.
Note: This guide uses the term qualitative to refer to both qualitative and
semi-quantitative results.
2
1
4 5
The top section of the dialog box shows the following information:
5 Matrix
1 2
• Set Date
Click Set Date to use the Set Date feature. See “Use the Set Date
Feature” on page 169 for more information.
• Save
Click Save to save data.
Clear the Group check box to view the Summary Statistics based
on monthly and cumulative statistics. See “Summary Statistics” on
page 167 for more information.
Fixed mean/SD
(the evaluation mean and/or SD used to evaluate the row of data if
fixed statistics are used)
Rules
(the SPC rules used to evaluate the row of data)
Bench Review
(the person who reviewed the row of data, if applicable, in Bench
Review)
Each type of data (point and summary) has its own data entry grid. See the
following sections for more information:
Paging Arrows
UnityWeb™ groups rows of data into pages based on the number of rows that
can be displayed at a time. Click the paging arrows to move through pages of
data or select a page number from the list.
Go to first row
Go to previous page
Go to next page
Go to last row
Select a page
from the list
Summary Statistics
The Summary Statistics shows the monthly and cumulative mean, monthly and
cumulative standard deviation (SD), monthly and cumulative coefficient of
variation (CV), and monthly and cumulative number of points.
Tip: Set the default statistics to Summary or Group. See “Data Entry
Configuration” on page 83 for more information.
Group Statistics
If data groups are set up, select the Group check box to view group and
cumulative statistics. (See “Data Groups” on page 145 for more information.)
The Group Statistics shows the group and cumulative mean, group and
cumulative SD, group and cumulative CV, and group and cumulative number of
points.
Tip: Set the default statistics to Summary or Group. See “Data Entry
Configuration” on page 83 for more information.
Note: The fixed mean and fixed SD apply to point data only.
• Click the arrow located to the right of the date and select a date from
the calendar for the first date of data entry.
3 Enter data.
The date increments by one day each time you add a new row.
4 Click Save.
• Click any part of the date and type over to edit the date:
To... Click...
2 3 4 5 6 7 8
1 Row number
UnityWeb™ numbers rows consecutively. If inserting or deleting a row of
data, the software renumbers the rows to maintain a consecutive order.
(UnityWeb™ does not number runs within a day.)
3 Level (1, 2, 3)
The fields where the QC values are typed when manually entering data.
Values for imported data also appear in these fields.
4 Y/N
If using SPC rules, this column indicates if the data point was accepted
(Y) or rejected (N) according to the active rule(s). UnityWeb™
automatically rejects a row of data if a data point within the row violates
a SPC rule with a status of reject. Users with the Edit data permission
can manually change the accept/reject status of a data point. See “Data
Permissions” on page 103 for more information.
5 Rules
Shows any active SPC rules the data point violated. If using multiple
rules, UnityWeb™ only shows the most serious rule violation. See “SPC
Rules Precedence When Showing Rule Violations” on page 149 for
more information.
6 z
The z-score indicates the number of standard deviations between a
result and the expected mean. The z-score calculation begins after the
specified number of points, before rule evaluation begins, are entered.
See “Select Test Settings” on page 129 for more information.
7 OP
For manual data entry, this column shows the initials of the user logged
into the software at the time data was entered. For imported data, this
column shows the initials defined in the import file, if any. If initials are
not defined in the import file, this column shows the initials defined in
the Operator Setup. If initials are not defined in the Operator Setup, this
column shows two asterisks (**). See “Operator Setup” on page 198 for
more information about Operator Setup.
8 Group
Group designation, if specified.
Fixed Statistics
The fixed mean and/or fixed SD appear below the Summary Statistics. If fixed
statistics are not specified, the evaluation mean and SD fields are blank. Click
the Information link to view the evaluation mean and SD after the specified
number of points have been entered. Each level within a control material can
have different combinations of fixed and floating statistics.
A fixed mean and fixed SD can be specified independently. There are four
combinations as follows:
Important Facts
• The evaluation mean and SD appear for each control level.
• If either statistic is floating, rule evaluation begins after the specified
number of points have been entered.
• SPC rule evaluation begins with the first data point if both statistics are
fixed.
Floating Mean/Floating SD
The following figure illustrates information for a data point without a fixed mean
or fixed SD specified.
Floating
Floating SD
mean
Floating Mean/Fixed SD
The following figure illustrates information for a Level 1 data point with a floating
mean and fixed SD. Rule evaluation begins after the specified number of points
are entered.
Floating
Fixed SD
mean
Fixed Mean/Fixed SD
The following figure illustrates information for a Level 1 and Level 2 data point
with a fixed mean and fixed SD. Rule evaluation begins with the first data point
entered after defining the fixed mean and SD.
Fixed Mean/Floating SD
The following figure illustrates information for a Level 1 data point with a fixed
mean and a floating SD. Rule evaluation begins after the specified number of
points are entered.
Tip: See “Navigate the Single Test Data Entry Dialog Boxes” on page 171
for information about navigation buttons.
Note: You can enter point and summary data for the same test. If doing so,
the Summary Statistics include both types of data.
• The Set Date feature can be used for summary data. However, the date
does not increment by month, but instead increments by one day. See
“Use the Set Date Feature” on page 169 for more information.
• Comments are available for summary data.
• Actions are not available for summary data.
2 3
1 Row number
UnityWeb™ numbers rows consecutively. If inserting or deleting a row of
data, the software renumbers the rows to maintain a consecutive order.
Tip: See “Navigate the Single Test Data Entry Dialog Boxes” on page 171
for information about navigation buttons.
• Autoimmune
• Qualitative Urine Toxicology
• Urinalysis
The software contains all valid results for qualitative and semi-quantitative tests.
When entering qualitative data, select the appropriate result from the list for
each level of control. Add actions and comments to any row of qualitative data.
Note: Qualitative data can only be entered on the Single Test Point Data
Entry dialog box.
3 Select the lab number or panel name from the Lab or Panel list.
4 If using the Lab option, select the lot number from the Lot list.
5 Select the test from the Test list.
6 Click the down arrow located to the right of Set Date and select a starting
date for data entry.
7 Select the result for the qualitative data from the appropriate Level list.
9 Click Save.
10 Click the appropriate navigation button to continue entering data.
Tip: See “Navigate the Single Test Data Entry Dialog Boxes” on page 171
for information about navigation buttons.
TM
Send Qualitative Data to the Unity
Interlaboratory Program
Qualitative and semi-quantitative data, including urinalysis data, is transmitted
to the Unity™ Interlaboratory Program the same as quantitative data. Urinalysis
data is due at the same time as all other data for inclusion in the Unity™
Interlaboratory Program.
See Chapter 15, “Send Data to the Unity™ Interlaboratory Program” for more
information about submitting data to Bio-Rad.
2 3
1
4 5
7
6
3 Set Date
Click to use the Set Date feature. See “Use the Set Date Feature” on
page 169 for more information.
Note: Make sure the Reagent check box is selected to view VITROS® slide
generation numbers.
6 Enter by options:
• Row
Use the Row option to enter data for all levels for a single test (left
to right).
• Level
Use the Level option to enter data for all tests by level (top to
bottom).
Note: The illustration below shows an example of the Multi Test Point data
entry grid. Click the Multi Test Summary Data Entry to enter summary
data.
1 2
1 Entered Date
Date and time the data was manually entered. The testing date and time
appears for imported data.
2 Level (1, 2, 3)
The fields where the QC values are typed when manually entering data.
Values for imported data also appear in these fields.
3 Test information
The information appearing depends on the Display options selected.
See “Display check boxes” on page 184 for more information.
In This Chapter
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 187
Edit Data, Date, and Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 189
Change a Data Point's Accepted/Rejected Status . . . . . . . . . . . . . . . . . . . 192
Insert Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 194
Delete Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 196
Operator Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 198
Overview
Change Data
Occasionally, edits to previously entered or imported data may need to be
made. In UnityWeb™ it is possible to edit data. However, when edits are made,
the software does not re-evaluate the edited data against any statistical
process control (SPC) rules unless the edited data is on the last line of all data
entered. The following list summarizes the actions which can be performed:
• Edit a value
• Edit the date/time associated with a value
• Change the accepted or rejected status of a data point (point data entry
only)
• Insert a value
• Delete data
• Delete a range of data
• Users with the Edit all data permission can change any value.
• Users with the Edit last line of data permission can change only the last
line of data.
• Users with the Enter new data only permission or View data only
permission cannot make any changes to existing data.
When edits are made to data, UnityWeb™ sends the edits to the Unity™
Interlaboratory Program the next time data is submitted.
Note: This comment is not added for summary or qualitative data because
summary and qualitative data are not evaluated against SPC rules.
Unless using the Set Date feature, UnityWeb™ assigns manually entered data to
the current date and time based on the computer clock. The date and time can
be edited; however, data points must be in ascending date and time order. If an
edited date and time violates this requirement, UnityWeb™ displays a message
stating Invalid-date-range.
Edit Data
1 Log in as a user with the Edit all data permission.
2 Click the Data Entry tab.
3 Click the appropriate data entry dialog box:
• Single Test Point Data Entry
• Single Test Summary Data Entry
Note: You cannot edit previously saved data from the Multi Test Point
Data Entry dialog box or the Multi Test Summary Data Entry dialog box.
Note: For point data only, UnityWeb™ automatically adds a comment to the
row noting edited data is not evaluated against SPC rules. A green arrow
appears in the C column designating the comment has been added.
10 Click Save.
Note: You cannot edit previously saved data from the Multi Test Point
Data Entry dialog box or the Multi Test Summary Data Entry dialog box.
9 To edit the time, click the part of the time to edit and type over the time:
10 Click Save.
Note: You can edit the date and time; however, data points must be in
ascending date and time order. If an edited date and time violates this
requirement, UnityWeb™ displays a message stating Invalid-date-range.
Note: SPC rule evaluation is by run rather than level. If any data point in a
run violates a rejection rule, UnityWeb™ rejects the entire row of data.
Note: Only point data is evaluated by SPC rules. Summary and qualitative
data screens do not have a Y/N column.
Insert Data
A row of data can be inserted between existing rows of point data, summary
data, and qualitative data.
Note: For point data only, UnityWeb™ automatically adds a comment to the
row noting inserted data is not evaluated against SPC rules. A green arrow
appears in the C column designating the comment has been added.
11 Click Save.
Delete Data
UnityWeb™ provides two ways to delete data:
Important: Deleting a range of data permanently deletes the data from the
software. Deleted data cannot be retrieved. Bio-Rad recommends exporting
the data to another file before deleting it. See “Export Data” on page 87 for
more information.
6 Click the arrow located to the right of the To date and select an ending
date for the range of data to be deleted.
7 Select a lab from the Lab number list or select All to delete all data from
UnityWeb™ for the date range selected.
8 Select a lot from the Lot number list or select All.
9 Select a test from the Test list or select All.
10 Click OK.
A message appears asking for confirmation of the deletion.
11 Click OK.
Operator Setup
UnityWeb™ allows the specification of operator initials for imported data.
UnityWeb™ uses the following cascade when importing data to determine the
initials to appear in the OP column of the Data Entry dialog box:
Click the Tools tab, click Utilities, and then click Operator Setup to open the
Operator Setup dialog box. From the dialog box the following options are
available:
• Choose how to assign operator initials; All data, Labs and Lots, or
Instrument.
• Specify the number of work Shifts (from one to eight) in use in your lab.
Important: Set the number of Shifts before making other selections. The
numbers in the Shift column list will be limited to this number.
UnityWeb™ divides the 24-hour day evenly among the number of shifts set.
In This Chapter
Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201
Bench Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 202
InstantQC™ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 208
Actions and Comments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209
Require Audit Trail Comments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 222
Overview
UnityWeb™ provides features to simplify documentation of QC review:
Bench Review
Regulatory agencies frequently require the documentation of QC data review.
The Bench Review simplifies this process and provides an electronic trail of the
review:
• Bench Review
The laboratory personnel performing the testing reviews QC results before
verifying patient results.
Using Bench Review, data points violating a statistical process control (SPC)
rule with a status of “reject” are highlighted in red and data points violating a
SPC rule with a status of “warn” are highlighted in yellow. The following
warning appears if any data point violates an active SPC rule.
Note: By default, data transmission from the Bench Review for InstantQC™
Reports and Charts is activated. See “Activate Transmission for InstantQC™”
on page 260 for more information.
UnityWeb™ documents the Bench Review using the Data Review Report which
you can print or save to a file. See “Data Review Report” on page 245 for more
information.
Note: Click the appropriate option to switch between All data and Suspect
data.
6 Select a lab number from the Lab number list or select All.
7 Select a lot number from the Lot number list or select All.
Review Data
1 Click located to the left of a test to view a Levey-Jennings Chart for
the test.
2 Click located to the left of a test to open the Data Entry dialog box
for the test.
• Change Y/N
• Add a comment or action
3 Close the Levey-Jennings Chart or Data Entry dialog box to return to the
data review.
Manage Columns
Customize the data shown on the Bench Review.
• If the check box is selected, the Save and Transmit button appears and
data is saved to the Data Review Report and sent to the Unity™
Interlaboratory Program for inclusion in InstantQC™ Reports and Charts on
[Link].
• If the check box is cleared, the Save button appears and data is saved to
the Data Review Report but is not sent to the Unity™ Interlaboratory
Program for inclusion in InstantQC™ Reports and Charts on
[Link].
InstantQC TM
Utilize InstantQC™ Reports and Charts to compare your results to the results of
other laboratories at any time, without any applicable deadlines for data
submission. Accessed from [Link], InstantQC™ Reports and Charts
provide easy access to peer group comparison statistics.
Due to the rapid report turnaround times, InstantQC™ is particularly useful for
troubleshooting problems with test system performance as they occur. Clicking
Save and Transmit sends Bench Review data to the Unity™ Interlaboratory
Program. The reviewed data points appear on InstantQC™ Reports and Charts
on [Link] after a short processing time.
Note: See “InstantQC™ Reports and Charts” on page 293 for more
information.
Actions
UnityWeb™ includes a library of commonly used actions. These pre-defined
messages help standardize the documentation of the steps taken to correct an
error situation. Customize actions for optimal use in your laboratory.
The symbol next to an action in the Action(s) list indicates the action is in
use. You cannot edit or delete used actions. Therefore, Bio-Rad recommends
reviewing the list of pre-defined actions prior to use. See “Action Log
Messages” on page 349 for more information.
• Bench Review
• Data Entry dialog boxes
• Point Data Report
• Data Review Report
• Supervisor Report
• Levey-Jennings Chart
View Actions
If an action is added to a row of data in any of the Data Entry dialog boxes, a
green arrow appears to the right of the A in the A Column: . Position the
mouse over the to view the comment.
Configure Actions
Note: Only a user with the Edit action log permission can add a new
custom action to the Action Log. Bio-Rad recommends limiting the number
of users with the Edit action log permission. This prevents an abundance
of non-standard actions which is important when reviewing reports and the
Levey-Jennings Chart.
Edit an Action
Note: Only a user with the Edit action log permission can edit an action. A
symbol next to an action in the Action(s) list indicates the action is in
use and cannot be edited.
Delete an Action
Note: Only a user with the Edit action log permission can delete an action.
A symbol next to an action in the Action(s) list indicates the action is
in use and cannot be deleted.
Note: Make sure the Edit check box is selected if nothing occurs when
clicking A.
2 Locate the action to add in the Action(s) list and click to apply the
action.
The selected action appears in the Existing Action dialog box.
Tip: If necessary, click the page numbers to page through the Action(s) list.
3 Click OK.
The action is added to the row of data.
4 Click Save.
Note: Only a user with the Edit action log permission can add a new
action to a row of data.
1 Click in the A column of the row in the Data Entry dialog box to add the
action.
The Action dialog box appears.
Note: Make sure the Edit check box is selected if nothing occurs when
clicking A.
2 Click .
Tip: Regardless of where in the list you add an action, the software arranges
actions in alphabetical order.
Tip: If necessary, click the page numbers to page through the Action(s) list.
7 Click OK.
The action is added to the row of data.
The action is added in alphabetical order in the Action(s) list. The
software assigns a code number to the action based on the next available
number.
Edit the Action List from the Data Entry Dialog Box
Note: Only a user with the Edit action log permission can edit an action in
a row of data.
1 Click in the A column of the row in the Data Entry dialog box to edit the
action.
Note: The symbol next to an action indicates the action is in use. You
cannot edit used actions.
Note: Make sure the Edit check box is selected if nothing occurs when
clicking A.
Tip: If necessary, click the page numbers to page through the Action(s) list.
3 Click .
4 Edit the text for the action.
5 Click .
A message appears asking for confirmation.
6 Click OK.
Delete an Action from the Action List from the Data Entry Dialog
Box
Note: Only a user with the Edit action log permission can delete an action
from a row of data.
1 Click in the A column of any data entry row in the Data Entry dialog box.
Note: The symbol next to an action indicates the action is in use. You
cannot delete used actions.
Note: Make sure the Edit check box is selected if nothing occurs when
clicking A.
Tip: If necessary, click the page numbers to page through the Action(s) list.
3 Click .
A message appears asking for confirmation.
4 Click OK.
Note: Automatic action logs are only available for manually entered point
data.
Note: Only a user with the Edit setup options permission can set up
automatic action logs.
Note: Only a user with the Edit setup options permission can turn off
automatic action logs.
Comments
A comment is text added to a data point for documentation purposes. Adding
a comment is an easy way to detail events or actions in the laboratory that
effect quality control data.
• Bench Review
• Data Entry dialog boxes
• Point Data Report
• Data Review Report
• Supervisor Report
View Comments
If a comment is added to a row of data in any of the Data Entry dialog boxes,
a green arrow appears to the right of the C in the C column: .
Position the mouse over the to view the comment.
Note: Existing comments for the row appear in the Existing Comment list.
Note: The symbol next to an action indicates the action is in use. You
cannot delete used actions.
2 Type the comment in the New comment field and click OK.
3 Click Save.
• Instrument
Applies the action/comment to all tests (including all lab and lot numbers)
performed on the instrument regardless of how many instruments of the
same model are in the laboratory.
• Lab number
Applies the action/comment to all tests performed on the selected
instrument/lab number combination.
• Lot number
Applies the action/comment to all tests performed in the selected
instrument/lab number/lot number combination.
Note: If there is not any data within the selected date-range and scope, the
software inserts a blank data row and adds the actions/comments to the
blank row.
Note: Only a user with the Edit setup options permission can require audit
trail comments.
Note: Only a user with the Edit setup options permission can turn off
require audit trail comments.
In This Chapter
Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223
General Chart Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 224
Save and Print Charts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 228
Levey-Jennings Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 230
Multi-LJ Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235
Bar Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 236
Youden Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 238
Overview
UnityWeb™ provides a variety of charts for investigating, troubleshooting, and
documenting review of suspect data. The following charts are available:
For information about options that apply to specific charts, see the section for
the specific chart:
Fill background
Fill background for the ±1SD, ±2SD, and ±3SD ranges apply to all charts.
• Levey-Jennings Chart
• Multi-LJ Chart
• Youden Chart
Note: You can edit the grid line dash style and color.
Note: Header options are for customization only. Regardless of the options
selected, the size of the header is always the same.
Note: The software applies the selection(s) to all charts. Click Default to
return to the default settings.
Note: The Range list is not available for the Multi-LJ Chart.
The range of available data for the chart depends on the Lab or Panel
option when the chart was created.
3 Select the Print background color check box to print the chart
background as it appears on the screen.
Tip: To conserve toner when printing charts, clear the Print background
color check box.
4 Click OK.
The chart opens in a separate window in PDF format.
Click to print
Click to save
Levey-Jennings Chart
UnityWeb™ uses fixed statistics, if defined. Otherwise, the software uses
cumulative statistics.
Note: The Levey-Jennings Chart plots laboratory data points for a specified
time period against the fixed or cumulative (floating) mean ±3SD range of a
user defined data set.
Using these assumptions, 95.5% of values should be within ±2SD of the mean
and 99.7% of values should be within ±3SD of the mean. A value outside
±3SD of the mean would be expected only 0.3% of the time when the system
is stable.
The Levey-Jennings Chart is helpful to visually identify these data points as well
as shifts (sudden changes) and trends (gradual changes) in laboratory data.
Note: The options selected for a Levey-Jennings Chart also apply to the
Multi-LJ Chart.
6 Select the Action check box to include an action (if any) in the
Levey-Jennings Chart header. The action number and description appear
in the chart header and at the top of the chart corresponding to the date
of the action.
7 Each control level has a default symbol to represent the level’s data. To
change the default symbol, select a Symbol for each Level point from
the list.
Tip: The different symbols help visually distinguish the levels when printing in
black and white. An arrow represents data points that are off the scale,
regardless of the level symbol selected.
Tip: The different colors help visually distinguish the levels when viewing the
chart on a color monitor.
10 Click (ellipsis button) for the fill and select the background color from
the palette.
11 Select the Connect line check box to draw a line connecting the data
points on the chart.
12 Repeat steps 7 through 11 as needed for each level.
Note: The line connects the mean of the points for the day and only appears
if the Include point representing mean of data points for the day
check box is selected.
13 Click Save.
Note: The Levey-Jennings Chart legend also applies to the Multi-LJ Chart.
The Levey-Jennings Chart contains an optional legend with the symbol and
color for each level of control. Select an option to display the legend at the top
or bottom of the chart. By default, the legend appears above the chart.
Other Options
There are other options that apply to the Levey-Jennings Chart. See the
following sections for more information:
Multi-LJ Chart
The Multi-LJ Chart provides an easy way to compare tests, such as the same
analyte run on two different instruments or on two different lot numbers of
control material. The Multi-LJ Chart shows a Levey-Jennings Chart for up to 18
tests.
Note: The options selected for a Levey-Jennings Chart also apply to the
Multi-LJ Chart. See “Select Levey-Jennings Chart Options” on page 231 for
more information.
Bar Chart
The Bar Chart shows the laboratory mean for 13 months plotted against one of
the following:
The Bar Chart also shows the SD, CV, and number of points for each monthly
mean.
Tip: The Bar Chart plots monthly means against a ±3SD range. Therefore,
the Bar Chart is helpful to visualize long-term shifts and trends.
Other Options
There are other options that apply to the Bar Chart. See the following sections
for more information:
Note: Create a Bar Chart by lab number or by panel. Set up a panel before
creating a chart for the panel. See “Create a Panel and Add Tests” on
page 142 for more information.
Youden Chart
The Youden Chart is a graphical representation used to plot paired data (Level
1 and Level 2, Level 1 and Level 3, and so on) for a given time period on an
X- and Y-axis.
Note: The Youden Chart can be used for any two levels of a control
material.
Data points are plotted on the graph and fall within one of four fields:
Other Options
There are other options that apply to the Youden Chart. See the following
sections for more information:
In This Chapter
Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 241
Save and Print Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 242
Data Review Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 245
Point Data Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 246
Summary Data Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247
Statistical Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 248
Supervisor's Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 249
Operator Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251
Audit Trail Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 253
Listings Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 255
Overview
UnityWeb™ intralaboratory reports are a valuable addition to the monthly Unity™
Interlaboratory Reports. The following UnityWeb™ reports are available for
creation at any time:
Save Reports
The report appears in Crystal Report® format after clicking Show report.
Print Reports
The report appears in Crystal Report® format after clicking Show report.
Note: UnityWeb™ does not support electronic signatures. However, you can
use a third-party software product such as Adobe® Reader®.
The Data Review Report contains the following information for each data point:
• Date/time
• Operator initials
• Value (result)
• Attached actions and comments, if any
• Accept/reject status
• Initials of the person performing Bench Review, if available
• Date/time of the Bench Review
Note: Create the Point Data Report by lab number or by panel. Set up a
panel before creating a report for the panel. See “Create a Panel and Add
Tests” on page 142 for more information.
Note: The Report range options depend on the option selected in step 4.
Note: Create the Summary Data Report by lab number or by panel. Set up a
panel before creating a report for the panel. See “Create a Panel and Add
Tests” on page 142 for more information.
Note: The Report range options depend on the option selected in step 4.
Statistical Report
The Statistical Report shows the percentage of point data that did not violate
any active statistical process control (SPC) rule. The Statistical Report is a
helpful overview of how well the laboratory is meeting its performance goals.
The report shows:
Note: The Report range options depend on the option selected in step 4.
Supervisor's Report
Use the Supervisor's Report to view data points that:
Note: The Report range options depend on the option selected in step 4.
9 By default, the Reject check box is selected. Clear the Reject check box
to exclude rejected data from the report.
Operator Report
The Operator Report shows the following statistics for each test separated by
operator:
• Mean
• SD
• CV
• Number of data points
Note: The Operator Report is only available to users with the Manage
users permission.
8 Select an option for the data in the report from the Report range list.
Note: The Report range options depend on the option selected in step 4.
• Date range
• Lab number
• Lot number
• Test
• Event
Note: When Audit Trail comments are required, the New Comment dialog
box appears whenever users perform an action triggering an Audit Trail
Event. See “Require Audit Trail Comments” on page 222 for more
information.
Note: The Audit Trail report refreshes on the screen with each selection
made. Click Show report to save or print the report after any selection. See
“Save and Print Reports” on page 242.
4 Click the arrow located to the right of the Start date and select a
beginning date for the report.
5 Click the arrow located to the right of the End date and select an ending
date for the report.
6 Select a lab number from the Lab number list to narrow the report by lab.
7 Select a lot number from the Lot number list to narrow the report by lot.
8 Select a test from the Test information list to narrow the report by test.
9 Select an event from the Event list to narrow the report by event.
10 Click Show report.
11 To save or print the report, see “Save and Print Reports” on page 242.
Listings Reports
The Listings Reports are helpful to view all the information set up in the
UnityWeb™ software. Listings Reports are available for the following information:
• Labs
Shows all lab numbers, organized by open and closed lab numbers.
• Lots
Shows all open lab numbers and associated lot numbers, whether open
or closed.
• Tests
Shows all lab numbers (open and closed) and associated tests organized
by lot number. Closed lots and associated tests are not shown.
• Panels
Shows all panels with associated tests organized by lab number and lot
number.
Interlaboratory Program
In This Chapter
Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 257
Submit Data Monthly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 258
Submit Data from the Bench Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 260
Overview
Comparing your data to other laboratories worldwide is a major benefit of the
Bio-Rad Unity™ Interlaboratory Program. The Unity™ Interlaboratory Program
provides a variety of reports to help meet regulatory requirements. (See
Chapter 16, “Unity™ Interlaboratory Reports” for more information.) There are
two options for submitting data to the Unity™ Interlaboratory Program:
Note: Using the automatic monthly transmission feature ensures all data is
sent for inclusion in the monthly Unity™ Interlaboratory reports. Bio-Rad
recommends activating automatic monthly Unity™ transmission to ensure
data is sent on time.
Note: The day of the month options are 1 through 7. As a general rule, you
must send your data to Bio-Rad by the fifth business day of the following
month. Data received after the 7th is late.
7 Click Save.
TM
Activate Transmission for InstantQC
1 Log in as a user with the Edit setup options permission.
2 Click the Tools tab.
3 Click Setup.
4 Click Configure UnityWeb™.
5 Select the Data review transmission (for InstantQC™) check box
within the Transmission section.
6 Click Save.
Reports
In This Chapter
Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 261
Monthly Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 266
Comprehensive Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 278
Optional Reports. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 281
Affiliated Reports. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 285
Urinalysis Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 290
InstantQC™ Reports and Charts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 293
Overview
Unity™ Interlaboratory Reports show comparative results between laboratories
and are used to determine values and assess test methods. Unity™
Interlaboratory Reports help ensure the reliability and precision of test systems
and improve laboratory analytical performance.
• Monthly reports
• Comprehensive reports
• Optional reports
• InstantQC™ reports
Monthly Reports
The Unity™ Interlaboratory Program automatically generates the following
reports for each month you submit your data. These reports compare your
laboratory data to the data of your consensus group.
Comprehensive Reports
The Unity™ Interlaboratory Program provides the following comprehensive
reports. These reports show comparative data for all Peer and Method group
statistics.
Optional Reports
TM
InstantQC Reports and Charts
Note: When sending data to the Unity™ Interlaboratory Program from Bench
Review, the reviewed data points appear on InstantQC™ Reports and Charts
on [Link] after a short processing time. See “InstantQC™
Reports and Charts” on page 293 for more information.
Consensus Groups
The Unity™ Interlaboratory Program consists of the following consensus groups:
Monthly Reports
Important: As a general rule, data must be sent to Bio-Rad by the fifth
business day of the following month. Reports are not automatically
generated for data received after the due date. Contact your Bio-Rad QC
Program Representative to request late reports.
Note: The window of acceptable values appears below the rejected values
on the report. The CV limit may be different for some analytes.
The center of the graph (SDI and CVR both equal to zero) represents perfect
agreement between your laboratory's values and your consensus group (Peer
or Method) statistics. Your bias and imprecision increase as your values move
further away from the center of the graph.
Note: Method group statistics may not be available for all analytes.
• Mean
• Standard deviation (SD)
• Coefficient of variation (CV)
• Number of points
• Coefficient of variation ratio (CVR) for the Peer and Method consensus
groups
• Standard deviation index (SDI) for the Peer and Method consensus groups
The Laboratory Comparison Report also shows the monthly and cumulative
Peer and Method group statistics for:
• Mean
• Standard deviation (SD)
• Coefficient of variation (CV)
• Number of points reported
• Number of labs reported
• Mean
• Standard deviation (SD)
• Coefficient of variation (CV)
• Number of points
Note: If a month does not have any data points, then either there were not
any values submitted, values were submitted late, or submitted values were
outside of the statistical range and therefore rejected by the Unity™
Interlaboratory Program. If data points were rejected by the Unity™
Interlaboratory Program, a description appears on the Data Rejection
Report.
Although you can use this report to detect abnormal CV or bias, the Bias and
Imprecision Histogram Report does not contain specific thresholds for
allowable bias or allowable imprecision.
Comprehensive Reports
Worldwide Report
The Worldwide Report summarizes all data submitted to the Unity™
Interlaboratory Program. This report is available for each lot number of Bio-Rad
control product.
Manufacturer Report
The Manufacturer Report is a modified format of the Worldwide Report. The
Manufacturer Report is identical to the Worldwide Report except it lists only the
statistics for a particular manufacturer’s instruments. The Manufacturer Report
is updated every month.
Optional Reports
The Statistical Profile Report allows you to compare your laboratory's statistics
to the Peer, Method, and All Labs consensus group statistics for selected time
periods. The Statistical Profile Report also provides two histograms
summarizing how your laboratory’s mean and coefficient of variation (CV)
compare to the range of mean and range of CVs calculated for each
consensus group.
Summary Statistics
The Statistical Profile Report includes summary statistics for your laboratory
and the Peer, Method, and All Labs consensus groups for the current quarter
and the year.
Frequency Histograms
The frequency histogram section of the Statistical Profile Report contains two
frequency histograms which show the location of:
• Your laboratory’s means for the quarter plotted on the range of means for
the Method and All Labs consensus groups.
• Your laboratory’s coefficient of variation (CV) for the quarter plotted on the
range of CVs for the Method and All Labs consensus groups.
Each histogram has an arrow indicating your laboratory’s mean and CV values.
Note: If reporting fewer than six data points during the quarter, your
laboratory is not included in the Percentile Distribution Table.
Affiliated Reports
Note: Affiliated Reports are optional. Contact your Bio-Rad QC Program
Representative to request Affiliated Reports.
• Mean
• Standard deviation (SD)
• Coefficient of variation (CV)
• Coefficient of variation ratio (CVR) and Standard deviation index (SDI)
• Lab to Peer Group
• Lab to Lab Group (affiliated group)
• Number of points
• Mean
• Standard deviation (SD)
• Coefficient of variation (CV)
• Number of points
• Coefficient of variation ratio (CVR) compared to the Peer, Method, and
Affiliated consensus groups
• Standard deviation index (SDI) compared to the Peer, Method, and
Affiliated consensus groups
Urinalysis Report
Note: The Urinalysis Report is optional. Contact your Bio-Rad QC Program
Representative to request this report.
• Cover page
• Dual level chemistry report for each instrument submitted
• Dual level microscopy report for each data entry set submitted
The Urinalysis Report displays only one set of results per day. If submitting
multiple sets, this report includes the one with the most recent date-time
stamp.
Chemistry Section
The chemistry section of the Urinalysis Report provides a simulation of the
laboratory responses versus a simulation of the group responses using the
visual color changes of reagent strips. On this report, arrows identify the
majority group response. The following figure shows a portion of the report.
Microscopy Section
Graphics on the report simulate your average response and the group's
average response. Your daily responses appear above the graphics with an
arrow to indicate the majority group response.
The following figure shows a portion of the report. The complete report
includes RBC, WBC, and crystals.
TM
InstantQC Reports and Charts
Note: When sending data to the Unity™ Interlaboratory Program from Bench
Review, the reviewed data points appear on InstantQC™ Reports and Charts
on [Link] after a short processing time. See “InstantQC™” on
page 208 for more information.
TM
InstantQC Reports
The InstantQC™ Report is provided in HTML format. Select from a list of
Period, Group Type, and Group By options using the lists provided.
TM
View InstantQC Reports
1 Start an Internet browser window and navigate to [Link].
2 Log on with your QCNet™ User ID and password.
3 Point to Unity™ Interlab and then click Unity™ Reports.
4 Point to Reports, point to InstantQC™, and then click Reports.
5 Make a selection from each of the following lists:
• Lab
• Lot
• Period-1 day, 7 days, 30 days, 1 month, 3 months, 6 months
• Group Type-Worldwide, Country, Affiliate
• Group By-Peer, Method, All Labs
The selected report appears.
TM
InstantQC Chart
The InstantQC™ Chart plots your data points for your selected date range
against your selected consensus group’s mean and ±3SD range.
TM
View InstantQC Charts
1 Start an Internet browser window and navigate to [Link].
2 Log on with you QCNet™ User ID and password.
3 Point to Unity™ Interlab and then click Unity™ Reports.
4 Point to Reports, point to InstantQC™, and then click Charts.
5 Make a selection from each of the following lists:
• Lab
• Lot
• Period-1 day, 7 days, 30 days
• Group Type-Worldwide, Country, Affiliate
• Graph By-Peer, Method, All Labs
The selected chart appears.
In This Chapter
Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 297
CLIA Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 298
CAP Accreditation Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 306
ISO 15189 Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 320
Overview
Comparing your data to other laboratories worldwide is a major benefit of the
Bio-Rad Unity™ Interlaboratory Program. The Unity™ Interlaboratory Program
provides a variety of reports to help meet regulatory requirements. (See
Chapter 16, “Unity™ Interlaboratory Reports” for more information.)
The following pages show available reports and charts and their recommended
use according to Clinical Laboratory Improvement Amendments (CLIA), College
of American Pathologists (CAP), and International Organization for
Standardization (ISO) 15189.
CLIA Requirements
Note: The information in this section is extracted and paraphrased from Part
III Department of Health and Human Services, Centers for Medicare &
Medicaid Services, Centers for Disease Control and Prevention, 42 CFR
Part 493 Medicare, Medicaid, and CLIA Programs; Laboratory
Requirements Relating to Quality Systems and Certain Personnel
Qualifications, Final Rule, Friday, January 24, 2003.
CLIA Requirements–Paraphrased
Requirement:
Have a record of test system performance.
Requirement:
Monitor the accuracy of the analytical process.
Requirement:
Monitor the precision of the analytical process.
Requirement:
Detect immediate errors.
Requirement:
Establish or verify the criteria for acceptability of all control materials.
Requirement:
Establish statistical parameters for each batch and lot number of control
materials.
Requirement:
Document all control procedures performed.
Requirement:
Document that at least once each day patient specimens are assayed or
examined, test two control materials of different concentrations.
Requirement:
For blood gas analyses, document that one sample of control material is
tested each eight hours of testing using a combination of control materials
that include both low and high values on each day of testing.
Requirement:
Evaluate and define the relationship between test results for the same analyte
using different methodologies, instruments, or testing sites.
Requirement:
Document all corrective actions taken as a result of QC.
Requirement:
Document all analytic systems assessment activities.
Requirement:
Document that, over time, control material testing is rotated among all
operators who perform the test.
Requirement:
Document that control material testing is performed after a complete change
of reagent, major preventive maintenance, or when any critical part is
replaced.
Requirement:
Document validation of new reagent lots or shipments of reagents.
Requirement:
Document calibration or recalibration when controls fail to meet established
criteria.
Requirement:
Use data to make changes to improve performance and patient safety.
Requirement:
For quantitative tests, document use of control materials at more than one
concentration (level) at least daily.
Requirement:
For numeric QC data, document calculation of QC statistics at specified
intervals to define analytic imprecision.
Requirement:
Demonstrate that QC and instrument maintenance are performed and
evaluated.
Requirement:
Document verification results of controls for acceptability before reporting
patient test results.
Requirement:
For hematology, document testing of two different stabilized control
specimens and record results during each 24 hours of analyzer use.
Requirement:
If commercially assayed controls are used for hematology instruments, verify
the target values (mean and QC ranges).
Requirement:
If unassayed controls are used in hematology, establish a statistically valid
target mean and range for each lot by repetitive analysis.
Requirement:
Fully define and document tolerance limits (numeric and nonnumeric) for all
hematology and coagulation control procedures.
Requirement:
Monitor precision data for significant changes.
Requirement:
Document review and assessment of quality control data at least monthly.
Requirement:
Verify manufacturer's calibrations with control materials appropriate for the
system.
Requirement:
Document that the photo-optical coagulation testing system (for PT, aPTT,
and so on) is checked with two different levels of control material during each
eight hours of patient testing and each time there is a change in reagents.
Requirement:
Document that the manual coagulation system is checked with two different
levels of control material in duplicate during each eight hours of patient
testing and each time there is a change of reagents.
Requirement:
Document ongoing evaluation of (QC) records, instrument maintenance and
function, temperature, etc.
Requirement:
Organize and present QC data so that it can be evaluated daily by the
technical staff to detect problems, trends, etc.
Requirement:
Document that at least one quality control specimen for pH, pCO2, and pO2
(tonometered sample or liquid control material) is tested at least every eight
hours of operation when patient specimens are tested.
Requirement:
Document that control materials for pH, pCO2, and pO2 represent both high
and low values on each day of patient testing.
Requirement:
Document that one sample of control material for pH, pCO2, and pO2 is
included each time patient samples are tested, except for automated
instruments that internally calibrate at least once every 30 minutes of use.
Requirement:
Document the review for acceptability of quality control results.
Requirement:
Collect and analyze pertinent data to monitor and assess performance.
Requirement:
Use data to identify unwanted trends.
Requirement:
Design internal quality control systems to verify the intended quality of
results.
Requirement:
Provide staff members with clear and easily understood information on which
to base technical and medical decisions.
In This Chapter
Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 323
Configure Westgard Advisor™ online . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 326
Generate Rules with Westgard Advisor™ online . . . . . . . . . . . . . . . . . . . . . . 332
Apply Rules with Westgard Advisor™ online . . . . . . . . . . . . . . . . . . . . . . . . . 339
Westgard Advisor™ online Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 341
Delete Historical Suggestions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 343
OPSpecs Chart. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 344
Overview
Westgard Advisor™ online is an optional feature of UnityWeb™ that identifies the
tests needing improvement and the tests routinely achieving the required
quality. Westgard Advisor™ online uses the following information to recommend
statistical process control (SPC) rules, and the number of control samples per
run:
Note: If SPC rules have not been previously generated and applied using
Westgard Advisor™ online, the default rules appear based on the levels of
control material set up in UnityWeb™.
3 If more than one lab number is set up in the software, select a lab from the
Lab Number list to view the existing rules for another lab number.
4 If more than one lot number is set up in the software, select a lot from the
Lot Number list to view the existing rules for another lot number.
TM
Configure Westgard Advisor online
Before generating rules for a test, configure the quality requirements (total
allowable error) for the test and specify the data requirements.
Note: Limits such as BV, CLIA, QMP-LS, and RCPA are only available when
published.
• User Defined
• Tightest (smallest TEa available)
• Loosest (largest TEa available)
• State of the Art based on the median coefficient of variation (CV) of a
selected consensus group
TEa detail
3 Select a TEa from the list to change the default TEa for the analyte.
Note: Limits such as BV, CLIA, QMP-LS, and RCPA are only available when
published.
4 Click Save.
Note: Westgard Advisor™ online uses the TEa selections when generating
rules with the Wizard or the Advanced method. If using the Default method,
Westgard Advisor™ online uses the default TEa options regardless of the
selections made.
3 Select a TEa from the list located to the left of For All Analytes.
Note: Limits such as BV, CLIA, QMP-LS, and RCPA are only available when
published.
4 Click For All Analytes to apply the TEa selection to all analytes for which
it is available.
Note: If the TEa is not available for the analyte (for example CLIA limits for
zinc), the existing selection remains unchanged.
5 Click Save.
Note: Westgard Advisor™ online uses the TEa selections when generating
rules with the Wizard or the Advanced method. If using the Default method,
Westgard Advisor™ online uses the default TEa options regardless of the
selections made.
Note: Westgard Advisor™ online uses the TEa selections when generating
rules with the Wizard or the Advanced method. If using the Default method,
Westgard Advisor™ online uses the default TEa options regardless of the
selections made.
4 Click Save.
Data Requirements
Westgard Advisor™ online provides a default set of data requirements to use for
suggesting rules; however, you can customize data requirements.
Important: Westgard Advisor™ online will not generate rules for a test until
the minimum data requirements are met.
Note: See “Viewing Lab Data and Group Statistics” on page 325 to view
consensus group data. If consensus group data does not appear for a test
or if the consensus group is unexpectedly small, confirm that the test
parameters (analyte, instrument, method, and so on) are correct. If
necessary, update the test. See “Update Tests” on page 132 for more
information.
Tip: The Westgard Advisor™ online Wizard contains text in each dialog box
explaining the options. As a result, it is a good method to use when
unfamiliar with Westgard Advisor™ online.
• Advanced option
Westgard Advisor™ online displays a single dialog box for selecting all
options.
Tip: This advanced option is a good choice when familiar with Westgard
Advisor™ online since this option does not provide any explanatory text.
• Defaults
Westgard Advisor™ online generates rules based on its default options.
The default selections are:
• Peer consensus group
• 6-months (date range for data)
• Smallest TEa
Consensus Groups
Westgard Advisor™ online uses consensus groups from the Unity™
Interlaboratory Program to calculate performance estimates.
Note: Westgard Advisor™ online will not be able to generate rules for a test if
there are not any statistics available for the selected consensus group.
TM
Use the Westgard Advisor online Wizard
1 Click the Advisors tab.
2 Click Design QC Rules.
3 Select the lab number from the Lab number list.
4 Select the lot number from the Lot number list.
5 Click the Generate Rule Suggestions link.
The Westgard Advisor Configure Rule Selection dialog box appears.
6 Select the Wizard option and click OK.
7 The Configure Rule Selection Wizard – Step 1 of 4 dialog box appears
with two rule generation options:
• All lot numbers
Select this option to generate rules for all identical tests in all lot
numbers within the lab number.
• Specific lot number
Select this option to generate rules only for tests within the selected
lab and lot combination.
8 Click Next.
The Configure Rule Selection Wizard – Step 2 of 4 dialog box appears
with the following message:
9 Click the arrow located to the right of First Date and select a beginning
date for the range of data.
Important: The data within the Lab Data Range is used to compute
performance estimates such as the mean and coefficient of variation (CV) of
the laboratory. Select a representative sample of laboratory data that
correlates with the performance expected to achieve in the future.
10 Click the arrow located to the right of Last Date and select an ending
date for the range of data.
11 Click Next.
SPC rules are suggested by analyte. If testing more than one level of
control, select a single level to compute performance estimates for the
analyte.
12 Select an option for the lot:
• By Level
Select this option to specify a control level to use for the calculations.
The level selected is used for all tests. Select a level from the By
Level list.
• By Performance
Select this option for Westgard Advisor™ online to evaluate
performance statistics from all available levels for each analyte and
select an option for the performance:
– Highest Total Error (resulting in conservative settings)
– Lowest Total Error (resulting in optimistic settings)
13 Click Next.
The Configure Rule Selection Wizard – Step 4 of 4 dialog box appears
with the following message:
9 Click the arrow located to the right of First Date and select a beginning
date for the range of data.
Important: The data within the Lab Data Range is used to compute
performance estimates such as the mean and coefficient of variation (CV) of
the laboratory. Select a representative sample of laboratory data that
correlates with the performance expected to achieve in the future.
10 Click the arrow located to the right of Last Date and select an ending
date for the range of data.
11 Select a Group option.
Performance estimates can include bias if a consensus group is selected
for comparison. Select This Lab to omit bias from the performance
estimates. Otherwise, select Peer, Method, or All Labs for the
appropriate consensus group comparison.
12 Select a Group Data Range option:
• Monthly
• 6 months
• Cumulative
13 Click OK.
By default, the Grid option of Design QC Rules dialog box appears and
shows the suggested rules and other statistics.
14 Select the Chart option to view the OPSpecs Chart for the suggested
rules. See “OPSpecs Chart” on page 344 for more information.
TM
Use the Westgard Advisor online Defaults
Apply Rules
1 Click the Advisors tab.
2 Click Design QC Rules.
3 Select the lab number from the Lab number list.
4 Select the lot number from the Lot number list.
5 Select the desired Historical Suggestion.
6 Make sure the Grid option is selected.
7 Click the Apply Suggested Rules link.
The Westgard Advisor Apply Suggested Rules dialog box appears
and shows the statistics, existing rules, suggested rules, and performance
information for each analyte.
By default, the check box located to the left of each analyte is selected.
This indicates the suggested rules will be applied to each analyte.
Note: If Westgard Advisor™ online is unable to generate rules for a test, the
check box is cleared and the Suggested Rules column shows the reason
rules could not be generated. If there are not any rules available, the check
box cannot be selected.
8 Clear the check box or click Select None to clear all check boxes. A
cleared check box indicates there will not be any rules applied.
9 Click Apply.
10 Repeat steps 5–9 to make additional changes based on other Historical
Suggestion selections.
11 The new rule selection(s) appear on the Rules tab of the Rules/Settings
dialog box and UnityWeb™ evaluates new data points against the rules.
(See Chapter 9, “Apply QC Rules” on page 147 for more information
about the Rules tab.)
TM
Westgard Advisor online Report
The Westgard Advisor™ online Report summarizes the options used each time
SPC rules are generated with Westgard Advisor™ online. The Westgard
Advisor™ online Report shows the information from the Grid and Chart options
of the Design QC Rules dialog box. Print the report to document the selected
rules.
Note: The Westgard Advisor™ online Report is only available for tests for
which rules have previously been generated.
TM
Print the Westgard Advisor online Report
1 Click the Advisors tab.
2 Click Design QC Rules.
3 Select the Chart option.
4 Click the Print Chart link.
5 The Westgard Advisor Print Chart dialog box appears.
6 Select an option for the range of tests to print:
• Current Test
Select this option to print the report for the selected test.
• All Tests
Select this option to print the report for all tests in the lot number.
7 Click Print to PDF.
The Westgard Advisor™ online Report appears in a separate window in
PDF format.
Note: Deleting historical suggestions does not delete any applied rules.
OPSpecs Chart
An OPSpecs (operational process specifications) Chart plots the allowable bias
versus the allowable imprecision. An OPSpecs Chart describes the
imprecision, bias, SPC rules, and number of runs required to assure a defined
quality requirement will be achieved with a known level of analytical quality
assurance (AQA). An OPSpecs Chart provides the information needed to select
appropriate quality control procedures and is therefore an integral part of
Westgard Advisor™ online.
Each time Westgard Advisor™ online generates rules for a test based on
different TEa and consensus group selections, the rules recommendations are
saved. View the OPSpecs Chart for rule recommendations, compare the charts
for different QC procedures, and select the most appropriate options.
1 2
OPSpecs Chart TEa 25 % with 90 % AQA (SE)
25.0
Allowable Inaccuracy (BiasTotal %)
20.0
1-3
s
15.0 6
5
4
10.0
7
5.0
0.0
0.0 2.0 4.0 6.0 8.0 10.0 12.0
3 Allowable Imprecision ( Smeas%)
Magnesium
Bias meas = 8.89% Pfr = 0.004
S meas = 2.95% N =2
1 TEa
2 AQA (SE)
7 Operating Point
The Operating Point shows where the test’s bias and imprecision
intersect and shows the observed performance of the measurement
procedure. The Operating Point is plotted by obtaining estimates for
imprecision and inaccuracy and using them as X (imprecision) and Y
(inaccuracy) coordinates on the chart.
Operational limits depend on the guarantee of quality built into the process. For
example, operational limits for 90% AQA are more demanding than those for
50% AQA. Lower assurance, or lower error detection, may be acceptable for
very stable testing processes with a very low frequency of errors. However, in
general it is best to aim for 90% AQA.
If any of the lines in the OPSpecs Chart are above the Operating Point, they
meet or exceed the level of quality assurance listed in the chart's title. For
example, if the Operating Limits line is above the Operating Point in a 90%
AQA Chart, the control rule and N (the recommended number of control
determinations) corresponding to that line assures 90% or more analytical
quality assurance or error detection.
20.0
1-3
15.0 s
4
10.0
5.0
0.0
0.0 2.0 4.0 6.0 8.0 10.0 12.0
Allowable Imprecision ( Smeas%)
Dr. James Westgard describes the three sections using the following terms.
• Solid ground
This is the area below the line for Limits of bias and imprecision for
suggested QC procedure (Operating Limits line). This is where the
Operating Point should appear. The position of the Operating Point
varies depending on the rule(s) it represents. Use different TEa and
consensus group criteria to generate multiple sets of rules. Review the
OPSpecs Chart before deciding which rules to apply.
• Shallow water
This is the area between the Maximum limits of a stable process line
and the Limits of bias and imprecision for suggested QC procedure
(Operating Limits line) line representing the suggested QC procedure. If
the Operating Point appears in this area, it is best to consider other rule
combinations and try to improve the test method performance.
• Deep water
This is the area above the Maximum limits of a stable process line. If
the Operating Point is in this area, consider other rule combinations and
attempt to improve the test method performance. If the Operating Point
is in this area, Westgard Advisor™ online will most likely recommend a
maximum QC procedure.
TM
When Westgard Advisor online Recommends a
Maximum QC Procedure
To maximize error detection, the recommended rules for maximum QC include
all available SPC rules. The recommended number of control determination (N)
is also increased. If the laboratory does not have the resources to implement
the recommendation, apply the most stringent rules possible. Also consider
ways to improve test method performance (bias and CV). Consider replacing
the method with a better one.
In This Chapter
Action Log Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 349
Audit Trail Events. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 351
Rejection Log Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 353
Data inserted
In This Chapter
QC References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 355
QC References
Articles
1 Elsa F. Quam, BS, MT(ASCP), QC–The Out-Of-Control Problem, retrieved
June 6, 2006, from the Basic QC Practices Lessons section of Dr. James
O. Westgard’s Web site at [Link]
2 Westgard J.O., Burnett RW. Precision requirements for cost-effective
operation of analytical processes. Clin Chem 1990; 36:1629-1632.
3 Westgard, J.O. et al., Combined Shewhart–CUSUM Control Chart For
Improved Quality Control In Clinical Chemistry; CLIN. CHEM. 23/10,
1881-1887 (1977).
4 Westgard, J.O.; Barry, P. L.; Hunt M.R.; Groth, T; A Multi-Rule Shewhart
Chart For Quality Control In Clinical Chemistry; CLIN. CHEM. 27/3
493-501 (1981).
5 Westgard, J.O.; Koch, D.D.; Oryall, J.J.; Quam, E. F.; Feldbruegge, D. H.;
Dowd, D. E.; Barry, P.L.; Selection Of Medically Useful Quality Control
Procedures For Individual Tests Done In A Multi Test System; CLIN.
CHEM. 36, 230 (1990).
Books
1 Cembrowski, G.S.; Carey, R.N.; Laboratory Quality Management: QC &
QA, ASCP Press (1989).
2 Cooper G., Gillions T, Producing Reliable Test Results in the Medical
Laboratory: Using a Quality System Approach and ISO 15189 to Assure
the Quality of Laboratory Examination Procedures, Bio-Rad Laboratories,
Inc., 2007.
3 Davies, O.L.; Goldsmith, P.L. Statistical Methods In Research and
Production, New York (1984).
4 Howanitz, Peter J and Joan H., Laboratory Quality Assurance,
McGraw-Hill Book Company (1987).
5 Weisbrot, M.D., Statistics For The Clinical Laboratory; J.B. Lippincott
Company, Philadelphia (1985).
6 Westgard J.O. Basic QC Practices; second edition; (2002).
7 Westgard, J.O. Assuring the Right Quality Right. Westgard QC, Inc.
Madison, WI, 2007.
8 Westgard, J.O., Barry Patricia L, Cost Effective Quality Control: Managing
the Quality and Productivity of Analytical Processes. AACC Press 1995.
9 Westgard J.O. Basic Planning for Quality: Training in Analytical Quality
Management for Healthcare Laboratories, Westgard Inc., 2000.
Guidelines
1 C24. Statistical Quality Control for Quantitative Measurement Procedures:
Principles and Definitions. Clinical and Laboratory Standards InstituteTM,
(formerly NCCLS) Wayne, PA, 2006.
2 National Committee for Clinical Laboratory Standards. Evaluation of
precision performance of clinical chemistry devices - Second Edition;
Tentative Guideline. NCCLS document EP5-T2 (ISBN 1-56238-145-8).
NCCLS, 771 East Lancaster Avenue, Villanova, Pennsylvania, 19805,
1992.
accuracy
active rule
A SPC rule with a status of warn or reject.
For all laboratories within the affiliated laboratory consensus group, this report
shows any analyte:
affiliated group
A group of laboratories in the Unity™ Interlaboratory Program comparing their
results and essentially become their own consensus group. Contact your
Bio-Rad QC Program Representative to request any of the available Affiliated
Reports.
• Mean
• Standard deviation (SD)
• Coefficient of variation (CV)
• Coefficient of variation ratio (CVR) and Standard deviation index (SDI)
• Lab to Peer Group
• Lab to Lab Group (affiliated group)
• Number of points
This report is designed for a quick review and focuses on key statistics to
provide a performance summary for multiple laboratories. This report
summarizes the performance of each participating affiliated laboratory in a
single report. For each test, this report shows:
• Mean
• Standard deviation (SD)
• Coefficient of variation (CV)
• Number of points
• Coefficient of variation ratio (CVR) compared to the Peer, Method, and
Affiliated consensus groups
• Standard deviation index (SDI) compared to the Peer, Method, and
Affiliated consensus groups
Affiliated Reports
analyte
A substance or chemical constituent being analyzed such as glucose, TSH,
and so on.
analytical process
A series of steps taken in the analysis or testing of patient specimens or
samples.
audit trail
A secure, computer generated electronic record allowing reconstruction of the
course of events relating to the creation, modification, and deletion of an
electronic record.
bias
Bias measures how far an observed value is from a target value and is
expressed as a percentage. Bias is determined by a reference value or
estimated from an outside source such as proficiency testing results or the
Bio-Rad Unity™ Interlaboratory Program. Use the following formula to calculate
bias:
Note: Bias is the total systematic error as contrasted to random error. There
may be one or more systematic error components contributing to the bias.
A larger systematic difference from the accepted reference value is reflected
by a larger bias value. [ISO 3534-I]
Note: The Bias and Imprecision Histogram Report does not contain specific
thresholds for allowable bias or allowable imprecision.
CLIA
Acronym for the Clinical Laboratory Improvements Amendments of 1998 which
regulate laboratory practice in the United States.
CLSI
Acronym for the Clinical and Laboratory Standards Institute. Formerly the
NCCLS.
consensus group
A group of laboratories submitting data to the Unity™ Interlaboratory Program.
Carefully select a consensus group for comparison as statistical outcomes can
be quite different based on the nature of the grouping. When choosing a
consensus group, always choose the most specific group for which statistics
are available.
cumulative mean
Also known as floating mean. The mean of all accepted data points entered for
a test. If a fixed mean is not defined, the software uses the cumulative (floating)
mean for rule evaluation.
CV (coefficient of variation)
The coefficient of variation is the standard deviation expressed as a percentage
of the mean. Use the following formula to calculate the CV:
Standard Deviation
CV % = × 100
Mean
Laboratory CV
CVR =
Consensus Group CV
data group
A user-defined set of data points having something in common, such as a
calibrator lot. Define data groups on the Single Test Point Data Entry dialog
box and the Single Test Summary Data Entry dialog box.
• The data points are outside the standard statistical range, based on
consensus group mean, SD range, or CV.
• The data points were reported with an incorrect code (for example, invalid
units, invalid method, and so on).
evaluation mean/SD
The mean and SD UnityWeb™ uses to evaluate a data point. When using
cumulative (floating) statistics, these values can be different for each data point.
View the evaluation statistics by clicking for a row of data on the Single
Test Point Entry dialog box.
fixed statistics
Fixed statistics refers to specifying (fixing) the evaluation mean and/or SD for a
test.
floating mean
Also known as cumulative mean. The mean of all accepted data points entered
for a test. If a fixed mean is not defined, the software uses the floating
(cumulative) mean for rule evaluation.
imprecision
Imprecision is a term to describe the dispersion or spread of a set of values
about the mean value of a normal or gaussian distribution. It is usually
expressed as a SD or CV.
inactive rule
A SPC rule with a status of off.
TM
InstantQC
An instant laboratory program option for comparing point data submitted via
the Bench Review to other laboratories’ data on demand. InstantQC™ Reports
and Charts are available on [Link].
TM
InstantQC Chart
When sending data to the Unity™ Interlaboratory Program from Bench Review,
the reviewed data points appear on InstantQC™ Reports and Charts on
[Link] after a short processing time. The InstantQC™ Chart plots
your data points for your selected date range against your selected consensus
group’s mean and ±3SD range.
TM
InstantQC Report
When sending data to the Unity™ Interlaboratory Program from Bench Review,
the reviewed data points appear on InstantQC™ Reports and Charts on
[Link] after a short processing time. The Comparison Statistics
Shown are:
interlaboratory
Comparative results between laboratories used to determine values and
assess test methods.
intralaboratory
Within a single laboratory.
• Laboratory mean
• Laboratory SD
• Laboratory CV
• Number of points reported by the laboratory
• CVR for the Peer and Method groups
• SDI for the Peer and Method groups
The Laboratory Comparison Report also contains the monthly and cumulative
Peer and Method group statistics for:
• Mean
• SD
• CV
• Number of points reported
• Number of laboratories reporting
The report shows the laboratory’s mean, SD, CV, and number of points for
each bar. Each level of control has a separate bar chart.
The SDI and CVR are combined as X-Y coordinates located within one of three
performance zones designated by increased levels of shading:
• No shading
Acceptable performance.
• Slight shading
Acceptable to marginal performance. This may indicate the need to
investigate test system bias and imprecision.
• Darkest shading
Outside of acceptable and marginal performance.
Corrective action may be needed.
• Outside of graph
Unacceptable performance.
Requires corrective action.
The center of the graph (SDI and CVR both equal to zero) represents perfect
agreement between the laboratory's values and the consensus group (Peer or
Method) statistics. Bias and imprecision increase as values move further away
from the center of the graph.
level
When referring to QC materials, level refers to the concentration of analytes
within the control material. Controls are usually bi-level (low and high) or tri-level
(low, normal, and high).
levels in use
The levels of a control product used in the laboratory (for example, level 1, level
2, level 3). Unused levels of a control material are omitted from intralaboratory
and Unity™ Interlaboratory Reports.
Levey-Jennings Chart
A graphical chart used to plot successive quality control results, either
day-to-day or run-to-run.
Manufacturer Report
The Manufacturer Report is provided through the Unity™ Interlaboratory
Program and is a subset of the information from the Worldwide Report
separated by the instrument manufacturer. The Manufacturer Report is a good
reference to use when evaluating a new instrument or kit and is updated every
month.
matrix
The substance containing the analyte being tested (for example, serum, urine,
spinal fluid, whole blood).
maximum QC
The condition existing when Westgard Advisor™ online is unable to suggest
rules meeting your quality specification (TEa). This condition indicates the test
process has such a low process capacity (high total error) it cannot be
controlled to a defined level of quality. The default maximum QC procedure is a
Westgard multirule applying every possible rule.
mean
The mean for a group of data points is simply the arithmetic average. The
mean provides a laboratory's best estimate of the analyte's “true” value for a
specific level of control. The mean ± a predetermined number of standard
deviations represents the error expected in a test when the analytical system is
stable. Use the following formula to calculate the mean:
Xn
Mean = ∑n
where: ∑ = sum
Xn = each value in the data set
n = the number of values in the data set
median
The middle value in a distribution, above and below which lie an equal number
of values.
method
The way by which an analyte is measured (for example, hexokinase).
method group
One of the available Unity™ Interlaboratory Program consensus groups. The
Method consensus group is composed of all laboratories using the same lot
number, level, analytical method, units and temperature of a test. Use the
Method group when there is an insufficient number of laboratories in the Peer
group.
operating point
The point on an OPSpecs Chart representing the intersection of bias and
imprecision for a test. The Operating Point represents the current performance
of a test.
panel
A user-defined group of tests organized to make data entry and review easier.
Create a panel to customize the organization of tests in a convenient way. For
example, a panel can be created to group a number of different tests
performed on a single instrument, or a panel can be created to group the same
test performed on multiple instruments.
peer group
One of the available Unity™ Interlaboratory Program consensus groups. The
Peer consensus group is composed of all laboratories using the same
instrument, lot number, level, reagent, analytical method, units, and
temperature of a test. This is the ideal group for comparison.
point data
A single value generated as a result of testing an analyte within a control
material.
precision
A measurement of how close a set of measurements are to each other. The
measurements may or may not be close to the “true” answer. See “accuracy”
on page 357.
QC (quality control)
In the clinical laboratory, QC is a system designed to increase the probability
each result report is valid and can be used with confidence by a health care
provider when making diagnostic or therapeutic decisions.
random error
A random deviation from the laboratory mean. “Expected” or “acceptable”
random error is generally between ±3SD of the mean. A deviation greater than
±3SD is considered “unacceptable” random error. Because of its random
nature, this type of error is unpredictable.
range
The difference between the largest and the smallest observed value of a
quantitative characteristic or statistical limit.
rejection rule
A SPC rule with a status of reject. When a data point violates a SPC rule with a
reject status, the point is not accepted and is excluded from monthly and
cumulative statistics and is not reported to the Unity™ Interlaboratory Program
for consensus group comparison.
run
A set of QC values UnityWeb™ groups together for statistical profile rule
evaluation (for example, within run and between run).
shift
A type of systematic error evidenced by an abrupt change in the mean of the
control values.
SD (standard deviation)
The standard deviation measures a test's precision, or how close individual
measurements are to each other. (The standard deviation does not measure
bias, which requires comparing results to a target value such as the Peer
consensus group.) The standard deviation provides an estimate of how
repeatable a test is at specific concentrations. Test repeatability can be
consistent (low standard deviation, low imprecision) or inconsistent (high
standard deviation, high imprecision). Use the following formula to calculate the
SD:
∑ ⎛ X − X⎞
⎜
⎝ n
⎟
⎠
SD =
n −1
The Statistical Profile Report allows you to compare your laboratory's statistics
to the Peer, Method, and All Labs consensus group statistics for selected time
periods. The Statistical Profile Report also provides two histograms
summarizing how your laboratory’s mean and CV compare to the range of
mean and range of CVs calculated for each consensus group.
summary data
The mean, SD, and number of points for a data set comprised of the control
material results for testing an analyte over a specific time range (for example,
October 2007).
suspect data
Data points violating any SPC rule set to reject or warn.
systematic error
A trend or shift away from the laboratory mean. Small amounts of systematic
error are tolerable. Systematic error remains until corrective action is taken.
TE (total error)
Total error is the overall error that may occur in a test result due to the
imprecision and bias present in the testing procedure. Use the following
formula to calculate the TE:
• Total error < total allowable error = test results are generally considered
reliable.
• Total error > total allowable error = corrective action should be taken as
quality specifications are not being met.
trend
A type of systematic error causing a gradual, often subtle increase or decrease
in control values and possibly patient results.
Urinalysis Report
• Cover page
• Dual level chemistry report for each instrument submitted
• Dual level microscopy report for each data entry set submitted
The Urinalysis Report displays only one set of results per day. If submitting
multiple sets, this report includes the one with the most recent date-time
stamp.
warn rule
A SPC rule with a status of warn. When a data point violates a SPC rule with a
warn status, the data point is accepted and is included in monthly and
cumulative statistics and is reported to the Unity™ Interlaboratory Program for
consensus group comparison.
Westgard rules
A laboratory QC system based on a set of six core statistical rules, each having
statistical power to detect random and systematic deviations from the norm.
Worldwide Report
The Worldwide Report is provided through the Unity™ Interlaboratory Program.
The Worldwide Report contains all Peer group and Method group statistics and
is a good reference to use when evaluating a new instrument or kit. The
Worldwide Report includes:
z-score
The z-score is the number of standard deviations a control result is from the
expected mean. Use the following formula to calculate the z-score:
A z-score of ±2.3 indicates the observed value is ±2.3SD away from the
expected mean. A data point with this z-score would violate the 12s rule, but
not the 13s rule. The z-score appears on the Single Test Point Data Entry
dialog box.
In This Chapter
License Agreement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 377
Warranty Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 378
Trademark Notices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 379
License Agreement
Bio-Rad hereby grants to you, and you hereby accept, a non-exclusive license
to use the Unity Real Time software program (“Software”), and the related
materials provided in this package. If you do not agree to the terms hereof,
promptly return the Software and all other related materials provided in this
package to the place of purchase. Except for the limited license granted herein,
Bio-Rad owns all copyright, trade secret, patent and other proprietary rights,
and all other right, title and interest, in and to the Software and related
materials.
You may not copy, reproduce, or transmit any part of the Software or other
related materials including but not limited to the user manual or reference guide
in any form or by any means (including translation to another language,
computer language, or format). For user manuals provided electronically such
as a PDF file, it is permissible to print these for use by the Purchaser. You may
not reverse engineer, decompile, disassemble, or otherwise reduce the
Software to any human perceivable forms. You may not modify, adapt,
translate, rent, lease, loan, resell for profit, transfer, export or create derivative
works based upon the Software or any part thereof. You agree to keep
confidential, and use your best efforts to prevent the unauthorized disclosure
and use of, the contents of the Software and related materials.
The Software is licensed for use only to medical laboratories worldwide using
Bio-Rad quality control products and is not for sale to the general public unless
otherwise specified. The information contained in the user manual and
reference guide is subject to changes and updates at Bio-Rad's discretion.
Warranty Information
The Purchaser must notify Bio-Rad of its claim of any defect. If the Software is
found to be defective by Bio-Rad, Bio-Rad's sole obligation under this warranty
is to remedy such defect in a manner consistent with Bio-Rad's regular
business practices. For a defect which materially adversely affects the
performance of the Software, Bio-Rad shall use commercially reasonable
efforts to cure such defect as soon as reasonably practicable after receipt of
Purchaser's notice, and for minor defects, Bio-Rad shall use commercially
reasonable efforts to correct such minor defects in the next release of its
Software. If, however, Bio-Rad is unable to cure a major defect, the
Purchaser's sole remedy shall be the option to cancel this Agreement,
whereupon Bio-Rad shall refund only the Software fees paid, and Bio-Rad shall
have no other liability whatsoever.
The warranties set forth in this Agreement are in lieu of all other representations
and warranties, express or implied, including warranties of merchantability and
fitness for a particular purpose, any warranty of non-infringement, and any
other statutory or common-law warranty. Bio-Rad on its own behalf hereby
expressly disclaims and excludes any and all such other representations and
warranties. Liability of Bio-Rad to the Purchaser, if any, for breach of warranty,
or any other claim relating to this Agreement shall in no event exceed the total
amount of Software fees paid by the Purchaser to Bio-Rad. In no event shall
Bio-Rad be liable for incidental or consequential damages (including but not
limited to damages to any laboratory instruments, computer equipment or data
arising from the use of the Software), loss of business or profits, special or
indirect damages of any nature whatsoever, even if Bio-Rad has knowledge of
the potential loss or damage. Bio-Rad accepts no responsibility for misuse of
the Software or its data modifying capabilities.
Trademark Notices
DirectConnect, InstantQC, QCNet, SoftConnect, UnityWeb, Unity
Interlaboratory Program, Unity Real Time, Unity Desktop, WebConnect, and
Westgard Advisor are trademarks or registered trademarks of Bio-Rad
Laboratories, Inc.
All other trademarks and registered trademarks used in this guide are the
property of other companies.
H M
how are QC results used?, 14 manufacturer report, 280
how to interpret an OPSpecs chart, menu items, 8
347 microscopy section, 292
how to use the Levey-Jennings chart, modify a user, 95
230 monthly evaluation report, 266
how to use the Youden chart, 238 monthly reports, 262, 266
multi test data entry, 183
I multi test data entry grid, 185
identify appropriate QC materials, 44 multi test data entry information, 183
identify possible QC procedures, 50 multi-LJ chart, 235
indirect method of adding tests, 124
insert data, 194 N
InstantQC™, 208 navigate the single test data entry
InstantQC™ chart, 295 dialog boxes, 171
InstantQC™ reports, 293 normal and abnormal controls, 15
InstantQC™ reports and charts, 263, notes about rule evaluation, 148
293 notifications, 85
ISO 15189 requirements, 320 Nx rules, 38
issues to consider, 60
O
K open a closed lot, 119
keys to a productive review of the open a lab number, 109
laboratory quality system, 60 open a test, 133
open and close lab numbers, 109
L operator report, 251
lab, panel, lot, and test information, operator report options, 251
163 operator setup, 198
laboratory comparison report, 272 OPSpecs chart, 344
laboratory histogram report, 274 OPSpecs chart components, 345
laboratory performance overview optional reports, 263, 281
report, 270 options, 9
labs, lots, tests, and panels organization of this guide, 4
permissions, 102 overview of data entry, 161
Levey-Jennings chart, 230 overview of data entry dialog boxes,
license agreement, 357 163
limitations of instrument setup, 126 overview of data groups, 145
links, 8 overview of data management, 187
listings report options, 256 overview of reviewing and annotating
listings reports, 255 data, 201
lists, 9 overview of rule evaluation, 147
log off the software, 65 overview of tests, 121
lot expiration notifications, 120 overview of Unity™ Interlaboratory
lots, 111 reports, 261
overview of UnityWeb™ charts, 223
overview of UnityWeb™ reports, 241
S
save and print charts, 228
save and print reports, 242
save reports, 242
scroll bars and scroll arrows, 10
select a QC procedure, 53
select bar chart options, 236
select Levey-Jennings chart options,
231
T V
tabs, 8 view a Levey-Jennings chart, 170
test rules and settings, 129 view and print interlaboratory reports,
total allowable error (TEa) options, 265
326 view database information, 85
trademark notices, 359 view existing QC rules, 324
transmission, 85 view lab data and group statistics,
transmission overview, 257 325
try a new control, 54 view rules and settings, 170
types of lab numbers, 105 VITROS® slide generation numbers,
typographical styles and conventions, 138
4
W
U warranty information, 358
unavailable items, 11 welcome, 1
understand the navigation tree, 67 Westgard Advisor™ online overview,
UnityWeb™ tabs and functions, 68 323
update lab number information, 107 Westgard Advisor™ online report, 341
update tests, 132 what is quality control?, 13
update the license, 79 worldwide reports, 278
update the license via an XML file, 80
update the license via the Internet, 79 Y
update the VITROS® slide generation Youden chart, 238
number, 140
upgrade to UnityWeb™, 81
urinalysis report, 290
use a fixed mean and fixed SD with
SPC rules, 154
use a fixed mean and SD, 130
use the advanced option, 336
use the set date feature, 169
use the Westgard Advisor™ online
defaults, 338
use the Westgard Advisor™ online
wizard, 334
useful facts about fixed mean and
fixed SD, 154
useful statistics, 18
user permissions, 100