ANALYSIS OF SHORT-TERM VARIATION AND LONG-TERM DRIFT DURING REAGENT KIT LOT CHANGE IN AN NABL ACCREDITED CLINICAL BIOCHEMISTRY LABORATORY

  • Sibin Madathan Kandi Department of Biochemistry, Armed Forces Medical College, Pune, Maharashtra – 411040, India
Keywords: reagent lot change, quality control, clinical chemistry, long term drift, short term variation, NABL

Abstract


Background: Kit lot change in clinical biochemistry labs
leads to variations in patient results. This study planned to
identify variations during 60 reagent lot changes in our laboratory during the period from June 2018 to May 2019.
Methods: A statistical analysis was performed to identify
the difference between patient samples results variations
and QC results. The long term drift was analyzed using a
regression test.
Results: There was a significant difference between the
patient and QC results in 16.7% of reagent lot changes.
Moreover, the extent of variation in QC results was 3.3%.
No long-term drift was seen in three analytes which were
studied using regression analysis.
Conclusions: Our results showed that, during reagent kit lot
change, along with QC material, the patient samples
should also be run in order to identify the variation.
However, this practice is presently ignored by most of the
laboratories. There was no accumulated effect in our laboratory due to reagent kit lot change.

Published
2020/03/08
Section
Professional paper