The purpose of External Quality Assessment is to compare performance of individual laboratories or test centres with their peers. EQA is a retrospective form of quality control - participants do not know the target range or expected results for their test, unlike internal quality control.
Target values
Performance for the FVIII Inhibitor programme is based on the use of the assay result (B.U.) and interpretation.
Performance analysis for the FVIII inhibitor assay result
FVIII inhibitor assay results (in B.U.) from all participants are combined to determine the z score.
Performance analysis for the FVIII inhibitor assay interpretation
Participants are asked to make an interpretation of their assay result – either ‘inhibitor detected’ or ‘no inhibitor present’.
Performance is determined by comparison of individual laboratory results with the target value for each test. UK NEQAS BC uses median values determined from
participants' results to determine the consensus or "target" values against which individual laboratory performance can be assessed. Use of the median avoids the effect of outlying results and the
need to remove any outlying data from the analysis.
Terminology
Results are assessed using statistical measures comparing individual results with peer group or overall consensus values. Therefore, a result falling outside the
statistically defined terms is not necessarily a "poor" or "unsatisfactory" result. We deliberately employ the term "outwith consensus" to indicate a result that falls outside the statistically
determined limits we have applied.
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