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Module 6 Lab Exercise I:

Quality Control and Construction


of
Levey-Jennings Charts
Levey-Jennings Activity
Objectives
At the completion of this activity, you will be able to:
1.Perform statistical analysis on analyte values from the previous
month’s control values, both normal and abnormal levels, to determine
Mean, SD, %CV.

2.Draw a Levey-Jennings chart, label the x and y axis correctly, and


properly label the LJ chart for documentation and filing.

3.Plot current month’s values daily and evaluate LJ chart for Westgard
single rule violations, trends, shifts.

4.Discuss the necessity of Quality Control Result documentation and


how they assess precision and accuracy.
Quality Control Exercise #1
• Quality control sample measurement is used
to test the analytical phase of patient
testing.
• This first exercise provides quality control
sample results to calculate statistics and
establish a Levey-Jennings chart.
Last Month’s QC Values (Glucose
mg/dL)
For Establishing the QC Ranges
Day 68 Day 80 Day 68
8 15 1. Calculate the Mean:
1
__________
Day 82 Day 75 Day 75
2 9 16 2. Calculate Std Dev:
Day 79 Day 68 Day 70 __________
3 10 17
3. Calculate %CV:
Day 69 Day 77 Day 78
4 11 18
__________
Day 70 Day 82 Day 73 4. Determine
5 12 19
+ 3 SD Range:
Day 79 Day 74 Day 75
6 13 20 ____________
Day 80 Day 72 5. Construct graph & plot
7 14 all points
Instrument: _________________ Test: ____________________ Units: ________

Method: ____________________ Month/Year: ______________ Tech: ________

Control: ____________________ Lot #: ____________________ Exp: _________

Control Mean: _______________ 1 Std Dev: ________________ -+3 SD Range:


___________

+ 3s

+2s

+1s

Mean

-1s

-2s

-3s

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Days
Now Plot the following QC
Values (Glucose mg/dL)
Day 75 Day 80 Day 68
1 8 15
Day 73 Day 75 Day 75
2 9 16
Day 78 Day 77 Day 70
3 10 17
Day 69 Day 68 Day 79
4 11 18
Day 70 Day 82 Day 82
5 12 19
Day 79 Day 74 Day 68
6 13 20
Day 80 Day 72
7 14
This is what the LJ Chart should
look like including plotted data
Exercise #2
Evaluate the following QC chart by
identifying out of control data,
outliers, shifts, and trends
Key QC Lecture Activity #2

• 3 circled areas and 2 pointers note analytical problems shown by patterns


of QC results. What are they?

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