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35 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)

When recovery is used?

If a bias is found between the test method and reference method, it is used to understand why.

If a ____ is ____ between the ____ ______ and ____ _____, it is ___ to _____ ____.

When recovery is used?



If a bias is ______ between the test _____ and reference ____, it is _____ to understand why?

_____ bias is found _____ the ______ method and _____ method, it is used to ______ why.

If a


between


test


reference


understand

When recovery is used?



If a ____ is found between the ____ method and _____ method, it is used to understand ___.

If a bias is ____ between the test _____ and reference _______, it is ____ to ______ why?

found


method


method


used


understand

When recovery is used?



If a _____ is _____ between the ___________ and _______, it is ___ to ___________.

_____ bias ___ found _______ test method ____ reference method, _____ used ___ understand why.

If a


is


between


and


it is


to

When recovery is used?

If a bias is found between test method and reference method, it is used to understand why.



What is the ideal recovery?

100%

What is the ideal recovery?

100%



When recovery is used?

If a bias is found between test method and reference method, it is used to understand why.

WHAT IS IDEAL RECOVERY?

100%


What is the usual cause for lower recovery?

Another substance


- reacts with the analyte


- competes with reagent

What is the usual cause for lower recovery?

Another substance


- reacts with the analyte


- competes with reagent

What is the usual cause for lower recovery?


________ substance


- _______ with the analyte


- ________ with reagent

Another ___________


- reacts with _____


- competes with _______

substance


analyte


reagent

What is the usual cause for lower recovery?


________________


- _______ with the _______


- _________ with ______

Another substance


reacts _________ analyte


competes ______ reagent

with the


with

What is the usual cause for lower recovery?

Another substance


- reacts with the analyte


- competes with reagent



Purpose of recovery experiment

Estimate proportional systematic error

Purpose of recovery experiment

Estimate proportional systematic error

Purpose of recovery experiment



Estimate ______ systematic _____

________ proportional _______ error

Estimate


systematic

Purpose of recovery experimetn

Estimte proportinal systematic error



Notes

Recall use of slope in MCS


Linear regression analysis

Notes


Factors to consider in recovery exp.

1. Volume of stock standard added


2. Pipetting accuracy


3. Conc. of analyte added


4. Conc. of standard solution


5. Number of replicates


6. Number of samples to test


7. Comparative method verification

Factors to consider in recovery exp.



1. __________ (notes)


2. Pipetting accuracy


3. Conc. of analyte added


4. Conc. of standard solution


5. Number of replicates


6. Number of samples to test


7. Comparative method verification

Volumen of stock standard added



Keep volume of added analyte (water) low to minimize over dilution of oroginal sample


Maintain original matrix


Recommended: over 10% dilution


Ex. 100 ul (0.1 ml) std solution to 900 ul sample

Factors to consider in recovery exp.



1. Volume of stock standard added


2. ___________ (notes)


3. Conc. of analyte added


4. Conc. of standard solution


5. Number of replicates


6. Number of samples to test


7. Comparative method verification

Pipetting acccuracy



Since we are calculating conc recovery from a specific starting amount, accuracy is critical


Use high quality pipettes

Factors to consider in recovery exp.



1. Volume of stock standard added


2. Pipetting accuracy


3. ____________


4. Conc. of standard solution


5. Number of replicates


6. Number of samples to test


7. Comparative method verification

Conc of analyte added



Good rule of thumb is to add enough analyte to next clinical decision level

Factors to consider in recovery exp.



1. Volume of stock standard added


2. Pipetting accuracy


3. Conc. of analyte added


4. _____________________ (notes)


5. Number of replicates


6. Number of samples to test


7. Comparative method verification

Conc of standard solution



Since we want to add at most 10%, make standard 10 times more concentration

Factors to consider in recovery exp.



1. Volume of stock standard added


2. Pipetting accuracy


3. Conc. of analyte added


4. Conc. of standard solution


5. _____________(notes)


6. Number of samples to test


7. Comparative method verification

Number of replicates



Duplicate measurements to account for any random error



If low conc. of std added for an analyte, increase to triplicate or quadruplicate measurements

Factors to consider in recovery exp.



1. Volume of stock standard added


2. Pipetting accuracy


3. Conc. of analyte added


4. Conc. of standard solution


5. Number of replicates


6. __________(notes)


7. Comparative method verification

Numebr of samples to test



Depends on what interferences might affect full recovery of analyte

Factors to consider in recovery exp.



1. Volume of stock standard added


2. Pipetting accuracy


3. Conc. of analyte added


4. Conc. of standard solution


5. Number of replicates


6. Number of samples to test


7. ____________

comparative method verification



Is the recovery problem in the new test instrumetn or both instruments used in MCS

Calculation of %recovery

% recovered=


((measured in spike sample)-(measured in baseline))


/


Conc. added



x 100



Notes

See slide 12 of lecture 7 for ex.

Calcultion of % recovery


% recovered=


((_______in spike sample)-(______ in baseline))


/


Conc. _________



x _____



Calcultion of % recovery


% _________=


((measured in _______ sample)-(measured in ________))


/


______. added



x 100


recovered


spike


conc


100

Calcultion of % recovery


% recovered=


((measured in _________)-(measured in ________))


/


________. added



x _______


Calcultion of % recovery


% recovered=


((_______ in spike sample)-(_________ in baseline))


/


Conc. ________



x 100


measured


measured


added


Calcultion of % recovery


% ________=


((________ in ________)-(_______ in ________))


/


__________



x _____


Calcultion ___ % recovery


% recovered=


((measured __ spike sample)__(measured ____ baseline))


__


Conc. added



x 100


of


in


-


of


/

Calculation of % recovery

Calcultion of % recovery


% recovered=


((measured in spike sample)-(measured in baseline))


/


Conc. added



x 100

How to setup a recovery exp?

1. Prepare samples


2. Add A (analyte) to one tube, the other is control


3. Measured A in both tubes


4. Calculte % recovery

How to setup a recovery exp?



1. Prepare _________


2. Add A (________) to ____ tube, the other is ________


3. Measured __ in both _____


4. Calculte %_________

How to setup a recovery exp?



1. _________ samples


2. _______(analyte) to one _______, the _________ is control


3. _______ A in _____ tubes


4. __________ recovery

parepare


add a


tube


other



measured


both


Calculate %

How to setup a recovery exp?

1. Prepare samples


2. Add A (analyte) to one tube, the other is control


3. Measured A in both tubes


4. Calculte % recovery



Notes

See slide 17

Review


Purpose of recovery experiment

Estimte proportinal systematic error



How to find this proportional error?

100%-%recovery

How to find proportional error based on recovery?

100%-recovery

Consider the CLIA limit for calcium is +/- 1 mg.dl



At the upper level of 10 mg/dl, it has 10% TEa



Assuming no CE and very little RE, what is the performance of this test?

It just met the CLIA requirement

Review



Type of error identified by interferecne

Constant systematic error

Review



Type of error identified by recovery

Proportional systematic error