The challenge of this scenario is to keep the each analyzer of two pairs of analyzers adjusted in such a way that regardless of which analyzer a specimen is put onto the results from either will be identical.
This is not possible in the real world but the results from the same specimen analyzed on the two analysers must be within acceptable analytical and clinical limits. MEDLABSTATS has developed a piece of software - IDENTIKIT - which processes the paired results from two biochemistry analyzers and assesses them against predetermined acceptable limits of difference. The results are presented to the user as a 'traffic light' colour coded table viewable in a web browser ; see below.
The colour coding is such that when the results are different by a very acceptable difference of '1x' then the background is green.
When the results are different by a less acceptable difference of between '1x' and '2x' then the background is yellow.
When the results are different by an unacceptable difference of more than '2x' then the background is red.
This program can be adapted very easily to any paired instrumental systems, eg two blood gas machine - one in the main pathology lab and one in the casualty department, two haematology analyzers - one in the main lab and one in your branch lab etc. The only variables that would have to be tuned to your particular situation are the tolerance limits - the values of 1x for each analyte - that you feel are desirable and achievable for your particular laboratory operation.
IDENTIKIT is a application ideally suited to running over the internet where you have the two instruments in question located at two physically separate sites. Provided you have internat access at both sites each lab can submit their daily 'correlation' specimen data and get feedback in realtime as to how well they are agreeing today with the instrument in their other lab.
Please contact tom@medlabstats.com if you would like to have a demonstration relevant to your lab's requirements.
03/06/2002 | 137 138 | 4.2 4.3 | 107 106 | 24 25 | 3.1 3.2 | 66 67 | 5.8 5.7 | 146 144 | 26 27 | 36 37 | 518 521 | 55 55 | 65 64 | 35 34 | 92 92 | 26 28 | 38 38 | 3 4 | 3 4 | 0 0 | 2.30 2.31 | 1.16 1.10 | 0.77 0.79 | 323 329 | 4.73 4.72 | 2.99 2.99 | 15.2 16.7 |
04/06/2002 | 138 138 | 4.3 4.3 | 108 107 | 26 25 | 7.9 8.0 | 82 82 | 6.3 6.0 | 91 89 | 12 15 | 27 29 | 834 849 | 65 63 | 56 54 | 27 27 | 78 79 | 30 29 | 62 62 | 5 4 | 3 4 | 0 0 | 2.34 2.28 | 1.25 1.22 | 0.90 0.89 | 294 290 | 3.53 3.55 | 1.75 1.79 | 5.8 6.9 |
05/06/2002 | 136 138 | 4.2 4.2 | 107 106 | 23 23 | 7.2 7.5 | 116 114 | 6.4 6.2 | 139 130 | 8 7 | 30 32 | 461 470 | 56 53 | 61 60 | 31 30 | 122 117 | 38 39 | 50 53 | 2 4 | 3 4 | 0 0 | 2.37 2.38 | 1.18 1.13 | 0.71 0.71 | 318 321 | 4.49 4.53 | 2.31 2.31 | 7.5 9.4 |
06/06/2002 | 138 137 | 4.6 4.7 | 107 107 | 24 24 | 9.1 9.2 | 157 151 | 6.2 6.0 | 64 59 | 11 12 | 28 29 | 611 623 | 69 63 | 63 62 | 32 31 | 115 119 | 44 44 | 84 86 | 4 6 | 3 4 | 0 0 | 2.41 2.35 | 1.17 1.12 | 0.78 0.81 | 331 335 | 4.21 4.25 | 2.12 2.12 | 10.9 12.5 |
07/06/2002 | 135 135 | 4.3 4.3 | 100 99 | 26 25 | 8.9 9.1 | 96 95 | 6.8 6.6 | 351 357 | 30 31 | 58 59 | 774 786 | 58 59 | 61 59 | 34 34 | 84 85 | 38 38 | 129 130 | 7 8 | 6 7 | 0 0 | 2.40 2.38 | 1.16 1.11 | 0.89 0.90 | 338 337 | 4.78 4.64 | 1.69 1.71 | 8.5 9.6 |
11/06/2002 | 134 133 | 4.2 4.3 | 104 102 | 24 24 | 8.8 9.1 | 105 103 | 7.9 7.8 | 95 92 | 16 16 | 34 36 | 569 577 | 68 70 | 55 55 | 25 24 | 116 116 | 28 29 | 116 116 | 5 6 | 4 6 | 0 0 | 2.29 2.25 | 1.23 1.19 | 0.72 0.74 | 244 251 | 3.74 3.87 | 1.40 1.38 | 6.4 7.9 |
12/06/2002 | 134 134 | 4.1 4.1 | 103 102 | 25 25 | 5.1 5.4 | 77 76 | 6.1 5.9 | 56 56 | 4 4 | 41 44 | 495 486 | 61 59 | 57 57 | 27 27 | 120 120 | 36 38 | 61 61 | 10 11 | 7 8 | 2 1 | 2.16 2.16 | 0.85 0.82 | 0.79 0.82 | 243 246 | 3.86 3.95 | 1.52 1.51 | 9.2 10.5 |
13/06/2002 | 137 137 | 4.2 4.3 | 103 103 | 26 27 | 6.5 6.4 | 91 88 | 6.3 6.1 | 186 183 | 14 15 | 44 45 | 590 612 | 65 60 | 67 67 | 39 39 | 72 74 | 55 56 | 62 65 | 7 9 | 6 6 | 0 0 | 2.52 2.43 | 1.29 1.26 | 0.85 0.84 | 298 297 | 5.74 5.57 | 1.70 1.69 | 12.7 12.8 |
14/06/2002 | 136 136 | 3.9 3.9 | 106 105 | 24 23 | 5.5 5.8 | 76 76 | 6.7 6.5 | 66 63 | 9 10 | 19 21 | 497 489 | 62 60 | 61 60 | 29 28 | 68 68 | 19 18 | 26 28 | 3 3 | 2 4 | 0 0 | 2.30 2.28 | 1.11 1.08 | 0.79 0.77 | 284 286 | 3.58 3.62 | 1.53 1.53 | 5.9 7.1 |
17/06/2002 | 138 137 | 4.1 4.2 | 107 106 | 26 25 | 3.7 3.7 | 68 67 | 6.2 5.9 | 60 56 | 5 4 | 79 81 | 582 583 | 51 50 | 59 60 | 31 31 | 113 116 | 112 109 | 147 150 | 2 4 | 2 3 | 0 0 | 2.37 2.36 | 1.11 1.05 | 0.78 0.81 | 259 252 | 4.66 4.61 | 1.58 1.57 | 8.5 10.4 |
18/06/2002 | 137 137 | 4.3 4.4 | 107 103 | 26 26 | 10.1 10.3 | 163 159 | 7.7 7.4 | 59 64 | 8 6 | 18 19 | 585 595 | 70 67 | 58 57 | 29 28 | 82 82 | 16 15 | 42 42 | 3 5 | 3 4 | 0 0 | 2.39 2.37 | 1.19 1.17 | 0.80 0.82 | 426 422 | 5.84 5.75 | 2.52 2.50 | 7.4 9.0 |
19/06/2002 | 135 134 | 4.5 4.5 | 104 103 | 26 26 | 4.6 4.7 | 81 80 | 8.4 8.1 | 224 234 | 123 120 | 64 65 | 544 563 | 45 41 | 60 59 | 27 25 | 110 111 | 29 31 | 49 49 | 5 7 | 8 8 | 0 0 | 2.48 2.46 | 1.12 1.11 | 1.00 1.02 | 219 216 | 4.04 4.10 | 1.40 1.40 | 9.9 11.2 |
20/06/2002 | 136 134 | 4.6 4.6 | 104 104 | 24 23 | 8.6 8.6 | 114 112 | 6.6 6.4 | 116 113 | 11 11 | 46 47 | 586 627 | 52 47 | 60 60 | 32 31 | 100 102 | 60 58 | 74 75 | 7 7 | 7 8 | 0 0 | 2.44 2.45 | 1.32 1.30 | 0.85 0.87 | 374 372 | 4.69 4.57 | 1.94 1.93 | 7.2 8.7 |
21/06/2002 | 135 136 | 4.3 4.4 | 99 101 | 26 24 | 5.0 5.3 | 76 76 | 9.6 9.5 | 75 76 | 6 7 | 17 20 | 441 474 | 64 63 | 61 62 | 34 33 | 77 80 | 17 20 | 45 47 | 7 8 | 7 8 | 0 0 | 2.38 2.47 | 1.25 1.25 | 0.79 0.80 | 315 320 | 5.01 5.11 | 2.94 2.97 | 14.0 15.0 |
24/06/2002 | 135 136 | 4.3 4.4 | 103 103 | 27 25 | 6.8 6.9 | 79 78 | 9.1 8.8 | 51 46 | 7 7 | 26 27 | 524 565 | 80 76 | 58 57 | 29 28 | 143 143 | 46 48 | 342 347 | 2 3 | 3 4 | 0 0 | 2.29 2.30 | 1.30 1.20 | 0.78 0.80 | 274 275 | 3.89 3.92 | 1.81 1.78 | 7.1 8.3 |
25/06/2002 | 135 134 | 4.2 4.3 | 101 101 | 28 27 | 7.5 7.6 | 179 174 | 5.6 5.4 | 45 41 | 7 8 | 28 30 | 431 441 | 50 51 | 62 62 | 33 32 | 126 128 | 34 39 | 95 98 | 3 6 | 3 3 | 0 0 | 2.44 2.41 | 1.43 1.45 | 0.84 0.84 | 314 311 | 4.38 4.40 | 1.77 1.81 | 20.9 21.6 |
26/06/2002 | 135 136 | 4.2 4.3 | 102 103 | 25 24 | 6.2 6.2 | 113 108 | 7.0 6.8 | 203 197 | 9 12 | 21 22 | 549 551 | 65 62 | 62 61 | 34 33 | 73 73 | 25 24 | 33 35 | 4 6 | 4 5 | 0 0 | 2.43 2.42 | 1.13 1.13 | 0.80 0.82 | 322 321 | 4.14 4.13 | 2.09 2.10 | 6.5 8.1 |
27/06/2002 | 138 138 | 4.9 5.0 | 107 106 | 26 25 | 9.5 9.4 | 120 118 | 6.8 6.6 | 269 264 | 10 10 | 36 37 | 665 665 | 90 90 | 67 65 | 37 36 | 96 97 | 62 59 | 69 72 | 3 6 | 2 3 | 0 0 | 2.48 2.51 | 1.14 1.13 | 0.94 0.90 | 325 320 | 5.28 5.23 | 2.48 2.49 | 10.7 12.0 |
28/06/2002 | 141 138 | 4.5 4.5 | 109 108 | 23 24 | 13.5 13.6 | 180 175 | 5.9 5.7 | 239 240 | 9 12 | 30 30 | 547 555 | 104 96 | 65 65 | 37 35 | 75 76 | 22 28 | 61 63 | 5 6 | 4 5 | 0 0 | 2.43 2.38 | 1.20 1.17 | 0.94 0.93 | 419 410 | 3.94 3.89 | 1.38 1.38 | 12.4 12.7 |