System and method for automatic quality control of clinical diagnostic processes
A system and method to automatically implement quality control of a clinical diagnostic process are disclosed. Upon generation of an internal error flag, a confirmation rule automatically checks a questionable patient statistic alert by testing a quality control specimen, applying event-related quality control rules to the results of that test, and provides an alert to the operator only upon a confirmed patient signal. The automatic quality control process thus eliminates the uncertainty of operator reaction to an alert signal and implements the quality control run automatically, without operator intervention.
1. A computer-implemented method of providing automatic quality control of a clinical diagnostic process, comprising:
acquiring test data from one or more laboratory instruments;
analyzing said test data by applying a patient monitoring rule to said test data;
generating an internal alert signal when said test data exceeds a predetermined error threshold as calculated by said patient monitoring rule;
applying a confirmation rule to said test data in response to said internal alert signal; and
generating an operator alert signal if said confirmation rule confirms said internal alert signal as valid.
2. The method of claim 1 , wherein said applying a confirmation rule comprises:
identifying a laboratory instrument that produced a result exceeding said error threshold;
instructing said identified laboratory instrument to test a quality control specimen and to generate test results; and
applying event-related quality control rules to said generated test results.
3. The method of claim 1 , further comprising the step of:
waiting for said generated test results.
4. The method of claim 1 , wherein said test data comprises patient data.
5. The method of claim 1 , wherein said patient monitoring rule comprises a Biometric Quality Control process, an EWMA rule, a CUSUM rule, or combinations thereof.
6. A computer-implemented method of providing automatic quality control of a clinical diagnostic process, comprising:
acquiring patient data from one or more laboratory diagnostic instruments;
applying a Biometric Quality Control process to said patient data;
generating an internal alert signal when said patient data exceeds an error level as determined by said Biometric Quality Control process; and
confirming a validity of said internal alert signal by automatically performing a quality control check.
7. The method of claim 6 , wherein said automatically performing a quality control check comprises:
identifying a laboratory instrument that produced a result exceeding said error level;
initiating testing of a quality control specimen on said identified laboratory instrument;
waiting for results from said testing of a quality control specimen;
applying event-related quality control rules to said results to determine whether said instrument is operating within an expected tolerance; and
generating an operator alert signal if said instrument is not operating with said expected tolerance.
8. A computer-implemented method of providing automatic quality control of a clinical diagnostic process, comprising:
acquiring patient data from one or more laboratory clinical diagnostic instruments;
analyzing said patient data by applying a patient monitoring rule to said patient data;
automatically performing a test of a quality control specimen when said patient data exceeds a predetermined error level.
9. The method of claim 8 , further comprising:
generating an operator alert signal if said test of a quality control specimen indicates an out of tolerance condition.
10. The method of claim 8 , wherein said patient monitoring rule comprises a Biometric Quality Control process.
11. The method of claim 8 , wherein said automatically performing a test of a quality control specimen comprises:
identifying a laboratory clinical diagnostic instrument that produced a result exceeding said error level; and
performing an evaluation of a quality control specimen on said identified laboratory clinical diagnostic instrument.
12. A system for providing automatic quality control of a clinical diagnostic process, comprising:
one more laboratory instruments operable to acquire test data;
a computer system operable to communicate with and receive test data from said laboratory instruments, said computer system having a processor operable to:
apply a patient monitoring rule to said test data;
generate an internal alert signal when said test data exceeds a predetermined error threshold as calculated by said patient monitoring rule;
apply a confirmation rule to said test data in response to said internal alert signal; and
generate an external operator alert signal if said confirmation rule confirms said internal alert signal as valid.
13. The system of claim 12 , wherein said applying a confirmation rule comprises:
identifying a specific laboratory instrument that produced a result exceeding said error threshold;
instructing said identified laboratory instrument to test a quality control specimen and to generate test results; and
applying event-related quality control rules to said generated test results.
14. The system of claim 12 , wherein said patient monitoring rule comprises a Biometric Quality Control process, an EWMA rule, a CUSUM rule, or combinations thereof.
15. The system of claim 12 , wherein said external operator alert signal comprises a visible light, an audible sound, text on a display screen, an image on a display screen, or combinations thereof.
16. A system for providing automatic quality control of a clinical diagnostic process, comprising:
a computer system operable to communicate with and receive test data from one or more laboratory instruments, said computer system having a processor operable to:
apply a monitoring rule to said test data;
automatically instruct a laboratory instrument to perform a test of a quality control specimen when said data exceeds a predetermined error level.
17. The system of claim 16 , wherein said processor is further operable to:
generate an operator alert signal if said automatic test of a quality control specimen indicates an out of tolerance condition.
18. The system of claim 16 , wherein said processor is further operable to:
apply event-related quality control rules to results of said test of a quality control specimen.
19. The system of claim 16 , wherein said monitoring rule comprises a Biometric Quality Control process.
20. A computer-implemented method of providing automatic quality control of a clinical diagnostic process, comprising:
acquiring test data from one or more laboratory instruments;
analyzing said test data by applying a quality control rule to said test data;
generating an internal alert signal when said test data exceeds a predetermined error threshold as calculated by said quality control rule;
applying a confirmation rule to said test data in response to said internal alert signal; and
generating an operator alert signal if said confirmation rule confirms said internal alert signal as valid.
21. The method of claim 20 , wherein said applying a confirmation rule comprises:
identifying a laboratory instrument that produced a result exceeding said error threshold;
instructing said identified laboratory instrument to test a quality control specimen and to generate test results; and
applying event-related quality control rules to said generated test results.
22. The method of claim 20 , further comprising the step of:
waiting for said generated test results.
23. A computer-implemented method of providing automatic quality control of a clinical diagnostic process, comprising:
acquiring test data from one or more laboratory instruments;
analyzing said test data by applying a diagnostic rule to said test data;
generating an internal alert signal when said test data exceeds a predetermined error threshold as calculated by said diagnostic rule;
applying a confirmation rule to said test data in response to said internal alert signal; and
generating an operator alert signal if said confirmation rule confirms said internal alert signal as valid.
24. The method of claim 23 , wherein said applying a confirmation rule comprises:
identifying a laboratory instrument that produced a result exceeding said error threshold;
instructing said identified laboratory instrument to test a quality control specimen and to generate test results; and
applying event-related quality control rules to said generated test results.
25. The method of claim 23 , further comprising the step of:
waiting for said generated test results.