qcl training seminar, tanzania | 5-7 dec 07 1 |1 | proficiency tests john h mcb miller laboratory...

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QCL Training Seminar, Tanzania | 5-7 Dec 07 1 | Proficiency Tests John H McB Miller Laboratory Department (DLab) European Department for the Quality of Medicines Council of Europe Strasbourg, France

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QCL Training Seminar, Tanzania | 5-7 Dec 071 |

Proficiency Tests

John H McB Miller

Laboratory Department (DLab)

European Department for the Quality of Medicines

Council of Europe

Strasbourg, France

QCL Training Seminar, Tanzania | 5-7 Dec 072 |

Interlaboratory StudiesInterlaboratory Studies

Interlaboratory Testing

• Proficiency testing

• Collaborative study

• Certification study

• Co-operative study

Description

• Continuing assessment of technical competence

• Validation of a specific method

• Establishing the best estimate of the time value of an analyte in a reference material

• Laboratory assessment of samples and methods (eg educational studies)

QCL Training Seminar, Tanzania | 5-7 Dec 073 |

Proficiency testing by interlaboratory comparisons

To determine the competence of individual laboratories to perform specific tests or measurements

To monitor the performance of laboratories overtime

QCL Training Seminar, Tanzania | 5-7 Dec 074 |

ISO Guide 43-1

Interlaboratory comparisons may be used to:

a) determine the performance of individual labs for specific tests or measurements and to monitor labs’ continuing performance;

b) identify problems in labs & initiate remedial actions which may be related to, for example, individual staff performance or calibration of instrumentation;

QCL Training Seminar, Tanzania | 5-7 Dec 075 |

ISO Guide 43-1

c) establish the effectiveness & compatibility of new test or measurement methods & similarly to monitor established methods

d) provide additional confidence to lab clients;

e) identify interlaboratory differences;

QCL Training Seminar, Tanzania | 5-7 Dec 076 |

ISO Guide 43-1

Interlaboratory comparisons are conducted for a number of purposes and may be used by participating laboratories and other parties eg establishment of a reference material

QCL Training Seminar, Tanzania | 5-7 Dec 077 |

ISO Guide 43-2

6. Use of results by laboratory accreditation bodies

6.1 The results from proficiency testing schemes are useful for both participating laboratories & accreditation bodies. There are, however, limitations ............. that proficiency testing alone should not be used by laboratory accreditation bodies in their accreditation processes.

QCL Training Seminar, Tanzania | 5-7 Dec 078 |

6.2 If a laboratory submits a result(s) which fall outside acceptance criteria for a specific scheme, a laboratory accreditation body should have procedures for acting on such results

6.3 Such procedures should include early reporting to the laboratory of its results with an invitation for the laboratory to investigate and comment on its performance.

ISO Guide 43-2

QCL Training Seminar, Tanzania | 5-7 Dec 079 |

Quality Manual

Laboratories should have a section in their Quality Manuals:

- covering participation in proficiency testing

- how the results are used to demonstrate the competence of the laboratory

- procedures to be followed when unsatisfactory performance is reported

- records of participation in PT scheme

- corrective action reports

QCL Training Seminar, Tanzania | 5-7 Dec 0710 |

Z-score = c tSD

c = calculated reported value t = true value SD = target

RSZ = Zm

m = number of tests

RSSZ = Z2m

PT Scoring System

QCL Training Seminar, Tanzania | 5-7 Dec 0711 |

Assigned Value,

The assigned value ( ) may be the “true” or the consensus value.

True value may be a theoretical value or known value from “spiking’ of known quantity of a known quantity of analyte to a sample.

Consensus value based on the results of the participants. The consensus value is determined by the application of robust statistics (eg median value, mean interquartile range, Huber’s robust mean), to avoid the influence of “outliers” in the overall mean.

x

x

QCL Training Seminar, Tanzania | 5-7 Dec 0712 |

Target standard deviation (TSD)

This is set based on experience, reported or expected precision of the techniques used and according to fitness-for-purpose.

The TSD must be realistic.

The TSD should be consistently applied from round to round for the same technique/procedure in a PT scheme so that performance can be assessed over time.

QCL Training Seminar, Tanzania | 5-7 Dec 0713 |

Ranking

Z-score ≼ 2 satisfactory

≽ 2≼ 3 questionable> 3 unsatisfactory

QCL Training Seminar, Tanzania | 5-7 Dec 0714 |

Outliers are indicated using three test statistics:

Cochran’s test for outlying variances, Grubbs’ single test for outlying means and Grubbs’ paired test for outlying means, to be applied in this order. If a laboratory is excluded, the cycle is repeated from Cochran’s test until no outliers remain.

QCL Training Seminar, Tanzania | 5-7 Dec 0715 |

CochranÕs test for outlying variances is applied as follows: Calculate for each

laboratory the within laboratory variance 2ö and then 2

2

ö

ömax

. This value is compared

with the tabled critical values for the number of individual determinations r. If it exceeds the critical value, the laboratory with the maximum variance is removed and the cycle is continued with CochranÕs test.

QCL Training Seminar, Tanzania | 5-7 Dec 0716 |

Grubbs’ single test for outlying means is applied as follows: Calculate the between laboratory standard deviation of the mean values. Calculate the standard deviations L and H excluding the lowest and the highest mean value respectively

and let * be the smallest of these two values. Calculate

ˆ

ˆ1

*

and compare it with the tabled critical values. If it exceeds the critical value, the corresponding laboratory is excluded and the cycle continued with Cochran’s test

QCL Training Seminar, Tanzania | 5-7 Dec 0717 |

GrubbsÕ paired test for outlying means is applied as follows: Calculate the between laboratory standard deviation ö of the mean values. Calculate the standard deviations L2ö , H2ö and LHö excluding the two lowest, the two highest, and the

highest and the lowest mean value respectively and let *ö be the smallest of these

three values. Calculate

ö

ö1

*

and compare it with the tabled critical values. If it

exceeds the critical value, the corresponding laboratories are excluded and the cycle continued with CochranÕs test.

QCL Training Seminar, Tanzania | 5-7 Dec 0718 |

Robust Statistics

Huber’s mean for calculation of the « consensus » value is preferred to using elimination of results by tests for outliers

QCL Training Seminar, Tanzania | 5-7 Dec 0719 |

Scoring over time

RSD - Used for detecting consistent bias

RSSZ - Magnitude of deviations.

Cancellation of significant Z-scores if opposite sign is limited

QCL Training Seminar, Tanzania | 5-7 Dec 0720 |

The rescaled sum of squared z-scores RSSZ is calculated as m

z 2

=RSSZ where m

is the number of squared z-scores added (one for each sample). Critical values of RSSZ depend on m according to the table:

QCL Training Seminar, Tanzania | 5-7 Dec 0721 |

m ‘Doubtful’ ‘Unacceptable’ 2 3 4 5 6

> 3.00 > 2.60 > 2.37 > 2.21 > 2.10

> 4.61 > 3.78 > 3.32 > 3.02 > 2.80

QCL Training Seminar, Tanzania | 5-7 Dec 0722 |

Proficiency Testing

Corrective actions:

- PT schemes can be either mandatory or voluntary

- Voluntary schemes: PT records examined by external auditors during ISO 17025 assessment

- Mandatory schemes: Corrective action reports must be set within a defined time limit to the organisers for assessment and approval (or not). Failure to do so will result in a sanction

QCL Training Seminar, Tanzania | 5-7 Dec 0723 |

OMCL NetworkProficiency Testing Scheme

Initially open to OMCls of the European Union & other OMCLs associated with the European Pharmacopoeia (member & observer states)

Now open to any lab. on a fee paying basis

minimum of 4 tests/year

voluntary scheme

QCL Training Seminar, Tanzania | 5-7 Dec 0724 |

WHO External Quality Assurance Assessment Scheme (EQAAS)

Started in 2001 for selected regional medicines control laboratories

Phase 4 began in 2007

QCL Training Seminar, Tanzania | 5-7 Dec 0725 |

PTS 20Atomic Absorption Spectrophotometry

Incorrect programming of instrument resulting in insufficient significant figures

Calibration 1 significant figure 1200 ppm K

3 significant figure 1290 ppm K

11/28 questionnaire/unsatisfactory results

QCL Training Seminar, Tanzania | 5-7 Dec 0726 |

PTS 025Titration of the conjugate acid of organic bases

* Corrected for water content (not required)A lab. reported a difference of 2% in results between potentiometric & visual end-point. However, incorrect standardisation procedure was employed

* Deterioration in response of the electrode

23/46 questionnaire/unsatisfactory results

QCL Training Seminar, Tanzania | 5-7 Dec 0727 |

Liquid Chromatography Assay of Indapamide

98.33}98.64} Mean = 98.7 RSD = 0.4098.11}

True value:- 99.75 z-score: 2.13

Repeatability of ref. sol. (n=6) :- 0.57

QCL Training Seminar, Tanzania | 5-7 Dec 0728 |

Liquid Chromatography Assay of Indapamide

Mg Area Corrected

Area

Mean ²% Content

1 2

Ref.

Sol.

20.28 1698

1691

1675

1668

1672

1.8

- -

20.32 1669

1668

1643

1642

1643 - -

Test

Sol.

20.79

20.97

20.56

1696

1701

1716

1721

1690

1696

1632

1636

1637

1641

1644

1649

1634

1639

1647

< 1.0

98.33

98.65

99.11

99.1

99.46

99.94

QCL Training Seminar, Tanzania | 5-7 Dec 0729 |

Phase 4 : Procedure 1 - Table 1

Raw data & scoring of participating laboratoriesSemi-micro determination of water

QCL Training Seminar, Tanzania | 5-7 Dec 0730 |

QCL Training Seminar, Tanzania | 5-7 Dec 0731 |

EQAS on water content by Karl FischerNumber & percentage of participating laboratories having shown satisfactory

performance (z-score < 2)

Water content Phase 1 (2001)

Phase 3 (2005)

Phase 4 (2007)

No of Participants 7 33 35

No of labs with satisfactory results

4 19 23

% of labs with satisfactory results

57% 58% 66%

QCL Training Seminar, Tanzania | 5-7 Dec 0732 |

EQAAS

Comments:

- From the 3 participants who failed on the first exercise, 2 of them did not participate in the subsequent studies. Concerning the 3rd one their results slightly improve Phase 3 and were satisfactory in Phase 4.

- From the 14 participants who failed in the second exercise, 8 of them reported satisfactory results on the 3rd one (3 did not participate and 3 didn’t show any improvement)

- There doesn’t seem to be an improvement in the general trend. The overall performance of laboratories using this technique is not very satisfactory and could be improved. However, it has to be pointed out that the determination of water by Karl-Fischer is problematic even for experienced laboratories as we can see from the results reported by the laboratories (including OMCLs) participating in our regular PTS programme.

QCL Training Seminar, Tanzania | 5-7 Dec 0733 |

References

International Organization for S tandardization, ISO/IEC Guide 43-1: 1997, Proficiency testing by interlaboratory comparisons Ń Part 1: Development and operation of proficiency testing schemes.

International Organization for S tandardization, ISO/IEC Guide 43-2: 1997, Proficiency testing by interlaboratory comparisons Ń Part 2: Selection and us e of proficiency testing schemes by laboratory accreditation bodies.

International Organization for Standardization, ISO 5725-2-1994: Statistical methods.

Association of O fficial Analytical Chemists, Guidelines fo r Collaborative Study Procedure to Validate Ch aracteristics of a Method of Analysis, AOAC Arlington, (1990).

The Royal Society of Chemistry, Proficiency Testing in Analytical Chemistry, Teddington, (1997).

International Organisation of Standardisation ISO/IEC Standard ISO13528 : 2005, Statistical Methods for use i n Proficiency Testing by Interlaboratory Comparisons.