PEPconnect

PEPFAR Quality Control and Method Validation Activity 5: Part 2

In this activity, participants learn how to correctly create an L-J chart, how to visually assess it, and how to avoid pitfalls commonly encountered with its set-up.

Note: Any reference to page numbers in the video may not correlate with supporting documents as documents may have been updated.

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What will you needo? What you do? What Will you 110d? Goals I) The of r-evtew Goals Laborator q) The of pevioåc revtew precision has occurred. precision has occurred, q) The periodic review Goals precision Purpose Laborator Laborator *rends numerical values on numerical values c numerical values Quality Quality The of review +rend3 *rends Laborator Type number Of QC ±es+ed nun q) The of review q) The 09 pentcdtc review q) The of review for The Fre review Quality + rends +cends Results The aency periodic review q) The of periodic review The periodic revtew q) The Free defec+inj and s defec detec+jnj Laboratory Go The pevtodtc revaew +cends Resuits Quality detechnj and Results Results suits •esuits Resuits esuits - suits Quality and Results suits esuits suits efec+inj and de defec+inj and an hen resul+s b) when resul+s Results and System q) The of review Results sults and +rends and Laboratory The of review and +cends and and sults Plot esuits and + rends 5)Scale and label the Yaxis from evaluaVe +rends The of penodtc revtew The of vevtew q) The of periodic review fids sults suits and and +cends esuits change in accuracy or I) Frequency of even+s exceed and used +rends suits sults Results Goals 5)Scale and label the Goals Goals suits Laborator I Frequency (A +e evenfs Results Results exceed • Answer the questio values +rend3 -resul+s Results Goals • Answer the questions Answer the questions Quality +cerv.ls Quality freed s Laborator La borat Laborator b) when resul+s 1)Label the chart b) The b) The achons when b) The achons when resul+s Laborator b) The achons +rerv]s Laborator b) The achons Goals Goals The of review q) The Fretuency review • Plot the missing poin Plot b) The Goals Laborator The achons when resul+s b) The QC used hen res.d+s when resul+s Goals q) The 09 periodic revtew hen resul+s +hen The achons +Q6en when precision has occurred, hen resql+s hen precision has occurred. and +cends +rends hen resul+ achons fa6en when Laborator +rervds achons ±a6en when achons when resul+s Chons when resul+s {aben when resul+s Type and number of hen cesul+s exceed number Type number Sampks tested Laboratory when Type and number of tested Where e when resul+s control values so that: en reed+s when resul+s Ken when resul+s when +hen en when resul+s when when Resuits n resul+s hen hen when resul+s n when resul+s Laborator sul+s n resul+s Yen when resul+s Laboratory when resul+s control Goals de suits What Will vou need0 Goal Plot the missing p Plot the missing pc sults Quality and Working in pairs, you will • Apply ail the Single Apply all the single Resuits Quality Results suits Apply all the single rules • Apply all the single rules Apply all the singif and *rends hen resal+s hen hen resul+s Results Results What you need? +rend3 Results esuits suits and sults What will you need? 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Resuits Worksheet I: L -J Chart 'l ua It Apply • worksheet I: 1--J Chart I worksheet I: Chart 'I Worksheet I: Chart 'l Apply all the single Results • worksheet 1: Chart • Worksheet L-J Chart "I Worksheet I: Chart I Worksheet L-J Chart Worksheet 3: L.-J Chart 3 Worksheet Worksheet 1--1 Chart I App analysis of the method's Precision What Will you need? What will you need? WIIat you need? Goals (Results Working within your group b) The when Controll WHERE we ARE Complete Worksheets 1, 2, and 3 (60 minutes) 2) the SD is the numerical value ap Accuracy Quality 2) the SD is the numerical exceed sults Control an Control exceed What you need? WHERE WE ual„ ua it ualit , it it 2) ua 1 ua exceed ua exceed exceed OCQep+061e ed b) The achons I hour into the activity, WE ARE ARE WHERE we ARE we ARE we ARE Laborator I hour into the activity, your g 'I hour into the activity, your g 'I hour into the activity, your p, •I hour into the activity, your g • I hour into the activity, your g WHERE WRE WHERE 1; ualit ua i hour irr Laboratory WHERE WHERE WE ARE Quality we -z WHERE ARE ua It ua es Worksheet Worksheet 2: Chart 2 Worksheet 1: Chart I Worksheet 1: 1--1 Chart 2l Controlu Working', within your group of Worksheet 2: 1--J Chart 2 ro • worksheet I: 1--J Chart jl Worksheet Il: L--J Chart 'I Quality ua it Working witl Wo lsheet L: L-J1 Chart I Worksheet L: L--J1 Chart 2 Working 'ali Control ua 1 WHERE WE IS WHERE we IDEC ro WHERE we RE wHERe we ARE we A Re C r ro WE ARE WHERE we ARE WHERE WE ARE we ARE WE ARE ua It we Control WHERE WHERE we ARE when cesql+s w Worksheet 1: Chart l. Worksheet I: 1--1 Chart l. current performance in ua 1 ua WHERE ro ' wr expect ro ' WHERE System Syste Results we ARE WHERE we Control WHERE WE ' WHERE ro BE wr WHERE WHERE ro BE yste Worksheet 2: L.-J Chart 2 we custed we ro wc ua It Qual ualit on trol assigned chart to revie assigned a chart to sults wr ro BE wr wr ro ro WC System System assigned a c.hart to review wit assigned a chart to review wit assigned 3)Scale the X-axis into evenly sized increments numbering sequentially ontrol exceed ua It Working within your group Working ua i Controll wr We WHERE WC we ARE we Re we WHERE Worksheet 3: l." Chart Control on trot WHERE ARE ton Worksheet 3: L--J Chart 3 Chart Worksheet 3: I.-J Chart 3 Worksheet 3: I_-J Chart • Worksheet I: Chart 3 Worksheet Ll: L--J Chart 2 Worksheet 3: I-a Chart 3 Worksheet 2: L.-J1 Chart 2I worksheet I: 1--J Chart 'l Worksheet 1: L--J Chart 1l Worksheet 3: Chart 3 Worksheet l1: L -J Chart I we Control 6) Write the numerical values 0b I hour into the activity, I hour ir I hour i i hour ir we Re On and an WHERE wHERe wt wHeRe wHERe Quality 1 hour into the activity, exceed yste 6) Write the numerical va Results WHERE Alerts us to changes in ua It Control we ARE atrol col We use L-J charts and we ARE we ARE worksheet 1: L -J Chart 2 • Worksheet 2: 1--1 Chart 2 we WHERE WE WHERE WHERE ARE WHERE ARE Worksheet 1: I.-J Chart 2 Worksheet 2: Chart 2 WHERE ARE we ARE m WE WHERE ARE WHERE we ARE WHERE WHERE we RE we A Re Re we exceed a. we Using flipchart and markers, IJsing flipchart and markers, c: Using flipchart and marls WHERE WE Using flipchart and markers, c: Using flipchart andl markers, c: Control_ ro we System,' WHERE WE ARE WE ARE WE "Re WE ARE we ARE WHERE Using flip order to determine if a System we we ro Worksheet Il: I.-J Chart I WHERE we ro assigned assigned a chart to revieM. WHERE assigned a chart to rev' assigned a chart to revi Syste SD next to the correct label on System pencils Pencils Pencils System Pencils TESTING pencils we Re Control YSte SD next to the correct yste System.,' we wHERe we WHERE WHERE w Re Control WHERE WE ARE Control Using WHERE a RC WHERE we Re Worksheet 3: Chart 3 Worksheet 3: L •J Chart 31 Worksheet 3: L-J Chart 3 Worksheet 2: Chart 2 Worksheet 2: L--J Chart 2. necessary charts and inf WHERE necessary charts and informat nece.ssarv charts and informat we IØPC method performance 4)Label the Y-axis Control Value numerical values on the Y-axis numerical values on the numerical values on the Y- IØPC I-z violations to detect ch PROFICIENCY WE ARE TESTING WHERE WE ARE we A Re WHERE w Re WE ARE WHERE wr WHERE we A Re WHERE WHERE WE we WC "Ste ce necessary WE RE yst WHERE WE ARE WHERE we we ARE WHERE we ARE WHERE we we ARE we -z Using flipchart and marke IJsing fliF Using flil Using flip accuracy and precision Using flipchart and mat change in accuracy or Using Flipchart WHERE Flipchart Flipchart PROFICIENCY 7)Draw lines for mean and SDS PROFICIENCY PROFI PR YSte CIENCY 7)Draw lines for mean an' 7)Draw lines for rnean ant we WHERE PATIENT Pencils Pencils pencils PATIENT PROFICIENCY Pencils PROFICIENCY we. PROFICIENCY WHERE we ARe we ARE Select a spokesperson Using flipchart and mnat Control we Select a WHERE Q)ßC I-z TESTING we ARE Using flip PATIENT we A Re accuracy and precisior necessary charts and infol necessary charts and ir SAMPLE TESTING PROFICIENCY necessary TEST Markers PATIENT TESTING QUALITY PATIENT TESTING (R (QC) CPT) Markers Markers TESTING (PT) QUALITY QUALITY PROFICIENCY TING (PT) QUALITY QUALITY (PT) • Plot the missing points Plot the missing points Plot the missi precision has occurred. PROFIC PROFI 8)Begin plotting analyzed QC res QUALITY Q)PC I-z 8)Begin plotting analyzed 5)Scale and label the Y-axis from lowest to highest expected control Flipchart CONTROL 00 TESTING (PT) TESTING You will have 5 minutes to pro you will have 5 minutes to pro You will have 5 minutes to SAMPLE PATIENT NT SAMPLE You will SAMPLE Levey-Jennings Graph PATIENT PATIENT TEST Select a spokesperson SAMPLE Select a SAMPLE TESTING SAMPLE PATIENT SAMPLF PATIENT to a medically significc PROFICIENCY You will have 5 minutes CONTROL TESTING u_ TESTING (PT) 'ESTING (PT) . MPLE STING (PT) CONTR PATIENT CONTROL CONTROL yes CONTROL (PT) QUALITY PATIENT PROFICIENCY PATIE PATIENT PATIENT CONTROL PA QUALITY PROFICIENCY 201.0 203.0 SAMPLE oo SAMPLE we ARE Markers Messages SAMPLE QUALITY CONTROL SAMPLE ATIENT to the class to the class PATIENT PATIENT QUALITY QUALITY to the oo to the cla SAMPLE SAMPLE Markers (QC) TESTING (PT) PATIENT OLE TESTING (PT) TESTING SAMPLE SAMPLE yes TESTING (PT) You will have 5 minutes tc SAMPLE 202.5 (QC) You will have 5 manutes You will have 5 minutes You will (QC) TESTING (PT) PATIENT (QC) SAMPLE Answer the questions (QC) TEST TESTING CONTROL T) essayes PROFICIENCY ey essayes CONTROL PROFICIENCY essayes ayes es PROFICIENCY PATIENT ess es ess s ages es QUALITY PATIENT PATIENT CONTROL CONTROL (PT) System co co F SAMPLE PATIENT SAMPLE "AMPLE SAMPLE LE SAMPLE QUALITY PATIENT SAMPLE SAMPLE SAMPLE yes SAMPLE TESTING TESTING PATIENT to the class to the cl to the class to the c TESTING essayes TESTING (PT) TEST SAMPLE 201 s Son an SAMPLE (QC) CONTROL (QC) PATIENT an CONTROL PATIENT CONTROL an on SAMPLE ey essayes essayes rss ages QUALITY What will you needo? What will you need? Apply all the single rules we have learned What PATIENT TESTING (PT) SAMPLE yes SAMPLE 1) the mean is located at the center of your graph SAMPLE SAMPLE SAMPLE an oo an on an and (QC) The accuracy and an The acc (QC) 200.0 Od an essayes an eclSton an and and an escft b es escrt b es escfi b es escri b es esc"' b es -2 on an an Slon (QC) an and ey essayes son an an on an essayes CONTROL an SAMPLE and PATIENT SAMPLE (QC) . escribes The accuracy and a scribes b es escflbes escrt b es escri b es •on an yes ion an Analytical SAMPLE (QC) Working within your group of 5-6 participants Working within your group Of 5-6 escri b es descftb es escn b es descrl b es b es The accuracy system descn b es sys+em b es y*em descri b es ys+em descn b es fem descri b es descfl b es describ es b es The accuracy and an System The accuracy and on yes Analytical on an escri b es b es an describ es escribes ayes oo accuracy an Worksheet 1: L-J Chart 1 Worksheet 3: L--J1 Chart 3 Worksheet 1: L.-J Chart 1 Worksheet 3: L--J Chart 3 Worksheet 1: L--J Chart 1 y and an 2) the SD is the numerical value applied in an incremental fashion to eecnb es escrib es SAMPLE es -2 es yes on an and ion an en and an The TFe accuracy and on 1 TEa escri b es b es b es an TEa yes on ARE and and The accuracy we and we ARE ARE es -2 WHERE we ARE on an ic system descfil- es The accuracy and Q sys+em descrtb es Shi-em describes SP+em b es yes describ es WHERE Total Error Error and es 1 hour into the activity, your group will be 'I hour into the activity, your g WHERE we escrib es b es ands descrl b es b es escri b es es determine ±1 SD, ±2 SD, ±3 SD, ±4 SD numerical values Shi-em describes escft b e Worksheet 2: Chart 2 System descrtb e• yes and sys+em e and | 32 -H is 32 -H -H IS descet b e IS and We AR WHERE WE we sys+em describ e' -3 descetb e' b es 32 -H -3 descrtb e' -H IS the assigned a chart to review with the class assigned a chart to review wit and sys+em es and IS IS is the IS -3SD WHERE IS the IS the we IS IS IS IS and IS on and IS \ 32 -H -H WHERE WC ARE we ARE Worksheet 3: L-J Chart 3 6) Write the numerical values obtained for ±1 SD, ±2 SD, ±3 SD, ±4 SD and and an ARE -H -z and ands WHERE w Re sac: \ 32 -H -H IS L. We use L-J charts and rule 32 -H is -H is is is is ro+ IS IS es IS Using flipchart and markers, create the Using flipchart and markers, IS sacs IS es and is IS is yes IS is he is IS Analytical IS next to the correct label on the chart. is WHERE Pencils we when Re vs IS ) *hen +hen ) +hen ) +hen +hends IS hen violations to detect changes in when is then *hen +hen ) *hen Analytical +hen IS is ages es Analy+ical WHERE WHeRe Analyiical naly+ical Analytical IS we we yes Analyiical Flipchart IS change 7)Draw lines for mean and SDS Change Analytical. IS change hen . chanee analy+ical change fro fie analy+ical analyiicn\ Analytical naly+ica I fie Analytical _ analyiical naly+ical Analy+ical nalyiical nalyiical Analy+ical Anqly+ical to fie naly+ical ical nqly+ical ly+ical curved. +hen ) *hen hen IS cuffed. curvced. Select a spokesperson curvted. current cuffed. conved. curvced. canfed. naly+i curved. cutted. Analy+ical accuracy and precision to alert us *hen curced. has occuffed. has occutced. as occuvted. occutted. cuffed. as occuned. cutted cutted. occurced. catted Cutted. curtCed. sys+em has occuvted. has occutted. curved. cunted. cuffed. o. chary he analyiicai change to fie analytical change change DQIy+ica\ cuvv•ed Analytical change fie analy+ical Change anqly+ical Analyzer Markers 8)Begin plotting analyzed QC results. Anaiyiical cuvced. Analyiical change Analy+ica\ nalyiica I nalyiical naly+ica I Analy+ical catted mnaly+ical change fie analy+ica You will have 5 minutes to provide a review You will have 5 minutes to pro System sys+em has occuvted. Analytical System has occuvted. has sys cuffed. cutted. cuffed. curted. has occuvted. Change 0« chanse fro he analy+ical to a medically significant error. o. Change fie analyiical cutted used curtced. cunfed. cutted. curted. sys+em has occuvted. Sys+em has occuvted. has occuvced. to the class SYSYern has occutted. 80 minutes

  • Right Chart
  • QC tool
  • L-J chart
  • quantitative
  • quantitative menthods
  • accuracy
  • precison
  • SLIPTA
  • SLIPTA checklist
  • current performance
  • small change
  • assigned values