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Element
CONTENT-SPECIFIC REQUIRED ELEMENTS
Present
CRITERIA
Procedure identifies requirements for new qualitative methods and equipment to be
validated and approved by the lab director before being place in service.
Comments:
PROCEDURE
Procedure specifies minimum requirements for precision studies:
a.) Note: Not applicable unless the qualitative values are derived from a quantitative
result such as an optical density.
b.) a.) Between day and/or within-in day studies - SMILE recommends performing
both.
b.) Sample requirements
c.) i. Matrix (controls, patient samples, etc)
d.) ii. Levels (number and estimate - i.e., low/high, normal/abnormal)
e.)
c.) Replicate runs per level - SMILE recommends 20
d.) Data evaluation - SMILE recommends using CV, where possible.
e.) Acceptability criteria - SMILE recommends manufacturer’s limits or a
percentage of the total allowable error.
Procedure specifies minimum requirements for accuracy studies:
a.) a.) Acceptable reference or comparison methods - SMILE recommends
previously validated and successful in-house methods be used for
comparison testing.
b.) b.) Sample Requirements
i. Matrix (controls, patient samples, etc.)
ii. Number of samples - SMILE recommends 10 samples for each
expected result.
c.) c.) Testing limitations (i.e., test old and new methods within 2 hours of each
other)
d.) d.) Data evaluation and acceptable criteria – Performance of qualitztive test is
most commonly described in terms of sensitivity and specificity. SMILE
recommends using a decision/truth table. See SMILE Qualitative Validation
Overview Guideline for an example.
Procedure specifies requirements for sensitivity and specificity verification on non-
FDA approved methods.
Procedure specifies minimum requirements for reference range studies:
a.) a.) Requires reference range verification or establishment, as applicable.
b.) b.) Manufacturer’s stated reference ranges may be used.
c.) Data evaluation and acceptable criteria – is the range of test values expected
c.) for a designated population where 95% of the individuals are presumed to be
healthy (or normal).
Comments:
DOCUMENTATION
Procedure requires that all data and reports related to the validation be retained
indefinitely and retrievable within 24 hours. SMILE recommends that data be
retained in an organized manner using binders and dividers.
Comments:
References: