Modeling uncertainty due to instrument drift in clinical laboratories

Varun Ramamohan, Yuehwern Yih, Jim Abbott, George Klee

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Clinical laboratory tests play a vital role in the medical decision making process, including diagnosis, prognostic assessment and drug dosage prescription. Drift or degradation in the performance of the analytic instrument over time can have a significant effect on the uncertainty of the clinical laboratory measurement test result. In this paper, we model the drift in the analytic instrumentation used to perform the laboratory tests, and estimate its effect on the uncertainty of the measurement result. This is accomplished developing a physics-based mathematical model of the serum albumin laboratory test that describes the measurement result as a function of various sources of uncertainty operating within the serum albumin measurement process. The Monte Carlo method is used to estimate the uncertainty associated with this model. Drift in the instrument is modeled as affecting both the mean (inaccuracy) and the standard deviation (imprecision) of each source of uncertainty. Further, recalibrating the instrument is postulated as a method to nullify the effect of instrument drift on inaccuracy of the measurement result, and the model is used to estimate the average time interval between successive calibrations such that the drift does not exceed clinically significant total error limits and prevents misdiagnosis.

Original languageEnglish (US)
Title of host publicationIIE Annual Conference and Expo 2013
PublisherInstitute of Industrial Engineers
Pages2523-2532
Number of pages10
StatePublished - 2013
EventIIE Annual Conference and Expo 2013 - San Juan, Puerto Rico
Duration: May 18 2013May 22 2013

Other

OtherIIE Annual Conference and Expo 2013
CountryPuerto Rico
CitySan Juan
Period5/18/135/22/13

Fingerprint

Clinical laboratories
Analytic equipment
Drug dosage
Monte Carlo methods
Physics
Decision making
Uncertainty
Calibration
Mathematical models
Degradation

Keywords

  • Albumin assay uncertainty
  • Instrument drift
  • Measurement uncertainty

ASJC Scopus subject areas

  • Industrial and Manufacturing Engineering

Cite this

Ramamohan, V., Yih, Y., Abbott, J., & Klee, G. (2013). Modeling uncertainty due to instrument drift in clinical laboratories. In IIE Annual Conference and Expo 2013 (pp. 2523-2532). Institute of Industrial Engineers.

Modeling uncertainty due to instrument drift in clinical laboratories. / Ramamohan, Varun; Yih, Yuehwern; Abbott, Jim; Klee, George.

IIE Annual Conference and Expo 2013. Institute of Industrial Engineers, 2013. p. 2523-2532.

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Ramamohan, V, Yih, Y, Abbott, J & Klee, G 2013, Modeling uncertainty due to instrument drift in clinical laboratories. in IIE Annual Conference and Expo 2013. Institute of Industrial Engineers, pp. 2523-2532, IIE Annual Conference and Expo 2013, San Juan, Puerto Rico, 5/18/13.
Ramamohan V, Yih Y, Abbott J, Klee G. Modeling uncertainty due to instrument drift in clinical laboratories. In IIE Annual Conference and Expo 2013. Institute of Industrial Engineers. 2013. p. 2523-2532
Ramamohan, Varun ; Yih, Yuehwern ; Abbott, Jim ; Klee, George. / Modeling uncertainty due to instrument drift in clinical laboratories. IIE Annual Conference and Expo 2013. Institute of Industrial Engineers, 2013. pp. 2523-2532
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