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xc nhn gi tr s dng
ca phng php th
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Ni dung :
1. Tng quan v XNGTSD phng php th
2. Qu trnh XNGTSD
3. Kim sot phng php trong hot ng thng nht v
s dng s liu XNGT thu c
4. Bi hc c kt
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Mc tiu:
Gip hc vin
Hiu ng v XNGTSD phng php v cc yu cu
Bit p dng k thut thng k cn thit trong qu trnh
XNGTSD
Bit la chn v s dng loi/ kiu XNGTSD thch hp
C th nh gi s ph hp ca phng php th vi
mc ch s dng
Nhn thc mi lin kt gia XNGTSD v KB
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Phn 1.
Tng quan v XNGTSD mt phng php
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(ISO/IEC 17025)
Trong :
Mc ch s dng nht nh= yu cu th nghim
Bng chng khch quan= s liu thc nghm
(cc thng s c trng ca phng php)
S khng nh (t vic so snh yu cu vi bng chng c c)
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1.
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1.
Xc nh yu
cu phn tch
Lp k hoch xc
nhn thc nghim
.
Bc quan trng
trc khi bt u XNGT
Cng b gi
tr s dng
Khng
Yu cu
c p
ng ?
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S dng s liu
nh gi s ph hp
vi mc ch
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Th no l
mt phng php th
thch hp ?
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Phn 2
QU TRNH XC NHN GI TR S DNG
CA PHNG PHP
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Trong thc t,
Phn ln cc PTN p dng hon ton qui trnh t cc
phng php th tiu chun, xc nhn (standard
method/ validated method),
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ISO 17025 yu cu
Phng TN phi khng nh c th p
dng mt cch ng n phng php
tiu chun trc khi bt u th nghim
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Analysis):
PTN s dng mt phng php tiu chun/c nghin cu lin phng ch
cn chng minh nng lc c th t cc c trng k thut cng b ca
phng php.
PTN cn tin hnh cc thc nghim v chm, chch (trn cc nn
mu khc nhau)
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-nh trn + xc nh S R
-nh trn-
Xc nhn gi tr y ti PTN
6. PP do phng th nghim t xy
dng
Xc nhn gi tr y ti PTN
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Lp k hoch thm nh
Phn cng thc hin
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Khi lp k hoch
PTN cn xem xt, tnh n cc im sau:
Nhu cu c th ca khch hng, hoc
Yu cu t cc c quan qun l lin quan
Ci g thc t c th phn tch c?
Cc iu kin thc t ca phng th nghim
- iu kin k thut c th trong php th ?
- Thit b ?
- Cc ngun lc khc ?
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Khi lp k hoch
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Cc thng s k thut
chnh xc (Accuracy)
l thc o cht lng ca kt qu th, ngha l
kt qu hu ch cho khch hng hay nhng
ngi quan tm nh th no
bao hm hai thnh phn l:
chm v ng
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Cc thng s k thut
1. chm (Precision)
p dng cho php th nh lng/ bn nh lng
39
Cc thng s k thut
Xc nh chm
(p dng cho php th nh lng/ bn nh lng)
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Xc nh chm
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Xc nh chm
lch chun ti lp SR (Reproducibility standard deviation)
c tnh ton t
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c tnh t
Cc kt qu thu c vi cng mt phng php th trn cc mu
cng loi, thc hin ti cng mt phng th nghim bi cc kim
nghim vin khc, s dng cng thit b nhng trong cc khong
thi gian khc nhau
ti lp ni b PTN/ chm trung gian l thng s rt quan trng
trong xc nhn GTSD phng php v c tnh KB
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(x
RSD% = CV% =
SD
100
X
n 1
Trong : x = xi / n
n= s kt qu ring l thu c
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V d:
chm (trong phn tch sng lc)
lp li
3 nng :
1x; 1,5x; 2x MRPL
0,5; 1x; 1,5x MRL
6 mu lp/mc nng
3 ln xc nh
Trong cng iu kin th
ti lp ni b PTN
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3 nng :
1x; 1,5x; 2x MRPL
0,5; 1x; 1,5x MRL
6 mu lp/ nng
3 ln xc nh
Trong cc iu kin khc
nhau (th nghm vin, iu
kin mi trng, lot ha
cht pha ch)
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ng ca mt phng php m t mt kt qu th gn vi mt
gi tr chun/ tham chiu mc chp nhn c.
Vic thiu ng (khng ng) chng t li h thng
chch l cch din t mang tnh nh lng ca ng.
ng ca mt kt qu c ci thin khi chch gim (nh)
thu hi trong phn tch l mt chch thng gn lin vi qu
trnh x l mu, chit tch cht cn phn tch ra khi mu v cc qui
trnh phn tch khc trc khi xc nh chnh thc.
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Xc nh chch (II)
Cng c th so snh kt qu thu c vi kt qu t
mt phng php chun ha.
S dng kt qu t chng trnh nghin cu lin phng/
th nghim thnh tho
La chn b sung: thu hi
thu hi (din t l R) c s dng cho cc
phng php c cc bc x l mu, tch chit cht
cn phn tch,
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Xc nh chch (II)
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Xc nh chch (II)
C th s dng Control charts:
X-charts : kim sot chch (t CRMs).
C th tnh c lch chun ti lp ni b t biu
ny
R-charts : kim sot chm ca thu hi
C th tnh c lch chun lp li hoc
lch chun ti lp ni b t biu
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3. n nh (Ruggedness)
L mn cm ca mt phng php phn tch i vi cc thay i
nh trong iu kin thc nghim,
v d:
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3. n nh (Ruggedness)
Th n nh nh th no ?
(ch trong trng hp xy dng phng php)
Nhn dng cc yu t c th gy nh hng n kt qu
(cht cn phn tch, dung mi, pH, nhit , tc nng nhit..)
Thay i nh tng yu t
Nu mt yu t c tm thy c nh hng n kt qu ca phn
t i din th tin hnh thm cc thc nghim
xc nh gii hn chp nhn i vi yu t ny (ghi li)
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(screening method)
Phng php sng lc c s dng pht hin s c mt ca
mt cht hoc mt nhm cht mc cn quan tm kim sot, (v
d: ELISA, plate test, biosensor, sc k, quang ph)
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R-Biopharm, Ridascreen
Euro-Diagnostica
Transia GmbH
CER, laboratoire dhormology,
Randox ??
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Decision
Limit
CC
Trueness/
Recovery
Precision
Selectivity/
Specificity
Applicability/
Ruggedness/
Stability
Qualitative
methods
Quantitative
methods
+ = determination is mandatory
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CC
+2.33xSDblank
CC
+1.64xSDRW
=1%
=5%
Signal or
Concentration
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MRL
+1.64xSDMRL
CC
CC
+1.64xSDRW
=5%
=5%
Signal or
Concentration
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Kh nng p dng
Phm vi p dng ca phng php cn phi xc
nh r:
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Kt qu
dng tnh
Kt qu m
tnh
Dng tnh
thc (N+)
m tnh thc
(N-)
Dng tnh
ng
(PA)
Dng tnh gi
(FP)
m tnh gi
(FN)
m tnh ng
(NA)
Cc thng s khc:
chnh xc= 100* (PA+NA)/(N- + N+)
nhy = 100* PA/N+
Dng tnh gi = 100* FP/(N- + N+)
m tnh gi = 100* FN/(N- + N+)
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H s
___________________________________________
nh gi kt qu v tp hp h s
H s thm nh/ xc nhn phng php phi lu gi y :
K hoch v s chun b
Ti liu v d liu quan trc gc (nn mu th, cht chun, thuc
th, mu trng, mu QC, s ln TN, x l thng k)
Ti liu v nh gi s liu thm nh
So snh v nh gi kt qu thu c
Chun b bo co
* Lu : thu thp d liu thch hp cho vic tnh ton MU sau ny
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K hoch v s chun b
M t chnh xc cc c trng c nh gi xem xt
Cc bc tin hnh
Thi gian/ ngi thc hin
Cc kt qu thu c v cch tnh ton
Vic nh gi kt qu thu c so vi chun mc
Kt lun r rng (khng mp m, gy hiu nhm)
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______________________________________________
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Kt qu o
+ 2 std dev
+ 1 std dev
Mean
- 1 std dev
- 2 std dev
- 3 std dev
Ngy/ gi
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4. Bi hc c kt
______________________________________________
1. Vic xc nhn gi tr s dng ca phng php i hi
phi a ra c s liu c ngha.
2. C hai loi phng php tiu chun v phng php ni b u
cn thm nh hoc xc nhn gi tr s dng
3. Xc nhn GTSD ca phng php phi l mt hot ng c lp
k hoch (cc thng s cn thay i theo phm vi p dng)
4. Xc nhn GTSD ca phng php khng th coi l hon thin khi
khng c tuyn b g v s ph hp vi mc ch s dng
5. Xc nhn GTSD ca phng php nn c PTN xem xt nh
mt hot ng 3 trong 1 !
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