Among the various models proposed to meet requirements for metrological performance in clinical laboratory measurements, that most widely used is intraand inter-biological variation. However, this model has weaknesses: a) in some cases, intra-individual biological variation is so small that requirements based on such data may not be met by routine methods; b) there is great variation among the intra- and inter-individual biological variations themselves. We therefore propose integration between “state-of-the-art” methods to minimize imprecision, and also suggest that requirements calculated on the basis of biological variations should be used in setting requirements for minimizing imprecision. Furthermore, we describe a new scale for setting requirements from biological variation data and suggest that systematic error should be corrected whenever it is statistically significant.
Print ISSN: 1434-6621
Volume: 41, 05/2003
Pages: 693 - 699