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1.
Polymers (Basel) ; 16(13)2024 Jun 26.
Artículo en Inglés | MEDLINE | ID: mdl-39000663

RESUMEN

The low cost and precise tolerances of plastic injection moulded products are a major reason for the popularity of the manufacturing method. The tolerances are greatly influenced by the equipment, raw material and moulding process. One challenge is the raw material variation. This paper presents a production process using cycle based feedback of cycle mass, for control of part properties in the presence of material variation from dual sourcing. The part properties considered are part mass and outer dimensions. The process uses direct cycle mass feedback without additional process measurements in the proposed controller structure. The designed controller structure is tested in a multi-cavity mould while using raw materials from multiple vendors, encompassing five different grades. The results show a total decrease in part mass variance of approximately 50% and a decrease of length and width variance of approximately 40% compared to a moulding process with fixed settings.

2.
Sci Rep ; 14(1): 13811, 2024 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-38877038

RESUMEN

The control charts are frequently employed in process monitoring to assess the average and variability of a process, assuming a normal distribution. However, it is worth noting that some process distributions tend to exhibit a positively skewed distribution, such as the lognormal distribution. This article proposed a maximum exponential weighted moving average control chart for joint monitoring of mean and variance under a lognormal process. The proposed control chart is evaluated by using the run length profile such as ARL and SDRL. The Monte Carlo simulation is conducted by using the R language to find the run length profile. An application is presented to demonstrate the design of the proposed control chart.

3.
Diagnostics (Basel) ; 14(9)2024 Apr 23.
Artículo en Inglés | MEDLINE | ID: mdl-38732287

RESUMEN

BACKGROUND: Patient-based real-time quality control (PBRTQC) can be a valuable tool in clinical laboratories due to its cost-effectiveness and constant monitoring. More focus is placed on discovering and improving algorithms that compliment conventional internal control techniques. The practical implementation of PBRTQC with a biochemical instrument comparison is lacking. We aim to evaluate PBRTQC's efficacy and practicality by comparing low-density lipoprotein cholesterol (LDL-C) test results to ensure consistent real-time monitoring across biochemical instrumentations in clinical laboratories. METHOD: From 1 September 2021 to 30 August 2022, the First Affiliated Hospital of Xi'an Jiaotong University collected data from 158,259 both healthy and diseased patients, including 84,187 male and 74,072 female patients, and examined their LDL-C results. This dataset encompassed a group comprising 50,556 individuals undergoing health examinations, a group comprising 42,472 inpatients (IP), and a group comprising 75,490 outpatients (OP) for the PBRTQC intelligent monitoring platform to conduct daily tests, parameter configuration, program development, real-time execution, and performance validation of the patients' data. Moreover 40 patients' LDL-C levels were assessed using two biochemical analyzers, designated as the reference and comparator instruments. A total of 160 LDL-C results were obtained from 40 both healthy and diseased patients, including 14 OP, 16 IP, and 10 health examination attendees, who were selected to represent LDL-C levels broadly. Two biochemical instruments measured LDL-C measurements from the same individuals to investigate consistency and reproducibility across patient statuses and settings. We employed exponentially weighted moving average (EWMA) and moving median (MM) methods to calculate inter-instrument bias and ensure analytical accuracy. Inter-instrument bias for LDL-C measurements was determined by analyzing fresh serum samples, different concentrations of quality control (QC), and commercialized calibrators, employing both EWMA and MM within two assay systems. The assessment of inter-instrumental bias with five different methods adhered to the external quality assessment standards of the Clinical Laboratory Center of the Health Planning Commission, which mandates a bias within ±15.0%. RESULT: We calculated inter-instrument comparison bias with each of the five methods based on patient big data. The comparison of fresh serum samples, different concentrations of QC, commercialized calibrators, and EWMA were all in the permissive range, except for MM. MM showed that the bias between two biochemical instruments in the concentration ranges of 1.5 mmoL/L-6.2 mmoL/L exceeded the permissible range. This was mainly due to the small number of specimens, affected by variations among individual patients, leading to increased false alarms and reduced effectiveness in monitoring the consistency of the inter-instrumental results. Moreover, the inter-comparison bias derived from EWMA was less than 3.01%, meeting the 15% range assessment criteria. The bias result for MM was lower than 24.66%, which was much higher than EWMA. Thus, EWMA is better than MM for monitoring inter-instrument comparability. PBRTQC can complement the use of inter-comparison bias between biochemical analyzers. EWMA has comparable inter-instrument comparability monitoring efficacy. CONCLUSIONS: The utilization of AI-based PBRTQC enables the automated real-time comparison of test results across different biochemical instruments, leading to a reduction in laboratory operating costs, enhanced work efficiency, and improved QC. This advanced technology facilitates seamless data integration and analysis, ultimately contributing to a more streamlined and efficient laboratory workflow in the biomedical field.

4.
Sci Rep ; 14(1): 11565, 2024 May 21.
Artículo en Inglés | MEDLINE | ID: mdl-38773191

RESUMEN

This research presents a new adaptive exponentially weighted moving average control chart, known as the coefficient of variation (CV) EWMA statistic to study the relative process variability. The production process CV monitoring is a long-term process observation with an unstable mean. Therefore, a new modified adaptive exponentially weighted moving average (AAEWMA) CV monitoring chart using a novel function hereafter referred to as the "AAEWMA CV" monitoring control chart. the novelty of the suggested AAEWMA CV chart statistic is to identify the infrequent process CV changes. A continuous function is suggested to be used to adapt the plotting statistic smoothing constant value as per the process estimated shift size that arises in the CV parametric values. The Monte Carlo simulation method is used to compute the run-length values, which are used to analyze efficiency. The existing AEWMA CV chart is less effective than the proposed AAEWMA CV chart. An industrial data example is used to examine the strength of the proposed AAEWMA CV chart and to clarify the implementation specifics which is provided in the example section. The results strongly recommend the implementation of the proposed AAEWMA CV control chart.

5.
Sci Rep ; 14(1): 10372, 2024 May 06.
Artículo en Inglés | MEDLINE | ID: mdl-38710776

RESUMEN

The Max-Mixed EWMA Exponentially Weighted Moving Average (MM EWMA) control chart is a statistical process control technique used for joint monitoring of the mean and variance of a process. This control chart is designed to detect small and moderate shifts in the mean and variance of a process by comparing the maximum of two statistics, one based on the mean and the other on the variance. In this paper, we propose a new MM EWMA control chart. The proposed chart is compared with existing control charts using simulation studies, and the results show that the chart performs better in detecting small and moderate shifts in both the mean and variance. The proposed chart can be helpful in quality control applications, where joint monitoring of mean and variance is necessary to ensure a product's or process's quality. The real-life application of the proposed control chart on yogurt packing in a cup data set shows the outperformance of the MM EWMA control chart. Both simulations & real-life application results demonstrate the better performance of the proposed chart in detecting smaller shifts during the production process.

6.
Sci Rep ; 14(1): 10512, 2024 May 07.
Artículo en Inglés | MEDLINE | ID: mdl-38714824

RESUMEN

The study presents a new parameter free adaptive exponentially weighted moving average (AEWMA) control chart tailored for monitoring process dispersion, utilizing an adaptive approach for determining the smoothing constant. This chart is crafted to adeptly detect shifts within anticipated ranges in process dispersion by dynamically computing the smoothing constant. To assess its effectiveness, the chart's performance is measured through concise run-length profiles generated from Monte Carlo simulations. A notable aspect is the incorporation of an unbiased estimator in computing the smoothing constant through the suggested function, thereby improving the chart's capability to identify different levels of increasing and decreasing shifts in process dispersion. The comparison with an established adaptive EWMA-S2 dispersion chart highlights the considerable efficiency of the proposed chart in addressing diverse magnitudes of process dispersion shifts. Additionally, the study includes an application to a real-life dataset, showcasing the practicality and user-friendly nature of the proposed chart in real-world situations.

7.
Sci Rep ; 14(1): 8923, 2024 Apr 18.
Artículo en Inglés | MEDLINE | ID: mdl-38637650

RESUMEN

The simultaneous monitoring of both the process mean and dispersion has gained considerable attention in statistical process control, especially when the process follows the normal distribution. This paper introduces a novel Bayesian adaptive maximum exponentially weighted moving average (Max-EWMA) control chart, designed to jointly monitor the mean and dispersion of a non-normal process. This is achieved through the utilization of the inverse response function, particularly suitable for processes conforming to a Weibull distribution. To assess the effectiveness of the proposed control chart, we employed the average run length (ARL) and the standard deviation of run length (SDRL). Subsequently, we compared the performance of our proposed control chart with that of an existing Max-EWMA control chart. Our findings suggest that the proposed control chart demonstrates a higher level of sensitivity in detecting out-of-control signals. Finally, to illustrate the effectiveness of our Bayesian Max-EWMA control chart under various Loss Functions (LFs) for a Weibull process, we present a practical case study focusing on the hard-bake process in the semiconductor manufacturing industry. This case study highlights the adaptability of the chart to different scenarios. Our results provide compelling evidence of the exceptional performance of the suggested control chart in rapidly detecting out-of-control signals during the hard-bake process, thereby significantly contributing to the improvement of process monitoring and quality control.

8.
Sci Rep ; 14(1): 9633, 2024 04 26.
Artículo en Inglés | MEDLINE | ID: mdl-38671182

RESUMEN

In the current study, we demonstrate the use of a quality framework to review the process for improving the quality and safety of the patient in the health care department. The researchers paid attention to assessing the performance of the health care service, where the data is usually heterogeneous to patient's health conditions. In our study, the support vector machine (SVM) regression model is used to handle the challenge of adjusting the risk factors attached to the patients. Further, the design of exponentially weighted moving average (EWMA) control charts is proposed based on the residuals obtained through SVM regression model. Analyzing real cardiac surgery patient data, we employed the SVM method to gauge patient condition. The resulting SVM-EWMA chart, fashioned via SVM modeling, revealed superior shift detection capabilities and demonstrated enhanced efficacy compared to the risk-adjusted EWMA control chart.


Asunto(s)
Procedimientos Quirúrgicos Cardíacos , Máquina de Vectores de Soporte , Humanos , Procedimientos Quirúrgicos Cardíacos/métodos , Factores de Riesgo , Ajuste de Riesgo/métodos
9.
Sci Rep ; 14(1): 9948, 2024 Apr 30.
Artículo en Inglés | MEDLINE | ID: mdl-38688965

RESUMEN

This article introduces an adaptive approach within the Bayesian Max-EWMA control chart framework. Various Bayesian loss functions were used to jointly monitor process deviations from the mean and variance of normally distributed processes. Our study proposes the mechanism of using a function-based adaptive method that picks self-adjusting weights incorporated in Bayesian Max-EWMA for the estimation of mean and variance. This adaptive mechanism significantly enhances the effectiveness and sensitivity of the Max-EWMA chart in detecting process shifts in both the mean and dispersion. The Monte Carlo simulation technique was used to calculate the run-length profiles of different combinations. A comparative performance analysis with an existing chart demonstrates its effectiveness. A practical example from the hard-bake process in semiconductor manufacturing is presented for practical context and illustration of the chart settings and performance. The empirical results showcase the superior performance of the Adaptive Bayesian Max-EWMA control chart in identifying out-of-control signals. The chart's ability to jointly monitor the mean and variance of a process, its adaptive nature, and its Bayesian framework make it a useful and effective control chart.

10.
J Athl Train ; 2024 Jan 31.
Artículo en Inglés | MEDLINE | ID: mdl-38291782

RESUMEN

CONTEXT: Before examining the impact of training load on injury risk in runners, it is important to gain insight in the differences between methods that are used to measure change in training load. OBJECTIVE: To investigate differences between four methods to calculate change in training load: (1) weekly training load; (2) acute:chronic workload ratio (ACWR), coupled rolling average (RA); (3) ACWR, uncoupled RA; (4) ACWR, exponentially weighted moving averages (EWMA). DESIGN: Descriptive epidemiology study. SETTING: This study is part of a randomized-controlled trial on running injury prevention among recreational runners. Runners received a baseline questionnaire and a request to share GPS training data. PARTICIPANTS: Runners who registered for running events (distances 10-42.195 kilometers) in the Netherlands. MAIN OUTCOME MEASURES: Primary outcome measure was the predefined significant increase in training load (weekly training loads ≥30% progression and ACWRs ≥1.5), based on training distance. Proportional Venn diagrams visualized the differences between the methods. RESULTS: 430 participants (73.3% men; age 44.3 years) shared their GPS training data with in total 22,839 training sessions. For the weekly training load, coupled RA, uncoupled RA, and EWMA method, respectively 33.4% (95% CI 32.8-34.0), 16.2% (95% CI 15.7-16.6), 25.8% (95% CI 25.3-26.4), and 18.9% (95% CI 18.4-19.4) of the training sessions were classified as significant increase in training load. Of the training sessions with significant increase in training load, 43.0% expressed in the weekly training load method showed a difference with the coupled RA and EWMA method. Training sessions with significant increase in training load based on the coupled RA method showed 100% overlap with the uncoupled RA and EWMA method. CONCLUSIONS: The difference in change in training load measured by weekly training load and ACWR methods was high. To validate an appropriate measure of change in training load in runners, future research on the association between training loads and RRI risk is needed.

11.
Clin Chem Lab Med ; 62(4): 646-656, 2024 Mar 25.
Artículo en Inglés | MEDLINE | ID: mdl-37862239

RESUMEN

OBJECTIVES: Large biological variation hinders application of patient-based real-time quality control (PBRTQC). The effect of analyte ratios on the ability of PBRTQC to improve error detection was investigated. METHODS: Four single analyte-ratio pairs (alanine aminotransferase [ALT] vs. ALT to aspartate aminotransferase ratio [RALT]; creatinine [Cr] vs. Cr to cystatin C ratio [RCr]; lactate dehydrogenase [LDH] vs. LDH to hydroxybutyrate dehydrogenase ratio [RLDH]; total bilirubin [TB] vs. TB to direct bilirubin ratio [RTB]) were chosen for comparison. Various procedures, including four conventional algorithms (moving average [MA], moving median [MM], exponentially weighted moving average [EWMA] and moving standard deviation [MSD]) were assessed. A new algorithm that monitors the number of defect reports per analytical run (NDR) was also evaluated. RESULTS: When a single analyte and calculated ratio used the same PBRTQC parameters, fewer samples were needed to detect systematic errors (SE) by taking ratios (p<0.05). Application of ratios in MA, MM and EWMA significantly enhanced their ability to detect SE. The influence of ratio on random error (RE) detection depended upon the analytes and PBRTQC parameters, as consistent advantage was not demonstrated. The NDR method performed well when appropriate parameters were used, but was only effective for unilateral SE. Rearrangement of sample order led to a significant deterioration of conventional algorithms' performance, while NDR remained almost unaffected. CONCLUSIONS: For analytes with large variation and poor PBRTQC performance, using ratios as PBRTQC indexes may significantly improve performance and achieve better anti-interference ability, providing a new class of monitoring indicators for PBRTQC.


Asunto(s)
Algoritmos , Bilirrubina , Humanos , Control de Calidad , Recolección de Datos
12.
Int J Qual Health Care ; 35(3)2023 Aug 11.
Artículo en Inglés | MEDLINE | ID: mdl-37552630

RESUMEN

Epidemiologists frequently adopt statistical process control tools, like control charts, to detect changes in the incidence or prevalence of a specific disease in real time, thereby protecting against outbreaks and emergent health concerns. Control charts have proven essential in instantly identifying fluctuations in infection rates, spotting emerging patterns, and enabling timely reaction measures in the context of COVID-19 monitoring. This study aims to review and select an optimal control chart in epidemiology to monitor variations in COVID-19 deaths and understand pandemic mortality patterns. An essential aspect of the present study is selecting an appropriate monitoring technique for distinct deaths in the USA in seven phases, including pre-growth, growth, and post-growth phases. Stage-1 evaluated control chart applications in epidemiology departments of 12 countries between 2000 and 2022. The study assessed various control charts and identified the optimal one based on maximum shift detection using sample data. This study considered at Shewhart ($\bar X$, $R$, $C$) control charts and exponentially weighted moving average (EWMA) control chart with smoothing parameters λ = 0.25, 0.5, 0.75, and 1 were all investigated in this study. In Stage-2, we applied the EWMA control chart for monitoring because of its outstanding shift detection capabilities and compatibility with the present data. Daily deaths have been monitored from March 2020 to February 2023. Control charts in epidemiology show growing use, with the USA leading at 42% applications among top countries. During the application on COVID-19 deaths, the EWMA chart accurately depicted mortality dynamics from March 2020 to February 2022, indicating six distinct stages of death. The third and fifth waves were extremely catastrophic, resulting in a considerable loss of life. Significantly, a persistent sixth wave appeared from March 2022 to February 2023. The EWMA map effectively determined the peaks associated with each wave by thoroughly examining the time and amount of deaths, providing vital insights into the pandemic's progression. The severity of each wave was measured by the average number of deaths $W5(1899)\,\gt\,W3(1881)\,\gt\,W4(1393)\,\gt\,W1(1036)\,\gt\,W2(853)\,\gt\,(W6(473)$. The USA entered a seventh phase (6th wave) from March 2022 to February 2023, marked by fewer deaths. While reassuring, it remains crucial to maintain vaccinations and pandemic control measures. Control charts enable early detection of daily COVID-19 deaths, providing a systematic strategy for government and medical staff. Incorporating the EWMA chart for monitoring immunizations, cases, and deaths is recommended.


Asunto(s)
COVID-19 , Humanos , Estados Unidos/epidemiología , Vacunación
13.
PeerJ Comput Sci ; 9: e1296, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37346530

RESUMEN

As an important incomplete algorithm for solving Distributed Constraint Optimization Problems (DCOPs), local search algorithms exhibit the advantages of flexibility, high efficiency and high fault tolerance. However, the significant historical values of agents that affect the local cost and global cost are never taken into in existing incomplete algorithms. In this article, a novel Local Cost Simulation-based Algorithm named LCS is presented to exploit the potential of historical values of agents to further enhance the exploration ability of the local search algorithm. In LCS, the Exponential Weighted Moving Average (EWMA) is introduced to simulate the local cost to generate the selection probability of each value. Moreover, populations are constructed for each agent to increase the times of being selected inferior solutions by population optimization and information exchange between populations. We theoretically analyze the feasibility of EWMA and the availability of solution quality improvement. In addition, based on our extensive empirical evaluations, we experimentally demonstrate that LCS outperforms state-of-the-art DCOP incomplete algorithms.

14.
Assessment ; 30(5): 1354-1368, 2023 07.
Artículo en Inglés | MEDLINE | ID: mdl-35603660

RESUMEN

Affect, behavior, and severity of psychopathological symptoms do not remain static throughout the life of an individual, but rather they change over time. Since the rise of the smartphone, longitudinal data can be obtained at higher frequencies than ever before, providing new opportunities for investigating these person-specific changes in real-time. Since 2019, researchers have started using the exponentially weighted moving average (EWMA) procedure, as a statistically sound method to reach this goal. Real-time, person-specific change detection could allow (a) researchers to adapt assessment intensity and strategy when a change occurs to obtain the most useful data at the most useful time and (b) clinicians to provide care to patients during periods in which this is most needed. The current paper provides a tutorial on how to use the EWMA procedure in psychology, as well as demonstrates its added value in a range of potential applications.

15.
J Appl Stat ; 50(1): 170-194, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36530780

RESUMEN

The EWMA Sign control chart is an efficient tool for monitoring shifts in a process regardless the observations' underlying distribution. Recent studies have shown that, for nonparametric control charts, due to the discrete nature of the statistics being used (such as the Sign statistic), it is impossible to accurately compute their Run Length properties using Markov chain or integral equation methods. In this work, a modified nonparametric Phase II EWMA chart based on the Sign statistic is proposed and its exact Run Length properties are discussed. A continuous transformation of the Sign statistic, combined with the classical Markov Chain method, is used for the determination of the chart's in- and out-of-control Run Length properties. Additionally, we show that when ties occur due to measurement rounding-off errors, the EWMA Sign control chart is no longer distribution-free and a Bernoulli trial approach is discussed to handle the occurrence of ties and makes the proposed chart almost distribution-free. Finally, an illustrative example is provided to show the practical implementation of our proposed chart.

16.
J Appl Stat ; 50(1): 19-42, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36530781

RESUMEN

Control charts are widely known quality tools used to detect and control industrial process deviations in Statistical Process Control. In the current paper, we propose a new single memory-type control chart, called the maximum double generally weighted moving average chart (referred as Max-DGWMA), that simultaneously detects shifts in the process mean and/or process dispersion. The run length performance of the proposed Max-DGWMA chart is compared with that of the Max-EWMA, Max-DEWMA, Max-GWMA and SS-DGWMA charts, using time-varying control limits, through Monte-Carlo simulations. The comparisons reveal that the proposed chart is more efficient than the Max-EWMA, Max-DEWMA and Max-GWMA charts, while it is comparable with the SS-DGWMA chart. An automotive industry application is presented in order to implement the Max-DGWMA chart. The goal is to establish statistical control of the manufacturing process of the automobile engine piston rings. The source of the out-of-control signals is interpreted and the efficiency of the proposed chart in detecting shifts faster is evident.

17.
J Appl Stat ; 49(16): 4122-4136, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36353303

RESUMEN

With the rapid development of modern sensor technology, high-dimensional data streams appear frequently nowadays, bringing urgent needs for effective statistical process control (SPC) tools. In such a context, the online monitoring problem of high-dimensional and correlated binary data streams is becoming very important. Conventional SPC methods for monitoring multivariate binary processes may fail when facing high-dimensional applications due to high computational complexity and the lack of efficiency. In this paper, motivated by an application in extreme weather surveillance, we propose a novel pairwise approach that considers the most informative pairwise correlation between any two data streams. The information is then integrated into an exponential weighted moving average (EWMA) charting scheme to monitor abnormal mean changes in high-dimensional binary data streams. Extensive simulation study together with a real-data analysis demonstrates the efficiency and applicability of the proposed control chart.

18.
J Appl Stat ; 49(15): 3928-3957, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36324485

RESUMEN

Exponentially weighted moving average (EWMA) control charts for time-between-events (TBE) are commonly suggested to monitor high-quality processes for the early detection of process deteriorations. In this study, an enhanced one-sided EWMA TBE scheme is developed for rapid detection of increases or decreases in the process mean. The use of the truncation method helps to improve the sensitivity of the proposed scheme in the process mean detection. Moreover, by taking the effects of parameter estimation into account, the proposed scheme with estimated parameters is also investigated. Both the average run length (ARL) and standard deviation of run length (SDRL) performances of the proposed scheme with known and estimated parameters are studied using the Markov chain method, respectively. Furthermore, an optimal design procedure is developed for the recommended one-sided EWMA TBE chart based on ARL. Numerical results show that the proposed optimal one-sided EWMA TBE chart is more sensitive than the existing optimal one-sided exponential EWMA chart in monitoring both upward and downward mean shifts. Meanwhile, it also performs better than the existing comparative scheme in resisting the effect of parameter estimation. Finally, two illustrative examples are considered to show the implementation of the proposed scheme for simulated and real datasets.

19.
Artículo en Inglés | MEDLINE | ID: mdl-36231672

RESUMEN

We evaluated the performance of the exponentially weighted moving average (EWMA) model for comparing two families of predictors (i.e., structured and unstructured data from visits to the emergency department (ED)) for the early detection of SARS-CoV-2 epidemic waves. The study included data from 1,282,100 ED visits between 1 January 2011 and 9 December 2021 to a local health unit in Lombardy, Italy. A regression model with an autoregressive integrated moving average (ARIMA) error term was fitted. EWMA residual charts were then plotted to detect outliers in the frequency of the daily ED visits made due to the presence of a respiratory syndrome (based on coded diagnoses) or respiratory symptoms (based on free text data). Alarm signals were compared with the number of confirmed SARS-CoV-2 infections. Overall, 150,300 ED visits were encoded as relating to respiratory syndromes and 87,696 to respiratory symptoms. Four strong alarm signals were detected in March and November 2020 and 2021, coinciding with the onset of the pandemic waves. Alarm signals generated for the respiratory symptoms preceded the occurrence of the first and last pandemic waves. We concluded that the EWMA model is a promising tool for predicting pandemic wave onset.


Asunto(s)
COVID-19 , SARS-CoV-2 , COVID-19/diagnóstico , COVID-19/epidemiología , Brotes de Enfermedades , Servicio de Urgencia en Hospital , Humanos , Italia/epidemiología , Pandemias , Vigilancia de Guardia , Síndrome
20.
Clin Chim Acta ; 534: 50-56, 2022 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-35810801

RESUMEN

AIM: This study sets out to investigate the utility of exponentially weighted moving average (EWMA) as patient-based real-time quality control (PBRTQC) by conducting a simulation study and subsequent real-patient data implementation to determine optimal EWMA features (weighting factors, control limits, and truncation methods) based on the Youden index. METHODS: A simulation experiment was conducted in the first stage to investigate optimal EWMA features for the tests, including aspartate aminotransferase, blood urea nitrogen, and glucose, calcium, creatinine, potassium, sodium, triglycerides, thyroid - stimulating hormone (TSH), and vitamin B12 tests. In the second stage of the study, EWMA was applied to real patient data to elucidate practical utility and achieve final optimal EWMA features. Different degrees of systematic errors (SE) including total allowable error (TEa) as a maximum error level were added to both simulation and patient results, and then the EWMA performance was assessed for different EWMA features. We calculated Youden's index for each combination of EWMA features to find their optimal features to achieve minimum false positive rate (FPR) and maximum error detection rate at the SE level corresponding to TEa. RESULTS: EWMA implementation on real patient data revealed optimal EWMA features for each test. FPR values of creatinine and glucose were 18.48% and 10.17%, respectively, which exceeded the acceptable criteria for FPR (10%). The remaining six analytes showed acceptable FPR. CONCLUSIONS: We showed the implementation of EWMA as PBRTQC, and optimization of its features based on the Youden index by conducting extensive performance evaluations and simulations in this study.


Asunto(s)
Glucosa , Simulación por Computador , Creatinina , Humanos , Control de Calidad
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