The design and results of a UK external quality assessment scheme for six enzymes are described, from 21 surveys over a period of 7 years. Improvements in interlaboratory agreement and the adoption of reliable methods are documented. The potential of enzyme calibration materials in further improving numerical concordance between laboratories using different assay conditions, including temperature, is demonstrated and discussed.
References
1.
BullockDGMcSweeneyFMSaidiHWhiteheadTP. Alkaline phosphatase activity in lyophilised quality control serum. Ann Clin BioChem.1979; 16: 271–4.
2.
WhiteheadTPBrowningDMGregoryA. A comparative survey of the results of analyses of blood serum in clinical chemistry laboratories in the United Kingdom. J Clin Pathol.1973; 26: 435–45.
3.
WhiteheadTP. Quality control in clinical chemistry. New York, USA: John Wiley and Sons, 1977.
4.
FleckAColleyCM. Temperatures used in the determination of enzyme activity in clinical biochemistry laboratories in Britain: results of a survey. Ann Clin BioChem.1982; 19: 405–11.
5.
BullockDGWildeCE. External quality assessment of urinary pregnancy oestrogen assay: further experience in the United Kingdom. Ann Clin BioChem.1985; 22: 273–82.
6.
JansenRTPJansenAP. Standards versus standardised methods in enzyme assay. Ann Clin BioChem.1983; 20: 52–9.
7.
FasceCFRejRCopelandWHVanderlindeRE. A discussion of enzyme reference materials: applications and specifications. Clin Chem.1973; 19: 5–9.
MossDWBrettschneiderHBullockDGECCLS Proposed Standard for Enzyme Reference Materials. First Draft. Beckenham, UK: European Committee for Clinical Laboratory Standards, 1985.
12.
PeakeMJPejakovicMFraserCG. The effect of instrument variables on calculation factors for standardisation of colorimetric analyses. Ann Clin BioChem.1984; 21: 188–92.
13.
BowersGNMcCombRB. A unifying reference system for clinical enzymology: aspartate aminotransferase and the International Clinical Enzyme Scale. Clin Chem.1984; 30: 1128–36.
14.
McCombRBBowersGN. Alkaline phosphatase and the International Clinical Enzyme Scale. Am J Clin Pathol.1985; 84: 67–73.