Laboratory Medicine ›› 2015, Vol. 30 ›› Issue (5): 512-516.DOI: 10.3969/j.issn.1673-8640.2015.05.023

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Uncertainty evaluation on the reference method of leukocyte counts for fresh blood

GUO Xiaojun, WANG Qing, SONG Ying, MAIO Yingbo, XU Lei   

  1. Shanghai Center for Clinical Laboratory, Shanghai 200126, China
  • Received:2015-02-05 Online:2015-05-30 Published:2015-06-17

Abstract: Objective To study the evaluation method and procedure on the uncertainty of leukocyte counts by reference method for fresh blood. Methods The reference method recommended by the International Committee for Standardization in Hematology(ICSH) was used for leukocyte counts. The components of uncertainty were validated. The International Organization for Standardization(ISO) Guide to the Expression of Uncertainty of Measurement (GUM), type A and type B methods were used to evaluate each component. Combined standard uncertainty and expanded uncertainty were calculated according to 95% confidence interval. Results The leukocyte counts from fresh blood had the average value of 6.71×109/L. The combined standard uncertainty was 0.097×109/L(95% confidence interval, coverage factor k=2), and the expanded uncertainty was 0.19×109/L. Conclusions The main sources of uncertainty are from the overlapped calculation correction and pipetting volume. Therefore, there should be strictly control on pipetting volume in order to make lower uncertainty. The evaluation model of uncertainty is established, which can be applied to the leukocyte counts and standardization, providing effective methods for traceability.

Key words: Leukocyte count, Fresh blood, Reference method, Uncertainty

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