Since 1999, the recommended source of allowable error limits or Analytical Performance Standards has been to set limits based on medical need in specific clinical settings.  I have been doing this since before CLIA was published and have attached our 1991 limits as published in an AACC course. Our lab director simply answered the question "How far can a result vary from the QC sample target (eg peer mean) before the doctor would take different action?

Do you know of any shared links, databases or articles that include medical goals?  If not, would this be a good initiative for EFMLQ/IFCC/ADLM?

What do you suggest? Perhaps a survey we could distribute to see what limits doctors use in specified clinical situations?

Thanks for your opinion and please have an AWEsome day!

Zoe

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