Predicting effects of quality-control practices on the cost-effective operation of a stable, multitest analytical system

1990 ◽  
Vol 36 (10) ◽  
pp. 1760-1764 ◽  
Author(s):  
J O Westgard ◽  
J J Oryall ◽  
D D Koch

Abstract The cost-effective operation of an analytical system depends on quality-control (QC) practices such as the QC procedure itself (control rules, number of control measurements); the batch size or the run length; and the use of bracketed, nonbracketed, or pre-control modes of operation. Predictive value models that predict the defect rate and test yield of each test, as well as of the system as a whole, have been used to study these practices and to develop strategies for improving the quality and productivity of a multitest analyzer. Quality was optimized for most tests by achieving high error detection and low false rejection by the QC procedures. For a few tests where ideal QC performance could not be achieved, predictive models indicate that high quality is achieved, predictive models indicate that high quality is achieved as long as the observed stabilities (low frequencies of errors) of the measurement procedures are maintained. In our laboratories, productivity gains of 2.9% ($17,400/year) were achieved by changing QC procedures. Predictive models indicate that further gains are possible by increasing batch size and changing from bracketed to nonbracketed control operation. In general, the common practice of bracketed control on stable analytical systems may need to be re-examined owing to its effect on the cost of operation.

Author(s):  
Sohini Roy Chowdhury ◽  
Caterina Scoglio ◽  
William H. Hsu

Prediction of epidemics such as Foot and Mouth Disease (FMD) is a global necessity in addressing economic, political and ethical issues faced by the affected countries. In the absence of precise and accurate spatial information regarding disease dynamics, learning- based predictive models can be used to mimic latent spatial parameters so as to predict the spread of epidemics in time. This paper analyzes temporal predictions from four such learning-based models, namely: neural network, autoregressive, Bayesian network, and Monte-Carlo simulation models. The prediction qualities of these models have been validated using FMD incidence reports in Turkey. Additionally, the authors perform simulations of mitigation strategies based on the predictive models to curb the impact of the epidemic. This paper also analyzes the cost-effectiveness of these mitigation strategies to conclude that vaccinations and movement ban strategies are more cost-effective than premise culls before the onset of an epidemic outbreak; however, in the event of existing epidemic outbreaks, premise culling is more effective at controlling FMD.


2009 ◽  
Vol 27 (23) ◽  
pp. 3868-3874 ◽  
Author(s):  
Neal J. Meropol ◽  
Deborah Schrag ◽  
Thomas J. Smith ◽  
Therese M. Mulvey ◽  
Robert M. Langdon ◽  
...  

Advances in early detection, prevention, and treatment have resulted in consistently falling cancer death rates in the United States. In parallel with these advances have come significant increases in the cost of cancer care. It is well established that the cost of health care (including cancer care) in the United States is growing more rapidly than the overall economy. In part, this is a result of the prices and rapid uptake of new agents and other technologies, including advances in imaging and therapeutic radiology. Conventional understanding suggests that high prices may reflect the costs and risks associated with the development, production, and marketing of new drugs and technologies, many of which are valued highly by physicians, patients, and payers. The increasing cost of cancer care impacts many stakeholders who play a role in a complex health care system. Our patients are the most vulnerable because they often experience uneven insurance coverage, leading to financial strain or even ruin. Other key groups include pharmaceutical manufacturers that pass along research, development, and marketing costs to the consumer; providers of cancer care who dispense increasingly expensive drugs and technologies; and the insurance industry, which ultimately passes costs to consumers. Increasingly, the economic burden of health care in general, and high-quality cancer care in particular, will be less and less affordable for an increasing number of Americans unless steps are taken to curb current trends. The American Society of Clinical Oncology (ASCO) is committed to improving cancer prevention, diagnosis, and treatment and eliminating disparities in cancer care through support of evidence-based and cost-effective practices. To address this goal, ASCO established a Cost of Care Task Force, which has developed this Guidance Statement on the Cost of Cancer Care. This Guidance Statement provides a concise overview of the economic issues facing stakeholders in the cancer community. It also recommends that the following steps be taken to address immediate needs: recognition that patient-physician discussions regarding the cost of care are an important component of high-quality care; the design of educational and support tools for oncology providers to promote effective communication about costs with patients; and the development of resources to help educate patients about the high cost of cancer care to help guide their decision making regarding treatment options. Looking to the future, this Guidance Statement also recommends that ASCO develop policy positions to address the underlying factors contributing to the increased cost of cancer care. Doing so will require a clear understanding of the factors that drive these costs, as well as potential modifications to the current cancer care system to ensure that all Americans have access to high-quality, cost-effective care.


2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Parvender Sheoran ◽  
O. P. Sheoran ◽  
Virender Sardana

Inadequate and/or imbalanced fertilization has been identified as one of the critical bottlenecks holding oilseeds production and productivity. Sustainable production requires efficient use of inputs maintaining optimum yield and high quality product. The present study aims at defining the quantitative relationship between the fertilizer S applied and the sunflower yield obtained using a polynomial function. The analysis was done to allocate the S fertilizer for maximization of net profit over fertilizer cost depending on the availability of the fertilizer. The results indicated that the cost effective economically optimum dose of sulphur for sunflower cultivation was found to be 36.70 kg S/ha under its full availability. The expected sunflower yield at this dose was worked out to be 2.619 t/ha. However, it is advisable to uniformly distribute the fertilizer to all over the cultivable area under its limited availability for exploiting the desired yield potential and maximum net monetary returns.


1996 ◽  
Vol 42 (3) ◽  
pp. 392-396 ◽  
Author(s):  
E Olafsdottir ◽  
J O Westgard ◽  
S S Ehrmeyer ◽  
K D Fallon

Abstract We have assessed how variation in the matrix of control materials would affect error detection and false-rejection characteristics of quality-control (QC) procedures used to monitor PO2 in blood gas measurements. To determine the expected QC performance, we generated power curves for S(mat)/S(meas) ratios of 0.0-4.0. These curves were used to estimate the probabilities of rejecting analytical runs having medically important errors, calculated from the quality required by the CLIA '88 proficiency testing criterion and the precision and accuracy expected for a typical analytical system. When S(mat)/S(meas) ratios are low, the effects of matrix on QC performance are not serious, permitting selections of QC procedures based on simple power curves for a single component of variation. As S(mat)/S(meas) ratios increase, single-rule procedures generally show a loss in error detection, whereas multirule procedures, including the 3(1)s control rule, show an increase in false rejections. An optimized QC design is presented.


1998 ◽  
Vol 17 (1) ◽  
pp. 32-38 ◽  
Author(s):  
I. S. Shaw ◽  
J. D. Van Wyk ◽  
R. W. Pretorius

Increased interest in the elimination of distortion in electrical power networks has led to the development of various compensator topologies. The increasing cost of electrical energy necessitates the cost-effective operation of any of these topologies. This paper considers the development of an artificial neural network based controller, trained by means of the backpropagation method, that ensures the cost-effective operation of the hybrid compensator consisting of various converters and filters.


2021 ◽  
Author(s):  
Saori Mizuno-Iijima ◽  
Toshiaki Nakashiba ◽  
Shinya Ayabe ◽  
Hatsumi Nakata ◽  
Fumio Ike ◽  
...  

AbstractThe RIKEN BioResource Research Center (BRC) was established in 2001 as a comprehensive biological resource center in Japan. The Experimental Animal Division, one of the BRC infrastructure divisions, has been designated as the core facility for mouse resources within the National BioResource Project (NBRP) by the Japanese government since FY2002. Our activities regarding the collection, preservation, quality control, and distribution of mouse resources have been supported by the research community, including evaluations and guidance on advancing social and research needs, as well as the operations and future direction of the BRC. Expenditure for collection, preservation, and quality-control operations of the BRC, as a national core facility, has been funded by the government, while distribution has been separately funded by users’ reimbursement fees. We have collected over 9000 strains created mainly by Japanese scientists including Nobel laureates and researchers in cutting-edge fields and distributed mice to 7000 scientists with 1500 organizations in Japan and globally. Our users have published 1000 outstanding papers and a few dozen patents. The collected mouse resources are accessible via the RIKEN BRC website, with a revised version of the searchable online catalog. In addition, to enhance the visibility of useful strains, we have launched web corners designated as the “Mouse of the Month” and “Today’s Tool and Model.” Only high-demand strains are maintained in live colonies, while other strains are cryopreserved as embryos or sperm to achieve cost-effective management. Since 2007, the RIKEN BRC has built up a back-up facility in the RIKEN Harima branch to protect the deposited strains from disasters. Our mice have been distributed with high quality through the application of strict microbial and genetic quality control programs that cover a globally accepted pathogens list and mutated alleles generated by various methods. Added value features, such as information about users’ publications, standardized phenotyping data, and genome sequences of the collected strains, are important to facilitate the use of our resources. We have added and disseminated such information in collaboration with the NBRP Information Center and the NBRP Genome Information Upgrading Program. The RIKEN BRC has participated in international mouse resource networks such as the International Mouse Strain Resource, International Mouse Phenotyping Consortium, and Asian Mouse Mutagenesis and Resource Association to facilitate the worldwide use of high-quality mouse resources, and as a consequence it contributes to reproducible life science studies and innovation around the globe.


2014 ◽  
Vol 57 (1) ◽  
pp. 35-46
Author(s):  
Burak Birkan ◽  
Volkan Ozguz

Sabanci University Nanotechnology Research and Application Center (SUNUM) became operational in January 2012. SUNUM is a trendsetting example of a green and flexible research facility that is a test bed for the cost-effective operation of a Centralized Demand-Controlled Ventilation (CDCV) system, a state-of-the-art cleanroom, and world-class high technology equipment. The total investment in the facility was US$35 million.


2012 ◽  
Vol 472-475 ◽  
pp. 3067-3070
Author(s):  
Hua Yao Zhang

This paper introduces the innovation on quality control from a single Tmall mode to online and offline interaction mode taken by the biggest Chinese e-commerce platform operator of Alibaba. During analysis, problem Alibaba has ever faced is followed by specific approach it applied, and then by a discussion of relative issues. What a reader can learn from this research is that the innovation is designed for the purpose of providing cost-effective, high-quality goods with perfect services. Consumer-oriented evaluation design and joint certification and control with suppliers and third-party agencies are severing for these purposes.


1990 ◽  
Vol 36 (2) ◽  
pp. 230-233 ◽  
Author(s):  
D D Koch ◽  
J J Oryall ◽  
E F Quam ◽  
D H Feldbruegge ◽  
D E Dowd ◽  
...  

Abstract Quality-control (QC) procedures (i.e., decision rules used, numbers of control measurements collected per run) have been selected for individual tests of a multitest analyzer, to see that clinical or "medical usefulness" requirements for quality are met. The approach for designing appropriate QC procedures includes the following steps: (a) defining requirements for quality in the form of the "total allowable analytical error" for each test, (b) determining the imprecision of each measurement procedure, (c) calculating the medically important systematic and random errors for each test, and (d) assessing the probabilities for error detection and false rejection for candidate control procedures. In applying this approach to the Hitachi 737 analyzer, a design objective of 90% (or greater) detection of systematic errors was met for most tests (sodium, potassium, glucose, urea nitrogen, creatinine, phosphorus, uric acid, cholesterol, total protein, total bilirubin, gamma-glutamyltransferase, alkaline phosphatase, aspartate aminotransferase, lactate dehydrogenase) by use of 3.5s control limits with two control measurements per run (N). For the remaining tests (albumin, chloride, total CO2, calcium), requirements for QC procedures were more stringent, and 2.5s limits (with N = 2) were selected.


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