Machine learning for patient-based real-time quality control (PBRTQC), analytical and preanalytical error detection in clinical laboratory.

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Authors
Kalaria, Tejas
Lorde, Nathan
Mahapatra, Shivani
Issue Date
2024-08-20
Type
Article
Peer-Reviewed Publication
Keywords
Artifical intelligence
Bias
Laboratory error
Machine learning
Narrative review
Patient-based real-time quality control (PBRTQC)
Peer-reviewed article
Quality control
Review
Journal
Diagnostics
Volume
14
Issue
16
Research Projects
Organizational Units
Journal Issue
Alternative Title
Abstract
The rapidly evolving field of machine learning (ML), along with artificial intelligence in a broad sense, is revolutionising many areas of healthcare, including laboratory medicine. The amalgamation of the fields of ML and patient-based real-time quality control (PBRTQC) processes could improve the traditional PBRTQC and error detection algorithms in the laboratory. This narrative review discusses published studies on using ML for the detection of systematic errors, non-systematic errors, and combinations of different types of errors in clinical laboratories. The studies discussed used ML for detecting bias, the requirement for re-calibration, samples contaminated with intravenous fluid or EDTA, delayed sample analysis, wrong-blood-in-tube errors, interference or a combination of different types of errors, by comparing the performance of ML models with human validators or traditional PBRTQC algorithms. Advantages, limitations, the creation of standardised ML models, ethical and regulatory aspects and potential future developments have also been discussed in brief.
Citation
Lorde N, Mahapatra S, Kalaria T. Machine Learning for Patient-Based Real-Time Quality Control (PBRTQC), Analytical and Preanalytical Error Detection in Clinical Laboratory. Diagnostics (Basel). 2024 Aug 20;14(16):1808. doi: 10.3390/diagnostics14161808. PMID: 39202296; PMCID: PMC11354140.
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