Study the following Levey-Jennings charts. Evaluate the last run (Run No.12) on each chart. Identify the control rule violated (if any), and the type of error most likely associated with the control rule violation (i.e., systematic or random error). Charts 1-6: Single Levels of Control Chart 1 Rule Violated: (mmol/L) Range( (mmol/L) 60 Range 55 50 45 40 35 30 60 55 50 45 40 35 + 30 1 1 L E + T 1 I } { Chart 2 Rule Violated: 3 1 3 1 1 8 3 I 3 3 3 1 3 E 1 1 I 1 1 2 { 2 wh 2 1 1 1 1 1 E 1 E E F 3 3 } 3 3 3 1 1 { 4 { 3 $ { I 3 1 { 1 1 3 3 3 A 1 B mi * 1 1 1 Bel 3 T F 1 3 { { 1 E 1 3 3 3 1 E F 1 1 3 1 3 1 3 1 3: 1 22 1 1 1 1 { { bange 31 4 3 1 3 { C 3 4 1 1 E 12 { 1 1 T 3 3 3 1 1 1 3 1 3 1 1 } 3 1 1 1 3: 1 1 20 1 3 1 1 1 10 1 5 1 { L 1 1 1 3: 1 1 3 1 31 1 3 3 { 18 1 1 1 1 3 3 1 1 1 { 5 6 7 3 3 1 3 1 3 31 6 31 1 3 3 1 3 3 3 3 3 3 8 1 1 3 1 1 3 F 1 1 1 E 3 3 7 1 3 1 1. 3 1 1 3 1 3 3 3 3 3 31 3 } 3 1 T 3 } 1 3 3 8 it 8 1 3 Charts 7-9: Bilevel Controls (two control levels) $ } } 3 1 3 3 2 3 3 1 3 3 } 9 P 9 { 1 3 Run Number 1 3 3 31 3 } 3 3 2 1 1 3 1 27 1 1 . 3 1 S 8. Error: 2 1 1 } 1 { 1 Error: Cy 1 Run Number { 3 1 E 3 { E 3 1 3 1 1 1 live 1. 3 T 1 3 3 1 1 1 3 1 T 1 1 31 3 E 1 I 1 3 3 3 1 1 1 R 2 T 1 1 3 3 L 1 BL 1 1 1 L { 3 1 3 T 1 19 1 J 1 B 8 1 33 } 1 1 } 1 t BR 1.... } 1 { 1 3 1 E 1 1 1 } 100 } E 1 3 8 } { 3 3 1 1 T 1 3: 1 { 2 3 - T 8 1. my 3 1 S 1 1 } 3 1. 10 11 12 13 14 15 16 17 18 19 1 3 10 11 12 13 14 15 1 1 32 1 3 3 { 1 1 1 1 1 3 M 1 } 3 1 1 1 1 3 1 1 1 1 1 { 3 } 3 { 1 16 151 10 E 3 1 1 31 3 Si 1 E 1 1 3 1 1 1 # $ 1 31 E E 1 3 J 1 8 $ 1 3. 31 10 14 { T 3 3 18 E } 3 1 1 8 1 17 5 1 1 F } 1 8 1 } 1 1 E 3 3 1 1 3 1 3 b } 1 1 { 3. S 1 1 L } 1 1 E E 2 11 BA! } 1 1 { 3 { J 18 E 3 } I 1 31 1 { 1 3 3 1 I 19 +3s +2s +1s MEAN -1s -2s -3s +3s +2s +1s MEAN -1s -2s -3s Self Test #5 Chart 3 (mmol/L) 30 Range (mmol/L) Range () Rule Violated: 09 Range 55 50 45 40 35 30 Chart 4 60 55 50 45 40 35 30 60 55 50 Rule Violated: Chart 5 45 40 * 1 35 1. 30 1 Sex : 1 1 1 . 1 # 33 1 } ... t 1 1 Rule Violated: J 1 1 1 Y T 1 1 1. E 1: 1: T: .. 2 1 2 2 2 1 1. 1 1: f 1 1 t 1 } : 1. 1 1 1 1: B { $ { 1. 6 .I 1. 1. 1. 1 1 1: RE 1 I 1 1 . 1 1 } i I 1 B 3 3 I t 1 3 t 1 . i 1: 1.. I # I 1 # 1 1 f. 1. 4 4 4 1 t 1. t E CHAPTER 3 5 5 5 1. 1 J. 1. 6 (0) 9 B 1 1. 1:1 1.. 7 7 6 7 J 1 1. I :1 8 00 8 * 8 1. 1 1 1. 1. 1 . 1. Chapter 3 Levey-Jennings Charts & Westgard Rules 9 9 * 9 1: 1 1. 1: 1 1 Run Number 1 } 1 1 1 10 L 1 1 1 $ 10 Run Number 1 T 1: 1. 1. 10 # 1. 1 Error: 1: F: 1. $ 1. I 1 Error: 11 1 11 1 1 I Cate . Error: Run Number 1 # t 1 1 1 13 1. 1: 1 1: .1 1 4. B I 12 13 14 15 16 1 F 1 :1 T 1 1: 12 13 1 3 1 I 1: 1 # 1: NA 1. 1. F .: 1 1 E ... 1 . t ?. 1. E 1 E :{ 1 1 i 1 1 1 .. .. 1 t 1. 1 1 E L 1. I : 1 14 1 2 1 1 | I 1 1 1 1 I 1. 1: T 1 i 1. I 1: J 1 15 I T. 1. 1 Continued 12 13 14 15 3 16 17 E. .I *. } 16 E. 1 17 F 1 4 1. .. 1 1. 1. 2 1 18 19 18 t # - 19 17 18 19 +3s +2s +15 MEAN -1s -2s -3s +3s +2s +15 MEAN -1s -2s -3s +35 +2s +1s MEAN -1s -2s -3s Self Test #5 Chart 6 Rule Violated: (7/10) Range () Range 60 55 Range (mmol/L) 50 45 40 35 30 Chart 7 +3s +2s +1s M -1s -2s -3s +3s Chart 8 +2s 1 Rule Violated: +1s M -1s i .1 1 -3s 1. 1 M I $ f I 1. WWW Rule Violated: ! 1 W 1 1 2 I i 1: 2 Level 1 #: 3. i 1 2 Level 1 1 1 3 3 L.. L: 4 } Level 2 4 5 6 7 8 9 10 1 Level 2 1 S 5 1 1: 1 1 .1 1 .I. J. 1 1 $ I ". 1. !. 1 I A E 1 I 1 1 I 7 * 1: 6 7 .. 1: 1. 1. 1 I ! 1 1. 1. UR 1 1 1 F 1. t 1: I I 8 8 { 1 E 9 9 Run Number ". a # 10 t 1 Error: 10 11 Run Number 1 Error: 1. 11 Error: 1. Run Number 1 11 I -1 *. 1 1: 1 I CHAPTER 3 12 12 18 :) 13 4: 13 12 13 A 14 T: .. .. A E .. @ D 15 Continued B 14 15 16 1 1. 1. t 16 17 18 19 J F. .. 5 + A F 1. 1 1 1. 1. $ { i 1. 8 MA .. 1 1 1. *. 1. 1. .: 14 15 16 17 1 1 i 1 81 . 1 1 1 $. 1 1. 1: # .f 1 ... .1 I 1 1 1. I I 18 1 1: I 1 :| 1 IL 1: 30 .. J. E 1: T 19 18 19 +3s +2s +1s MEAN -1s -2s -3s +3s +2s +1s MEAN -1s -25 -3s +3s +2s +1s MEAN -1s -2s -3s BIO RAD 31 Self Test #5 Chart 9 Rule Violated: Range (mmol/L) +3s +2s +1s 3 -1s -2s -3s 1 1: 2 Level 1 3 4 5 Level 2 CHAPTER 3 Answers to Self Test on Page 55 6 1: 7 9 1. 10 1 Error: 11 Run Number -1 ! 10 1. 12 * B 13 I $ 1 1. A 1: 1. 18 1 1 13 Continued I T t 14 15 16 1 1. 1. I 1: t B .. 1 .. J 1: 1. I IS 1. 1 17 J: LE 1 1 E 1 # a T Kat 18 19 +3s +2s +1s MEAN -1s -2s -3s