The Leeds/Bradford Biochemistry service has four sites all with the same analytical equipment using the same reagents and IQA. IQA performence is compared regularly and used to "tweak" the analysers to get the same answers across all sites. Why then do we need to enrol all four sites in the same EQA scheme?? If one analyser is performing satisfactorily compared to the "National norm", (as evidenced by EQA), and the other analysers compare satisfactorily with that one why repeat the EQA analysis?? I believe many hospitals with several Blood Gas Analysers of the same make will only EQA one and accept performnce of the others on the basis of IQA. Could this principle not be applied far more widely particularly in the light of networking and the fact that equipment, reagent production, cartridge manufacture and standards are common across many sites.
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