Escolar Documentos
Profissional Documentos
Cultura Documentos
Laboratory
Osman Sianipar
Control of method
Control of instrument
Control of reagents
http://www.clinlabnavigator.com/delta-check.html
08/05/2018 Simposium CPD CPLM Joglosemar X 21
Recommended parameter for delta
check in hematology
• MCHC has the added benefit of detecting instrument
malfunction because it is calculated from hemoglobin,
MCV and RBC count
• Suggested delta check limits for MCV and MCHC are +/-
5 fl and +/-5.0 g/dL, respectively
• Delta checks are not recommended for other
hematology parameters including hemoglobin,
hematocrit, RBC count, WBC count or platelet count.
http://www.clinlabnavigator.com/delta-check.html
08/05/2018 Simposium CPD CPLM Joglosemar X 22
Delta Check Etiology
1968 1973
Explained by patient 94% 98%
pathophysiology, therapy or
natural course of disease
Unexplained 1% 1%
Laboratory-induced 5% < 1%