Levey-Jennings chart — glucose QC with a 2-2s rejection
Levey-Jennings internal quality control chart for a clinical chemistry analyte: twenty daily QC results plotted against an assigned mean and cumulative SD with +/-1s, +/-2s and +/-3s limits, showing the 1-2s warning at run 14 and the 2-2s systematic-error rejection completed at run 15 — the chart a medical laboratory scientist reviews and signs before releasing any patient result.
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title: Levey-Jennings chart - serum glucose QC Level 2 (hexokinase, Cobas c503)
subtitle: Assigned mean 8.20 mmol/L, SD 0.18 (20-day baseline), CV 2.2%
x: QC run (one per day, consecutive)
y: Glucose (mmol/L)
x limits: 0 .. 21
y limits: 7.60 .. 8.80
grid: y
legend: right
caption: Control material lot 41827. Westgard multirule applied as 1-3s / 2-2s / R-4s / 4-1s / 10x. Run 14 at +2.17s is a 1-2s WARNING only. Run 15 at +2.33s makes two consecutive results beyond +2s on the same side: 2-2s, so run 15 is REJECTED - systematic error, recalibrate and repeat QC before any patient result from that run is released. No 1-3s, R-4s, 4-1s or 10x violation is present in these 20 runs.
line "QC result" colour: blue markers: yes
1, 8.22
2, 8.14
3, 8.27
4, 8.09
5, 8.31
6, 8.18
7, 8.25
8, 8.05
9, 8.21
10, 8.33
11, 8.12
12, 8.28
13, 8.16
14, 8.59
15, 8.62
16, 8.24
17, 8.19
18, 8.30
19, 8.11
20, 8.26
line "Mean 8.20" colour: black
0, 8.20
21, 8.20
line "+2s 8.56" colour: amber dash: yes
0, 8.56
21, 8.56
line "-2s 7.84" colour: amber dash: yes
0, 7.84
21, 7.84
line "+3s 8.74" colour: red
0, 8.74
21, 8.74
line "-3s 7.66" colour: red
0, 7.66
21, 7.66
line "+1s 8.38" colour: grey dash: yes
0, 8.38
21, 8.38
line "-1s 8.02" colour: grey dash: yes
0, 8.02
21, 8.02