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Trends in Analytical Chemistry, Vol. 24, No.

6, 2005 Trends

Quality control in qualitative


analysis
B.M. Simonet

In recent years, quality control (QC) has acquired great importance in vide trust about meeting the quality
chemical laboratories, so the international standard ISO/IEC 17025 points requirements [2]. In a more specific
out that any laboratory shall establish, implement and maintain a quality approach, international standard ISO/IEC
system appropriate to the scope of its activity. However, the standard 17025 points out that any laboratory
scarcely addresses qualitative analysis in spite of its increasing importance in shall establish, implement and maintain a
chemical and biochemical laboratories. In part of the report EUR 20605 EN quality system appropriate to the scope of
(2002), QC of qualitative analysis was considered for the first time. This its activity [3]. In other words, the labo-
overview presents one view of the state of the art of QC in qualitative ratory shall have QC procedures for mon-
analysis. The use of control charts in qualitative analysis is the most impor- itoring the validity of test and calibrations
tant activity of internal QC to monitor and control routine analysis. The undertaken.
paper describes the control charts to be used in qualitative analysis because In general, quality can be defined as
the control charts typically used in quantitative analysis cannot be used the degree of fulfilment of expectations
directly. The correct application of proficiency testing (PT) schemes to express, as well as implied. Depending on
qualitative analysis, the most important activity of external QC, is also these expectations, different types of
described in this overview. quality can be defined. The term QA
ª 2005 Elsevier Ltd. All rights reserved. describes the overall measures that a
laboratory uses to ensure the quality of
Keywords: Control chart; EQC; External quality control; Internal quality control; IQC;
its operations [4]. It is important to
Proficiency testing scheme; PT; QC; Qualitative analysis; Quality control
distinguish between QA and QC. In fact
the meaning of these terms often varies
1. Introduction according to the context. But, in practical
B.M. Simonet*
terms, we can consider, as was indicated
Department of Analytical
Chemistry, University of Chemical analysis or measurement gen- above, that QA relates to the overall
Girona, Campus de Montilivi, erally involves the use of a validated measures taken by the laboratory to
E-17071 Girona, Spain method, the use of an adequate calibration regulate or ensure quality, whereas QC
graph to ensure traceability and the describes the individual measures that
measurement of uncertainty. These relate to the quality of individual samples
actions form the first level of quality or batches of samples. Typical QC proce-
assurance (QA) in the laboratory. But, dures include: (i) analysis of reference
only when well-defined quality control materials/measurement standards; (ii)
(QC) procedures are also employed the analysis of blind samples; (iii) use of QC
validity of measurement can be assured samples and control charts; (iv) analysis
(Fig. 1). In fact, QC and quality in chemi- of blanks; (v) analysis of spiked samples;
cal analysis are old concepts. Probably, as (vi) analysis in duplicate; and, (vii)
long as there has been chemical analysis, proficiency testing (PT).
there has been the need to control the The CITAC/Eurachem guide to quality
quality of its performance [1]. However, in analytical chemistry points out that, as
due to the enforcement of legal require- a part of their quality systems and to
ments and the high standards between monitor day-to-day and batch-to-batch
companies obliged to assure the quality of analytical performance, laboratories must
the results, QC seems a young concept. operate an appropriate level of internal QC
*
Fax: +34 971 418150;
The new international standard ISO checks and participate wherever possible
E-mail: 9000:2000 defines QA as a part of quality in appropriate PT schemes (external QC)
bartolome.simonet@udg.es. management addressing the need to pro- [5]. Obviously, the level and the type of QC

0165-9936/$ - see front matter ª 2005 Elsevier Ltd. All rights reserved. doi:10.1016/j.trac.2005.03.011 525
Trends Trends in Analytical Chemistry, Vol. 24, No. 6, 2005

2. QC in qualitative analysis
Validation

To control the quality of results, it is necessary to


describe the parameter that denotes the quality of a
certain property of chemical analysis. Afterwards, it is
Quality Control necessary to define how the quality can be influenced
Valid and Safe and what features determine the optimal quality.
Meas urement Quality is always a relative notion, referring to the
requirements fixed beforehand on the basis of national or
international regulations or customer needs [9]. In this
Traceable Measurement context, the requirements fixed by a screening or quali-
Response/ Calibration Uncertainty/Traceability tative method are clear, because, as is well known, the
Figure 1. Role of quality control in the analytical process to obtain goal of a screening method based on a binary response is
valid and safe measurements. the classification of samples according to the presence/
absence of an analyte or a group of analytes. The QC for
this type of method therefore focuses on identifying false
will critically depend on the nature of the analysis, the positives and false negatives.
frequency of the analysis, the batch size, the degree of QC can be classified into two groups: internal QC (IQC)
automation, and the test difficulty and reliability. and external QC (EQC). Fig. 2 describes the types of QC
The importance of establishing the QC principles is and the activities carried out in each case.
clear. They have been established by the international IQC has, as its main objective, the maintenance of
standard ISO/IEC 17025. Unfortunately, this inter- validation conditions in the laboratory for a long time. It
national standard scarcely addresses qualitative analysis is meant to assure the appropriate performance of the
in spite of the fact that qualitative analyses represent a particular test used for qualitative analysis. Another key
significant and important part of the daily activity of principle for quality is comparability of results between
chemical and biochemical laboratories. Such importance laboratories, which is precisely the objective of EQC – to
was reported in EUR 18405 EN (1998) [6]. Then, EUR ensure that qualitative analysis performs adequately in
20605 EN (2002) systematically considered the an interlaboratory test.
metrology of qualitative chemical analysis. An important It is important to note that data about the quality of
part of EUR 20605 EN deals with the QC of qualitative analytical measurements encompasses two essential
analysis [7,8]. criteria: utility and reliability. Utility means that ana-
This article presents an overview of the state of the art lytical results must allow reliable decision making (e.g., if
of QC in qualitative analysis. a result is a false positive, the decision will be wrong).

QUALITY CONTOL
(QC)

Internal Quality Control External Quality Control


(IQC) (EQC)

OBJECTIVE To maintain the validation OBJECTIVE To assure the


conditions in the comparability of results
laboratory between laboratories

ACTIVITIES ACTIVITIES
Repetition of analysis Proficiency testing
Comparison between schemes
analysts
Use of reference materials
Control charts
Etc.

Figure 2. Classification of quality control according to its objective and activities.

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Trends in Analytical Chemistry, Vol. 24, No. 6, 2005 Trends

The consequences of a wrong decision can be health trends in analytical work. The objective is to detect
risks, higher costs or even illegal practices. IQC and EQC negative effects on results and to identify their potential
are therefore key tools to assure quality. source. Although control charts may take a variety of
forms, basically they are a graphic representation on
which the values of the quality characteristic under
3. (Certified) reference materials investigation are plotted sequentially. Several inter-
national standards of the ISO have addressed control
Reference materials (RMs) are important tools in realis- charts [10–12]. Nevertheless, none of them has addressed
ing a number of aspects of measurement quality qualitative tests. EUR 20605 EN (2002) describes the
because, in addition to their use for method validation, adaptations needed to expand the use of these charts to
calibration or estimation of measurement uncertainty, qualitative analysis [7].
they are also used for IQC and EQC. Matrix RMs, which The principle of control charts is simple and can be
are characterised for the composition of specific major or structured in three steps:
minor constituents, are the RMs most widely used for (1) take sample during the process;
QC. (2) measure the quality indicator; and,
In general, RMs can be classified into two classes (3) mark the result on a chart with limits (warning
according to ISO recommendations: (i) certified RMs and action).
(CRMs) and (ii) RMs. According to the degree of uncer- Normally, if a CRM is used, the certified value is used
tainty, RMs can be classified as: (i) primary RMs, as the assigned value. In using in-house RMs, the
(ii) secondary RMs, and (iii) in-house or working RMs. assigned value is the mean of repeated measurements.
In order to use RMs for QC, the materials should be Conventionally, warning and action limits are estab-
characterised with respect to homogeneity, stability and lished as ±2s and ±3s range, respectively, which corres-
the certified property value. All of these parameters are pond to probabilities of 95.5% and 99.7%, respectively,
important characteristics to establish an efficient IQC. In of the data being normally distributed. Obviously,
the case of EQC (PT), homogeneity is essential and warning and actions limits calculated in the above way
sample stability within the time-scale of the exercise should not be used without considering the fit-for-
must be assessed and controlled. When the QC is focused purpose requirement of the analysis.
on qualitative analysis, the use of RMs, sample blank and These steps are easy to apply to quantitative analysis
matrix standard are crucial to detect false positives and but, in qualitative analysis, some problems can appear.
false negatives, respectively. Although a large number of For example, if the binary yes/no response is obtained by
RMs are commercially available, most of them are for transforming the analytical signal, the limits can be
quantitative purposes when it is difficult to find sample- established, but, if the binary response is provided
blank RMs. This has meant that in-house RMs have been directly by the screening method, it is not possible to
used widely in qualitative analysis. In these cases, the establish such limits.
key issue that needs to be considered is the selection of
the material in order to assure homogeneity, stability 4.1. Simple practical approach
and an appropriate or representative matrix. Although The control chart is the most recommended approach to
usually the measurement of QC can be carried out by use when a binary response is provided directly by the
using in-house materials of adequate homogeneity and screening method. For this approach, two samples are
stability, the possibility of using commercially available selected (A and B). The samples must be homogenous
sample-blank RMs to validate screening methods is an and stable and the matrix must be representative of the
interesting point. matrix of the real samples being analysed. Sample A and
B must have a concentration of analyte slightly lower
and slightly higher than the cut-off or threshold con-
4. IQC centrations, respectively. Therefore, sample A must
produce a 100% negative response and be used to detect
The international standard ISO/IEC 17025 points out false positives. Sample B must produce a 100% positive
that any laboratory shall have QC procedures for moni- response and be used to detect false negatives.
toring the validity of tests. The international standard Fig. 3 shows a hypothetical example of this simple
also indicates that the resulting data should be recorded practical approach. As can be seen, situations out-of-
in such a way that trends are detectable, and, where control can be easily detected. When the binary re-
practicable, statistical techniques shall be applied to sponse is obtained by data transformation, it is possible
reviewing the results. to determine the probability–concentration graph. In
Control charts are one of the oldest methods used to this case, it is recommended to establish the concen-
monitor and control routine analyses because of their trations of samples A and B from a graph, as shown in
simplicity and their usefulness in detecting negative Fig. 4.

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Trends Trends in Analytical Chemistry, Vol. 24, No. 6, 2005

Check of false positives (A: low concentrations ofanalyte)

FALSE ANSWER
CORRECT ANSWER

days

Check of false negatives (B:h igh concentrations of analyte)

CORRECT ANSWER
FALSE ANSWER

days
OUT-OF-CONTROL SITUATIONS

Figure 3. Hypothetical example of a simple control chart used for a qualitative analysis method showing two out-of-control situations.

method that provides a purely qualitative response, the


use of control charts is limited to detecting false positives.

4.3. Control charts for binary response


The first approach to control charts for binary response
is to use a control chart similar to the common Shewart
control chart. For that, the first step is to select from the
probability–concentration graph two samples at two
concentration levels, as described in Section 4.2 above
(Fig. 4). Afterwards, the reference lines to be used for
control must be defined. A proposal for these reference
lines [7] established the acceptance error level at 5% of
false response, the warning limit at 10% of false response
and the control limit at 15% of false response. Finally,
the false negative and positive rates are determined and
results are graphed in the control chart. It is important
to note that, in this case, the rate of false responses is
represented and not the result of a simple analysis as in
the case of the simple practical approach described in
Figure 4. Selections of concentrations of samples to establish IQC Section 4.1 above.
from a typical probability–concentration graph for a screening Fig. 5 shows a typical control chart for eight daysÕ
method. Sample A will be used to detect false positives and sample monitoring of the rates of false positives and false neg-
B to detect false negatives.
atives provided by the test method. As can be seen, in
this example, the majority of error are between the
warning and the acceptance limits.
4.2. Control charts for blanks Taking into account that the objective of this type of
The control charts for blanks are a variation of a control chart is to detect false responses, rather than the
Shewart graph. In this chart, the instrumental signal is Shewart chart, the use of a graph similar to the Youden
represented as a function of number of the blank control plot used for quantitative analysis has been recom-
sample. The objective of these control charts is the same mended [7]. As the objective is to detect both false
for qualitative or quantitative methods (i.e., basically to positives and false negatives, this control also uses two
control the performance of the equipment and the control samples, the concentrations of which determine
system), so, from this chart, information about the the unreliability region (Fig. 4). The chart graph com-
contamination of reagents or the state of the instrument prises two axes that define four regions (Fig. 6). Every
can be obtained. Blank samples can also be used to detect point of the group is obtained as result of analysis of the
false positives, although, for that, it is recommended that two samples and is represented in the graph, so each
a sample with a low concentration of analyte should be quadrant of the graph represents a different situation, as
used (e.g., sample A in Fig. 4). In the case of screening indicated below:

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Trends in Analytical Chemistry, Vol. 24, No. 6, 2005 Trends

Figure 5. Control chart similar to Shewart chart for monitoring the rates of false positives and false negatives.

 Region 1 represents a situation under control. principle of such a strategy is based on the systematic
 Region 2 represents a situation in which a false analysis of samples using rapid, low-cost vanguard
positive has been detected. Sample B gives a analytical systems (screening method), which allow the
positive response. rapid classification of samples according to a target
 Region 3, in which sample A gives a negative re- characteristic. As a result, only the selected samples
sponse, represent a situation in which false neg- must be processed by a conventional or rearguard
ative is obtained. analytical system in order to expand the analytical
 Region 4 represents a double false response. In information, so the influences of false negatives and false
this region, a false positive plus a false negative positives are different. False negatives are most relevant
are obtained. because the confirmatory or rearguard method is
Fig. 7 shows the control chart used during the anal- regularly applied to those samples.
ysis of nitrate in synthetic and real water samples [13]. When the analytical system also involves a confir-
The authors proposed the use of a blank control sample matory method, it can be used to control the screening
to check the negative response and to detect possible method. For that, negative samples must be also ana-
false positives for both screening and confirmative lysed by the confirmatory method in a random fashion.
methods. A sample containing 0.10 lg/L of nitrate was The results obtained for both methods can be repre-
used to control positives responses in the screening sented in a Youden plot, as in Fig. 8. This IQC can be
method. The positive response of the confirmatory introduced by analysing the same samples at different
method was checked using a sample containing times or by analysing different samples. In the former
0.16 lg/L of nitrate. The control chart obtained pointed case, the method can also be used to control to perfor-
out when any situation out of control was detected. mance of the confirmatory method. In the latter case,
only differences between both methods can be detected.
4.4. Comparison with a confirmatory method
In many cases, a confirmatory method is also used
together with the screening method, following the
so-called vanguard–rearguard principle [14]. The general

Figure 7. Example of an IQC for a screening/confirmative method


Figure 6. Control plot equivalent to Youden plot for IQC of binary
for the determination of nitrate in water. Adapted from [13].
response.

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Trends Trends in Analytical Chemistry, Vol. 24, No. 6, 2005

results. The comparability of results can be demonstrated


by interlaboratory comparisons or PT.
In general, there are different reasons for interlabo-
ratory tests, namely method validation, characterisation
of RMs, and PT. The third and most important for QA
(i.e., PT) aims to obtain an indication of the performance
of the laboratory.
There are several guidelines on the requirements for
PT schemes. Probably, the most important are the guides
from ISO [15,16] and Eurochem [17]. However, these
guides focus on quantitative analysis and they are not
applicable to qualitative analysis.
Figure 8. Control chart for monitoring difference between the In 1997, the Analytical Methods Committee of the
qualitative method of binary responses (vanguard method) and Analytical Division of the Royal Society of Chemistry
the confirmatory method (rearguard method).
published an article on handling false negatives, false
positives and reporting limits in analytical proficiency
4.5. Frequency of QC samples tests [18]. The authors of the article pointed out that,
It is the responsibility of the analyst to select an when proficiency tests are made with samples contain-
appropriate level of QC. This level must be selected ing little or no measurand, problems occur when
taking into account the reliability of the method and the applying the z-scoring system when false negatives and
criticality of the work. As was indicated above, the false positives occur. The article recommends avoiding
samples must by representative of the real problem and the use of terms such as ‘‘not detected’’ and ‘‘less than’’.
appropriate in terms of homogeneity, stability and reli- It is therefore evident that a new approach for PT
ability. According to QA principles, laboratories should schemes dealing with binary response is needed. As a
plan the number of control samples to be used, as well starting point, that part of EUR 20605 EN (2002) [7]
as the frequency of analysis. In quantitative analysis, that deals with PT schemes of qualitative analysis must
there is wide acceptance of a QC level of 5% (i.e. 1 QC be considered.
sample for every 20 samples analysed). For complex
procedures, a level of 20% or even 50% is not unusual. 5.1. PT schemes
By contrast, for robust routine methods, a QC level The plan of the PT proposed in the EUR 20605 EN
lower than 5% may be reasonable. In qualitative (2002) [7] is based on the number or percentage of true
analysis, the QC level must take into account the sim- responses obtained in the overall assessment of the lab-
plicity and the rapidity of the method, which makes it oratories. It recommends distributing several samples,
easy to increase the number of samples analysed. including a set of positive and negative samples. The
Table 1 shows recommendations for frequency. In all simulated example presented in EUR 20605 EN (2002) is
cases, it seems reasonable to choose at least two control shown in Table 2. As can be seen, 10 samples (three
samples (one positive and the other negative) to positives and seven negatives) are distributed to four
implement appropriate QC for qualitative methods pro- laboratories. It is important to ensure that all the sam-
viding binary response. Obviously, in order to select the ples have a concentration of analyte outside the range of
samples correctly, it is important to know the proba- concentration established by the unreliability region of
bility-concentration graph of the qualitative method. the binary response. Table 2 also simulates the results
for the four laboratories. When a true response is
obtained, a ‘‘0’’ mark is written in accordance with the
5. EQC z-score system in which ‘‘0’’ is the best score. The mark
‘‘1’’ is used to denote a false response. The report
As was indicated in Section 1, due to the importance of recommends considering the individual values of the
producing fit-for-purpose data, it is important to dem- response obtained for each sample and laboratory as a
onstrate the accuracy and also the comparability of the partial z-score. The combined values of z shown in Table

Table 1. Selection and frequency of use of control samples in qualitative analysis

Sample Control of true positive and negative samples Control of blank samples
n < 20 Samples with similar matrix Three for series One for series
n > 20 Samples with similar matrix Insert controls every 6 analyses One every 15 samples
Samples with different matrix Group samples and insert controls for each matrix One every 15 samples
or compare the results with another method

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Trends in Analytical Chemistry, Vol. 24, No. 6, 2005 Trends

Table 2. Simulated results of a proficiency testing exercise using a


6. Conclusion
binary response method
QC is an important point to be considered under the
Sample Laboratory Laboratory Laboratory Laboratory
umbrella of enforcing legislation and the new interna-
1 2 3 4
tional standard ISO/IEC 17025. The basis of QC and the
A (+) 0 0 0 1 activities to be carried out in IQC and EQC are well
B (+) 0 0 1 0
established for quantitative analysis, but the basis for
C () 0 1 0 0
D () 0 0 0 1 qualitative analysis needs to be clearly established. This
E () 0 0 0 0 article shows that, with appropriate modifications, the
F () 0 0 0 0 most important points of QC in quantitative analysis can
G (+) 0 0 0 0 be applied to qualitative analysis.
H () 0 0 1 0
I () 0 0 0 1
J () 0 0 0 0
References
True responses are marked as ‘‘0’’ and false responses as ‘‘1’’.
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Laboratory Laboratory Laboratory Laboratory
Switzerland, 2000.
1 2 3 4
[3] International Standards Organization, ISO/IEC 17025: General
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