Automated ion-selective measurement of lithium in serum. A practical approach to result-level verification in a two-way method validation

Abstract

The Quality Assurance Department of Medix Diacor Labservice evaluated a two-way method validation procedure for serum lithium quantification in therapeutic drug monitoring In the process of a company fusion and rationalization of two considerably large production lines, three independent ion-selective electrode (ISE) methods were surveyed, among many others. While tailoring the new medical laboratory production, subcontracting from a collaborating company was discontinued. Likewise, modernization of the ISE instrumentation was unavoidable to increase throughput and effectiveness. It was important that the new result levels should be comparable both with the former subcontractor’s levels and with the levels reported from the previously existing instrumentation. The aim of this study was to evaluate the most crucial performance characteristics of a novel lithium method in comparison to the two ISE test methods being withdrawn. The standardized lithium test method was inspected in terms of linear measurement range, analytical variation, bias, past and on-going proficiency testing, in addition to method comparison, to achieve the desired analytical goals. Fulfilling the accreditation requirements in terms of the introduced method validation parameters is discussed.