1977
DOI: 10.1093/clinchem/23.10.1881
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Combined Shewhart-cusum control chart for improved quality control in clinical chemistry.

Abstract: We describe the adaptation of the decision limit cumulative sum method (cusum) to internal quality control in clinical chemistry. With the decision limit method, the cusum is interpreted against a numerical limit, rather than by use of a V-mask. The method can be readily implemented in computerized quality-control systems or manually on controls charts. We emphasize the manual application here and demonstrate how the technique can be implemented on existing Shewhart or Levey-Jennings control charts. This permi… Show more

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Cited by 115 publications
(29 citation statements)
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“…It is hard to find the application of the runs rules schemes with the CUSUM charts in the literature. However, Westgard et al 12 studied some control rules using combined Shewhart–CUSUM structures. They proved superiority of this combined approach on the separate Shewhart's approach but ignored any comparison with the separate CUSUM application.…”
Section: Cusum Chartsmentioning
confidence: 99%
“…It is hard to find the application of the runs rules schemes with the CUSUM charts in the literature. However, Westgard et al 12 studied some control rules using combined Shewhart–CUSUM structures. They proved superiority of this combined approach on the separate Shewhart's approach but ignored any comparison with the separate CUSUM application.…”
Section: Cusum Chartsmentioning
confidence: 99%
“…Specifically we can rewrite scheme (2.5) as N = min(N I , N 2 ) , where N, is Page's likelihood CUSUM scheme (2.3) with fl = fo· More generally, if we have k control schemes represented by stopping times T l , • J • • , Ti ; where T, is the time at which an out-of-control signal is triggered because of a significant departure of type j from the state of statistical control, then we can combine these k schemes into a composite scheme T=min(TI> ... , T k ) . Westgard et al (1977) and Lucas (1982) used this idea to combine the two-sided CUSUM scheme (2.5) with a two-sided Shewhart scheme so that the 'combined Shewhart-CUSUM chart' can detect more quickly than the CUSUM scheme (2.5) departures from 0 that are larger than lOll and O 2 ,…”
Section: Combined Shewhart-cumulative Sum Charts and Other Composite mentioning
confidence: 99%
“…As L + and S+ occupy the positive half of the plot, and L -and S-the negative this does not lead to the 'chart clutter' one might expect. In addition, with a suitable choice of scale the U, can be superimposed on the cusum charts and used as a Shewhart chart for location and spread (as in Westgard et al, 1977). The use of U, to control for scale is an alternative to the proposal by Nelson (1982) to use the absolute value of successive differences, and has the advantage of using what is a better estimator of location while the process is under control.…”
Section: Lii=lo=sii=so=omentioning
confidence: 99%