MEASUREMENT UNCERTAINTY / 04

Calibration, traceability and bias

Separate the uncertainty of assigned values from the variability of using them.

Follow the value, not just the label

Traceability links a measurement result to a stated reference through a documented calibration chain, with each step contributing uncertainty. A traceability claim alone does not demonstrate that an assay is suitable for every clinical use.

ContributionQuestion to ask
Assigned calibrator valueWhat value, units, uncertainty and coverage factor are supplied?
Local calibration processAre fitting, repetition and recalibration effects already captured?
Material suitabilityDoes the material behave appropriately in this procedure?
Bias or correctionWhat comparison supports it, and what uncertainty remains?

Convert certificates carefully

If a certificate gives expanded uncertainty U with a stated coverage factor k, its corresponding standard uncertainty is U/k. Do not assume that an unspecified manufacturer range is an expanded uncertainty, or that a control acceptance range describes calibrator uncertainty.

Worked example: an independent missing term

Suppose the result-specific long-term precision contribution is 2.4%, and a genuinely additional, independent assigned-value contribution is U = 2.0% with k = 2. The latter gives u = 1.0%. If the model justifies unit relative sensitivity, combined relative standard uncertainty is √(2.4² + 1.0²) = 2.60%. At k = 2, expanded relative uncertainty is about 5.2%. Independence and absence of overlap are assumptions to demonstrate—not defaults.

Handle bias explicitly

A comparison can reveal a discrepancy without establishing which procedure is correct. Examine reference quality, sample comparability and concentration dependence. Where a justified correction is applied, include its uncertainty and the relevant model terms. Do not automatically treat the magnitude of an uncorrected bias as an independent random SD.

Ask for missing information

Request the relevant certificate, definition of uncertainty, coverage factor, traceability statement and lot information. If evidence is unavailable, record the gap and its consequences rather than substituting an unrelated QC target range.