10 Calculation Methods                                      10-13 
Figure 10-10 Westgard Multi-rule QC Conclusion Flow 
 
For  several  controls,  the conclusion logic  is  similar  to the  above condition, except  for 
multiple continuous QC data, which should be combined simultaneously. 
10.2.5.2 Cumulative Sum Check 
Regarding different requirements to the QC result, cumulative sum check usually adopts 
three controlling methods, which are mainly used to monitor the systematic error of the 
testing methods. Where, 
  - average value, SD - standard deviation. 
Controlling Methods  Threshold (k)  Limit(h) 
CS-(1.0SD: 2.7SD) 
±1.0SD 
±2.7SD 
CS-(1.0SD: 3.0SD) 
±1.0SD 
±3.0SD 
CS-(0.5SD: 5.1SD) 
±0.5SD 
±5.1SD 
10.2.5.3 Twin-plot 
In the system, Twin-plot, which has no detailed rules, is present only as a whole chart to 
help you make a QC conclusion. 
Figure 10-11 Twin-plot 
     
   
+2SD
Χ
-2SD
-3SD
+3SD
Y
+2SD +3SD-2SD-3SD
 
The chart can sensitively indicate the systematic errors and random errors.