NakedSignal

Change explorer · Haematology and immunology

Point-of-care platelet count vs a central laboratory haematology analyser

Public dataA public method-comparison deposit, not a laboratory's data. Systems are described generically; the source names them.

Central lab haematology analyser replaced by point of care haematology analyser: 199 paired results from a published study by Shean and Bennett (2026), re-analysed by NakedSignal as if the study were one laboratory. At 100, 150 ×10⁹/L, 7 results changed category after the change, against about 6 expected from repeat testing alone.

run 25 September 2026 · config 6eb23df45893 · run file sha256 5586cd892ef1

Haematology and immunology

Platelet count, ×10⁹/L

Central lab haematology analyser replaced by Point of care haematology analyser. 199 paired results.

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Comparison line

The new system reads 1.6% higher than the old system on average. The comparison line has a slope of 1.007 (95% interval 0.984 to 1.031) and an intercept of 2.308.

Public data
Comparison line, platelet count (×10⁹/L)Comparison line with slope 1.007 (95% interval 0.984 to 1.031) and intercept 2.308, drawn against the line of no change. Decision limits drawn at 100, 150 ×10⁹/L. Where the comparison line sits above the line of no change, the new system reads higher; below, lower.5010015050100150100150No changeComparison lineOld system, ×10⁹/LNew system, ×10⁹/L

Fig. 1. The comparison line against the line of no change, over the range of the decision limits (100, 150 ×10⁹/L). Dots mark where each line meets each limit; the gap between them is the bias at that limit.

run 25 September 2026 · config 6eb23df45893 · run file sha256 5586cd892ef1

Crossing each limit

Results that moved across a decision limit when the new system replaced the old, against the number repeat testing on one unchanged system would move. The program reports the count across all limits together.

All decision limits together (100, 150 ×10⁹/L)

Crossed after the change: 7

Expected from repeat testing alone: about 6

Grade and warnings

  • Re-test band: full (at least the protocol minimum of pairs).
  • Band half-width around each limit: 13.48%.
  • Results re-tested on data the band was not fitted to, median: 15%.
  • Repeat-test imprecision: assumed, not measured at this site.
  • Warning from the program: The change moved fewer than 5 more people across a line than repeat testing alone would; excess caught is not meaningful here.

Source

Shean RC, Bennett ST (2026). Clinical Evaluation of a Novel Point-of-Care Hematology Analyzer for Complete Blood Count With Differential. Int J Lab Hematol. doi:10.1111/ijlh.70032 (opens in a new tab); PMC12956494 (opens in a new tab). Licence: CC BY 4.0 (opens in a new tab). Changes: Paired results re-analysed by NakedSignal's program; instruments described generically; only derived results are shown. The deposit names the systems.

Show the numbers
All values for platelet count, Central lab haematology analyser to Point of care haematology analyser
FieldValue
Paired results used199
Comparison line slope1.007393
Slope, 95% interval0.983676 to 1.03091
Comparison line intercept2.30825
Mean difference, new minus old, as % of old1.569
Decision limits (×10⁹/L)100, 150
Crossed after the change7
Expected from repeat testing alone5.65
Band half-width (%)13.48
Re-tested, unseen data, median (%)14.57
Re-tested, unseen data, range (%)13.07 to 17.09
Excess caught, line and band (%)none
Excess caught, line alone (%)none

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