Topic outline

  • Welcome

    AWEsome-U Vision

    AWEsome-U is maintained by Zoe Brooks and operates in a Moodle educational environment to optimize our interactivity.   Your feedback and suggestions for improvement - and offers to help - are all appreciated. 

    I believe that if good people come together with a shared vision, great things can happen.  I have created a place to get together, the rest is up to you! 

    This site is sponsored by, not owned by, AWEsome-Numbers Inc.   Neither they nor I endorse, represent, or guarantee the completeness, accuracy, reliability, or usefulness of any Discussion Forum Content or other material posted here.   Read it and think for yourself!

    You need to log in to post to forums.  This site will evolve as you contribute to it.  

  • Getting around

    The Moodle environment is remarkably easy ... once you know it.

    We will be improving the site map and organization with your suggestions.

  • About This Site


    is a full university style learning platform (Moodle) that connects with the academic and scientific community  

    1. to validate the ability of Statistical QC / Risk Management software     to improve patient lives and minimize healthcare costs.

    2. to create a process to educate, implement and competency-certify staff to effectively use software to guide ISO/CLSI best practice for  risk management.

    3. to enable public transparency of risk and cost.

    Over the summer of 2018, we will be developing and testing resources.

    If you have some great ideas or time and skills to contribute - please contact

    AWEsome NumbersAWEsome-U is sponsored by AWEsome Numbers Inc. and hosted by Zoe C. Brooks.
    Other sponsors are welcome!

    Editorial, CLN Today, AACC 2016
    ome Numbers Inc. makes a statement about quality a
    nd risk

    AWEsome-Numbers Inc. is a privately-held Canadian quality solutions company who helps laboratories, regulatory, peer, and proficiency programs ‘upgrade’ their statistical QC processes to verified Risk Management. Our mission statement is “to measurably reduce laboratory error with the new science of Risk Management by revolutionizing and standardizing the practice of clinical laboratory QC processes.”

    Q: What’s new about this approach to QC … or is it Risk Management?

    A: Mathematically-OptimiZed Risk Evaluation™ upgrades statistical QC & sigma to Risk Management. It removes human error from QC design and interpretation. It replaces statistical assumptions and estimates with locally-approved medical goals, acceptable patient risk limits and measured facts. M.O.R.E. converts thirteen traceable risk drivers to the number, cost and acceptability of error rates. It auto-designs and verifies the QC rules, chart values and QC frequency required to meet the acceptable risk levels. It brings best practices to the front line – and includes a component of staff competency. more ...

    • About Zoe Brooks

      Zoe with Hazel, Sept 2006. Check the legs."Come with me to the wonderful world beyond sigma ... where, statistical expertise and good old-fashioned horse  sense walk in perfect sync." 

      Zoe Brooks is a visionary, teacher, author and entrepreneur who has dedicated her career to medical laboratory quality control, and more recently risk management, after serving as an advisor for CLSI EP 23-A. 

      Over the past >25 years Zoe has created, taught, practiced, published and proven a process that is now called Mathematically-OptimiZed Risk Evaluation™ to evaluate various processes to manage laboratory quality.  M.O.R.E. Quality creates role-based reports with number and costs of errors reported, in clear Risk-Based Quality Grades, star ratings, check marks and good old fashioned words.  It is an independent third party replace confusing statistics and automate the statistical QC component of risk management. 

      Zoe is pleased to offer the full university-based learning platform at AWEsome-U to host a Scientific Advisory Board to:
      - bring wisdom to the new science of Risk Management
      - make the largest possible difference in the world
      - involve front line leaders and educators
      - revolutionize the practice of Quality Control

      Background: Zoe has:
      • worried about Q.C. at the bench
      • managed Q.C. in small & large labs
      • published books & articles
      • created and taught courses
      • been international keynote speaker
      • consulted on Q.C. 
      • served on international committees, and
         cared deeply about laboratory quality for four decades.

      Zoe offers laboratory consulting services, risk evaluation programs and risk management software design. 1-705-995-3237

      Performance Driven Quality Control, Book, 2001

      Zoe pioneered the concept of “Performance-Driven Quality Control”, and is author of a textbook by the same name, published by the American Association for Clinical Chemistry, 2001.   Her Q.C. exploits have taken her across Canada, USA, and to Korea, Taiwan, China, Thailand, England, Wales, Australia, Egypt, Finland and Bermuda.  Zoe publishes QC courses and articles, and maintains a web site dedicated to laboratory quality management.  She also designs and presents seminars, workshops, home study courses, CDs, and software programs for quality management – all from her “farm office” in Northern Ontario.  

      Zoe presented and actively interacted with students in portions of an online post graduate course in Clinical Laboratory Data Analysis as an Adjunct Instructor at Rutgers University, New Jersey from 2003 to 2015.

      CV 2016...

      LinkedIn Profile

      • Risk Management & M.O.R.E.

        Risk management is a team sport.

        Tree of M.O.R.E. QualityMany people care about laboratory quality.

        These people have vastly different levels of expertise or interest in the numerical data and statistical concepts that drive the fundamental question “Is quality acceptable?” The Laboratory Director, ‘Risk Manager’, front line supervisor, bench tech or MLS, educator, patient, physician, inspector and facility/financial administrator require different types and levels of information. 

        The PIPS (Patients, Institutions, Physicians & Society) set or approve medical goals and acceptable risk levels, approve risk assessment processes and interpret risk metrics to determine if risk is acceptable. set medical goals and acceptable risk levels, approve assessment processes.

        Risk Assessors Recognize the core principles of Risk Management, relate laboratory error to patient harm and cost and interpret risk metrics to determine 1. How much risk exists?  and 2. Is this risk level acceptable?

        Risk Managers make everything happen.  They use verified processes to create risk metrics that guide the QC process and quantify the number and cost of patients who are currently, or potentially, at risk of medically-unreliable results. (MURs)  They interpret risk metrics and create procedures to continuously maintain acceptable risk.

        Risk Masters understand the logic, math and complex relationships required to provide the education and tools to effectively implement risk management across multiple sites and regions.  They create and verify processes to manage acceptable risk levels in the realm of 1 error/year as a stable operating level, with QC processes verified to detect 1 error per day.

        The laboratory director manages the team and sets the strategy.

        M.O.R.E. Quality Flow BriefWhat is M.O.R.E. Quality™?

        Mathematically-OptimiZed Risk Evaluation™ is a software-driven risk management process that gives the Laboratory Director the ability to ensure acceptable patient risk - from analytical errors in numerical results (approx. 80% of results) - across multiple departments and sites.

        Where does it fit?

        • M.O.R.E. Quality™ works WITH (does not replace) existing QC software to upgrade its capabilities from statistical QC to verified risk management
        • Set up quality standards, then export summary data from your existing QC software and upload it for every regular/monthly QC review to
            • Evaluate acceptability of risk of each QC sample
            • Recommend corrective action to reduce risk
            • Design a verify a full QC Process to detect failure of acceptable risk criteria
            • Follow troubleshooting reports  to correct faults
            • If method accuracy or precision has changed since the previous review, reports will recommended changes in QC frequency, rule applied, QC chart review frequency corrective action and corrective action.

        When and why would you use M.O.R.E. Quality?

        • How much time will this take?
        • Far less than the time you save by:
          • condensing method review from hours to minutes
          • eliminating warnings and false positives in daily QC
          • providing troubleshooting and method improvement recommendations

        What if you see unexpected shifts or QC flags?

        • A regular report provides ranges for the new mean value with corresponding recommended action and changes in QC process

         What QC rules would you use?

        • Front line staff will see a single  “Stop and Act” rule
          • No warnings; No avoidable false positives

         What if your software only applies Westgard rules?

        • We provide a factor to convert 1-2s or 1-3s rule the Stop & Act rule

        Staff will not want to change QC processes

        • Accept that fact.  Involve front line supervisors and staff in the process. 
        • Show them how much simpler their lives can be, and how much difference they can make to patient care.