What is a Cumulative Summation Limit?

How to Subscribe
MLS & MLT Comprehensive CE Package
Includes 185 CE courses, most popular
$109Add to cart
Pick Your Courses
Up to 8 CE hours
$55Add to cart
Individual course$25Add to cart
The page below is a sample from the LabCE course Quality Control. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

Learn more about Quality Control (online CE course)
What is a Cumulative Summation Limit?

Like the Westgard Rules, the Cumulative Summation Limit or Rule (abbreviated as CUSUM) has different approaches.

  • The CUSUM type used on the following pages is more sensitive to systematic than random error. Nevertheless, it does provide an easy means to detect impending problems.
  • CUSUM is calculated on worksheets like the one below.
  • Basically, CUSUM works in the following manner: a decision limit is predetermined (See section E. on the right side of the chart, where the CUSUM limit is defined as SD x 2.7), and when the CUSUM of control observations exceeds this limit, one must look for error in the testing process.
  • The right side of the worksheet is used to determine the mean, standard deviation (SD), and CUSUM limit.
Note: Be sure to scroll down on each of the pages of this section to view the CUSUM worksheets and their associated QC charts.