At least 40 patient samples should be analyzed by both methods with at least 2 reagent lots on each analyzer. H��UMs�6��W��X ~��Lfd*MӉ[%f���MA[�P(���P��N3�M�۷ow�p1�vS7^����N��.���ke��C�Nn�����CX��U�m�ڴ��s��O��s��4O!OSxx��zY��ZBxSF`W��4� �`�&�"�Az�^@�;����#�`)/�t��L�+Ң(x Factors such … But, the methods considered for comparison should also be such that a practitioner could apply them without the need for special hardware or software packages. more streams . Elucidate the eight steps involved in a method validation. Method comparison. b. Results from method validation can be used to judge the quality, reliability and consistency of analytical results; it is an integral part of any good analytical practice. H���yTSw�oɞ����c [���5la�QIBH�ADED���2�mtFOE�.�c��}���0��8�׎�8G�Ng�����9�w���߽��� �'����0 �֠�J��b� ISO/IEC 17025 Requirements For Proficiency Testing. ��w�G� xR^���[�oƜch�g�`>b���$���*~� �:����E���b��~���,m,�-��ݖ,�Y��¬�*�6X�[ݱF�=�3�뭷Y��~dó ���t���i�z�f�6�~`{�v���.�Ng����#{�}�}��������j������c1X6���fm���;'_9 �r�:�8�q�:��˜�O:ϸ8������u��Jq���nv=���M����m����R 4 � 3. 0000042342 00000 n 0000087849 00000 n The introduction of a new method into a laboratory, where one method is intended to replace another, invariably requires a level of comparison. 0000001918 00000 n �(�p��x��&0�����4s���Q����n(��n�4g`�:ɺ������#H20z iA��� �, @���y�%0��� � �Q�� CAP 15189 7 Measurment Uncertainty Guide eceber, 2015 • Suggestions/Best Practices 1. There are two methods used to value real estate: direct capitalization method and discounted cash flows method. For a ten-fold series a range of 10 -1 to 10-2 microorganisms is used; or for a two-fold series, using the range 5 to 10-1 microorganisms. Comparing a POC analyzer to a LAB analyzer may turn out to be a comparison of procedures rather than a comparison of methods. Method Validation Seminar June 06 © 2006 LGC Limited 3 Who validates a method? In the following, we suggest a protocol based primarily on previous publications 16 18 that includes items which in our experience are useful. 0000087607 00000 n It compares the binary value of each Char object in two strings. MIC method to a disk diffusion method MIC vs. MIC Evaluation: •Essential agreement ! Method Performance Characteristics and QC Design. startxref The ESR is not a well-understood phenomenon and has been described as occurring in 3 phases: RBC aggregation, precipitation, and packing. They are available in different checklist types and formatting options, including: Master — contains ALL of the requirements and instructions available in PDF, Word/XML or Excel formats Example Application. ������A���R|�#Ÿ. 0 ASTM standard test methods, and specifications relating to plastics, their raw materials, components, and compounding ingredients, finished products made from plastics such as sheets, rods, tubes, pipes, cellular materials, and molded or fabricated articles. �x������- �����[��� 0����}��y)7ta�����>j���T�7���@���tܛ�`q�2��ʀ��&���6�Z�L�Ą?�_��yxg)˔z���çL�U���*�u�Sk�Se�O4?׸�c����.� � �� R� ߁��-��2�5������ ��S�>ӣV����d�`r��n~��Y�&�+`��;�A4�� ���A9� =�-�t��l�`;��~p���� �Gp| ��[`L��`� "A�YA�+��Cb(��R�,� *�T�2B-� This document is provided for general guidance purposes only. MIC method to another MIC method 2. Laboratory Accreditation and the College of American Pathologists 2 Things to Know for CAP Laboratory Accreditation 5 Application Process 7 ... peer-based inspection method laboratories being inspected and the laboratories providing the inspection teams. N'��)�].�u�J�r� Approach #2: A Most Probable Number (MPN) method is used. Note: the term ‘method’ includes kits, individual reagents, instruments, platforms and software. Developed with input from more than 500 pathologists and laboratory experts, our 21 discipline-specific accreditation checklists provide a clear roadmap for not only achieving accreditation but also for running a high-quality laboratory. Comparison with avg of 3 reference methods. POC.07568 • Must be performed for all non-waived instruments or methods twice/year oQC comparison for tests on the same instrument, using same QC lot#/manufacturer oUse of fresh patient samples is preferred, but not required • *Remember this only applies to instruments within a single laboratory number. Overall, Model-Driven Requirements results in refined requirements, at a lower total cost than Piloting/Prototyping. example of a method comparison (validation) in this article and eight steps demonstrate the process, described below. The remaining sections of this paper are organized as follows: This term has a specific meaning that infers a high quality method whose results are known to be correc… Draft Regulatory Technical Standards (RTS) on the method for the identification of the geographical location of the relevant credit exposures under Article 140(7) of the Capital Requirements Directive (CRD) Proficiency Testing (PT) Programs. Some requirements also contain a NOTE and/or Evidence of Compliance. Cap example 2b 1911 0 obj <>stream Sco World of Warcraft. ]s>� Any specimen with large differences between results of the two methods should be reanalyzed by both methods in the next run. An appropriate statistical comparison method is Chi- squared. �V��)g�B�0�i�W��8#�8wթ��8_�٥ʨQ����Q�j@�&�A)/��g�>'K�� �t�;\�� ӥ$պF�ZUn����(4T�%)뫔�0C&�����Z��i���8��bx��E���B�;�����P���ӓ̹�A�om?�W= 4. Reportable Range Check • Check the high and low values that represent your reportable range. This course will cover CAP and CLIA requirements for validations of new laboratory methods, including discussion of common problems related to validation, such as testing on body fluids. This makes perfect sense if this is the purpose of the study. 0000001548 00000 n A method comparison study is a research experiment, and as with all other research experiments, a research protocol outlining the scope and procedures is essential. 690. 2y�.-;!���K�Z� ���^�i�"L��0���-�� @8(��r�;q��7�L��y��&�Q��q�4�j���|�9�� CAP requirements are emphasized, though CLIA provisions are also discussed. 1. �ꇆ��n���Q�t�}MA�0�al������S�x ��k�&�^���>�0|>_�'��,�G! operational risks. The most common operations: 1. String.Equals 3. 0000007803 00000 n x�bbZ�����8�f�;��1�G�c4>F�h|�� 0 �Cq The Capital Asset Pricing Model (CAPM) and the Arbitrage Pricing Theory (APT) help project the expected rate of return relative to risk, but they consider different variables. String.Equalityuse an ordinal comparison, a case-sensitive comparison, and use the current culture. Not only does this make me comfortable about taking their service but also For Domestic and international PT customers: Refer to the CAP’s COVID-19 Information page for updates. Participants of the CAP accreditation programs may download the checklists from the CAP website (www.cap.org) by logging into e-LAB Solutions. Capitalization rate (or "cap rate") is a real estate valuation measure used to compare different real estate investments.Although there are many variations, a cap rate is often calculated as the ratio between the net operating income produced by an asset and the original capital cost (the price paid to buy the asset) or alternatively its current market value 1892 0 obj <> endobj What do you want to do? %%EOF A cap table is a list of all the securities your company has issued and who owns them.. Quality Control Meets all current requirements of the German Federal Medical Council for quality assurance in the clinical laboratory. The goal of the adjustment process is to make the comparable property look more like the subject property. CAP requires that all high complexity testing personnel have earned at least a minimum of an associate degree in a laboratory science or medical technology from an accredited institution. – Turn around times/sample requirements – Analytical Quality (from kit insert, references) • Select the new method Evaluate the new method • Implement the new method . CAP Laboratory Accreditation Program hematology checklist question HEM.35340 (phase I) addresses quality control and says at least one cell count control specimen must be analyzed, or a procedural control used, for each eight hours of patient testing. Local traditions may influence the structure and content of the protocol. ��Y����L���u-�6��sj�$s��,�U��C0K�S0��@�6>]��"�^x�OL�Tt�My��n���p�iA[����Z��n�>�J��X��`��:C��m�5�#:�%�������\�����8d�D,�[S�%._)�)Xk�C�M����y���$M��vv��(����e~�y����l�����$��u����Qv�������;C�#�k�łX�{�y��I%�#S�S\�EF�:�鉲����6� (�eh�r��P���������P�G��Q�/����p���~Gۜ�ԯ�ݴ;��̖�����JK j,��m��c: l�\��D�܉Y��[� � 0000002124 00000 n 192. 0000001354 00000 n h�bbd``b`��w@��,$�� � �wHpG�dU���w&F��@#���ʟ � Accuracy and Precision4,5 The following is a hierarchy of recommended approaches to the establishment of requirements for the accuracy and precision of clinical analytical methods. Best Essay Writing Company ‘Why to go anywhere else when you Marketing Salary Cap Agency Application Requirements have the best essay help online right here in your town? If you plan on issuing stock, convertible notes, warrants, or equity grants, you’ll need a cap table to track everything. The true value of a patient-derived analyte depends on the The comparison of methods experiment is critical for assessing the systematic errors that occur with real patient specimens. 791 0 obj <> endobj trailer Shock Overwatch. 3. In the 2005 standard, proficiency testing was recommended in section 5.9.1b, but not required. For an example, see Appendix A. 0000067709 00000 n The minimum concentration at which the analyte can reliably be quantified is established. When performing a method comparison, below requirements must be … "F$H:R��!z��F�Qd?r9�\A&�G���rQ��h������E��]�a�4z�Bg�����E#H �*B=��0H�I��p�p�0MxJ$�D1��D, V���ĭ����KĻ�Y�dE�"E��I2���E�B�G��t�4MzN�����r!YK� ���?%_&�#���(��0J:EAi��Q�(�()ӔWT6U@���P+���!�~��m���D�e�Դ�!��h�Ӧh/��']B/����ҏӿ�?a0n�hF!��X���8����܌k�c&5S�����6�l��Ia�2c�K�M�A�!�E�#��ƒ�d�V��(�k��e���l ����}�}�C�q�9 Cruelladk World of Warcraft. The requirements for test method verification described above for EUA assays in laboratories subject to US regulations also apply to EUA assays performed in international laboratories and to the following types of assays, if performed following the manufacturer’s instructions: Tests listed on the WHO EUL. 0000000016 00000 n Ongoing compliance with the CAP requirements. endstream endobj 809 0 obj<>/Size 791/Type/XRef>>stream Search for Available CE Programs. n�3ܣ�k�Gݯz=��[=��=�B�0FX'�+������t���G�,�}���/���Hh8�m�W�2p[����AiA��N�#8$X�?�A�KHI�{!7�. 35. Doctoral degree in clinical laboratory science, chemical, x�b```b``�``211 �P��9.0` �jFF��B�wY�D.��00g`ia�f�oH����1���Adc�� ,� b�0:1T:�`)`l`(u����Q���A���qC�`��?��,[.m��1X0f��9s�lk�̙����� .c+�����x����9�j��<5~0�! endstream endobj startxref ensure the method works. Statement of Primary Laboratory Test Objectives Method validation is performed when a lab acquires a new instrument and is testing a new procedure; it is used for assessing if a new instrument is reporting valid results. • ISO 13528:2005 – Statistical Methods For Use In Proficiency Testing By Interlaboratory Comparisons. Guidelines for performing the experiment are provided and there is an introductory discussion of how to graph the data and what statistics should be calculated. Sales Comparison Approach: Making Adjustments to Comparable Properties . requirements outlined in the CAP or CLIA regulations, however each laboratory must ensure waived testing personnel meet facility-defined minimum requirements and have records of training and competency assessment 1. Validation of a microbiological method is the process by which it is experimentally established that the performance characteristics of the method meet the requirements for the intended application, in comparison to the traditional method. In addition, it offers a comparison of RWA calculations for market risk for standardized and advanced approaches banking organizations. 2013 CAP Accreditation Programs Audioconferences and Webinars CAP Accreditation Requirements for Validation of Laboratory Tests Stephen J. Sarewitz, MD, FCAP However, the confidence gained by a Working Model is not realized. The timelines provided correspond to RWA calculations only because capital adequacy requirements have separate timelines. Define method validation. The tables below contain information on CLIA proficiency testing criteria for acceptable analytical performance, as printed in the Federal Register February 28, 1992;57(40):7002-186. performance requirements for MU, expressed as a confidence level within a range. Market capitalization is a quick and easy method for estimating a company's value by extrapolating what the market thinks it is worth for publicly traded companies. Method comparison: Compare new assays with validated ones by generating method comparison statistics, such as the Bland-Altman plot and Passing-Bablok regression analysis. COMPARISON OF STREAMFLOW REQUIREMENTS AND METHODS. 0000002696 00000 n xref But, simple as it was, the method was not without its’ criticisms and almost as soon as the method was implemented, it was announced that the method would be changing. �k1w뀢����� %PDF-1.5 %���� 1. UNDERSTANDING THE CAP ACCREDITATION CHECKLIST COMPONENTS All checklist requirements contain a requirement number, subject header, phase, and a declarative statement. Properly designed experiment and adequate statistical procedures for data analysis are the key to valid method comparison and reliable assessment of method trueness. the requirement that company management book its “best estimate” of the loss and LAE reserves. 0000003865 00000 n samples in the method comparison experiment.16,22 The samples should cover the working range of the methods and should represent the spectrum of diseases expected in routine application of the methods. Adjustments can be made as a direct dollar amount or a percent of overall value. A typically acceptable signal-to-noise ratio is 10:1. Log in to e-LAB Solutions Suite. 0000002459 00000 n The test is subject to the CAP requirements and CLIA regulations for the following: Establishing and validating test performance specifications for LDTs prior to beginning patient testing (42CFR493.1253) Holding the appropriate CLIA certificate type (Certificate of Accreditation, Certificate of Compliance, or Certificate of Registration) So, the price is adjusted to account for valuation differences due to each of the factors from the previous section. What is method evaluation? String.CompareTo 2. As long as management records loss and LAE reserves within this range, most actuaries would not object. h��UKo�0�+:��N˲ �� Introduction Method validation is the process used to confirm the accuracy and precision of a given analytical method or instrument. DeMusliM StarCraft II. What do the statistics tell us about the size of errors? Presumably, management will want to consider basing their best estimate on their actuary’s best estimate. Method validation and verification provides objective evidence that a method is fit for purpose, meaning that the particular requirements for a specific intended use are fulfilled. Method Comparison • This same approach can be used to compare two methods currently in use; needs to be done at least every 6 months • We run 10 samples on both instruments, compare results to clinically allowable bias; if each acceptable, approve comparison study Explain how statistics is applied to validate a new method. These dual requirements include method validation procedures. Mitzki World of Warcraft. In such a … Linearity • From Clinical Laboratory Standards Institute (CLSI) document EP6-A (2003) o A quantitative analytical method is linear when there exists a mathematically verified straight-line relationship between the observed values and the true concentrations or activities of the Method Performance Specifications • Verification not required EXCEPT for reference range The Association of Public Health Laboratoriesiv assembled a Taskforce tasked with providing a guidance document to assist LRN-C laboratories in meeting these requirements. 0 See your Performance Analytics Dashboard. 1902 0 obj <>/Filter/FlateDecode/ID[<94EB2C15BABC164CA4DCE62119420463>]/Index[1892 20]/Info 1891 0 R/Length 66/Prev 188723/Root 1893 0 R/Size 1912/Type/XRef/W[1 2 1]>>stream 2. The introduction of a standard method in 2018 intended to shift time, resources and debate at examination away from the ‘numbers’ question and towards the ‘how’ and ‘where’ of building new homes. fK���}����q`W,�@r�8Pə�}P%}'��r*�������SHQCZL�]�-�$�P��pC�k����酺 y*X�F����; �d؎t��@���* ]� ��$��؊f���(���(T�� �^��!�S��) �� 34. A. 0000001979 00000 n • Determination of: – analytical performance characteristics – clinical performance characteristics • Validation – Objective evidence that requirements for a specific intended use can reportable range (low – mid – high) and compare these values with your old/current method or with your reference laboratory. The laboratory director's signature on the written test procedure may be used to show approval of the test for use in patient testing. In order to easily compare the methods, L&E was asked to either use a commonly applied measure of accuracy or develop a new measure to score the IBNR methods. Film capacitors, plastic film capacitors, film dielectric capacitors, or polymer film capacitors, generically called "film caps" as well as power film capacitors, are electrical capacitors with an insulating plastic film as the dielectric, sometimes combined with paper as carrier of the electrodes.. These guidelines for acceptable performance can be used as I have heard that TFTH has a global presence in many different countries. The comparison of a lab’s performance (bias and precision) can be compared to those from the collaborative ... How to Meet ISO 17025 Requirements for Method Verification Table 5. Method validation is the process used to confirm that the analytical procedure employed for a specific test is suitable for its intended use. Enter Proficiency Testing Results . 791 20 CAP Requirements Meets "College of American Pathologists" requirements for method-validations in the clinical laboratory. The erythrocyte sedimentation rate (ESR) is the rate of sedimentation of RBCs and is used often as a nonspecific measure in monitoring disease activity and assisting in the diagnosis of many inflammatory disorders. Category 4: Quantifying an analyte at high concentration and Category 5: Analyte above or below a … Method today is not the same Method we were yesterday. 1,035. Requirements typically is the most cost effective in scenarios requiring a business case or risk analysis, and Piloting/Prototyping would be premature. Read More . RBC aggregation is a critical factor for the sedimentation and is facilitated by the presence of certain plasma proteins called agglomerins, which in… The new ISO/IEC 17025:2017 standard requires laboratories to participate in proficiency testing. Also good laboratory practices for validation are discussed. % of isolates producing MICs that are within ± 1 doubling dilution of the standard/ reference/existing method •Category agreement The results are shown in the following example:The default ordinal comparison does not take linguistic rules into account when comparingstrings. Cap rates from comparable properties are used to discount the net operating income of a property to arrive at its intrinsic value. Surveys. The College of American Pathologists (CAP) Pathology and Laboratory Quality Center, along with our professional partners, advances the practice of pathology and laboratory medicine by bringing evidence-based guidelines and consensus recommendations to the forefront of clinical decision making. 0000000711 00000 n 1. Laboratory medicine is changing at a rapid pace. h�b```�=��� cB�(�`�p��T���%�:�YL˘v1y1{3�`����9���R�Vffy�sL/�����3�b6bb�������.�hc�/��̫�&1q2�d��l���������������$O(: &A�K���& I�D�P���0�������A���A����$�f��C�� CLSI EP-Protocols Contains all relevant CLSI Evaluation Protocols for simple everyday implementation. Precision is the variability in the data from replicate determinations of the same homogeneous sample under the normal assay conditions (3). 810 0 obj<>stream <<79DB9F9EEE9B2540B12256265C1A5D8E>]>> Distinguishing between method and procedure comparisons is vital. 1,432. When possible, a “reference method” should be chosen for the comparative method. Another significant factor that determines the statistical power of a method comparison experiment is the number of samples. Currently, actuaries produce a range of reasonable reserve estimates. In the case of instrumental analytical methods that exhibit background noise, the ICH documents describe a common approach, which is to compare measured signals from samples with known low concentrations of analyte with those of blank samples. 0000004462 00000 n CAP Requirements Meets "College of American Pathologists" requirements for method-validations in the clinical laboratory. %%EOF 0000005133 00000 n 2) One-way shear requirements at the column, and 3) One-way and two-way shear requirements around the piles 4) Pile cap overall depth minimum requirements Both one-way and two-way shear are investigated at the critical sections around the vertical elements (columns) supported by the pile cap with the requirements of ACI 318-14 (13.4.2). Proficiency Testing . However, unfortunately method and procedure comparisons are often mixed up. The analytical method that is used for comparison must be carefully selected because the interpretation of the experimental results will depend on the assumption that can be made about the correctness of results from the comparative method. %PDF-1.6 %���� endstream endobj 799 0 obj<> endobj 800 0 obj[/ICCBased 803 0 R] endobj 801 0 obj<> endobj 802 0 obj<> endobj 803 0 obj<>stream “gold” standard or method but in the absence of a gold standard or method, comparison to established reference labs may substitute. POC.03225 • For tests that CAP doesn’t require PT, lab can participate in external PT/alternative assessment oPerform semiannually oPerform on tests for which PT isn’t available – Ungraded proficiency surveys – Split sample (with reference or other labs, A review of the streamflow requirements (tables 3 and 4) determined at selected cross sections using the R2Cross and Wetted-Perimeter methods illustrates the variability that can be found within and between these methods of analysis.The range of R2Cross streamflow requirements, normalized for drainage area, shows the … The NOTE portion of a checklist requirement provides additional detail to assist in interpreting the requirement. �Qʒq�,Qċ����G�T���C�ѷ��B&,F�y���;����8�0a^W^XUp�6�[5U=�* ��cV�a�^1IX�d�U�r���yP���7(�}����zܔo��vV�D�FC��3`��n��9�(�2"6����� ��Xp�0� ��%�C��Nn%� ,�rh���e��)E�rJ���=U���Զ�F�qN������Tm��@��q\d��l�w��j��,�f��ָ�Z j;��Km���ϲP�\��"�dL�/�̦�#&������ʝl��0���eYA�S�(����]�FB ��'��6��,Μ���$�p�yẦp]�D9� ��ڒ��(��F�+�Y^���b��Ey��� g41�=I\�J��cg��\�Gi0�^�b���AOu�VA.XS����Ӑ>�G�+�T�]�o �kYN�§ll�Q�'8`>�[���b権�������4���q���Q9]a�Ԁ-{Aⷾ�"ݚ�e ��z��_/b�tO�e����[y0r����\^�1L�� For Xc=7.0 %Hb Yc = 0.97*7.0 + 0.12 = 6.91 SE = 6.91–7.0 = -0.09 %Hb or 1.3%Bias Yc = 1.03*7.0 – 0.0 = 7.21 SE = 7.21 – 7.0 = +0.21 %Hb or 3.0%Bias. Medical usefulness requirements based on the effect of analytical performance on clinical decisions such as: a. Verification - Comparison Study 1. 0000004498 00000 n The Director must approve the agreement of the results based on the clinical expectations and method accuracy/precision claims. Just like any other investment, real estate is valued at the present value of its future cash flows. MD or DO with a current medical license2; OR 2. Sounds simple, but cap tables can get complicated quickly. apply, including the requirements for validation of the method performance specifications. We are on a mission to continuously evolve Method into an organization that best empowers, supports, and protects our community. 1����b )�i`Dр��P�$d��YB�@�X�ȃ��:E\A�����8 �H�3�V� i~ ��P�\��M�\&C��e�.���I�}�1�c8�.g!�p���!��������1����Oi`0;�ul.��|�`������4;�.3(G0�����a[x(��@� �� Method Comparison. When comparing an older method with a new method, new methods will most probably recover a … Specialty and subspecialty requirements (§493.1261-1278) Comparison of test results (§493.1281) Corrective actions (§493.1282) Test records (§493.1283) Analytic systems assessment (§493.1289) The section on the "establishment and verification of method performance specifications" provides the recommendations for method validation studies. The cap is set at 40% above the higher of the most recent average annual housing requirement figure or household growth: ( ) The capped figure is lower than minimum annual local housing need figure and therefore the minimum figure for this local authority is 1,330. 0000002619 00000 n endstream endobj 792 0 obj<>/ViewerPreferences<>/Outlines 123 0 R/Metadata 183 0 R/PieceInfo<>>>/Pages 176 0 R/PageLayout/SinglePage/OCProperties<>/OpenAction 793 0 R/StructTreeRoot 185 0 R/Type/Catalog/LastModified(D:20080828162713)/PageLabels 174 0 R>> endobj 793 0 obj<> endobj 794 0 obj<>/PageElement<>>>/Name(Background)/Type/OCG>> endobj 795 0 obj<>/ColorSpace<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/ExtGState<>>>/Type/Page>> endobj 796 0 obj<> endobj 797 0 obj<> endobj 798 0 obj<>stream endstream endobj 1893 0 obj <>/Metadata 130 0 R/OCProperties<>/OCGs[1903 0 R]>>/Outlines 155 0 R/PageLayout/SinglePage/Pages 1880 0 R/StructTreeRoot 258 0 R/Type/Catalog>> endobj 1894 0 obj <>/ExtGState<>/Font<>/Properties<>/XObject<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 1895 0 obj <>stream 0000004745 00000 n • The analyst – in-house development and validation of new methods 1. The "phase 3" requirements have already been reviewed and will be strengthened - this comes under the candidate measures in the IMO initial strategy on reduction of GHG emissions from ships. ANALYTICAL METHOD PERFORMANCE SPECIFICATIONS A. Method comparison should be based on the carefully planned study. The laboratory should have a procedure that describes the quality routines that support the validity of the stated confidence levels (or “a process to determine its MU”). 5,845. Method comparison should be combined with the between run precision study. The MEPC 74th session in May 2019 approved, for adoption at the next session, amendments to MARPOL Annex VI to significantly strengthen the Energy Efficiency Design Index ( EEDI ) "phase 3" requirements.