Document Detail

Clinician compliance with laboratory regulations requiring submission of relevant clinical data: A one year retrospective analysis.
MedLine Citation:
PMID:  22999368     Owner:  NLM     Status:  Publisher    
BACKGROUND: The College of American Pathologists (CAP) recognizes the need for clinical data in the interpretation of specimens submitted for histopathologic evaluation. Anecdotal evidence indicates that clinician compliance with requests for clinical history is variable. DESIGN: Quality assurance data from August 1, 2010 to September 31, 2011 were searched for all cases listing no clinical history. Four consecutive weeks of surgical pathology request forms were also reviewed for the presence or absence of clinical history and its accuracy. RESULTS: 21,700 cases were accessioned in the study period and 1293 (5.9%) requisitions contained no clinical history. The four-week review documented that 143 of 1698 (8.4%) requisitions had no clinical history and 12 cases contained incorrect history (0.7%). CONCLUSIONS: Between 5.9% and 8.4% of requisitions contain no clinical history. In 0.2% of cases, clinical history was incorrect. Compliance with the CAP policy for clinical history appears poor.
Lester J Layfield; Rachel E Factor; Elke A Jarboe
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-19
Journal Detail:
Title:  Pathology, research and practice     Volume:  -     ISSN:  1618-0631     ISO Abbreviation:  Pathol. Res. Pract.     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-9-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7806109     Medline TA:  Pathol Res Pract     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Elsevier GmbH. All rights reserved.
Department of Pathology, University of Utah School of Medicine and ARUP Laboratories, Salt Lake City, UT, United States. Electronic address:
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