| Controls in quality assessment in gynecologic cytology: A rational approach to workload limits for the ThinPrep imaging system. | |
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MedLine Citation:
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PMID: 20091901 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Major components of good quality assurance (QA) in cytology laboratories are measuring the screening accuracy of cytotechnologists (CTs) and determining appropriate workload limits for them. Currently, the FDA approved workload limits for image assisted Paps, however, are too high. In addition, the CLIA 88 mandated QA measures, by themselves, are insufficient to accurately measure the screening performance of CTs. Although the use of "controls" is fundamental to good practice in the clinical laboratory; this has not been emphasized in gynecologic cytology. In this review, we underscore the importance of using controls, such as monitoring morning and afternoon abnormal rates, in assessing CT performance and assigning reasonable workload limits. Using controls, however, requires significant alteration in the laboratory workflow, and much lower and variable workload limits for CTs, compared to those approved by FDA. |
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Authors:
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Andrew A Renshaw; Tarik M Elsheikh |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Diagnostic cytopathology Volume: 38 ISSN: 1097-0339 ISO Abbreviation: Diagn. Cytopathol. Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-09-27 Completed Date: 2011-01-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8506895 Medline TA: Diagn Cytopathol Country: United States |
Other Details:
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Languages: eng Pagination: 772-5 Citation Subset: IM |
Copyright Information:
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© 2010 Wiley-Liss, Inc. |
Affiliation:
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Comprehensive Pathology Associates, Miami, Florida, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Cytodiagnosis
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methods*,
standards* Facility Regulation and Control / standards* Female Humans Quality Assurance, Health Care / methods*, standards* Uterine Cervical Neoplasms / diagnosis Vaginal Smears / standards Workload / standards* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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