| Effectiveness of random and focused review in detecting surgical pathology error. | |
| | |
MedLine Citation:
|
PMID: 19019767 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Different error detection methods yield different error proportions and have variable benefits for surgical pathology divisions with limited resources. We performed a nonconcurrent cohort study at a large institution that practices subspecialty surgical pathology sign-out to compare the effectiveness and usefulness of error detection using a targeted 5% random review process and a focused review process. Pathologists reviewed 7,444 cases using a targeted 5% random review process and 380 cases using a focused review process. The numbers of errors detected by the targeted 5% random and focused review processes were 195 (2.6% of reviewed cases) and 50 (13.2%), respectively (P < .001). The numbers of major errors for the targeted 5% random and focused review processes was 27 (0.36%) and 12 (3.2%), respectively (P < .001). Focused review detects a higher proportion of errors and may be more effectively used for design of error reduction initiatives. |
| | |
Authors:
|
Stephen S Raab; Dana M Grzybicki; Laura K Mahood; Anil V Parwani; Shih-Fan Kuan; Uma N Rao |
Related Documents
:
|
10938607 - Apraxia and cerebral haemorrhage: the relationship between haematoma volume and prognosis. 14960057 - Transcatheter pfo closure in an aircrew member with cryptogenic stroke: aeromedical dis... 17967207 - Atypical incus necrosis: a case report and literature review. 11595087 - Post-stroke violent adventitial movement responsive to levo-dopa/carbi-dopa therapy. 857767 - Benign gastrocolic fistula healing with conservative management. 10461647 - Mid-dermal elastolysis associated with hashimoto's thyroiditis. |
Publication Detail:
|
Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
|
Title: American journal of clinical pathology Volume: 130 ISSN: 1943-7722 ISO Abbreviation: Am. J. Clin. Pathol. Publication Date: 2008 Dec |
Date Detail:
|
Created Date: 2008-11-21 Completed Date: 2008-12-29 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0370470 Medline TA: Am J Clin Pathol Country: United States |
Other Details:
|
Languages: eng Pagination: 905-12 Citation Subset: AIM; IM |
Affiliation:
|
Department of Pathology, University of Colorado Denver, Aurora, CO 80045, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Diagnostic Errors* Gastroenterology / standards Humans Medical Audit / methods* Medical Errors* Pathology, Surgical / methods, standards* Quality Assurance, Health Care / methods* Random Allocation |
| Grant Support | |
ID/Acronym/Agency:
|
HS13321-01/HS/AHRQ HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Analysis of SOX9 expression in colorectal cancer.
Next Document: Methylene blue-assisted lymph node dissection in colon specimens: a prospective, randomized study.