Document Detail

Measuring the clinical impact of pathologist reviews of blood and body fluid smears.
MedLine Citation:
PMID:  17516750     Owner:  NLM     Status:  MEDLINE    
CONTEXT: Despite the widespread practice of pathologist review of blood and body fluid smears, little is known about its impact on improving patient care. OBJECTIVE: To assess the clinical usefulness of pathologist review of blood and body fluid smears. DESIGN: Survey study. Pathology residents contacted the ordering physician after pathologist reviews were reported to assess their clinical impact. RESULTS: Ninety-six pathologist reviews met criteria for study inclusion, and 64 ordering physicians were successfully contacted during the 2-month study period. Of the 64 cases, 19 reviews (30%) had been seen by the physician within 24 to 48 hours after the report was issued and 33 (51%) had not been seen; in 4 (6%) instances, physicians did not remember whether they had seen the review. Eight reviews (13%) were considered urgent enough to warrant immediate communication by the pathologist. Of the 27 reviews that were seen or directly communicated, 23 (85%) contributed to clinical diagnosis and/or patient management. CONCLUSIONS: This study demonstrates the contribution of pathologist reviews of blood and body fluids to clinical diagnosis and patient management. The results also highlight the problem of a lack of physician awareness of clinical pathology results.
Linda M Sandhaus; David N Wald; Kenan J Sauder; Erica L Steele; Howard J Meyerson
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of pathology & laboratory medicine     Volume:  131     ISSN:  1543-2165     ISO Abbreviation:  Arch. Pathol. Lab. Med.     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-05-22     Completed Date:  2007-06-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7607091     Medline TA:  Arch Pathol Lab Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  468-72     Citation Subset:  AIM; IM    
University Hospitals of Cleveland, Department of Pathology, 11100 Euclid Ave, Cleveland, OH 44106, USA.
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MeSH Terms
Body Fluids
Data Collection
Pathology, Clinical*
Patient Care
Referral and Consultation*

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