Document Detail

Measuring the value of review of pathology material by a second pathologist.
MedLine Citation:
PMID:  16707375     Owner:  NLM     Status:  MEDLINE    
In many departments, some cases are reviewed routinely by a second pathologist within the same department before sign out. The value of this practice is not known. We reviewed and compared the disagreement and amendment rates for cases reviewed by 1 or more pathologists based on the results of blinded review. A total of 8,363 cases underwent blinded review, and of these, 1,087 (13.0%) were reviewed by more than 1 pathologist before sign out. The disagreement rate for cases reviewed by more than 1 pathologist (4.8%) was significantly lower than for cases reviewed by only 1 pathologist (6.9%; P = .004). The amendment rate decreased to 0.0% from 0.5%, but this decrease was not statistically significant (P = .12). Review of material by a second pathologist before sign out is associated with a lower disagreement rate. These results suggest second review of surgical pathology is of value, but the best selection of cases to be reviewed remains to be defined.
Andrew A Renshaw; Edwin W Gould
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of clinical pathology     Volume:  125     ISSN:  0002-9173     ISO Abbreviation:  Am. J. Clin. Pathol.     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-05-18     Completed Date:  2006-05-30     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370470     Medline TA:  Am J Clin Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  737-9     Citation Subset:  AIM; IM    
Department of Pathology, Baptist Hospital of Miami, 8900 N. Kendall Drive, Miami, FL 33176, USA.
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MeSH Terms
Diagnostic Errors / prevention & control*
Observer Variation
Pathology, Surgical / methods*,  standards
Quality Control
Referral and Consultation* / statistics & numerical data
Reproducibility of Results
Single-Blind Method

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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