| The development and testing of a laboratory information system-driven tool for pre-sign-out quality assurance of random surgical pathology reports. | |
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MedLine Citation:
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PMID: 20472840 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We describe the development and testing of a novel pre-sign-out quality assurance tool for case diagnoses that allows for the random review of a percentage of cases by a second pathologist before case verification and release of the final report. The tool incorporates the ability to record and report levels of diagnostic disagreement, reviewers' comments, and steps taken to resolve any discrepancies identified. It is expandable to allow for the review of any percentage of cases in any number of subspecialty or general pathology "benches" and provides a prospective instrument for preventing some serious errors from occurring, thereby potentially affecting patient care in addition to identifying and documenting more general process issues. It can also be used to augment other more conventional methods of quality control such as frozen section/final diagnosis correlation, conference review, and case review before interdisciplinary clinicopathologic sessions. There has been no significant delay in case turnaround time since implementation. Further assessment of the tool's function after full departmental application is underway. |
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Authors:
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Scott R Owens; Rajiv Dhir; Samuel A Yousem; Susan M Kelly; Anthony Piccoli; Luke Wiehagen; Karen Lassige; Anil V Parwani |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of clinical pathology Volume: 133 ISSN: 1943-7722 ISO Abbreviation: Am. J. Clin. Pathol. Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-05-17 Completed Date: 2010-06-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370470 Medline TA: Am J Clin Pathol Country: United States |
Other Details:
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Languages: eng Pagination: 836-41 Citation Subset: AIM; IM |
Affiliation:
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Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Clinical Laboratory Information Systems
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organization & administration* Humans Pathology, Clinical / standards* Pathology, Surgical / standards* Quality Assurance, Health Care* Referral and Consultation / organization & administration |
| Comments/Corrections | |
Comment In:
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Am J Clin Pathol. 2010 Jun;133(6):829-31
[PMID:
20472838
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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