Title: Patient Safety in Anatomic Pathology: Measuring Discrepancy Frequencies and Causes
Abstract: Abstract Context.—Anatomic pathology discrepancy frequencies have not been rigorously studied. Objective.—To determine the frequency of anatomic pathology discrepancies and the causes of these discrepancies. Design.—Participants in the College of American Pathologists Q-Probes program self-reported the number of anatomic pathology discrepancies in their laboratories by prospectively performing secondary review (post–sign-out) of 100 surgical pathology or cytology specimens. Reasons for the secondary review included conferences, external review, internal quality assurance policy, and physician request. Participants.—Seventy-four laboratories self-reported data. Main Outcome Measures.—Frequency of anatomic pathology discrepancy; type of discrepancy (ie, change in margin status, change in diagnosis, change in patient information, or typographic error); effect of discrepancy on patient outcome (ie, no harm, near miss, or harm); and clarity of report. Results.—The mean and median laboratory discrepancy frequen...
Publication Year: 2005
Publication Date: 2005-04-01
Language: en
Type: article
Access and Citation
Cited By Count: 93
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