Surgical pathology case reviews before sign-out a college of American pathologists Q-probes study of 45 laboratories

Archives of Pathology and Laboratory Medicine

Volumn 134, Issue 5, 2010, Pages 740-743

  Nakhleh, Raouf E ^a   Bekeris, Leonas G ^b   Souers, Rhona J ^c   Meier, Frederick A ^d   Tworek, Joseph A ^e  

^a MAYO CLINIC   (United States)

^b Phoenixville Hospital   (United States)

^c Molecular Pathology Division   (United States)

^d HENRY FORD HEALTH SYSTEM   (United States)

^e ST JOSEPH MERCY HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; HEALTH CARE QUALITY; HOSPITAL LABORATORY; HUMAN; MULTIVARIATE ANALYSIS; PATHOLOGY; PATIENT REFERRAL; REGRESSION ANALYSIS; STANDARD;

HUMANS; LABORATORIES, HOSPITAL; MULTIVARIATE ANALYSIS; PATHOLOGY, SURGICAL; QUALITY ASSURANCE, HEALTH CARE; REFERRAL AND CONSULTATION; REGRESSION ANALYSIS;

EID: 77952042522     PISSN: 00039985     EISSN: 15432165     Source Type: Journal    
DOI: None     Document Type: Article

References (24)

1. Kohn LT, Corrigan JM, Donaldson MS, eds. To Err Is Human: Building a Safer Health System. Washington, DC: National Academy Press; 1999.
2. Sirota RL. The Institute of Medicine's report on medical errors: implications for pathology. Arch Pathol Lab Med. 2000;124(11):1674-1678.
3. Fisher B. U of C Hospital sued for error that resulted in removal of breast. Chicago Sun Times. May 11, 2005.
4. Goodman E. When doctors make mistakes. Good Housekeeping. April 2001.
5. Parker-Pope T. Risk of error may justify second opinion on pathology reports. Wall Street Journal. April 13, 2001:1.
6. Parker-Pope T. Why it's hard to get a second opinion (and how to make sure you get one). Wall Street Journal. February 1, 2005:1.
7. Renshaw AA, Pinnar NE, Jiroutek MR, Young ML. Blinded review as a method for quality improvement in surgical pathology. Arch Pathol Lab Med. 2002;126(8):961-963.
8. Westra WH, Kronz JD, Eisele DW. The impact of second opinion surgical pathology on the practice of head and neck surgery: a decade experience at a large referral hospital. Head Neck. 2002;24(7):684-693.
9. Hahm GK, Niemann TH, Luca JG, Frankel WL. The value of second opinion in gastrointestinal and liver pathology. Arch Pathol Lab Med. 2001;125(6):736-739.
10. Santoso JT, Coleman RL, Voet RL, Bernstein SG, Lifshitz S, Miller D. Pathology slide review in gynecologic oncology. Obstet Gynecol. 1998;91(5, pt 1):730-734.
11. Kronz JD, Westra WH, Epstein J. Mandatory second opinion surgical pathology at a large referral hospital. Cancer. 1999;86(11):2426-2435.
12. Bachner P, Howanitz P. Using Q-Probes to improve the quality of laboratory medicine: a quality improvement program of the College of American Pathologists. Qual Assur Health Care. 1991;3(3):167-177.
13. Renshaw AA, Gould EW. Measuring the value of review of pathology material by a second pathologist. Am J Clin Pathol. 2006;125(5):737-739.
14. Azam M, Nakhleh RE. Surgical pathology extradepartmental consultation practices: a College of American Pathologists' Q-Probes study of 2428 consultations from 180 laboratories. Arch Pathol Lab Med. 2002;126(4):405-412.
15. Clinical Laboratory Improvement Amendments of 1988; final rule (42 CFR Part 405, et al). Fed Regist. 1992;57:7001-7186.
16. Association of Directors of Anatomic and Surgical Pathology. Recommendations on quality control and quality assurance in anatomic pathology. Am J Surg Pathol. 1991;15(10):1007-1009.
17. Nakhleh RE, Fitzgibbons PL, eds. Quality Management in Anatomic Pathology: Promoting Patient Safety Through Systems Improvement and Error Reduction. Northfield, IL: College of American Pathologists; 2005.
18. Nakhleh RE, Zarbo RJ. Amended reports in surgical pathology and implications for diagnostic error detection and avoidance: a College of American Pathologists' Q-Probes study of 1 667 547 accessioned cases in 359 laboratories. Arch Pathol Lab Med. 1998;22(4):303-309.
19. Novis D. Routine review ofsurgical pathology cases as a method by which to reduce diagnostic errors in a community hospital. Pathol Case Rev. 2005;10(2):63-67.
20. Kornstein MJ, Byrne SP. The medicolegal aspect of error in pathology: a search of jury verdicts and settlements. Arch Pathol Lab Med. 2007;131(4):615-618.
21. Troxel DB. Medicolegal aspects of error in pathology. Arch Pathol Lab Med. 2006;130(5):617-619.
22. Zarbo RJ, Meier FA, Raab SS. Error detection in anatomic pathology. Arch Pathol Lab Med. 2005;129(10):1237-1245.
23. Raab SS, Grysbicki DM, Mahood LK, Parwani AV, Kwan SF, Rao UN. Effectiveness of random and focused review in detecting surgical pathology error. Am J Clin Pathol. 2008;130(6):905-912.
24. Meier FA, Varney RC, D'angelo R, Gandhi A, Zarbo RJ. A taxonomy of amended reports assesses impact of Henry Ford Production System: a lean quality initiative in surgical pathology. Mod Pathol. 2009;22(suppl 1):365A.