메뉴 건너뛰기




Volumn 18, Issue 5, 2011, Pages 406-413

Study of amended reports to evaluate and improve surgical pathology processes

Author keywords

amended reports; amendment rates; defect fractions; Henry Ford Production System; misidentifications; misinterpretations; quality measures; report defects; specimen defects; surgical pathology process

Indexed keywords

CLINICAL EVALUATION; COMPUTER PROGRAM; DIAGNOSTIC ERROR; HEALTH CARE COST; HELICOBACTER PYLORI; HUMAN; MEDICAL AUDIT; PATHOLOGY; PRIORITY JOURNAL; REVIEW; SURGERY; SYSTEMATIC REVIEW;

EID: 80052020056     PISSN: 10724109     EISSN: 15334031     Source Type: Journal    
DOI: 10.1097/PAP.0b013e318229bf20     Document Type: Review
Times cited : (32)

References (31)
  • 3
    • 78549267801 scopus 로고    scopus 로고
    • Detection and classification of diagnostic discrepancies (errors) in surgical pathology
    • Roy JE, Hunt JL. Detection and classification of diagnostic discrepancies (errors) in surgical pathology. Adv Anat Pathol. 2010;17:359-365.
    • (2010) Adv Anat Pathol , vol.17 , pp. 359-365
    • Roy, J.E.1    Hunt, J.L.2
  • 4
    • 48649092839 scopus 로고    scopus 로고
    • Amended reports: Development and validation of a taxonomy
    • Meier FA, Zarbo RJ, Varney RC, et al. Amended reports: development and validation of a taxonomy. Am J Clin Pathol. 2008;130:238-246.
    • (2008) Am J Clin Pathol , vol.130 , pp. 238-246
    • Meier, F.A.1    Zarbo, R.J.2    Varney, R.C.3
  • 5
    • 34748836357 scopus 로고    scopus 로고
    • Transforming to a quality culture: The Henry Ford Production System
    • Zarbo RJ, D'Angelo R. Transforming to a quality culture: the Henry Ford Production System. Am J Clin Pathol (Pathol Patterns Rev). 2006;126(Suppl 1):S21-S29.
    • (2006) Am J Clin Pathol (Pathol Patterns Rev) , vol.126 , Issue.SUPPL. 1
    • Zarbo, R.J.1    D'Angelo, R.2
  • 6
    • 34748890677 scopus 로고    scopus 로고
    • The Henry Ford production system: Measures of process defects and waste in surgical pathology as a basis for quality improvement initiatives
    • DOI 10.1309/X6N1Y3V2CB9HUL8G
    • D' Angelo R, Zarbo RJ. The Henry Ford Production System: measures of process defects and waste in surgical pathology as a basis for quality improvement initiatives. Am J Clin Pathol. 2007;128:423-429. (Pubitemid 47479975)
    • (2007) American Journal of Clinical Pathology , vol.128 , Issue.3 , pp. 423-429
    • D'Angelo, R.1    Zarbo, R.J.2
  • 7
    • 38049041916 scopus 로고    scopus 로고
    • The henry ford production system: Effective reduction of process defects and waste in surgical pathology
    • Zarbo RJ, D'Angelo R. The Henry Ford Production System: Effective reduction of process defects and waste in surgical pathology. Am J Clin Pathol. 2007;128:1015-1022.
    • (2007) Am J Clin Pathol , vol.128 , pp. 1015-1022
    • Zarbo, R.J.1    D'Angelo, R.2
  • 8
    • 0043187722 scopus 로고
    • Recent contributions to the mathematical theory of communication
    • Shannon C, Weaver W, eds Urbana, IL: University of Illinois Press
    • Weaver W. Recent contributions to the mathematical theory of communication. In: Shannon C, Weaver W, eds. The Mathematical Theory of Communication. Urbana, IL: University of Illinois Press; 1949:93-117.
    • (1949) The Mathematical Theory of Communication , pp. 93-117
    • Weaver, W.1
  • 9
    • 84856043672 scopus 로고
    • A mathematical theory of communication
    • Shannon CE. A mathematical theory of communication. Bell Syst Tech J. 1948;27:623-656.
    • (1948) Bell Syst Tech J , vol.27 , pp. 623-656
    • Shannon, C.E.1
  • 10
    • 65349145243 scopus 로고    scopus 로고
    • The henry ford production system: Reduction of surgical pathology in-process misidentification defects by bar-code-specified work process standardization
    • Zarbo RJ, Tuthill JM, D'Angelo R, et al. The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar-code-specified work process standardization. Am J Clin Pathol. 2009;131:468-477.
    • (2009) Am J Clin Pathol , vol.131 , pp. 468-477
    • Zarbo, R.J.1    Tuthill, J.M.2    D'Angelo, R.3
  • 11
    • 76449100520 scopus 로고    scopus 로고
    • Patient misidentification in laboratory medicine: A qualitative analysis of 227 root cause analysis reports in the veterans health administration
    • Dunn EJ, Maga PJ. Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports in the Veterans Health Administration. Arch Pathol Lab Med. 2010;134:244-255.
    • (2010) Arch Pathol Lab Med , vol.134 , pp. 244-255
    • Dunn, E.J.1    Maga, P.J.2
  • 12
    • 77956605414 scopus 로고    scopus 로고
    • Specimen labeling errors in surgical pathology
    • Layfield LJ, Anderson GM. Specimen labeling errors in surgical pathology. Am J Clin Pathol. 2010;134:466-470.
    • (2010) Am J Clin Pathol , vol.134 , pp. 466-470
    • Layfield, L.J.1    Anderson, G.M.2
  • 13
    • 34147132765 scopus 로고    scopus 로고
    • Clinical laboratory specimen rejection - Association with the site of patient care and patients' characteristics: Findings from a single health care organization
    • Stark A, Jones BA, Chapman D, et al. Clinical laboratory specimen rejection: Association with the site of patient care and patients' characteristics: findings from a single health care organization. Arch Pathol Lab Med. 2007;131:588-592. (Pubitemid 46564432)
    • (2007) Archives of Pathology and Laboratory Medicine , vol.131 , Issue.4 , pp. 588-592
    • Stark, A.1    Jones, B.A.2    Chapman, D.3    Well, K.4    Krajenta, R.5    Meier, F.A.6    Zarbo, R.J.7
  • 14
    • 0031890259 scopus 로고    scopus 로고
    • Amended reports in surgical pathology and implications for diagnostic error detection and avoidance
    • Nakhleh RE, Zarbo RJ. Amended reports in surgical pathology and implications for diagnostic error detection and avoidance. Arch Pathol Lab Med. 1998;122:303-309.
    • (1998) Arch Pathol Lab Med , vol.122 , pp. 303-309
    • Nakhleh, R.E.1    Zarbo, R.J.2
  • 16
    • 38949111017 scopus 로고    scopus 로고
    • Patient safety and error reduction in surgical pathology
    • Nakhleh RE. Patient safety and error reduction in surgical pathology. ArchPathol Lab Med. 2008;132:181-185. (Pubitemid 351213782)
    • (2008) Archives of Pathology and Laboratory Medicine , vol.132 , Issue.2 , pp. 181-185
    • Nakhleh, R.E.1
  • 17
    • 34247141497 scopus 로고    scopus 로고
    • Diagnostic 'errors' in anatomical pathology: Relevance to Australian laboratories
    • DOI 10.1080/00313020601032477, PII 769604710
    • Leong AS-Y Braye S, Bhagwandeen B. Diagnostic errors in anatomical pathology: relevance to Australian laboratories. Pathology. 2006;38:490-497. (Pubitemid 47215705)
    • (2006) Pathology , vol.38 , Issue.6 , pp. 490-497
    • Leong, A.S.-Y.1    Braye, S.2    Bhagwandeen, B.3
  • 18
    • 27644513255 scopus 로고    scopus 로고
    • Clinical impact and frequency of anatomic pathology errors in cancer diagnosis
    • Raab SS, Grzybicki DM, Janosky JE, et al. Clinical impact and frequency of anatomic pathology errors in cancer diagnosis. Cancer. 2005;104:2005-2013.
    • (2005) Cancer , vol.104 , pp. 2005-2013
    • Raab, S.S.1    Grzybicki, D.M.2    Janosky, J.E.3
  • 21
    • 33646682360 scopus 로고    scopus 로고
    • Errors and error rates in surgical pathology: An association of directors of anatomic and surgical pathology survey
    • Cooper K. Errors and error rates in surgical pathology: an Association of Directors of Anatomic and Surgical Pathology survey. Arch Pathol Lab Med. 2006;130:607-609. (Pubitemid 43736857)
    • (2006) Archives of Pathology and Laboratory Medicine , vol.130 , Issue.5 , pp. 607-609
    • Cooper, K.1
  • 22
    • 77952042522 scopus 로고    scopus 로고
    • Surgical pathology case reviews before sign-out: A College of American Pathologists Q-Probes study of 45 laboratories
    • Nakhleh RE, Bekeris LG, Souers RJ, et al. Surgical pathology case reviews before sign-out: a College of American Pathologists Q-Probes study of 45 laboratories. Arch Pathol Lab Med. 2010;134:740-743.
    • (2010) Arch Pathol Lab Med , vol.134 , pp. 740-743
    • Nakhleh, R.E.1    Bekeris, L.G.2    Souers, R.J.3
  • 23
    • 42649126718 scopus 로고    scopus 로고
    • Mandatory second opinion in surgical pathology referral material: Clinical consequences of major disagreements
    • Manion E, Cohen MB, Weydert J. Mandatory second opinion in surgical pathology referral material: clinical consequences of major disagreements. Am J Surg Pathol. 2008;32:732-937.
    • (2008) Am J Surg Pathol , vol.32 , pp. 732-937
    • Manion, E.1    Cohen, M.B.2    Weydert, J.3
  • 24
    • 58049206872 scopus 로고    scopus 로고
    • Effectiveness of random and focused review in detecting surgical pathology error
    • Raab SS, Grzybicki DM, Mahood LK, et al. Effectiveness of random and focused review in detecting surgical pathology error. Am J Clin Pathol. 2008;130:905-912.
    • (2008) Am J Clin Pathol , vol.130 , pp. 905-912
    • Raab, S.S.1    Grzybicki, D.M.2    Mahood, L.K.3
  • 26
    • 55249098863 scopus 로고    scopus 로고
    • Interobserver and interobserver variation among experts in the diagnosis of thyroid follicular lesions with borderline nuclear features of papillary carcinoma
    • Elsheikh TM, Asa SL, Chan JKC, et al. Interobserver and interobserver variation among experts in the diagnosis of thyroid follicular lesions with borderline nuclear features of papillary carcinoma. Am J Clin Pathol. 2008;130:736-744.
    • (2008) Am J Clin Pathol , vol.130 , pp. 736-744
    • Elsheikh, T.M.1    Asa, S.L.2    Chan, J.K.C.3
  • 27
    • 37349001967 scopus 로고    scopus 로고
    • Non-neoplastic renal diseases are often unrecognized in adult tumor nephrectomy specimens: A review of 246 cases
    • DOI 10.1097/PAS.0b013e31804ca63e, PII 0000047820071100000010
    • Henriksen KJ, Meehan SM, Chang A. Non-neoplastic renal diseases are often unrecognized in audit tumor nephrectomy specimen: a review of 246 cases. Am J Surg Pathol. 2007;31: 1703-1708. (Pubitemid 350287568)
    • (2007) American Journal of Surgical Pathology , vol.31 , Issue.11 , pp. 1703-1708
    • Henriksen, K.J.1    Meehan, S.M.2    Chang, A.3
  • 28
    • 0036219291 scopus 로고    scopus 로고
    • Surgical pathology extradepartmental consultation practices: A College of American Pathologists Q-Probes study of 2746 consultations from 180 laboratories
    • Azam M, Nakhleh RE. Surgical pathology extradepartmental consultation practices: a College of American Pathologists Q Probes study of 2747 consultations from 180 laboratories. Arch Pathol Lab Med. 2002;126:405-412. (Pubitemid 34286802)
    • (2002) Archives of Pathology and Laboratory Medicine , vol.126 , Issue.4 , pp. 405-412
    • Azam, M.1    Nakhleh, R.E.2
  • 29
    • 33646680585 scopus 로고    scopus 로고
    • Surgical pathology - Second reviews, institutional reviews, audits, and correlations: What's out there? Error or diagnostic variation?
    • Frable WJ. Surgical pathology-second reviews, institutional reviews, audits, and correlations: What's out there? Error or diagnostic variation? Arch Pathol Lab Med. 2006;130:620-625. (Pubitemid 43736861)
    • (2006) Archives of Pathology and Laboratory Medicine , vol.130 , Issue.5 , pp. 620-625
    • Frable, W.J.1
  • 31
    • 8844271060 scopus 로고    scopus 로고
    • Detecting and preventing the occurrence of errors in the practices of laboratory medicine and anatomic pathology: 15 years' experience with the College of American Pathologists' Q-PROBES and Q-TRACKS programs
    • DOI 10.1016/j.cll.2004.09.001, PII S0272271204000940, Pathology Patient Safety
    • Novis DA. Detection and preventing the occurrence of errors in the practice of laboratory medicine and anatomic pathology: 15 years experience with the College of American Pathologists' Q-Probes and Q-Tracks programs. Clin Lab Med. 2004;24: 965-978. (Pubitemid 39535991)
    • (2004) Clinics in Laboratory Medicine , vol.24 , Issue.4 , pp. 965-978
    • Novis, D.A.1


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.