Frozen Section Quality Assurance.
Objectives: Composite frozen section turnaround time has limited value, precluding assessment of certain processes: slide preparation (technical) and diagnosis (interpretation). We examined whether measuring these elements could identify delays, hypothesizing that longer times were related to (1) in...
| Publicado en: | American Journal of Clinical Pathology Vol. 156; no. 3; pp. 461 - 471 |
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| Autores principales: | , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Oxford University Press / USA
Sep2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151803364&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151803364 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00029173 2RW jtl: American Journal of Clinical Pathology issn: 00029173 maglogo: N pubinfo: dt: Sep2021 vid: 156 iid: 3 pid: 10398 pub: Oxford University Press / USA artinfo: ui: 151803364 151803364 NLM33728460 10.1093/ajcp/aqaa259 NLM33728460 151803364 ppf: 461 ppct: 10 formats: tig: atl: Frozen Section Quality Assurance. aug: au: Laakman, Joseph M Chen, Stephanie J Lake, Kim S Blau, John L Rajan, D Anand Samuelson, Megan I Robinson, Robert A affil: Department of Pathology, Carver College of Medicine, University of Iowa , Iowa City, IA, USA sug: subj: Frozen Sections Standards Neoplasms Diagnosis Time Factors Neoplasms Pathology Ferrans and Powers Quality of Life Index ab: Objectives: Composite frozen section turnaround time has limited value, precluding assessment of certain processes: slide preparation (technical) and diagnosis (interpretation). We examined whether measuring these elements could identify delays, hypothesizing that longer times were related to (1) inefficient technical processes and (2) case-specific diagnostic challenges.Methods: Technical and interpretive times were determined for 1,992 specimens submitted for frozen section in 2017; the data were sorted by surgical specialty. Mean and quartile times were determined for each category with all specimens assessed equally, including those with multiple frozen section blocks.Results: Technical times were significantly longer than interpretive times. Specialty grouping facilitated trend identification and enabled assessment of technical and interpretation challenges. We identified technical issues with certain gross specimens involving overdissection and interpretation delays for specific neoplasms and margins.Conclusions: Measuring technical and interpretative times and subcategorizing by specialty has aided the assessment of frozen section processing in our laboratory, enabling case isolation for process improvement. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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