Intraoperative Communications Between Pathologists and Surgeons: Do We Understand Each Other?
Context.--Clear communication between pathologists and surgeons during intraoperative consultations is critical for optimal patient care. Objective.--To examine the concordance of intraoperative diagnoses recorded in pathology reports to surgeon-dictated operative notes and assess the impact of an i...
| Publicado en: | Archives of Pathology & Laboratory Medicine Vol. 147; no. 8; pp. 933 - 940 |
|---|---|
| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
College of American Pathologists
Aug2023
|
| 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=169944769&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 169944769 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00039985 1FS jtl: Archives of Pathology & Laboratory Medicine issn: 00039985 maglogo: N pubinfo: dt: Aug2023 vid: 147 iid: 8 pid: 2550 pub: College of American Pathologists place: Northfield, Illinois artinfo: ui: 169944769 169944769 169944769 10.5858/arpa.2020-0632-OA 169944769 ppf: 933 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Intraoperative Communications Between Pathologists and Surgeons: Do We Understand Each Other? aug: au: Wiggett, Amanda Fischer, Gabor affil: Department of Pathology, University of Manitoba, Winnipeg, Manitoba, Canada sug: subj: Interprofessional Relations Surgeons Pathologists Communication Intraoperative Complications Intraoperative Period Standards Human Diagnostic Errors Prevention and Control Intraoperative Care Standards Pathology, Clinical Misinformation Descriptive Statistics ab: Context.--Clear communication between pathologists and surgeons during intraoperative consultations is critical for optimal patient care. Objective.--To examine the concordance of intraoperative diagnoses recorded in pathology reports to surgeon-dictated operative notes and assess the impact of an intervention on the discrepancy rates. Design.--Discrepancies between the intended communication by pathologists and the interpretation by surgeons were characterized as minor with no crucial clinical impact, and major with the potential of altering patient management. After analysis, a corrective intervention was implemented with education, information sharing, and a change in protocol, and a comparative analysis was conducted. Results.--We examined 223 surgical cases with 578 intraoperative consultations. In 23% (51) of the cases, the intraoperative diagnosis was not recorded in the operative reports. We found minor discrepancies in 34% (59) and major discrepancies in 2% (3) of the remaining cases. Deferrals accounted for 24% (14 of 59) of the minor and 33% (1 of 3) of the major discrepancies. Among the discrepant cases, 56% (35 of 62) were multipart cases, including all major discrepancies. Following intervention, no major discrepancies were found in 101 cases with 186 intraoperative interpretations. The cases with no operative documentation reports decreased from 23% to 16% (16 of 101). Minor discrepancies were found in 11% (9 of 85) of the cases, indicating significant improvement (P < .001). Conclusions.--Intraoperative diagnoses can be miscommunicated and/or misinterpreted, possibly impacting intraoperative management, particularly in multipart cases and those involving deferrals. This study highlights the importance of auditing intraoperative communications and addressing the findings through a local intervention. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|