Surgical pathology report defects. A College of American Pathologists Q-probes study of 73 institutions.
Context.--The rate of surgical pathology report defects is an indicator of quality and it affects clinician satisfaction. Objective.--To establish benchmarks for defect rates and defect fractions through a large, multi-institutional prospective application of standard taxonomy. Design.--Participants...
| Publicado en: | Archives of Pathology & Laboratory Medicine Vol. 138; no. 5; pp. 602 - 613 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
College of American Pathologists
May2014
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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=96010536&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 96010536 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00039985 1FS jtl: Archives of Pathology & Laboratory Medicine issn: 00039985 maglogo: N pubinfo: dt: May2014 vid: 138 iid: 5 pid: 2550 pub: College of American Pathologists place: Northfield, Illinois artinfo: ui: 96010536 96010536 96010536 10.5858/arpa.2013-0099-CP 96010536 ppf: 602 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Surgical pathology report defects. A College of American Pathologists Q-probes study of 73 institutions. aug: au: Volmar, Keith E. Idowu, Michael O. Hunt, Jennifer L. Souers, Rhona J. Meier, Frederick A. Nakhleh, Raouf E. affil: Department of Pathology, Rex Pathology Associates, Raleigh, North Carolina sug: subj: Reports Standards Benchmarking Pathology, Clinical Surgery, Operative Human Error Proficiency Testing, Laboratory Quality Assurance Prospective Studies Questionnaires P-Value Descriptive Statistics Kruskal-Wallis Test Data Analysis Software Human ab: Context.--The rate of surgical pathology report defects is an indicator of quality and it affects clinician satisfaction. Objective.--To establish benchmarks for defect rates and defect fractions through a large, multi-institutional prospective application of standard taxonomy. Design.--Participants in a 2011 Q-Probes study of the College of American Pathologists prospectively reviewed all surgical pathology reports that underwent changes to correct defects and reported details regarding the defects. Results.--Seventy-three institutions reported 1688 report defects discovered in 360 218 accessioned cases, for an aggregate defect rate of 4.7 per 1000 cases. Median institutional defect rate was 5.7 per 1000 (10th to 90th percentile range, 13.5-0.9). Defect rates were higher in institutions with a pathology training program (8.5 versus 5.0 per 1000, P = .01) and when a set percentage of cases were reviewed after sign-out (median, 6.7 versus 3.8 per 1000, P = .10). Defect types were as follows: 14.6% misinterpretations, 13.3% misidentifications, 13.7% specimen defects, and 58.4% other report defects. Overall, defects were most often detected by pathologists (47.4%), followed by clinicians (22.0%). Misinterpretations and specimen defects were most often detected by pathologists (73.5% and 82.7% respectively, P < .001), while misidentifications were most often discovered by clinicians (44.6%, P < .001). Misidentification rates were lower when all malignancies were reviewed by a second pathologist before sign-out (0.0 versus 0.6 per 1000, P < .001), and specimen defect rates were lower when intradepartmental review of difficult cases was conducted after sign-out (0.0 versus 0.4 per 1000, P = .02). Conclusion.--This study provides benchmarking data on report defects and defect fractions using standardized taxonomy. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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