Prioritizing Patient Safety and Minimizing Waste: Institutional Review of Cases and a Proposed Process for Designing a Surgical Pathology Gross-Only Examination Policy
Rattachement africain : us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
OBJECTIVES: Gross-only examination policies vary widely across pathology departments. Several studies-particularly a College of American Pathologists' Q-Probes study-have looked at the variations in gross-only policies, and even more studies have addressed the (in)appropriateness of certain specimen types for gross-only examination. Few, if any, studies have tackled the important task of how to revise and safely implement a new gross-only examination protocol, especially in collaboration with clinical colleagues. METHODS: We reviewed the grossing protocols from three anatomic pathology centers to identify common gross-only specimen types. We compiled an inclusive list of any specimen types that appeared on one or more centers' lists. We performed a retrospective review of the gross and microscopic diagnoses for those specimen types to determine if any diagnoses of significance would have been missed had that specimen been processed as a gross-only. RESULTS: We reviewed 940 cases among 13 specimen types. For 7 specimen types, the gross diagnoses provided equivalent information to the microscopic diagnoses. For 6 specimen types, microscopic diagnoses provided clinically meaningful information beyond what was captured in the gross diagnoses. CONCLUSIONS: To improve the value of care provided, pathology departments should conduct internal reviews and consider transitioning specimen types to gross-only when safe.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Prioritizing Patient Safety and Minimizing Waste: Institutional Review of Cases and a Proposed Process for Designing a Surgical Pathology Gross-Only Examination Policy
- Date Crossref
- 16/08/2022
- Éditeur
- Oxford University Press (OUP)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Massachusetts General Hospital Department of Pathology pays non établi dans la noticeÉtablissement de santé
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Lahey Hospital and Medical Center pays non établi dans la noticeÉtablissement de santé
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Lahey Medical Center pays non établi dans la noticeÉtablissement de santé
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Brigham and Women's Hospital Department of Pathology pays non établi dans la noticeÉtablissement de santé
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Children's Hospital of Los Angeles Division of Quality and Performance Improvement pays non établi dans la noticeOrganisme public
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Beth Israel Deaconess Medical Center Department of Pathology pays non établi dans la noticeÉtablissement de santé
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Division of Pathology and Laboratory Medicine Department of Pathology pays non établi dans la noticeStructure de recherche
Department of Pathology — Massachusetts General Hospital, Lahey Hospital and Medical Center et Lahey Medical Center, avec 4 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.