Difference between revisions of "Quality"
Jump to navigation
Jump to search
(→Analysis: more) |
m (→Error reduction: more) |
||
| Line 13: | Line 13: | ||
Various strategies can be employed:<ref name=pmid21171512>{{Cite journal | last1 = Fabbretti | first1 = G. | title = Risk management: correct patient and specimen identification in a surgical pathology laboratory. The experience of Infermi Hospital, Rimini, Italy. | journal = Pathologica | volume = 102 | issue = 3 | pages = 96-101 | month = Jun | year = 2010 | doi = | PMID = 21171512 }} | Various strategies can be employed:<ref name=pmid21171512>{{Cite journal | last1 = Fabbretti | first1 = G. | title = Risk management: correct patient and specimen identification in a surgical pathology laboratory. The experience of Infermi Hospital, Rimini, Italy. | journal = Pathologica | volume = 102 | issue = 3 | pages = 96-101 | month = Jun | year = 2010 | doi = | PMID = 21171512 }} | ||
</ref> | </ref> | ||
*Training of staff on error handling. | *Training of staff - on error handling. | ||
*Computer order entry. | *Computer order entry. | ||
**Avoid duplication. | **Avoid duplication. | ||
| Line 20: | Line 20: | ||
*Clinical information entry required. | *Clinical information entry required. | ||
**Allow correlation with testing. | **Allow correlation with testing. | ||
Other strategies: | |||
*Statistical process control. | |||
==Sources of error== | ==Sources of error== | ||
Revision as of 04:15, 12 December 2011
Quality, in pathology, has got a lot of attention lately because there have been high profile screw-ups that lead to significant harm.[1]
Analysis
Quality issues are examined a number of different ways, e.g. root cause analysis, failure mode and effects analysis (FMEA).
| Errors in pathology | |||||||||||||||||||||||||||||||||
| Pre-analytical errors | Analytical errors | Post-analytical errors | |||||||||||||||||||||||||||||||
Error reduction
Various strategies can be employed:[2]
- Training of staff - on error handling.
- Computer order entry.
- Avoid duplication.
- Barcode use.
- Avoid transcription errors.
- Clinical information entry required.
- Allow correlation with testing.
Other strategies:
- Statistical process control.
Sources of error
- "Human error".
- Training.
- Work flow.
- Process gaps.
- Process control.
- Lack of redundancy.
Biopsy size
Very small tissue fragments are associated with a decreased diagnostic yield and an increased diagnostic uncertainty.
See also
References
- ↑ URL: http://www.attorneygeneral.jus.gov.on.ca/inquiries/goudge/index.html. Accessed on: 1 March 2011.
- ↑ Fabbretti, G. (Jun 2010). "Risk management: correct patient and specimen identification in a surgical pathology laboratory. The experience of Infermi Hospital, Rimini, Italy.". Pathologica 102 (3): 96-101. PMID 21171512.