Difference between revisions of "Quality"
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*Training of staff - on error handling. | *Training of staff - on error handling. | ||
*Computer order entry. | *Computer order entry. | ||
**Avoid duplication. | **Avoid duplication fatigue. | ||
**Quick correlation with several identifying features. | |||
***Full name, sex, date of birth -- these all appear when one opens a case. | |||
*Barcode use. | *Barcode use. | ||
**Avoid transcription errors. | **Avoid transcription errors. | ||
*Clinical information entry required. | *Clinical information entry required. | ||
**Allow correlation with | **Allow correlation with test. | ||
***The interpretation may differ if the history says "screening coloscopy" versus "large cecal mass, anemia and weight loss". | |||
Other strategies: | Other strategies: | ||
Revision as of 14:57, 21 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 fatigue.
- Quick correlation with several identifying features.
- Full name, sex, date of birth -- these all appear when one opens a case.
- Barcode use.
- Avoid transcription errors.
- Clinical information entry required.
- Allow correlation with test.
- The interpretation may differ if the history says "screening coloscopy" versus "large cecal mass, anemia and weight loss".
- Allow correlation with test.
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.