Difference between revisions of "Quality"

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==Dealing with diagnostic errors==
==Dealing with diagnostic errors==
*Reports that have a diagnostic error should be ''amended''.
*Reports that have a diagnostic error should be ''[[Amendment|amended]]''.
*If an addendum adds information to the report that contradicts other information in the report: it should be an amendment (not an addendum).<ref name=pmid25357114>{{cite journal |authors=Babwah JP, Khalifa M, Rowsell C |title=Analysis of addenda in anatomic pathology as a quality monitoring initiative |journal=Arch Pathol Lab Med |volume=138 |issue=11 |pages=1514–9 |date=November 2014 |pmid=25357114 |doi=10.5858/arpa.2012-0412-OA |url=}}</ref>
*If an addendum would add information to the report that contradicts other information already in the report: it should be an amendment (not an addendum).<ref name=pmid25357114>{{cite journal |authors=Babwah JP, Khalifa M, Rowsell C |title=Analysis of addenda in anatomic pathology as a quality monitoring initiative |journal=Arch Pathol Lab Med |volume=138 |issue=11 |pages=1514–9 |date=November 2014 |pmid=25357114 |doi=10.5858/arpa.2012-0412-OA |url=}}</ref>
 
It is good practice when amending an report to:
* Clearly state the revised diagnosis.
* Clearly note that the diagnosis was changed.
* Clearly state what the diagnosis was previously. ‡
* Have another pathologist confirm the revised diagnosis.
* Communicate directly with the most responsible physician - make them aware of the change.
* Document the communication.
 
‡ It should be noted that: most modern electronic records track all changes. This tracking may or may not be apparent to the end user. Generally, old versions of a report are retrievable. It is good practice to be transparent about a change.


=Measures of quality=
=Measures of quality=
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