49,267
edits
Difference between revisions of "Pathology reports"
Jump to navigation
Jump to search
→Dealing with errors and when to use an amendment
| (3 intermediate revisions by the same user not shown) | |||
| Line 73: | Line 73: | ||
===Amendment=== | ===Amendment=== | ||
*Formally ''report amendment''. | *Formally ''report amendment''. | ||
*Used to change the [[diagnosis]] or significant interpretations in the report. | *Used to change the [[diagnosis]] ''or'' significant interpretations in the report. | ||
==Dealing with errors== | ==Dealing with errors and when to use an amendment== | ||
{{Main|Quality}} | {{Main|Quality}} | ||
=== | *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. | |||
==See also== | ==See also== | ||