Difference between revisions of "Quality"

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==Error reduction==
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>
*Training of staff on error handling.
*Computer order entry.
**Avoid duplication.
*Barcode use.
**Avoid transcription errors.
*Clinical information entry required.
**Allow correlation with testing.
==Sources of error==
*"Human error".
**Training.
**Work flow.
*Process gaps.
**Process control.
**Lack of redundancy.


==Biopsy size==
==Biopsy size==

Revision as of 04:13, 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.

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

  1. URL: http://www.attorneygeneral.jus.gov.on.ca/inquiries/goudge/index.html. Accessed on: 1 March 2011.
  2. 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.