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Difference between revisions of "Quality"
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→General error analysis
(expand IHC section) |
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When errors happen: | When errors happen: | ||
*Work-up problem. | *Work-up the problem. | ||
**Where did | **Where did the error occur? | ||
*Talk to the clinician. | *Talk to the clinician. | ||
**If it is a ''[[critical diagnosis]]'' contact most-responsible physician immediately... if they are unreachable call physician on-call for the most-responsible physician... if the patient is out-of-town you may have to coordinate with the emergency department. | **If it is a ''[[critical diagnosis]]'' contact the most-responsible physician immediately... if they are unreachable call the physician on-call for the most-responsible physician... if the patient is out-of-town you may have to coordinate with the local emergency department. | ||
*Talk to the chief of pathology. | *Talk to the chief of pathology. | ||
*Incident report. | *Incident report. | ||
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**Was it a specimen mix-up? | **Was it a specimen mix-up? | ||
***Is there another error? | ***Is there another error? | ||
*Amend report(s). | *Amend the report(s). | ||
*Remedy source of error. | *Remedy the source of error. | ||
====Pre-analytic errors==== | ====Pre-analytic errors==== | ||
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*Slide mix-up - labels wrong. | *Slide mix-up - labels wrong. | ||
*Poor quality slides (fixation, processing, staining). | *Poor quality slides (fixation, processing, staining). | ||
*Lost specimen - can be potentially anywhere in the process. | |||
====Analytic errors==== | ====Analytic errors==== | ||
*Interpretation wrong. | *Interpretation wrong. | ||
**Difficult case. | **Factors: | ||
**Technical factors (quality of slides). | ***Difficult case. | ||
***Technical factors (quality of slides). | |||
***Lack of clinical history. | |||
====Post-analytic errors==== | ====Post-analytic errors==== | ||
*Wrong case signed-out. | *Wrong case signed-out. | ||
*Filing problem. | *Filing problem/lost report. | ||
*Interpretation of report problem (poorly written, | *Interpretation of report problem (poorly written report, misinterpretation). | ||
==Error reduction== | ==Error reduction== | ||