Difference between revisions of "Quality"

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'''Quality''', in pathology, has got a lot of attention lately because there have been high profile screw-ups that lead to significant harm.<ref>URL: [http://www.attorneygeneral.jus.gov.on.ca/inquiries/goudge/index.html http://www.attorneygeneral.jus.gov.on.ca/inquiries/goudge/index.html]. Accessed on: 1 March 2011.</ref><ref>Judicial inquiry probes faulty breast cancer tests. CBC website. URL: [http://www.cbc.ca/news/background/cancer/inquiry.html http://www.cbc.ca/news/background/cancer/inquiry.html]. Accessed on: 30 January 2012.</ref>
'''Quality''', in pathology, has got a lot of attention lately because there have been high profile screw-ups that lead to significant harm.<ref>URL: [http://www.attorneygeneral.jus.gov.on.ca/inquiries/goudge/index.html http://www.attorneygeneral.jus.gov.on.ca/inquiries/goudge/index.html]. Accessed on: 1 March 2011.</ref><ref>Judicial inquiry probes faulty breast cancer tests. CBC website. URL: [http://www.cbc.ca/news/background/cancer/inquiry.html http://www.cbc.ca/news/background/cancer/inquiry.html]. Accessed on: 30 January 2012.</ref>


==General==
=General=
The keys to ''quality'' are:   
The keys to ''quality'' are:   
#Understanding the beeds of the stakeholders (surgeons, oncologists, patients, other pathologists, the public at large).
#Understanding the beeds of the stakeholders (surgeons, oncologists, patients, other pathologists, the public at large).
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#Continually doing all of the above with the aim of improving outcomes.
#Continually doing all of the above with the aim of improving outcomes.


==Analysis==
=Analysis=
===Overview===
===Overview===
Quality issues can be examined in a number of different ways.
Quality issues can be examined in a number of different ways.
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*Statistical process control.
*Statistical process control.


==Biopsy size==
=Measures of quality=
Very small tissue fragments are associated with a decreased diagnostic yield and an increased diagnostic uncertainty.
 
==Measures of quality==
Any number of parameters can be used to measure quality. The when, where and how-often something is measured depends on the value-added.
Any number of parameters can be used to measure quality. The when, where and how-often something is measured depends on the value-added.


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**Report delivered to appropriate person?
**Report delivered to appropriate person?


==Immunohistochemistry==
=Immunohistochemistry=
{{Main|Immunohistochemistry}}
{{Main|Immunohistochemistry}}


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*Problems can arise at any step.
*Problems can arise at any step.


==Other==
=Other=
===Failure-potential analysis===
==Failure-potential analysis==
Adapted from Ullman:<ref name=ullman>{{cite book |title=The mechanical design process |last= Ullman |first = David G. |authorlink= |coauthors= |year= 1997 |publisher= McGraw-Hill Companies Inc. |location= Toronto|isbn=0-07-065756-4 |page= |pages= |url= |accessdate=}}</ref>
Adapted from Ullman:<ref name=ullman>{{cite book |title=The mechanical design process |last= Ullman |first = David G. |authorlink= |coauthors= |year= 1997 |publisher= McGraw-Hill Companies Inc. |location= Toronto|isbn=0-07-065756-4 |page= |pages= |url= |accessdate=}}</ref>
#Identify potential individual failures.
#Identify potential individual failures.
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#Identify the corrective action.
#Identify the corrective action.


==See also==
==Biopsy size==
Very small tissue fragments are associated with a decreased diagnostic yield and an increased diagnostic uncertainty.
 
=See also=
*[[Critical values]].
*[[Critical values]].
*[[CAP checklists]].
*[[CAP checklists]].


==References==
=References=
{{Reflist|2}}
{{Reflist|2}}


[[Category:Quality]]
[[Category:Quality]]
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