Patient identification Patient history Specimen loss Specimen identification Specimen adequacy Specimen handling Specimen transportation Accessioning data misentry Many of the errors in the preanalytic phase occur before the specimen ever…
BREAST CARCINOMA Specimen laterality: Procedure: Lymph nodes sampling (required only if lymph nodes are present): a Tumor site/location: Histologic type of Invasive carcinoma: Tumor focality (required only if more than…
Fig. 3.1 The Swiss Cheese Model of error causation. Each slice of cheese represents a step in the health care process. The “holes” represent errors in each individual step, either…
Fig. 2.1 A twelve-step program: surgical pathology as a production process Amended Reports and practical errors: Amended reports in surgical pathology are like accident reports . As sources for a…
53. Kapp MB. Medical error versus malpractice. DePaul J Health Care L. 1997;1:751–72. 54. Blum JD. Regulating for patient safety: the law’s response to medical errors: article: combating those ugly…
© Springer Science+Business Media New York 2015Raouf E. Nakhleh (ed.)Error Reduction and Prevention in Surgical Pathology10.1007/978-1-4939-2339-7_13 13. Error Prevention in Transcription and Report Distribution Shannon J. McCall1 (1) Department of Pathology, Duke University, 327C Davison…
© Springer Science+Business Media New York 2015Raouf E. Nakhleh (ed.)Error Reduction and Prevention in Surgical Pathology10.1007/978-1-4939-2339-7_12 12. Communicating Effectively in Surgical Pathology Carolyn Mies1 (1) Division of Anatomic Pathology, Department of Pathology & Laboratory Medicine,…
Review type Explanation of process Targeted Review of specific types of cases either by diagnosis or by organ system Random Review of cases using a previously outline method of selecting…
Element Risk Mitigation Antibody–epitope specificity Cross-reactivity (shared epitopes) and neoepitopes False or unexpected positives Be aware of expected antibody specificity and reported patterns of “unexpected” staining; repeat tests with unexplained…
© Springer Science+Business Media New York 2015Raouf E. Nakhleh (ed.)Error Reduction and Prevention in Surgical Pathology10.1007/978-1-4939-2339-7_1 1. Introduction Raouf E. Nakhleh1 (1) Department of Pathology, Mayo Clinic Florida, 4500 San Pablo Rd., Jacksonville, FL 32224, USA…
