Quality - Revision history

Michael: /* Dealing with diagnostic errors */

2025-04-29T19:41:54Z

Dealing with diagnostic errors

← Older revision		Revision as of 19:41, 29 April 2025
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	* Clearly state what the diagnosis was previously. ‡		* Clearly state what the diagnosis was previously. ‡
	* Have another pathologist confirm the revised diagnosis.		* Have another pathologist confirm the revised diagnosis.
			* Communicate directly with the most responsible physician - make them aware of the change.
			* Document the communication.

	‡ It should be noted that: most modern electronic records track all changes. This tracking may or may not be apparent to the end user. Generally, old versions of a report are retrievable. It is good practice to be transparent about a change.		‡ It should be noted that: most modern electronic records track all changes. This tracking may or may not be apparent to the end user. Generally, old versions of a report are retrievable. It is good practice to be transparent about a change.

Michael: /* Dealing with diagnostic errors */

2025-04-29T19:40:21Z

Dealing with diagnostic errors

← Older revision		Revision as of 19:40, 29 April 2025
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	==Dealing with diagnostic errors==		==Dealing with diagnostic errors==
	*Reports that have a diagnostic error should be ''amended''.		*Reports that have a diagnostic error should be ''[[Amendment\|amended]]''.
	*If an addendum ~~adds~~ information to the report that contradicts other information 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>		*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:		It is good practice when amending an report to:

Michael: /* Dealing with diagnostic errors */

2025-04-29T14:25:11Z

Dealing with diagnostic errors

← Older revision		Revision as of 14:25, 29 April 2025
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	*Reports that have a diagnostic error should be ''amended''.		*Reports that have a diagnostic error should be ''amended''.
	*If an addendum adds information to the report that contradicts other information 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>		*If an addendum adds information to the report that contradicts other information 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.

			‡ It should be noted that: most modern electronic records track all changes. This tracking may or may not be apparent to the end user. Generally, old versions of a report are retrievable. It is good practice to be transparent about a change.

	=Measures of quality=		=Measures of quality=

Michael: /* Dealing with diagnostic errors */

2025-04-29T14:19:02Z

Dealing with diagnostic errors

← Older revision		Revision as of 14:19, 29 April 2025
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	==Dealing with diagnostic errors==		==Dealing with diagnostic errors==
	*~~Opinion is split on whether reports~~ should be ''amended'' ~~or ''addended''~~ - ~~see ''[[sign out]]'' article.~~		*Reports that have a diagnostic error should be ''amended''.
			*If an addendum adds information to the report that contradicts other information 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>

	=Measures of quality=		=Measures of quality=

Michael: /* Ontario */

2017-02-14T17:27:52Z

Ontario

← Older revision		Revision as of 17:27, 14 February 2017
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	*[[Institute for Quality Management in Healthcare]] - previously ''Quality Management Program - Laboratory Services''.		*[[Institute for Quality Management in Healthcare]] - previously ''Quality Management Program - Laboratory Services''.
	**Set-up by the ''Ontario Medical Assocation''.		**Set-up by the ''Ontario Medical Assocation''.

	~~Two divisions:~~
	*External quality assessment (EQA) - external laboratory proficiency testing.
	*Ontario Laboratory Accreditation (OLA).

	==United Kingdom==		==United Kingdom==

Michael: /* Quality standards organization */

2017-02-14T17:25:05Z

Quality standards organization

← Older revision		Revision as of 17:25, 14 February 2017
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	=Quality standards organization=		=Quality standards organization=
	There are a large number of organizations that have written standards for quality in laboratory medicine.		There are a large number of organizations that have written standards for quality in laboratory medicine.

	~~==Canadian immunohistochemistry quality control==~~
	*Abbreviated ''CIQC''.
	*[https://ciqc.ca/Pages/default.aspx CIQC webpage (ciqc.ca)]

	==International==		==International==
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	==Canada==		==Canada==
			===Canadian immunohistochemistry quality control===
			*Abbreviated ''CIQC''.
			*[https://ciqc.ca/Pages/default.aspx CIQC webpage (ciqc.ca)]

	===Ontario===		===Ontario===
	*[[Institute for Quality Management in Healthcare]] - previously ''Quality Management Program - Laboratory Services''.		*[[Institute for Quality Management in Healthcare]] - previously ''Quality Management Program - Laboratory Services''.

Michael: /* Ontario */

2017-02-14T15:18:50Z

Ontario

← Older revision		Revision as of 15:18, 14 February 2017
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	==Canada==		==Canada==
	===Ontario===		===Ontario===
	*Quality Management Program - Laboratory Services ~~(QMP-LS)~~.		*[[Institute for Quality Management in Healthcare]] - previously ''Quality Management Program - Laboratory Services''.
	**Set-up by the ''Ontario Medical Assocation''.		**Set-up by the ''Ontario Medical Assocation''.

Michael at 03:32, 14 July 2016

2016-07-14T03:32:22Z

← Older revision		Revision as of 03:32, 14 July 2016
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	Note:		Note:
	*Unfortunately one has to shell-out money to get a peak at 'em.		*Unfortunately one has to shell out money to get a peak at 'em.

	==United States of America==		==United States of America==

Michael: /* See also */ processes

2015-06-08T23:03:06Z

Michael: /* See also */

2014-01-11T14:56:35Z

← Older revision		Revision as of 23:03, 8 June 2015
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	*[[Waffle diagnosis]].		*[[Waffle diagnosis]].
	*[[Workload measurement]].		*[[Workload measurement]].
			*[[Anatomical pathology laboratory processes]].

	=References=		=References=

← Older revision		Revision as of 14:56, 11 January 2014
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	*[[CAP checklists]].		*[[CAP checklists]].
	*[[Tissue floater]].		*[[Tissue floater]].
			*[[Histology artifacts]].
	*[[Waffle diagnosis]].		*[[Waffle diagnosis]].
	*[[Workload measurement]].		*[[Workload measurement]].