PMID: 9422319Jan 9, 1998Paper

Aberrant diagnoses by individual surgical pathologists

The American Journal of Surgical Pathology
S L WakelyR Pickering

Abstract

Methods of auditing the performance of histopathologists, such as external and internal quality assurance, clinicopathological conferences, and "double-reporting" of microscopic slides, show significant diagnostic errors in at least 1.2% of reports. Although some of these are in well-recognized areas of difficulty, such as melanoma or lymphoma, most errors are in common biopsy specimens. We have developed a method that compares diagnostic patterns of individual histopathologists. This aims to identify specific diagnoses that a pathologist makes more or less frequently than other colleagues and enables the individual to reflect on his or her own histologic expertise in reporting on specific biopsy results. The bottom line diagnoses of transurethral resection of prostate specimens; rectal, gastric, and bladder biopsy samples; and endometrial curettages were analyzed retrospectively. Analyses were performed on diagnoses made by at least 15 pathologists on each specimen type and expressed as a standardized ratio (SR) with 95% confidence intervals (CI). An SR of 1.0 indicated a pattern of diagnosis matching the combined pattern of other colleagues. An SR <1.0 indicated relative "underdiagnosis" and an SR >1.0 indicated relative "ove...Continue Reading

References

Mar 1, 1995·The British Journal of Surgery·G D MurrayD C Dunn
Aug 1, 1994·The American Journal of Surgical Pathology·D B Troxel, J D Sabella
Nov 1, 1993·The American Journal of Surgical Pathology·R E Safrin, C J Bark

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Citations

Mar 13, 2009·Archives of Orthopaedic and Trauma Surgery·Min Suk KimDae-Geun Jeon
Sep 10, 2003·The American Journal of Surgical Pathology·Ian S CookPatrick J Gallagher
Jul 15, 2004·The American Journal of Surgical Pathology·David B Troxel
Jun 30, 2009·The American Journal of Surgical Pathology·Pedram GeramiBoris C Bastian
Dec 22, 1999·Journal of Clinical Pathology·M K Heatley
Apr 18, 2000·Journal of Clinical Pathology·N Kirkham
Apr 10, 2002·American Journal of Clinical Pathology·Karen M ClaryStephen S Raab
Feb 23, 2011·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Julia A WoolgarLeon Barnes
Mar 27, 2007·The Journal of Molecular Diagnostics : JMD·Ronald HuijsmansMirjam Hermans
Nov 24, 2004·Clinics in Laboratory Medicine·Stephen S Raab
Feb 1, 2006·Modern Pathology : an Official Journal of the United States and Canadian Academy of Pathology, Inc·A Neil Crowson
Dec 22, 1999·Journal of Clinical Pathology·K Metze, I Lorand-Metze
Aug 25, 2010·Advances in Anatomic Pathology·Jennifer E Roy, Jennifer L Hunt
Jan 9, 1998·The American Journal of Surgical Pathology·E Foucar
May 18, 1999·The American Journal of Surgical Pathology·S F Cramer
Jun 26, 1999·Histopathology·A D Ramsay
Aug 14, 2012·Advances in Anatomic Pathology·Maxwell L Smith, Stephen S Raab
Apr 23, 2019·Journal of Patient Safety·Sam Atallah, Sergio W Larach
Oct 4, 2005·Archives of Pathology & Laboratory Medicine·David B Troxel
Oct 4, 2005·Archives of Pathology & Laboratory Medicine·Stephen S RaabChris Jensen
Jul 8, 2011·Archives of Pathology & Laboratory Medicine·Soheil S Dadras
May 11, 2006·Archives of Pathology & Laboratory Medicine·David B Troxel
May 11, 2006·Archives of Pathology & Laboratory Medicine·Stephen S Raab

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