PMID: 9451561Feb 6, 1998Paper

Another quality assurance issue--amended reports: what do we really know about them?

Diagnostic Cytopathology
J F StastnyR M Davila

Abstract

The Clinical Laboratory Improvement Amendment (CLIA) of 1988 requires that if a cytology/histology discrepancy is discovered which is significant and affects patient care, an amended report should be issued (Clinical Laboratory Improvement Amendments, Fed Reg 1992;57:7169). Since little is known about such amended reports, a survey was developed to assess how individuals handle discrepancies. The Quality Assurance Task Force from the Papanicolaou Society of Cytopathology created a survey to assess these methods and sent it to all of their members. Fifty-one individuals responded to the survey. Methods vary widely among institutions. On average, 107 cytologic/histologic correlations are performed each month with the discovery of approximately 2 major and 11 minor discrepancies. Thirty-nine responders utilize written amended reports and telephone clinicians when a major discrepancy is found. Thirty-eight individuals indicated that their place of employment has a written policy concerning discrepancies. Time spent in quality assurance issues averaged 8 hr per wk for cytotechnologists and 3 hr per wk for pathologists. Although amended reports are required when significant discrepancies are revealed, a standard practice does not exist.

Citations

Nov 24, 2004·Clinics in Laboratory Medicine·Stephen S Raab
Oct 23, 2010·Advances in Anatomic Pathology·Jan F Silverman
Mar 21, 2012·American Journal of Clinical Pathology·Alexander FinkelsteinVinita Parkash
Oct 31, 2014·Archives of Pathology & Laboratory Medicine·Jesse Paul BabwahCorwyn Rowsell
Nov 25, 2004·Journal of Surgical Oncology·Sandra C HollenseadRonald J Elin
Aug 25, 2010·Advances in Anatomic Pathology·Jennifer E Roy, Jennifer L Hunt
Jul 18, 2007·Seminars in Diagnostic Pathology·William J Frable

❮ Previous
Next ❯

Related Concepts

Related Feeds

Absence Epilepsy

Absence epilepsy is a common seizure disorder in children which can produce chronic psychosocial sequelae. Discover the latest research on absence epilepsies here.