“So You Made a Mistake” – The Path Forward Through Surgical Pathology Errors by Extreme Ownership and a Focus on the Patient

Foucar E (2001) Dec. Error in anatomic pathology. Am J Clin Pathol. ;116 Suppl:S34-46. https://doi.org/10.1309/DDKV-E4YP-CJ5Q-3M4V

Troxel DB, Sabella JD (1994) Problem areas in pathology practice. Uncovered by a review of malpractice claims. Am J Surg Pathol Aug 18(8):821–831. https://doi.org/10.1097/00000478-199408000-00009

Article  Google Scholar 

Wick MR (2007) Medicolegal liability in surgical pathology: a consideration of underlying causes and selected pertinent concepts. Semin Diagn Pathol May 24(2):89–97. https://doi.org/10.1053/j.semdp.2007.03.003

Article  Google Scholar 

Wick MR, Foucar E, Allen PW et al (2007) Medicolegal liability in pathology: an international perspective. Semin Diagn Pathol May 24(2):65–76. https://doi.org/10.1053/j.semdp.2007.03.007

Article  Google Scholar 

Leape LL (2000) Institute of Medicine medical error figures are not exaggerated. JAMA Jul 5(1):95–97. https://doi.org/10.1001/jama.284.1.95

Article  Google Scholar 

Troxel DB (2000) Diagnostic errors in Surgical Pathology uncovered by a review of Malpractice claims: Part I. General considerations. Int J Surg Pathol Apr 8(2):161–163. https://doi.org/10.1177/106689690000800212

Article  Google Scholar 

Troxel DB (2001) Diagnostic pitfalls in surgical pathology–discovered by a review of malpractice claims. Int J Surg Pathol Apr 9(2):133–136. https://doi.org/10.1177/106689690100900207

Article  Google Scholar 

Foucar E (2005) Classification of error in anatomic pathology: a proposal for an evidence-based standard. Semin Diagn Pathol May 22(2):139–146. https://doi.org/10.1053/j.semdp.2006.02.001

Article  Google Scholar 

Zarbo RJ, Meier FA, Raab SS (Oct 2005) Error detection in anatomic pathology. Arch Pathol Lab Med 129(10):1237–1245. https://doi.org/10.5858/2005-129-1237-EDIAP

Kronz JD, Westra WH, Epstein JI (1999) Mandatory second opinion surgical pathology at a large referral hospital. Cancer Dec 1(11):2426–2435

Article  Google Scholar 

Staats PN, Parkash V, Otis CN, Sharma P, Ioffe O, Bracamonte ER (2020) The current state of communication of urgent and significant, unexpected diagnoses in Anatomic Pathology. Arch Pathol Lab Med Sep 1(9):1067–1074. https://doi.org/10.5858/arpa.2019-0436-OA

Article  Google Scholar 

Raab SS, Grzybicki DM, Mahood LK, Parwani AV, Kuan SF, Rao UN (2008) Effectiveness of random and focused review in detecting surgical pathology error. Am J Clin Pathol Dec 130(6):905–912. https://doi.org/10.1309/AJCPPIA5D7MYKDWF

Article  Google Scholar 

Kronz JD, Westra WH (2005) The role of second opinion pathology in the management of lesions of the head and neck. Curr Opin Otolaryngol Head Neck Surg Apr 13(2):81–84. https://doi.org/10.1097/01.moo.0000156162.20789.66

Article  Google Scholar 

Mehrad M, Chernock RD, El-Mofty SK, Lewis JS (Dec 2015) Jr. Diagnostic discrepancies in mandatory Slide Review of Extradepartmental Head and Neck cases: experience at a large Academic Center. Arch Pathol Lab Med 139(12):1539–1545. https://doi.org/10.5858/arpa.2014-0628-OA

Westra WH, Kronz JD, Eisele DW (2002) The impact of second opinion surgical pathology on the practice of head and neck surgery: a decade experience at a large referral hospital. Head Neck Jul 24(7):684–693. https://doi.org/10.1002/hed.10105

Article  Google Scholar 

Woolgar JA, Triantafyllou A, Thompson LD et al (2014) Double reporting and second opinion in head and neck pathology. Eur Arch Otorhinolaryngol May 271(5):847–854. https://doi.org/10.1007/s00405-014-2879-8

Article  Google Scholar 

Huang EC, Kuo FC, Fletcher CD, Nose V (2009) Critical diagnoses in surgical pathology: a retrospective single-institution study to monitor guidelines for communication of urgent results. Am J Surg Pathol Jul 33(7):1098–1102. https://doi.org/10.1097/PAS.0b013e3181a05ea9

Article  Google Scholar 

Nakhleh RE, Myers JL, Allen TC et al (2012) Consensus statement on effective communication of urgent diagnoses and significant, unexpected diagnoses in surgical pathology and cytopathology from the College of American Pathologists and Association of Directors of Anatomic and Surgical Pathology. Arch Pathol Lab Med Feb 136(2):148–154. https://doi.org/10.5858/arpa.2011-0400-SA

Article  Google Scholar 

Smith ML, Wendel-Spiczka AJ, Zarka MA (2015) Decreased faux addenda following standardisation of pathologist practice. J Clin Pathol Nov 68(11):931–934. https://doi.org/10.1136/jclinpath-2015-202931

Article  Google Scholar 

Bender FF (2007) I’m Sorry Laws and Medical Liability. Virtual Mentor. Apr 1 ;9(4):300-4. https://doi.org/10.1001/virtualmentor.2007.9.4.hlaw1-0704

Condel JL, Sharbaugh DT, Raab SS (2004) Error-free pathology: applying lean production methods to anatomic pathology. Clin Lab Med Dec 24(4):865–899. https://doi.org/10.1016/j.cll.2004.07.001

Article  Google Scholar 

Leape LL, Woods DD, Hatlie MJ, Kizer KW, Schroeder SA, Lundberg GD (1998) Promoting patient safety by preventing medical error. JAMA Oct 28(16):1444–1447. https://doi.org/10.1001/jama.280.16.1444

Article  Google Scholar 

Dehan LM, Lewis JS, Mehrad M, Ely KA (2023) Patterns of Major Frozen Section Interpretation Error: an In-Depth analysis from a Complex Academic Surgical Pathology Practice. Am J Clin Pathol Sep 1(3):247–254. https://doi.org/10.1093/ajcp/aqad040

Article  Google Scholar 

Perincheri S, Levi AW, Celli R et al (2021) An independent assessment of an artificial intelligence system for prostate cancer detection shows strong diagnostic accuracy. Mod Pathol Aug 34(8):1588–1595. https://doi.org/10.1038/s41379-021-00794-x

Article  Google Scholar 

Raciti P, Sue J, Ceballos R et al (2020) Novel artificial intelligence system increases the detection of prostate cancer in whole slide images of core needle biopsies. Mod Pathol Oct 33(10):2058–2066. https://doi.org/10.1038/s41379-020-0551-y

Article  Google Scholar 

Raciti P, Sue J, Retamero JA et al (2023) Clinical validation of Artificial Intelligence-Augmented Pathology diagnosis demonstrates significant gains in diagnostic accuracy in prostate Cancer detection. Arch Pathol Lab Med Oct 1(10):1178–1185. https://doi.org/10.5858/arpa.2022-0066-OA

Article  Google Scholar 

留言 (0)

沒有登入
gif