The oncologic pathology report. Quality by design.
Arch Pathol Lab Med
; 124(7): 1004-10, 2000 Jul.
Article
en En
| MEDLINE
| ID: mdl-10888776
OBJECTIVE: To review tenets of basic quality assurance and identify opportunities for quality improvement in the laboratory assessment of prognostic factors. DESIGN: College of American Pathologists Q-Probes data obtained from hundreds of American laboratories throughout the 1990s are used to illustrate laboratory performance and practice opportunities in the preanalytic, analytic, and postanalytic phases of the total testing process. RESULTS: A wide range of performance deficiencies are documented, most in the preanalytic and postanalytic phases, and contributed by individuals outside and not under the control of the laboratory. In the analytic phase, the effectiveness of checklists on the content and completeness of reported diagnostic and prognostic data for breast and colon cancers is proven. CONCLUSIONS: In the preanalytic phase, marked enhancements in quality would result from improvements in (1) patient and specimen identification, (2) adherence to patient-sampling and specimen-handling requirements, and (3) communication to the laboratory of the pertinent clinical context of the individual test. Once basic analytic quality control and laboratory quality assurance issues are resolved, a focus on standardization and enhancement of preanalytic and postanalytic communications and satisfaction of clinical expectations becomes the source of improved laboratory performance.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Patología Clínica
/
Oncología Médica
Tipo de estudio:
Prognostic_studies
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Arch Pathol Lab Med
Año:
2000
Tipo del documento:
Article
País de afiliación:
Estados Unidos
Pais de publicación:
Estados Unidos