PMID- 21969923
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20111110
LR  - 20220729
IS  - 2153-3539 (Electronic)
IS  - 2153-3539 (Print)
VI  - 2
DP  - 2011
TI  - Use of a laboratory information system driven tool for pre-signout quality 
      assurance of random cytopathology reports.
PG  - 42
LID - 10.4103/2153-3539.84279 [doi]
LID - 42
AB  - BACKGROUND: Quality assurance (QA) programs in cytopathology laboratories in the 
      USA currently primarily involve the review of Pap tests per clinical laboratory 
      improvement amendments of 1988 federal regulations. A pre-signout quality 
      assurance tool (PQAT) at our institution allows the laboratory information system 
      (LIS) to also automatically and randomly select an adjustable percentage of 
      non-gynecological cytopathology cases for review before release of the final 
      report. The aim of this study was to review our experience and the effectiveness 
      of this novel PQAT tool in cytology. MATERIALS AND METHODS: Software 
      modifications in the existing LIS application (CoPathPlus, Cerner) allow for the 
      random QA of 8% of cases prior to signout. Selected cases are assigned to a 
      second QA cytopathologist for review and all agreement and disagreements tracked. 
      Detected errors are rectified before the case is signed out. Data from cases 
      selected for PQAT over an 18-month period were collected and analyzed. RESULTS: 
      The total number of non-gynecological cases selected for QA review was 1339 
      (7.45%) out of 17,967 cases signed out during this time period. Most (1304) cases 
      (97.4%) had an agreement in diagnosis. In 2.6% of cases, there were 
      disagreements, including 34 minor and only 1 major disagreement. Average 
      turnaround time of cases selected for review was not significantly altered. 
      CONCLUSION: The PQAT provides a prospective QA mechanism in non-gynecological 
      cytopathology to prevent diagnostic errors from occurring. This LIS-driven tool 
      allows for peer review and corrective action to be taken prior to reporting 
      without delaying turnaround time, thereby improving patient safety.
FAU - Kamat, Sonal
AU  - Kamat S
AD  - Department of Pathology, University of Pittsburgh Medical Center, Shadyside 
      Hospital, Pittsburgh, PA, USA.
FAU - Parwani, Anil V
AU  - Parwani AV
FAU - Khalbuss, Walid E
AU  - Khalbuss WE
FAU - Monaco, Sara E
AU  - Monaco SE
FAU - Kelly, Susan M
AU  - Kelly SM
FAU - Wiehagen, Luke T
AU  - Wiehagen LT
FAU - Piccoli, Anthony L
AU  - Piccoli AL
FAU - Lassige, Karen M
AU  - Lassige KM
FAU - Pantanowitz, Liron
AU  - Pantanowitz L
LA  - eng
PT  - Journal Article
DEP - 20110827
PL  - United States
TA  - J Pathol Inform
JT  - Journal of pathology informatics
JID - 101528849
PMC - PMC3169920
OTO - NOTNLM
OT  - Cytopathology
OT  - error
OT  - laboratory information system
OT  - patient safety
OT  - quality assurance
EDAT- 2011/10/05 06:00
MHDA- 2011/10/05 06:01
PMCR- 2011/01/01
CRDT- 2011/10/05 06:00
PHST- 2011/06/24 00:00 [received]
PHST- 2011/07/31 00:00 [accepted]
PHST- 2011/10/05 06:00 [entrez]
PHST- 2011/10/05 06:00 [pubmed]
PHST- 2011/10/05 06:01 [medline]
PHST- 2011/01/01 00:00 [pmc-release]
AID - S2153-3539(22)00218-8 [pii]
AID - JPI-2-42 [pii]
AID - 10.4103/2153-3539.84279 [doi]
PST - ppublish
SO  - J Pathol Inform. 2011;2:42. doi: 10.4103/2153-3539.84279. Epub 2011 Aug 27.