PMID- 38330196
OWN - NLM
STAT- Publisher
LR  - 20240208
IS  - 1943-7722 (Electronic)
IS  - 0002-9173 (Linking)
DP  - 2024 Feb 8
TI  - The role of multidisciplinary team meeting histopathology review and its impact 
      on revised reports: Analysis of a national quality improvement program.
LID - aqad183 [pii]
LID - 10.1093/ajcp/aqad183 [doi]
AB  - OBJECTIVES: We conducted the first Irish national study assessing the value of 
      multidisciplinary team meeting review in pathology practice and its impact on 
      error detection before treatment. METHODS: Public and private pathology 
      laboratories across Ireland capture their quality activities using standardized 
      codes and submit their data to a centralized database (National Quality Assurance 
      Intelligence System) overseen by the National Histopathology Quality Improvement 
      (NHQI) program. A total of 1,437,746 histopathology and cytopathology cases 
      submitted to the NHQI program over a 60-month period (January 2017 to December 
      2021) were included in this study. Cases were analyzed with respect to 
      multidisciplinary team meeting peer review and the presence of a revised report 
      (amended or corrected report), a surrogate marker for error detection before 
      treatment. RESULTS: Across all cases assessed, 13.74% (197,587) underwent 
      multidisciplinary team meeting discussion. Cases discussed at review had a 
      statistically significantly higher rate of revised reports (1.25% [2470]) than 
      cases not discussed at review (0.16% [1959]) (Pearson chi2, 6619.26; P < .0001; 
      odds ratio, 8.00 [95% CI, 7.54-8.49]). Overall, multidisciplinary team meeting 
      review made it 8 times more likely to detect an error before treatment. Cancer 
      resections had the highest rate of review at 55.29% (46,806), reflecting the 
      prioritization of oncology case discussion at review meetings. CONCLUSIONS: The 
      multidisciplinary team meeting review process plays a valuable role in pathology 
      error detection. A pathologist's participation in the review process comes with a 
      clinically significant workload that needs to be recognized for future workforce 
      planning. This study highlighted the positive role pathologists play in enhancing 
      patient safety.
CI  - (c) The Author(s) 2024. Published by Oxford University Press on behalf of American 
      Society for Clinical Pathology. All rights reserved. For permissions, please 
      e-mail: journals.permissions@oup.com.
FAU - O'Connor, Eoghan
AU  - O'Connor E
AD  - Royal College of Physicians of Ireland, Dublin, Ireland.
FAU - Treacy, Ann
AU  - Treacy A
AD  - Mater Private Hospital, Dublin, Ireland.
FAU - Mitchell, Aine
AU  - Mitchell A
AD  - Royal College of Physicians of Ireland, Dublin, Ireland.
FAU - Swan, Niall
AU  - Swan N
AD  - St Vincent's University Hospital, Dublin, Ireland.
LA  - eng
PT  - Journal Article
DEP - 20240208
PL  - England
TA  - Am J Clin Pathol
JT  - American journal of clinical pathology
JID - 0370470
SB  - IM
OTO - NOTNLM
OT  - cytopathology
OT  - histology
OT  - management/administration
OT  - quality
EDAT- 2024/02/08 18:42
MHDA- 2024/02/08 18:42
CRDT- 2024/02/08 15:13
PHST- 2023/11/04 00:00 [received]
PHST- 2023/12/19 00:00 [accepted]
PHST- 2024/02/08 18:42 [medline]
PHST- 2024/02/08 18:42 [pubmed]
PHST- 2024/02/08 15:13 [entrez]
AID - 7603573 [pii]
AID - 10.1093/ajcp/aqad183 [doi]
PST - aheadofprint
SO  - Am J Clin Pathol. 2024 Feb 8:aqad183. doi: 10.1093/ajcp/aqad183.