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REFERENCES
Review of the College of American Pathologists’ Q-PROBE and Q-TRACK studies of
deriving benchmarks of error rates in the fields of Anatomic Pathology and
Laboratory Medicine, and determining clinical practices associated with lowering those
rates.
Novis DA. Detecting and preventing the occurrence of errors in the practices of
Laboratory Medicine and Anatomic Pathology: fifteen years experience with the
College of American Pathologists Q- PROBES and Q-TRACKS programs. Clin
Lab Med. 2004; 24:965-978.
References from the review article cited above. The number designation of each
reference corresponds to the reference numbers in parenthesis given in the lecture
outline/power point presentation.
1.
Howanitz, PJ. Quality assurance measurements in departments of
pathology and laboratory medicine. Arch Pathol Lab Med. 1990;114:112-115.
2.
Bachner P, Howanitz P. Using Q-PROBES to improve the quality of
laboratory medicine: a quality improvement program of the College of American
Pathologists. Qual Assur in Health Care 1991;3:167-177.
3.
Howanitz PJ, Hoffman GG, Schifman RB, Zarbo RJ, Steindel SJ, Walker
K. A nationwide quality assurance program can describe standards for the practice
of pathology and laboratory medicine. Qual Assur in Health Care 1992;4:245256.
4.
Zarbo RJ. Improving quality in pathology and laboratory medicine. Am J
Clin Pathol 1994;102:563-564.
5.
Lawson NS, Howanitz PJ. The College of American Pathologists, 19461996. Quality assurance service. Arch Pathol Lab Med 1997;121:1000-1008.
6.
Zarbo RJ, Jones BA, Friedberg RC, Valenstein PN, Renner SW, Schifman
RB, Walsh MK, Howanitz, PJ: Q-TRACKS: a College of American Pathologists
program of continuous monitoring and longitudinal performance tracking. Arch
Pathol Lab Med 2002;126:1036-1044.
7.
Valenstein PN, Howanitz PJ. Ordering accuracy: a College of American
Pathologists Q-Probes study of 577 institutions. Arch Pathol Lab Med
1995;119:117-122.
8.
Valenstein PN, Meier F. Outpatient order accuracy: a College of American
Pathologists Q-Probes study of requisition order entry accuracy in 660
institutions. Arch Pathol Lab Med 1999;123:1145-1150.
9.
Nakhleh RE, Gephardt G, Zarbo RJ. Necessity of clinical information in
surgical pathology. Arch Pathol Lab Med 1999 Jul;123:615-619.
10.
Renner SW, Howanitz PJ, Bachner P. Wristband identification error
reporting in 712 hospitals: a College of American Pathologists' Q-Probes study of
quality issues in transfusion practice. Arch Pathol Lab Med 1993;117:573-577.
11.
Howanitz PJ, Renner SW, Walsh MK. Continuous wristband monitoring
over 2 Years decreases identification errors: a College of American Pathologists
Q-Tracks study. Arch Pathol Lab Med 2002;126:809-815.
12.
Dale JC, Renner SW. Wristband errors: data analysis and critique. 93-10.
Small Hospital Q-PROBES. Northfield IL: College of American Pathologists;
1993.
13.
Novis DA, Miller KA, Howanitz PJ, Renner SW, Walsh M. Audit of
transfusion procedures in 660 hospitals: a College of American Pathologists QPROBES study of patient identification and vital sign monitoring frequencies in
16 494 transfusions. Arch Pathol Lab Med 2003:127:541548.
14.
Commission on Laboratory Accreditation. 2001 Inspection Checklist:
Transfusion Medicine. Northfield IL: College of American Pathologists; 2001.
15.
Standards for Blood Bank and Transfusion Services. 21st ed. Jay E.
Menitove, Ed. Chapter 5 Process Control. Bethesda MD: American Association
of Blood Banks; 2002:52-53.
16.
Nakhleh RE, Zarbo RJ. Surgical pathology specimen identification and
accessioning: a College of American Pathologists Q-Probes study of 1,004,115
cases from 417 institutions. Arch Pathol Lab Med 1996;120:227-233.
17.
Howanitz PJ, Steindel SJ. Digoxin therapeutic drug monitoring practices:
a College of American Pathologists Q-Probes study of 666 institutions and 18 679
toxic levels. Arch Pathol Lab Med 1993;117:684-690.
18.
Howanitz PJ, Steindel SJ, Heard NV. Laboratory critical values policies
and procedures: a College of American Pathologists Q-Probes study in 623
institutions. Arch Pathol Lab Med 2002;126:663-669.
19.
Schifman RB, Strand CL, Meier FA, Howanitz PJ. Blood culture
contamination: a College of American Pathologists Q-Probes study involving 640
institutions and 497,134 specimens from adult patients. Arch Pathol Lab Med
1998;122:216-221.
20.
Valenstein P, Meier F. Urine culture contamination: a College of
American Pathologists Q-Probes study of contaminated urine cultures in 906
institutions. Arch Pathol Lab Med 1998;122:123-129.
21.
Friedberg RC, Jones BA, Walsh M. Type and screen completion for
scheduled surgical procedures: a College of American Pathologists Q-Probes
study of 8 941 type and screen tests in 108 institutions. Arch Pathol Lab Med
2003:127:533-540.
22.
Gephardt GN, Zarbo RJ. Extraneous tissue in surgical pathology: a
College of American Pathologists Q-Probes study of 275 laboratories. Arch
Pathol Lab Med 1996;120:1009-1014.
23.
Nakhleh RE, Zarbo RJ. Amended reports in surgical pathology and
implications for diagnostic error detection and avoidance: a College of American
Pathologists Q-Probes study of 1,667,547 accessioned cases in 359 laboratories.
Arch Pathol Lab Med 1998;122:303-309.
24.
Raab S, Ruby S, Nakhleh R. Anatomic Pathology discrepancy rates and
causes: data analysis and critique. QPO33. Q-PROBES. Northfield IL: College of
American Pathologists; 2003.
25.
Zarbo RJ, Hoffman GG, Howanitz PJ. Interinstitutional comparison of
frozen-section consultation: a College of American Pathologists Q-Probe study of
79 647 consultations in 297 North American institutions. Arch Pathol Lab Med
1991;115:1187-1194.
26.
Gephardt GN, Zarbo RJ. Interinstitutional comparison of frozen section
consultations: a College of American Pathologists Q-Probes study of 90 538 cases
in 461 institutions. Arch Pathol Lab Med 1996;120:804- 809.
27.
Novis DA, Gephardt GN, Zarbo RJ. Interinstitutional comparison of
frozen section consultation in small hospitals: a College of American Pathologists
Q-Probes study of 18 532 frozen section consultation diagnoses in 233 small
hospitals. Arch Pathol Lab Med 1996;120:1087-1093.
28.
Zarbo RJ. Continuous assessment lowers error rate in intraoperative
consultation; the College of American Pathologists Q-TRACKS experience 19992000. (abstract) Mod Pathol January 2001.
29.
Howanitz PJ, Walker K, Bachner P. Quantification of errors in laboratory
reports: a quality improvement study of the College of American Pathologists’
Q-Probes program. Arch Pathol Lab Med 1992;116:694-700.
Using amended reports rate as a means to gauge errors in surgical pathology, and
employing pre-release routing review of surgical pathology cases to reduce the
numbers of reports containing errors.
Novis D. routine review of surgical pathology cases as a method by which to
reduce diagnostic errors in a community hospital. Pathology Case Reviews 2005;
10:63-67.
References from the review article cited above.
1.
Nakhleh RE, Zarbo RJ. Amended reports in surgical pathology and
implications for diagnostic error detection and avoidance: a College of
American Pathologists Q-PROBES study of 1,667,547 accessioned cases
in 359 laboratories. Arch Pathol Lab Med. 1998;122:303-309.
2.
Safrin RE, Bark CJ. Surgical pathology sign-out: routine review of every
case by a second pathologist. Am J Surg Pathol. 1993;17:1190-1192.
3.
Lind AC, Bewtra C, Healy JC, Sims KL. Prospective peer review in
surgical pathology.Am J Clin Pathol. 1995; 104:560-566.
4.
Whitehead ME, Fitzwater JE, Lindley SK, Kern SB, Ulirsch RC,
Winecoff WF. Quality assurance of histopathologic diagnoses: a
prospective audit of three thousand cases. Am J Clin Pathol. 1984;
81(4):487-491.
5.
Renshaw AA, Cartagena N, Granter SR, Gould EW. Agreement and error
rates using blinded review to evaluate surgical pathology of biopsy
material. Am J Clin Pathol. 2003; 119:797-800.
6.
Ramsay AD, Gallagher PJ. Local audit of surgical pathology. 18 month’s
experience of peer review-based quality assessment in an English teaching
hospital. Am J Surg Pathol. 1992; 16:476-482.
7.
Zardawi IM, Bennett G, Jain S, Brown M. Internal quality assurance
activities of a surgical pathology department in an Australian teaching
hospital. J Clin Pathol. 1998; 51:695-699.
8.
Hocking, GO, Notechis VN, Cairns BJ, Hayman JA. Departmental audit
in surgical anatomical pathology. Pathology. 1997; 29:418-421.
9
.Wakely SL, Baxendine-Johnes JA, Gallagher PJ, Mullee M, Pickering R.
Aberrant diagnoses by individual surgical pathologists. Am J Surg Pathol.
1998; 22:77-82.
10.
Renshaw AA, Young ML, Jiroutek MR. How many cases need to be
reviewed to compare performance in surgical pathology. Am J Clin
Pathol. 2003; 19:388-391.
11.
Renshaw AA, Pinnar NE, Jiroutek MR, Young ML. Quantifying the value
of in-house consultation in surgical pathology. Am J Clin Pathol. 2002; 117:751754.
12.
Renshaw AA, Pinnar NE, Jiroutek MR, Young ML Blinded review as a
method for quality improvement in surgical pathology. Arch Pathol Lab
Med. 2002; 126:961-963.
13.
Tsung JS. Institutional Pathology consultation. Am J Surg Pathol. 28:399402; 2004.
14.
Abt AB, Abt LG, Olt GJ, The effect of interinstitution anatomic pathology
consultation on patient care. Arch Pathol Lab Med. 1995; 119:514-517.
15.
Kronz JD, Westra WH, Epstein J. Mandatory second opinion surgical
pathology at a large referral hospital Cancer. 1999; 86: 2426-2435.
16.
Khalifa MA, Dodge J, Covens A, Osborne R, Ackerman I. Slide review in
gynecologic oncology ensures completeness of reporting and diagnostic
accuracy. Gynecol Oncol. 2003; 90:425-430.
17.
Trotter MJ, Bruecks AK. Interpretation of skin biopsies by general
pathologists: diagnostic discrepancy rate measured by blinded review.
Arch Pathol Lab Med. 2003; 127:1489-1492.
18.
Whitehead ME, Grieve JH, Payne MJ, Ross MS. Quality assurance of
histopathologic diagnosis in the British army role of the army
Histopathology Registry in completed case review. J R Army Med Corps.
1986; 132: 71-75.
Review of errors in surgical pathology derived from experience with insurance
malpractice claims.
Troxel D. Error in surgical pathology. Am J Surg Pathol. 2004; 28:1092-1095.
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