Application of strategies to minimize the error in pathological anatomy

Authors

  • Helena Maria Vala Correia Escola Superior Agrária
  • Sónia Bernardo Escola Superior Agrária de Viseu.
  • Fernando Esteves Escola Superior Agrária de Viseu
  • Carla Garcia Escola Superior Agrária de Viseu

DOI:

https://doi.org/10.29352/mill0202e.08

Keywords:

pre-analytical errors, error in sending samples, strategies for minimizing error, quality of laboratory diagnosis

Abstract

Introduction: increasingly, a correct clinical diagnosis in Veterinary Medicine presupposes an accomplishment of complementary diagnostic exams, including those from Pathological Anatomy specialty and the potential risks of jeopardizing the quality and reliability of the laboratory diagnosis should be appropriately identified to adopt procedures, aiming their minimization.

Objetives: the objectives of this work include the categorization of errors related to the diagnostic technique that takes place in the Laboratory of Pathological Anatomy Veterinary and enumeration of strategies for minimizing frequent errors. Material and Methods: monitoring the routine histological technique, from the moment of entry and receipt of samples, to identify and record the most frequently observed errors.

Results: the most frequently identified errors in this work included the incomplete filling or illegibility of the analysis request, followed by incorrect packaging of the sample, the inadequate amount of formaldehyde for fixation and transport of the sample, and the absence of indications to the correct orientation of the surgical specimen.

Conclusion: the adoption of simple strategies, detailed in the present work, solves most of the detected pre-analytical errors and the adoption of an identification system for the samples can guarantee the analytical and post-analytical quality in the histopathological diagnosis, minimizing the errors.

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References

Cree IA, Zandra D, Marjolijn JL, Ligtenberg MJL, Normanno N, Edsjö A, Rouleau E, Solé F, Thunnissen E, Timens W, Schuuring E, Dequeker E, Murray S, Dietel M, Groenen P, Krieken JH (2014). Guidance for laboratories performing molecular pathology for cancer patients. J Clin Pathol. 67(11): 923–931.

Elston DM, Stratman EJ, Miller SJ (2016). Skin biopsy: Biopsy issues in specific diseases. J Am Acad Dermatol. 74(1):1-16.

Foucar E (2001). Errors in anatomic pathology. Pathology Patterns Reviews. 116 (suppl 1): S34-S46.

Galosi AB, Muzzonigro G, Lacetera V, Mazzucchelli R (2011). Specimen orientation by marking the peripheral end. Hindawi Publishing Corporation. ID 270403: 1-7.

Dilworth LL, McGrowder DA, Thompson RK (2014). Identification of Pre-examination Errors in the Chemical Pathology Laboratory at the University Hospital of the West Indies. Indian J Clin Biochem 29(2): 227–231

Marques AJ, Areia FR, Marques VM, Casimiro P, Mendonça P (2007). Actuação dos Técnicos de Anatomia Patológica no Exame Macroscópico: Caraterização em 2006 Revista Técnica de Anatomia Patológica. Ano 10(14): 16-19.

Padley L (2012). Error Reduction in Anatomic Pathology. Medicallab Management. Vol. 1 (2): 6-10.

Raab SS, Grzybicki DM (2008). Multi-institutional database of anatomic pathology errors. Mini-symposium Quality management in pathology. Diagnostic histopathology 14:17; 316-324.

Stratman EJ, Elston DM, Miller SJ (2016). Skin biopsy: Identifying and overcoming errors in the skin biopsy pathway. J Am Acad Dermatol. 2016 Jan;74(1):19-25.

Tomé P, Vala H (2012). How Experience can be Useful in Veterinary Pathological Anatomy. In Perez-Marin C. (ed) A bird's-eye view of Veterinary Medicine. Rijeka: InTech:

-70. ISBN: 979-953-307-413-8. DOI: 10.5772/2124. http://www.intechopen.com/books/a-bird-s-eye-view-of-veterinary-medicine

Valenstein PN, Sirota L (2004). Identification errors in pathology and laboratory medicine. Clinics in laboratory medicine. 24: 979-996.

Vala H, Pires MA (2016). Recolha e Envio de Material para o Laboratório de Anatomia Patológica. In Carreira RP, Pires MA (Eds). Descrição Anatomopatológica em Medicina Veterinária. ISBN 978-989-704-220-1: 65-76p. Published Online **** 2016. http://hdl.handle.net/10400.19/3107

Westra WH, Hruban RH, Phelps TH, Isacson C (2003). Surgical Pathology Dissection: An illustrated guide (2.ª Edição). New York, Springer: 2-13; 14-21; 34-36.

Zarbo RJ, Meier FA, Raab S (2005). Error Detection in Anatomic Pathology. Arch Pathol Lab Med. Vol 129: 1237-1245.

Published

2017-07-14

How to Cite

Correia, H. M. V., Bernardo, S., Esteves, F., & Garcia, C. (2017). Application of strategies to minimize the error in pathological anatomy. Millenium - Journal of Education, Technologies, and Health, 2(2e), 95–106. https://doi.org/10.29352/mill0202e.08

Issue

Section

Agriculture, Food and Veterinary Sciences