Application of strategies to minimize the error in pathological anatomy
DOI:
https://doi.org/10.29352/mill0202e.08Palabras clave:
pre-analytical errors, error in sending samples, strategies for minimizing error, quality of laboratory diagnosisResumen
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.
Descargas
Citas
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.
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Los autores que sometan propuestas para esta revista estarán de acuerdo con los siguientes términos:
a) Los artículos serán publicados según la licencia Licença Creative Commons (CC BY 4.0), conforme el régimen open-access, sin cualquier coste para el autor o para el lector.
b) Los autores conservan los derechos de autor y conceden a la revista el derecho de la primera publicación, se permite la divulgación libre del trabajo, desde que sea correctamente atribuida la autoría y la publicación inicial en esta revista.
c) Los autores están autorización para firmar contratos adicionales separadamente, para la distribución no exclusiva de la versión del trabajo publicada en esta revista (ej.: publicar en un repositorio institucional o como capítulo de un libro), con reconocimiento de la autoría y publicación inicial e esta revista.
d) Los autores tienen permiso y son alentados a publicar y distribuir su trabajo on-line (ej.: en repositorios instituciones o en su página personal) ya que eso podrá generar alteraciones productivas, así como aumentar el impacto y la citación del trabajo publicado.
Documentos necesarios para la sumisión
Plantilla del artículo (formato editable)