Quality in Surgical Pathology Communication and Reporting

2011 ◽  
Vol 135 (11) ◽  
pp. 1394-1397 ◽  
Author(s):  
Raouf E. Nakhleh
Keyword(s):  
Literature Review ◽  
Effective Communication ◽  
Turnaround Time ◽  
Surgical Pathology ◽  
Data Sources ◽  
Final Report

Context.—Communication in surgical pathology is complex and includes multiple facets. Objective.—To discuss different aspects of pathology practice that represent quality communication in surgical pathology. Data Sources.—Literature review. Conclusions.—Achieving quality communication in surgical pathology is dependent on pathologists addressing multiple situations including managing physicians' expectations for turnaround time and ancillary testing, understanding what information is needed to manage the patient at intraoperative consultation and in the final report, assuring adequate report content with the use of synoptic checklist reports, and using report formatting suggestions that aid report comprehension. Finally, the pathologists' availability to answer questions and discuss cases is an important factor in effective communication, including their willingness to verbally report urgent and significant unexpected diagnoses to ensure that important diagnoses are not overlooked.

Overview of Automated Immunohistochemistry

2014 ◽  
Vol 138 (12) ◽  
pp. 1578-1582 ◽  
Author(s):  
Jeffrey W. Prichard
Keyword(s):  
Literature Review ◽  
Immunohistochemical Staining ◽  
Turnaround Time ◽  
Clinical Diagnostics ◽  
Data Sources ◽  
Strategic Design ◽  
Advantages And Disadvantages ◽  
Practice Experience ◽  
Increasing Demand

Context The increasing demand for immunohistochemistry for clinical diagnostics, in combination with an ongoing shortage of staff in the histology laboratory, has brought about a need for automation in immunohistochemistry. The current automated staining platforms vary significantly in their design and capabilities. Objective To review how technology has been applied to automating the process of immunohistochemical staining. Data Sources Literature review, vendor interviews, and personal practice experience. Conclusions Each of the commercially available, automated immunohistochemistry platforms has strategic design differences that produce advantages and disadvantages. Understanding those differences can help match the demands of testing volumes, turnaround time, standardization, and labor savings to the appropriate automated instrumentation.

A Literature Review: Smart Grids Impacts on Nuclear Power Plants Task 4: Project Final Report

2016 ◽  
Author(s):  
Michael Villaran ◽  
◽  
Meng Yue ◽  
Robert Lofaro ◽  
Athi Varuttamaseni ◽  
...  
Keyword(s):  
Literature Review ◽  
Smart Grids ◽  
Nuclear Power ◽  
Power Plants ◽  
Nuclear Power Plants ◽  
Final Report

scholarly journals Impact of an in-house emergency radiologist on report turnaround time

CJEM ◽  
2015 ◽  
Vol 17 (1) ◽  
pp. 21-26 ◽  
Author(s):  
Leslie Lamb ◽  
Paria Kashani ◽  
John Ryan ◽  
Guy Hebert ◽  
Adnan Sheikh ◽  
...  
Keyword(s):  
Patient Care ◽  
Emergency Radiology ◽  
Time Frame ◽  
Turnaround Time ◽  
Time Interval ◽  
Final Report ◽  
Radiology Resident ◽  
Cross Sectional ◽  
Patient Disposition ◽  
Report Turnaround Time

AbstractBackgroundOne of the many challenges facing emergency departments (EDs) across North America is timely access to emergency radiology services. Academic institutions, which are typically also regional referral centres, frequently require cross-sectional studies to be performed 24 hours a day with expedited final reports to accelerate patient care and ED flow.ObjectiveThe purpose of this study was to determine if the presence of an in-house radiologist, in addition to a radiology resident dedicated to the ED, had a significant impact on report turnaround time.MethodsPreliminary and final report turnaround times, provided by the radiology resident and staff, respectively, for patients undergoing computed tomography or ultrasonography of their abdomen/pelvis in 2008 (before the implementation of emergency radiology in-house staff service) were compared to those performed during the same time frame in 2009 and 2010 (after staffing protocols were changed).ResultsA total of 1,624 reports were reviewed. Overall, there was no statistically significant decrease in the preliminary report turnaround times between 2008 and 2009 (p = 0.1102), 2009 and 2010 (p = 0.6232), or 2008 and 2010 (p = 0.0890), although times consistently decreased from a median of 2.40 hours to 2.08 hours to 2.05 hours (2008 to 2009 to 2010). There was a statistically significant decrease in final report turnaround times between 2008 and 2009 (p < 0.0001), 2009 and 2010 (p < 0.0011), and 2008 and 2010 (p < 0.0001). Median final report times decreased from 5.00 hours to 3.08 hours to 2.75 hours in 2008, 2009, and 2010, respectively. There was also a significant decrease in the time interval between preliminary and final reports between 2008 and 2009 (p < 0.0001) and 2008 and 2010 (p < 0.0001) but no significant change between 2009 and 2010 (p = 0.4144).ConclusionOur results indicate that the presence of a dedicated ED radiologist significantly reduces final report turnaround time and thus may positively impact the time to ED patient disposition. Patient care is improved when attending radiologists are immediately available to read complex films, both in terms of health care outcomes and regarding the need for repeat testing. Providing emergency physicians with accurate imaging findings as rapidly as possible facilitates effective and timely management and thus optimizes patient care.

Standardization of Diagnostic Immunohistochemistry: Literature Review and Geisinger Experience

2014 ◽  
Vol 138 (12) ◽  
pp. 1564-1577 ◽  
Author(s):  
Fan Lin ◽  
Zongming Chen
Keyword(s):  
Quality Management ◽  
Literature Review ◽  
Best Practices ◽  
Critical Points ◽  
Medical Center ◽  
Management Program ◽  
Review Article ◽  
Data Sources ◽  
Test Results ◽  
Antibody Validation

Context Immunohistochemistry has become an indispensable ancillary technique in anatomic pathology laboratories. Standardization of every step in preanalytic, analytic, and postanalytic phases is crucial to achieve reproducible and reliable immunohistochemistry test results. Objective To standardize immunohistochemistry tests from preanalytic, analytic, to postanalytic phases. Data Sources Literature review and Geisinger (Geisinger Medical Center, Danville, Pennsylvania) experience. Conclusions This review article delineates some critical points in preanalytic, analytic, and postanalytic phases; reiterates some important questions, which may or may not have a consensus at this time; and updates the newly proposed guidelines on antibody validation from the College of American Pathologists Pathology and Laboratory Quality Center. Additionally, the article intends to share Geisinger's experience with (1) testing/optimizing a new antibody and troubleshooting; (2) interpreting and reporting immunohistochemistry assay results; (3) improving and implementing a total immunohistochemistry quality management program; and (4) developing best practices in immunohistochemistry.

scholarly journals Surgical Pathology Resident Rotation Restructuring at a Tertiary Care Academic Center

2017 ◽  
Vol 4 ◽  
pp. 237428951773634
Author(s):  
Chelsea R. Mehr ◽  
Amrom E. Obstfeld ◽  
Amanda C. Barrett ◽  
Kathleen T. Montone ◽  
Lauren E. Schwartz
Keyword(s):  
Resident Education ◽  
Tertiary Care ◽  
Turnaround Time ◽  
Surgical Pathology ◽  
Primary Sources ◽  
Road Map ◽  
Academic Center ◽  
Organ Systems ◽  
Before And After ◽  
Time Required

Changes in the field of pathology and resident education necessitate ongoing evaluation of residency training. Evolutionary change is particularly important for surgical pathology rotations, which form the core of anatomic pathology training programs. In the past, we organized this rotation based on subjective insight. When faced with the recent need to restructure the rotation, we strove for a more evidence-based process. Our approach involved 2 primary sources of data. We quantified the number of cases and blocks submitted per case type to estimate workload and surveyed residents about the time required to gross specimens in all organ systems. A multidisciplinary committee including faculty, residents, and staff evaluated the results and used the data to model how various changes to the rotation would affect resident workload, turnaround time, and other variables. Finally, we identified rotation structures that equally distributed work and created a point-based system that capped grossing time for residents of different experience. Following implementation, we retrospectively compared turnaround time and duty hour violations before and after these changes and surveyed residents about their experiences with both systems. We evaluated the accuracy of the point-based system by examining grossing times and comparing them to the assigned point values. We found overall improvement in the rotation following the implementation. As there is essentially no literature on the subject of surgical pathology rotation organization, we hope that our experience will provide a road map to improve pathology resident education at other institutions.

scholarly journals TERORISME DITINJAU DARI PERSPEKTIF HUKUM PIDANA ISLAM (FIQIH JINAYAH)

2020 ◽  
Vol 1 (1) ◽  
pp. 25-36
Author(s):  
Zulkifli Zulkifli ◽  
Muh. Syarif Hasyim ◽  
Hamiyuddin Hamiyuddin
Keyword(s):  
Qualitative Research ◽  
Data Collection ◽  
Literature Review ◽  
Criminal Law ◽  
Secondary Data ◽  
Data Sources ◽  
Theory Approach ◽  
Library Research ◽  
Data Collection And Analysis ◽  
Secondary Data Sources

The discussion in this research is terrorism from the perspective of Islamic criminal law (fiqih jinayah). The problem that becomes the focus of research is how terrorism is in the review of Islamic criminal law or jinnayah fiqh. Qualitative research, the source of which is library research, is the method used in research. There are two kinds of data sources in this research, namely primary and secondary data sources, while the data collection and analysis uses literature review research. The data were analyzed using the Islamic criminal law theory approach. So as a result of this research that acts of terrorism are not justified in Islamic teachings. The birth of this action is because the perpetrators have shallow thoughts or have very minimal thoughts and have political goals to harm themselves and others. They even consider this act as Jihad, even though in fact it is not a jihad but an act that brings fear to potential victims.

scholarly journals Arabic Language and the Concept of I’jaz al-Qur’an (Critics to Louwis ‘Awad’s thoughts/Bahasa Arab dan Konsep I’jaz al-Qur’an (Kritik Pemikiran Louwis ‘Awad)

2021 ◽  
Vol 5 (1) ◽  
pp. 161
Author(s):  
Rahadian Kurniawan ◽  
Musda Asmara ◽  
H Hardivizon
Keyword(s):  
Literature Review ◽  
Arabic Language ◽  
Data Sources ◽  
Islamic Theology ◽  
Related Data

This article discusses the concept of I'jaz al-Qur'an and its relationship with Arabic as a form of criticism of the logos concept put forward by Louis Awad. This research is a literature review conducted by collecting related data sources to analyze the character's thought in question. The concept of I'jaz al-Qur'an is a study related to the faith of Muslims, in this case the existence of the al-Qur'an as Kalamullah. Among the Islamic scholars, two views have been very influential since this issue was raised, namely the Asy'ariyah and Mu'tazilah circles. These two groups agree to believe that the Qur'an is Kalamullah. However, in this case, Dr. Louwis expresses this opinion and relates it to the concept of Christian Logos, in which the concept of al-Qur'an, as the eternal Kalamullah (qadim) put forward by two major groups in Islamic Theology, is an adoption of the Christian Logos concept. The misappropriation of the information provided by Dr. Louwis shows his lack of understanding and mastery regarding the issues he addresses in his book. Not supported by historical facts and correct scientific studies, he conveyed in his book a form of hatred against Islam, the Koran and the Arabic language in particular and the Arab nation in general.

scholarly journals KOMUNIKASI DALAM PRAKTEK KOLABORASI INTERPROFESI SEBAGAI UPAYA PENINGKATAN PELAYANAN

2019 ◽  
Author(s):  
Haira kaniara
Keyword(s):  
Literature Review ◽  
Interprofessional Collaboration ◽  
Effective Communication ◽  
Hospital Service

Tujuan penelitian ini adalah untuk mengetahui komunikasi efektif dalam praktik kolaborasi interprofesi akan meningkatkan kualitas pelayanan. Metode penelitian Literature review ini dilakukan dengan melakukan penelusuran artikel publikasi pada EBSCO,dengan kata kunci yang dipilih yaitu interprofessional Collaboration practice, effective communication, hospital,service quality.Dari hasil penelusuran bahwa kualitas layanan yang baik tergantung pada profesional yang bekerja sama dalam tim interprofessional. Komunikasi interprofesional yang digunakan adalah SBAR (Situation-Background Assessment-Recommendation).

scholarly journals Integração, Relacionamento e Representação de Dados em Cidades Inteligentes: Uma Revisão de Literatura

2018 ◽  
Author(s):  
Larysse Silva ◽  
José Alex Lima ◽  
Nélio Cacho ◽  
Eiji Adachi ◽  
Frederico Lopes ◽  
...  
Keyword(s):  
Decision Making ◽  
Literature Review ◽  
Data Integration ◽  
Smart Cities ◽  
Heterogeneous Data ◽  
Data Sources ◽  
Application Development ◽  
Continuous Integration ◽  
Heterogeneous Data Sources ◽  
Computational Systems

A notable characteristic of smart cities is the increase in the amount of available data generated by several devices and computational systems, thus augmenting the challenges related to the development of software that involves the integration of larges volumes of data. In this context, this paper presents a literature review aimed to identify the main strategies used in the development of solutions for data integration, relationship, and representation in smart cities. This study systematically selected and analyzed eleven studies published from 2015 to 2017. The achieved results reveal gaps regarding solutions for the continuous integration of heterogeneous data sources towards supporting application development and decision-making.

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