Preanalytic determinants of surgical pathology practice in Uyo

Nwafor, Chukwuemeka Charles; Kanu, Obioha

doi:10.4103/sjhs.sjhs_76_17

Cited by 2 publications

(1 citation statement)

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“…Similar to the previous studies ( 2 , 12 , 16 ), and also the study feasibility in our setting, requests for cytological examination and also those received from the outpatient clinics of the hospital were all excluded (although we acknowledge that they are also subject to misinterpretation without clinical information). Each request form was visually assessed for the presence and completeness of the following necessary items: patients’ full name, age, gender and contact number, clinical history, provisional/differential diagnosis, anatomical site of the specimen, specimen description, relevant laboratory, imaging and endoscopic findings, and the full name and contact number of the requesting clinicians, as studied in other studies ( 3 , 14 , 16 , 17 ).…”

Section: Methodsmentioning

confidence: 99%

Information adequacy in histopathology request forms: a milestone in making a communication bridge between confusion and clarity in medical diagnosis

Abbasi¹,

Asghari²,

Niazkhani³

2022

TJPATH

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Objective: Information contained in request forms for histopathological examinations plays a critical role in the microscopic interpretation of tissue changes. Despite its importance, studies have shown inadequacies in the information communicated by clinicians. This study aimed to determine how well the necessary information is provided on the histopathology request forms and to compare its variability among different departments of a hospital. Material and Method:A retrospective, 3-month, cross-sectional study was conducted to evaluate all consecutive histopathology request forms received from different departments of a tertiary, academic hospital for three months, regarding the documentation of 12 criteria.Results: None of the 2040 requests received had all the required items. Four items of specimen description, laboratory and imaging findings, and physician contact number were available only in less than 12.5% (range between 0.05 to 12.45%) of the requests. However, four other items of patient name and contact number, physician name, and anatomical site of the lesion were documented in more than 90%. The median number of the documented items was the highest in the surgery and orthopedics (9 items) and the lowest in the pulmonology department (7 items). Comparison between departments showed that the documentation of items in the surgery department were significantly better than that of the ENT, urology, and internal medicine departments (p<0.001). Also, the internal medicine department was significantly different from all other departments (p<0.001) except neurosurgery (p=0.88). Conclusion:Our results point out a serious gap in the adequacy of pathology request forms, especially clinical items. Given the implication of such information to ensure patient safety, further studies are recommended to evaluate the impact of educational and supportive computerized interventions such as clinician education and barcoding and specimen tracking systems to help fill in the required items completely.

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Section: Methodsmentioning

confidence: 99%

Information adequacy in histopathology request forms: a milestone in making a communication bridge between confusion and clarity in medical diagnosis

Abbasi¹,

Asghari²,

Niazkhani³

2022

TJPATH

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Inadequate clinical data on Pap test request form: Where are we headed in the era of precision medicine?

Kumar

Gupta

2020

Cytojournal

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The request form accompanying any sample to a clinical laboratory constitutes an important communication tool between the clinician and the laboratory personnel. Much has been written about the inadequacy of pertinent clinical data on the request slips for hematology and biochemistry tests and its impact on the subsequent test interpretation and error liability. Although the cytology laboratories, including those performing cervical cytology, have to deal with a similar problem of lack of clinical information critical to the proper interpretation of cytomorphologic features, the issue has not been attended to or reported adequately in the literature. This article attempts to explore this topic of inadequate clinical data on Pap test request form from multiple perspectives and suggest possible ways to circumvent this age-old problem. These recommendations may be tailor-made and adopted as per the individual laboratory’s logistics.

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Preanalytic determinants of surgical pathology practice in Uyo

Cited by 2 publications

References 0 publications

Information adequacy in histopathology request forms: a milestone in making a communication bridge between confusion and clarity in medical diagnosis

Information adequacy in histopathology request forms: a milestone in making a communication bridge between confusion and clarity in medical diagnosis

Inadequate clinical data on Pap test request form: Where are we headed in the era of precision medicine?

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