Renshaw Review of inter-departmental Pathology cases; any Initial diagnosis Incoming: SO provided by Initial Diagnostic accuracy 2005 consultations (incoming from organ system outside institutions. SO diagnosis (disagreement rate) outside institutions, requested by pathologists from Incoming: N=328 Nature of consultations with generated outgoing, or Department of Pathology Baptist follow-up (additional consultation, Outgoing: N=928 clinician-generated outgoing) Hospital of Miami. additional biopsy, additional pathologist-generated, during a 2-year period from Outgoing: SO provided by testing) N=227 patient- or 2003 to 2005. Department of Pathology, clinician-generated United States Baptist Hospital of Miami. SO requested from outside the department (but may include requests from within the institution). Initial diagnosis Renshaw A retrospective review of All routine slides Original material rather than Initial Diagnostic accuracy 2009 SOs requested by (excluding frozen recuts were sent for review, diagnosis (disagreement rate, error rates at patients or clinicians from 2004 section slides and IHC unless there were known legal first and second laboratories) to 2009. The aim of the study slides, unless the IHC reasons for retaining the Disagreement rate according to was to compare disagreement stains were necessary originals, which occurred in less whether all or selected slides rates based on whether the to make a diagnosis) than 1% of cases. were reviewed initial pathologist sent all or only N=596 Whether outside institution selected slides. attempted to contact original United States institution regarding discrepant cases Renshaw A review of All anatomic pathology Initial diagnosis EEO requested or provided by Initial Diagnostic accuracy 2013 consultations (including surgical the Baptist Hospital of Miami. All diagnosis (disagreement rate) (incoming and outgoing) pathology and cytology) discrepant cases were reviewed Change in disagreement rate handled by the Baptist Hospital by one of the authors. Incoming: N=1966 over time of Miami from 2006 to 2012. Outgoing: N=1532 Use of IHC United States
Renshaw 2005 Review of inter-departmental consultations (incoming from outside institutions, outgoing, or clinician-generated outgoing) during a 2-year period from 2003 to 2005. United States Pathology cases; any organ system Incoming: N=328 Outgoing: N=928 pathologist-generated, N=227 patient- or clinician-generated Initial diagnosis Incoming: SO provided by outside institutions. SO requested by pathologists from Department of Pathology Baptist Hospital of Miami. Outgoing: SO provided by Department of Pathology, Baptist Hospital of Miami. SO requested from outside the department (but may include requests from within the institution). Initial diagnosis Diagnostic accuracy (disagreement rate) Nature of consultations with follow-up (additional consultation, additional biopsy, additional testing) Renshaw 2009 A retrospective review of SOs requested by patients or clinicians from 2004 to 2009. The aim of the study was to compare disagreement rates based on whether the initial pathologist sent all or only selected slides. United States All routine slides (excluding frozen section slides and IHC slides, unless the IHC stains were necessary to make a diagnosis) N=596 Initial diagnosis Original material rather than recuts were sent for review, unless there were known legal reasons for retaining the originals, which occurred in less than 1% of cases. Initial diagnosis Diagnostic accuracy (disagreement rate, error rates at first and second laboratories) Disagreement rate according to whether all or selected slides were reviewed Whether outside institution attempted to contact original institution regarding discrepant cases Renshaw 2013 A review of consultations (incoming and outgoing) handled by the Baptist Hospital of Miami from 2006 to 2012. United States All anatomic pathology (including surgical pathology and cytology) Incoming: N=1966 Outgoing: N=1532 Initial diagnosis EEO requested or provided by the Baptist Hospital of Miami. All discrepant cases were reviewed by one of the authors. Initial diagnosis Diagnostic accuracy (disagreement rate) Change in disagreement rate over time Use of IHC generated
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