• J. Clin. Pathol. · Nov 2015

    Decreased faux addenda following standardisation of pathologist practice.

    • Maxwell L Smith, Amy J Wendel-Spiczka, and Matthew A Zarka.
    • Department of Laboratory Medicine and Pathology, Mayo Clinic Arizona, Scottsdale, Arizona, USA.
    • J. Clin. Pathol. 2015 Nov 1; 68 (11): 931-4.

    AimsWe wanted to improve the quality of histopathology addenda and amendments by introducing standardised nomenclature and procedures.MethodsWe standardised amendment and addenda definitions, implemented a pathologist visual work tool, and evaluated and quantitated all amendments and addenda for 3 months prior to implementation and 17 months after.ResultsIn the 3-month pre-intervention period, 32 of 979 addenda (3.3%) were misused and 18 of 98 amendments (18.4%) were incorrectly classified. In the 17-month post-intervention period, 57 of 5906 addenda (1.0%) were misused and 54 of 752 amendments (7.2%) were incorrectly classified. These differences were statistically significant (p<0.0001).ConclusionsThe introduction of standardised nomenclature and a visual work tool significantly improved the quality of histopathology addenda and amendments.Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

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