Commission of Inquiry on Hormone Receptor Testing.

Spurgeon D. BMJ; 2009.

This government report investigated certain laboratory tests conducted from 1997 to 2005 in Newfoundland and Labrador. The investigation revealed test result errors and failure to notify patients, as well as a lack of oversight. The report makes numerous recommendations with respect to ethics, standards of care, and disclosure of medical errors and adverse events. (Click on the volume titles on the cover page to view the full report.)