Recommendations for quality assurance and improvement in surgical and autopsy pathology.

Association of Directors of Anatomic and Surgical Pathology; Raouf E Nakhleh; Cheryl Coffin; Kumarasen Cooper

Commentary

Recommendations for quality assurance and improvement in surgical and autopsy pathology.

August 9, 2006

Pathology A of D of A and S, Nakhleh RE, Coffin C, et al. Hum Pathol. 2006;37(8):985-8.

View more articles from the same authors.

This article provides guidelines for ensuring quality in surgical and autopsy pathology, including identifying and correcting errors.

PubMed citation

Available at

Related Resources From the Same Author(s)

Critical diagnoses (critical values) in anatomic pathology.

August 9, 2006

Patient safety and error reduction in surgical pathology.

February 20, 2008

Patient safety in anatomic pathology: measuring discrepancy frequencies and causes.

April 15, 2005

Mislabeling of cases, specimens, blocks, and slides: a College of American Pathologists study of 136 institutions.

September 14, 2011

Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories.

November 12, 2008

AORN guidance statement: creating a patient safety culture.

May 24, 2006

An overview of research priorities in surgical simulation: what the literature shows has been achieved during the 21st century and what remains.

September 23, 2015

Consensus statement on effective communication of urgent diagnoses and significant, unexpected diagnoses in surgical pathology and cytopathology from the College of American Pathologists and Association of Directors of Anatomic and Surgical Pathology.

October 26, 2011

Interpretive diagnostic error reduction in surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory Quality Center and the Association of Directors of Anatomic and Surgical Pathology.

June 17, 2015

Challenges in ethics, safety, best practices, and oversight regarding HIT vendors, their customers, and patients: a report of an AMIA special task force.

December 8, 2010

Implementing AORN recommended practices for laser safety.

May 23, 2012

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.

December 7, 2016

5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data.

September 24, 2014

Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training.

October 14, 2015

The COVID trap: pediatric diagnostic errors in a pandemic world.

August 25, 2021

Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams.

December 11, 2013

Parent willingness to remind health care workers to perform hand hygiene.

August 14, 2013

The SECOND Trial

November 13, 2019

Following the patient journey to improve medicines management and reduce errors.

December 2, 2009

Legality of technicians' involvement in medication reconciliation not clear.

February 25, 2009

JCAHO views medication reconciliation as adverse-event prevention.

August 3, 2005

Reasons why physicians and advanced practice clinicians work while sick: a mixed-methods analysis.

July 15, 2015

An integrative review: fatigue among nurses in acute care settings.

November 5, 2014

The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis.

March 7, 2018

From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of safety issues in clinical settings.

May 1, 2013

Nursing student medication errors: a snapshot view from a school of nursing's quality and safety officer.

February 26, 2014

Critical role of the surgeon–anesthesiologist relationship for patient safety.

August 22, 2018

A spotlight on strategies for increasing safety reporting in nursing education.

January 4, 2012

John M. Eisenberg Patient Safety Awards. Individual lifetime achievement: Jeffrey B. Cooper, Ph.D., Massachusetts General Hospital.

March 27, 2005

Pharmacist involvement in a rapid-response team at a community hospital.

April 18, 2007

Nonrandomized intervention study of naloxone coprescription for primary care patients receiving long-term opioid therapy for pain.

June 29, 2016

Point prevalence of surgical checklist use in Europe: relationship with hospital mortality.

February 25, 2015

Medical error disclosure training: evidence for values-based ethical environments.

January 12, 2011

AORN Position Statement on Criminalization of Human Errors in the Perioperative Setting.

August 29, 2018

Guideline Summary: Medication Safety.

April 18, 2018

Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems.

October 31, 2012

Core Entrustable Professional Activities for Entering Residency.

August 6, 2014

National Time Out Day.

June 13, 2007

AACE Patient Safety Exchange.

June 11, 2008

Patient & Worker Safety.

March 6, 2005

AORN guidance statement: "do-not-use" abbreviations, acronyms, dosage designations, and symbols.

October 11, 2006

AORN Guidance Statement: Safe Medication Practices in Perioperative Settings Across the Life Span.

August 23, 2006

Are online patient reviews associated with health care outcomes? A systematic review of the literature.

June 23, 2021

Hospital ethical climate and teamwork in acute care: the moderating role of leaders.

November 26, 2008

Health care work environments, employee satisfaction, and patient safety: care provider perspectives.

February 7, 2007

Performance of vascular exposure and fasciotomy among surgical residents before and after training compared with experts.

March 22, 2017

The association between professional burnout and engagement with patient safety culture and outcomes: a systematic review.

August 15, 2018

The perinatal safety nurse: exemplar of transformational leadership.

July 27, 2011

Deployment of rapid response teams by 31 hospitals in a statewide collaborative.

April 15, 2015

The role of continuous quality improvement and psychological safety in predicting work-arounds.

May 14, 2008

Medication rounds: a tool to promote medication safety for children with medical complexity.

March 8, 2023

HospitalInspections.org

March 27, 2013

HANYS' Report on Report Cards.

November 20, 2019

Starter Kit for Alarm Fatigue.

January 28, 2015

Hallmarks of quality and patient safety recommended baccalaureate competencies and curricular guidelines to ensure high-quality and safe patient care.

December 20, 2006

AACN Standards for Establishing and Sustaining Healthy Work Environments: A Journey to Excellence.

March 6, 2005

Statement of The Hospital & Healthsystem Association of Pennsylvania.

March 6, 2005

Design of hospital errors and omissions activities that include patient-specific medication related problems.

April 10, 2019

Using a Delphi method to identify human factors contributing to nursing errors.

October 4, 2017

Putting the 'patient' in patient safety: a qualitative study of consumer experiences.

June 15, 2011

Acute care patients discuss the patient role in patient safety.

April 6, 2011

Beyond service quality: the mediating role of patient safety perceptions in the patient experience–satisfaction relationship.

October 12, 2011

Losing the moment: understanding interruptions to nurses' work.

May 19, 2010

The Patient Safety Initiative at America’s Public Hospitals: The Year One Overview.

February 9, 2011

Animated stories of medical error as a means of teaching undergraduates patient safety: an evaluation study.

July 24, 2019

COVID-19: peer support and crisis communication strategies to promote institutional resilience.

April 22, 2020

Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams.

April 15, 2020

Handoff practices in emergency medicine: are we making progress?

March 23, 2016

Improving care transitions: optimizing medication reconciliation.

August 22, 2012

Q3 Health Innovation Partners.

January 8, 2020

An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection.

March 6, 2005

Patient participation in patient safety still missing: patient safety experts' views.

September 21, 2016

The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues.

November 12, 2014

RISE: exploring volunteer retention and sustainability of a second victim support program.

February 3, 2021

Hospital nurses' perceptions of human factors contributing to nursing errors.

June 10, 2015

Interventions to reduce the consequences of stress in physicians: a review and meta-analysis.

July 9, 2014

Medication safety issue brief. Small and rural hospitals—unique challenges, unique solutions.

December 14, 2005

Medication safety issue brief. Look-alike, sound-alike drugs.

November 2, 2005

Nurses' perceptions of how rapid response teams affect the nurse, team, and system.

March 9, 2011

Hospital infection prevention: how much can we prevent and how hard should we try?

March 6, 2019

Caregiver fatigue: implications for patient and staff safety—part 1 and part 2.

September 7, 2016

The Daily Plan: including patients for safety's sake.

April 11, 2012

An examination of technical efficiency, quality, and patient safety in acute care nursing units.

January 20, 2010

Underreporting of robotic surgery complications.

September 18, 2013

Patient safety indicators for England from hospital administrative data: case-control analysis and comparison with US data.

November 5, 2008

To what extent do pediatricians accept computer-based dosing suggestions?

January 17, 2007

Radiation Oncology Incident Learning System.

January 14, 2015

Using an advanced practice nursing model for a rapid response team.

December 3, 2008

Preventable anesthesia mishaps: a study of human factors.

March 27, 2005

Emergency intubation of children outside of the operating room.

February 26, 2020

Nursing 2006 Patient-safety survey report.

May 17, 2006

SafetyNet: Lessons Learned from Close Calls in the OR.

August 23, 2006

Nurse burnout and patient safety outcomes: nurse safety perception versus reporting behavior.

January 30, 2008

Influences observed on incidence and reporting of medication errors in anesthesia.

May 9, 2012

What defines a high-performing health system: a systematic review.

September 6, 2017

Cost implications of reduced work hours and workloads for resident physicians.

May 27, 2009

Patient safety culture: the impact on workplace violence and health worker burnout.

February 8, 2023

How does workplace violence-reporting culture affect workplace violence, nurse burnout, and patient safety?

December 7, 2022

Evaluation of medication incidents in a long-term care facility using electronic medication administration records and barcode technology.

October 5, 2022

Identification of root causes for emergency diagnostic imaging delays at three Canadian hospitals.

August 9, 2006

Related Resources

Impact of medical education on patient safety: finding the signal through the noise.

February 8, 2023

National Safety Standards for Invasive Procedures (NatSSIPs2).

February 7, 2023

Society for Maternal-Fetal Medicine Special Statement: a critique of postpartum readmission rate as a quality metric.

May 18, 2022

APSF endorsed statement on revising recommendations for patient monitoring during anesthesia.

May 4, 2022

Morbidity and mortality caused by noncompliance with California hospital licensure: immediate jeopardies in California hospitals, 2007-2017.

March 9, 2022

The challenge of competency assessment of the late-career practitioner.

February 9, 2022

Guideline for Prevention of Unintentionally Retained Surgical Items.

January 19, 2022

Society for Maternal-Fetal Medicine Special Statement: Surgical safety checklists for cesarean delivery.

September 22, 2021

Quality and safety in surgery: challenges and opportunities.

September 8, 2021

Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative.

February 3, 2021

Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safety.

December 9, 2020

Developing perioperative Covid-19 testing protocols to restore surgical services.

July 22, 2020

Better care for surgical patients: recognizing and responding to the unexpected to save lives.

January 29, 2020

WebM&M Cases

“This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event

January 29, 2020

ASHP guidelines on perioperative pharmacy services.

August 28, 2019

The ageing surgeon: a qualitative study of expert opinions on assuring performance and supporting safe career transitions among older surgeons.

August 21, 2019

Analysis of human performance deficiencies associated with surgical adverse events.

August 14, 2019

Transition planning for the senior surgeon: guidance and recommendations from the Society of Surgical Chairs.

May 29, 2019

When is the surgeon too old to operate?

February 13, 2019

Assessing the performance of aging surgeons.

January 30, 2019

Safety of overlapping inpatient orthopaedic surgery: a multicenter study.

January 16, 2019

Surgical fires: decreasing incidence relies on continued prevention efforts.

July 18, 2018

Enhancing pediatric perioperative patient safety.

November 29, 2017

Outcomes of concurrent operations: results from the American College of Surgeons' National Surgical Quality Improvement Program.

October 11, 2017

Using data to enhance performance and improve quality and safety in surgery.

August 30, 2017

Promoting civility in the OR: an ethical imperative.

March 8, 2017

Safety of overlapping surgery at a high-volume referral center.

January 18, 2017

Statement on the prevention of retained foreign bodies after surgery.

October 1, 2016

Avoiding Unconscious Bias: a Guide for Surgeons.

August 24, 2016

Adverse events in robotic surgery: a retrospective study of 14 years of FDA data.

June 8, 2016

See More About The Topic

Operating Room

Physicians

Quality and Safety Professionals

Pathology and Laboratory Medicine

Surgery

Recommendations for quality assurance and improvement in surgical and autopsy pathology.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Recommendations for quality assurance and improvement in surgical and autopsy pathology.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Case

Continue as a Guest

Continue Logged In

Submit Your Case

Continue as a Guest

Already have a PSNet

Account?

New Users

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site