Double slide viewing as a cytology quality improvement initiative

Stephen S RAAB; Chad H STONE; Chris S JENSEN; Richard J ZARBO; Frederick A MEIER; Dana M GRZYBICKI; Colleen M VRBIN; N. Paul OHORI; Laila DAHMOUSH

doi:10.1309/TKNM-9GRG-PL2J-T95Y

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Double slide viewing as a cytology quality improvement initiative

Journal article

Open access

Peer reviewed

Double slide viewing as a cytology quality improvement initiative

Stephen S RAAB, Chad H STONE, Chris S JENSEN, Richard J ZARBO, Frederick A MEIER, Dana M GRZYBICKI, Colleen M VRBIN, N. Paul OHORI and Laila DAHMOUSH

American journal of clinical pathology, Vol.125(4), pp.526-533

2006

DOI: 10.1309/TKNM-9GRG-PL2J-T95Y

PMID: 16627263

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https://doi.org/10.1309/TKNM-9GRG-PL2J-T95YView

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Abstract

Few studies have measured the effect of pre-sign out double viewing of cytology cases as a means to decrease error. Three Agency for Healthcare Research and Quality-funded project sites performed pre-sign out double viewing of 431 pulmonary cytology cases. Two-step or more differences in diagnosis were arbitrated as interpretive errors, and the effect of double viewing was measured by comparing the frequency of cytologic-histologic correlation-detected errors in the previous 2 years with the double-viewing period. The number of interpretive errors detected by double viewing for the 3 institutions was 2.7%, 0% and 1.9%, respectively. Double viewing did not lower the frequency of cytologic-histologic correlation false-negative errors. We conclude that double viewing detects errors in up to 1 of every 37 cases and that biases in the double-viewing process limit error detection.

Biological and medical sciences

Investigative techniques, diagnostic techniques (general aspects)

Medical sciences

Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques

Details

Title: Subtitle: Double slide viewing as a cytology quality improvement initiative
Creators: Stephen S RAAB - Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States
Chad H STONE - Department of Pathology Henry Ford Health System, Detroit, MI, United States
Chris S JENSEN - Department of Pathology University of Iowa Healthcare, Iowa City, United States
Richard J ZARBO - Department of Pathology Henry Ford Health System, Detroit, MI, United States
Frederick A MEIER - Department of Pathology Henry Ford Health System, Detroit, MI, United States
Dana M GRZYBICKI - Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States
Colleen M VRBIN - Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States
N. Paul OHORI - Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States
Laila DAHMOUSH - Department of Pathology University of Iowa Healthcare, Iowa City, United States
Resource Type: Journal article
Publication Details: American journal of clinical pathology, Vol.125(4), pp.526-533
DOI: 10.1309/TKNM-9GRG-PL2J-T95Y
PMID: 16627263
NLM abbreviation: Am J Clin Pathol
ISSN: 0002-9173
eISSN: 1943-7722
Publisher: American Society of Clinical Pathologists; Chicago, IL
Language: English
Date published: 2006
Academic Unit: Pathology; Urology
Record Identifier: 9984047686502771

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