Double slide viewing as a cytology quality improvement initiative
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 w...
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| Veröffentlicht in: | American journal of clinical pathology 2006-04, Vol.125 (4), p.526-533 |
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| container_title | American journal of clinical pathology |
| container_volume | 125 |
| creator | RAAB, Stephen S STONE, Chad H JENSEN, Chris S ZARBO, Richard J MEIER, Frederick A GRZYBICKI, Dana M VRBIN, Colleen M OHORI, N. Paul DAHMOUSH, Laila |
| description | 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. |
| doi_str_mv | 10.1309/TKNM9GRGPL2JT95Y |
| format | Article |
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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.</description><subject>Biological and medical sciences</subject><subject>Carcinoma, Small Cell - diagnosis</subject><subject>Cytodiagnosis - methods</subject><subject>Cytodiagnosis - standards</subject><subject>Diagnostic Errors - prevention & control</subject><subject>False Negative Reactions</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Lung Neoplasms - diagnosis</subject><subject>Medical sciences</subject><subject>Pathology, Clinical - methods</subject><subject>Pathology, Clinical - standards</subject><subject>Pathology. Cytology. Biochemistry. Spectrometry. 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| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals |
| subjects | Biological and medical sciences Carcinoma, Small Cell - diagnosis Cytodiagnosis - methods Cytodiagnosis - standards Diagnostic Errors - prevention & control False Negative Reactions Humans Investigative techniques, diagnostic techniques (general aspects) Lung Neoplasms - diagnosis Medical sciences Pathology, Clinical - methods Pathology, Clinical - standards Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques Reproducibility of Results |
| title | Double slide viewing as a cytology quality improvement initiative |
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