Quantifying the value of in-house consultation in surgical pathology
In-house consultation is a well-known method to improve diagnostic accuracy and agreement, but the technique has not been well studied. We reviewed the results of in-house consultation in a large private hospital practice setting for a 1-month period and determined its effect on diagnostic accuracy...
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| Veröffentlicht in: | American journal of clinical pathology 2002-05, Vol.117 (5), p.751-754 |
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| container_end_page | 754 |
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| container_issue | 5 |
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| container_title | American journal of clinical pathology |
| container_volume | 117 |
| creator | RENSHAW, Andrew A PINNAR, Nat E JIROUTEK, Michael R YOUNG, Mary L |
| description | In-house consultation is a well-known method to improve diagnostic accuracy and agreement, but the technique has not been well studied. We reviewed the results of in-house consultation in a large private hospital practice setting for a 1-month period and determined its effect on diagnostic accuracy using the final sign-out as the "gold standard." During this 1-month period, 352 cases were reviewed as in-house consultations. Initial complete agreement was found in 315 (89.5%) cases. Using the initial diagnosis as the test case and the final sign-out as the gold standard, of the 37 discrepant cases, 4 (1.1%) were thought to represent false-negative results, (0.3%) a false-positive result, 3 (0.9%) differences in type, and 29 (8.2%) differences in diagnostic threshold. Disagreements in 10 cases were thought to be potentially clinically significant. Internal consultation was obtained on approximately 20% of all cases seen in the laboratory and disagreements were found in 2% of all cases. Internal consultation has a significant and measurable impact on the practice of surgical pathology. |
| doi_str_mv | 10.1309/RD07-39B9-QN1U-L6U0 |
| format | Article |
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We reviewed the results of in-house consultation in a large private hospital practice setting for a 1-month period and determined its effect on diagnostic accuracy using the final sign-out as the "gold standard." During this 1-month period, 352 cases were reviewed as in-house consultations. Initial complete agreement was found in 315 (89.5%) cases. Using the initial diagnosis as the test case and the final sign-out as the gold standard, of the 37 discrepant cases, 4 (1.1%) were thought to represent false-negative results, (0.3%) a false-positive result, 3 (0.9%) differences in type, and 29 (8.2%) differences in diagnostic threshold. Disagreements in 10 cases were thought to be potentially clinically significant. Internal consultation was obtained on approximately 20% of all cases seen in the laboratory and disagreements were found in 2% of all cases. Internal consultation has a significant and measurable impact on the practice of surgical pathology.</description><subject>Biological and medical sciences</subject><subject>False Negative Reactions</subject><subject>False Positive Reactions</subject><subject>Female</subject><subject>Hospitals, Private</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous. Technology</subject><subject>Pathology, Surgical - methods</subject><subject>Pathology. Cytology. Biochemistry. Spectrometry. 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Technology</topic><topic>Pathology, Surgical - methods</topic><topic>Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques</topic><topic>Peer Review, Health Care</topic><topic>Quality Assurance, Health Care</topic><topic>Referral and Consultation</topic><topic>Reproducibility of Results</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>RENSHAW, Andrew A</creatorcontrib><creatorcontrib>PINNAR, Nat E</creatorcontrib><creatorcontrib>JIROUTEK, Michael R</creatorcontrib><creatorcontrib>YOUNG, Mary L</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of clinical pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>RENSHAW, Andrew A</au><au>PINNAR, Nat E</au><au>JIROUTEK, Michael R</au><au>YOUNG, Mary L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quantifying the value of in-house consultation in surgical pathology</atitle><jtitle>American journal of clinical pathology</jtitle><addtitle>Am J Clin Pathol</addtitle><date>2002-05-01</date><risdate>2002</risdate><volume>117</volume><issue>5</issue><spage>751</spage><epage>754</epage><pages>751-754</pages><issn>0002-9173</issn><eissn>1943-7722</eissn><coden>AJCPAI</coden><abstract>In-house consultation is a well-known method to improve diagnostic accuracy and agreement, but the technique has not been well studied. 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| identifier | ISSN: 0002-9173 |
| ispartof | American journal of clinical pathology, 2002-05, Vol.117 (5), p.751-754 |
| issn | 0002-9173 1943-7722 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Biological and medical sciences False Negative Reactions False Positive Reactions Female Hospitals, Private Humans Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Miscellaneous. Technology Pathology, Surgical - methods Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques Peer Review, Health Care Quality Assurance, Health Care Referral and Consultation Reproducibility of Results |
| title | Quantifying the value of in-house consultation in surgical pathology |
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