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Cytodiagnosis in the autopsy suite: a tool for improving autopsy quality and resident education.
Arch Pathol Lab Med
July 2007
Department of Pathology, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555-0548, USA.
Context: Despite several publications attesting to its accuracy and value, cytology is rarely used for preliminary autopsy diagnosis in the United States. Postmortem cytodiagnosis has the potential to increase the accuracy and specificity of the provisional and final autopsy diagnoses, increase resident interest in cytodiagnostic techniques, and direct pathologists to request pertinent special studies, such as microbial cultures and special stains.
Objective: To assess and illustrate the value of cytodiagnostic techniques for improving autopsy quality assurance and resident education.
[Is autopsy, the oldest tool of quality assurance, obsolete?].
Z Arztl Fortbild Qualitatssich
December 2004
Institut für Pathologie, Universitätsklinikum Leipzig.
The declining frequency of autopsies raises the question as to whether the goals of autopsy (particularly with respect to quality management) can still be achieved in a way that guarantees high standards. The quality of diagnostic procedures (and probably therapeutic as well) depends on the frequency of autopsies in a hospital. The reasons for declining autopsy rates are manifold.
View Article and Find Full Text PDFAutopsy: quality assurance in the ICU.
Intensive Care Med
April 1999
Intensive Care Unit, University Hospital, School of Medicine of Botucatu/UNESP, SP, Brazil.
Objective: To examine the correlation between the clinical diagnosis and autopsy findings in adult patients who died in an intensive care unit (ICU). To determine the rate of agreement of the basic and terminal causes of death and the types of errors in order to improve quality control of future care.
Design: Retrospective study.
An implementation plan for autopsy quality control and quality assurance.
Arch Pathol Lab Med
May 1993
Department of Pathology and Laboratory Medicine, Hahnemann University Hospital, Philadelphia, Pa.
The few guidelines that exist for performing autopsy quality assurance are vague. Much has been written about the use of the autopsy to monitor clinical services, but not how to monitor the quality of the autopsy and autopsy reports. We present the comprehensive quality assurance program that has been developed and implemented at Hahnemann University Hospital, Philadelphia, Pa, for the past 2 years; this program has encompassed quality control of our diagnostic work.
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