Dr Richmond, You always please me with your replies. You are such a value to these forums. Let me, I'm sure for the thousant time tell you how much you are appreciated. You clearly understand "Quality" as most any Pathologist that Ive ever been subject to. As you know 10% review is the minumum 100%........... yep!~ Ive seen that.. what a marvel of respect did that get from little ole me Yes, excessive, we both agree I have to say though to Diana, that usually the Pathologist have thier own QA program that monitors thier work. Ive never seen anything different. Even the lone Path. Its always a good idea to communicate with them They may already have the answer to your questions? Kim D
________________________________ From: Bob Richmond <[email protected]> To: [email protected] Sent: Saturday, January 7, 2012 1:40 PM Subject: [Histonet] Re: Quality assurance program for pathologists Diana McCaig (where?) asks: "Is anyone willing to share with me their quality assurance/management program for pathologists?" Glad to know you're in charge of pathologists. (Also glad I'm nearly 73 years old, though not yet retired.) I've worked in a few programs that did a 10% review of cases. If you go this route, don't choose the cases at random, but ask the pathologists to designate the cases as they do the day's work - they'll catch a lot more problems that way. I've worked in a single practice that did 100% second-pathologist review (before the case was released), and I thought that was excessive. Pathologists should be encouraged to document their internal consultations - I mean when you pass a slide to the guy at the next microscope and ask him "from the ear of a 70 year old man - do you think there's enough here to call this a basal cell carcinoma?" Such cases should be documented in a comment - I say "Dr. John Doe has seen this material and concurs." Such cases are legitimately considered part of a 10% review policy. I've worked in one large and highly competent practice that documented internal consultation very meticulously, and one of their QA guidelines was that 2.8% of their cases document internal consultation. Bob Richmond Samurai Pathologist Knoxville TN _______________________________________________ Histonet mailing list [email protected] http://lists.utsouthwestern.edu/mailman/listinfo/histonet _______________________________________________ Histonet mailing list [email protected] http://lists.utsouthwestern.edu/mailman/listinfo/histonet
