Effectiveness of random and focused review in detecting surgical pathology error

Am J Clin Pathol. 2008 Dec;130(6):905-12. doi: 10.1309/AJCPPIA5D7MYKDWF.

Abstract

Different error detection methods yield different error proportions and have variable benefits for surgical pathology divisions with limited resources. We performed a nonconcurrent cohort study at a large institution that practices subspecialty surgical pathology sign-out to compare the effectiveness and usefulness of error detection using a targeted 5% random review process and a focused review process. Pathologists reviewed 7,444 cases using a targeted 5% random review process and 380 cases using a focused review process. The numbers of errors detected by the targeted 5% random and focused review processes were 195 (2.6% of reviewed cases) and 50 (13.2%), respectively (P < .001). The numbers of major errors for the targeted 5% random and focused review processes was 27 (0.36%) and 12 (3.2%), respectively (P < .001). Focused review detects a higher proportion of errors and may be more effectively used for design of error reduction initiatives.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Diagnostic Errors*
  • Gastroenterology / standards
  • Humans
  • Medical Audit / methods*
  • Medical Errors*
  • Pathology, Surgical / methods
  • Pathology, Surgical / standards*
  • Quality Assurance, Health Care / methods*
  • Random Allocation