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[会诊(活检病理二次诊断意见)作为组织病理学诊断质量控制手段]

[Consultation (second opinion on biopsies) as an instrument of quality control in histopathologic diagnosis].

作者信息

Fakan F

机构信息

Siklův patologicko-anatomický ústav LF UK a FN, Plzen.

出版信息

Cesk Patol. 2001 Jan;37(1):3-6.

Abstract

As the whole spectrum of morphological patterns encountered in surgical pathology cannot be, in its entirety, diagnosed correctly by a general pathologist alone, one has to seek consultation for difficult or unusual cases with specialised experts. In the Czech Republic, the consultation practice performed by specialists from different medical institutions is the only way to assess the quality of histopathological diagnostic performance, i.e. it represents an audit system. Audit systems functioning in other countries are described here. A proposal of a standard consultation process as well as problems concerning the financial costs and increased workload of consultants are discussed.

摘要

由于外科病理学中遇到的整个形态学模式谱,仅靠普通病理学家无法全部正确诊断,因此对于疑难或不常见病例,必须向专家寻求会诊。在捷克共和国,由不同医疗机构的专家进行会诊是评估组织病理学诊断性能质量的唯一途径,即它代表了一种审核系统。本文描述了其他国家运行的审核系统。讨论了标准会诊流程的建议以及会诊费用和会诊人员工作量增加的问题。

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