Silverman Jan F
Department of Pathology and Laboratoory Medicine, Alleghenyy General Hospital, Pittsburgh, PA 15212, USA.
Am J Clin Pathol. 2006 Jun;125(6):815-7. doi: 10.1309/RJD0-MY82-9KE8-R9K2.
Similar to critical values in clinical pathology, occasional diagnoses in surgical pathology and cytology may require urgent contact of the physician to facilitate rapid intervention or treatment. However, there are no established critical value (critical diagnosis) guidelines in anatomic pathology. As discussed herein, the Association of Directors of Anatomic and Surgical Pathology (ADASP) believes that establishing anatomic pathology critical diagnosis guidelines represents a practice improvement and patient safety initiative. ADASP also recognizes that a generic anatomic pathology critical diagnosis guideline such as this should be used only as a template because the list needs to be customized at each individual hospital following consultation with relevant clinical services. Based on surveys of the membership of the ADASP, this document provides examples of possible critical diagnoses in anatomic pathology.
与临床病理学中的危急值类似,手术病理学和细胞学中的某些诊断可能需要医生紧急联系,以便迅速进行干预或治疗。然而,解剖病理学中尚无既定的危急值(危急诊断)指南。如本文所述,解剖与手术病理学主任协会(ADASP)认为,制定解剖病理学危急诊断指南是一项实践改进和患者安全举措。ADASP还认识到,这样一个通用的解剖病理学危急诊断指南仅应作为模板使用,因为该清单需要在与相关临床服务部门协商后在每家医院进行定制。基于对ADASP成员的调查,本文档提供了解剖病理学中可能的危急诊断示例。