Department of Pathology, Mayo Clinic Florida, Jacksonville, 32224, USA.
Arch Pathol Lab Med. 2012 Feb;136(2):148-54. doi: 10.5858/arpa.2011-0400-SA. Epub 2011 Oct 13.
Recognizing the difficulty in applying the concept of critical values to anatomic pathology diagnoses, the College of American Pathologists and the Association of Directors of Anatomic and Surgical Pathology have chosen to reevaluate the concept of critical diagnoses.
To promote effective communication of urgent and significant, unexpected diagnoses in surgical pathology and cytology.
A comprehensive literature search was conducted and reviewed by an expert panel.
A policy of effective communication of important results in surgical pathology and cytology is desirable to enhance patient safety and to address multiple regulatory requirements.
Each institution should create its own policy regarding urgent diagnoses and significant, unexpected diagnoses in anatomic pathology. This policy should be separate from critical results or panic-value policies in clinical pathology, with the expectation of a different time frame for communication. Urgent diagnosis is defined as a medical condition that, in most cases, should be addressed as soon as possible. Significant, unexpected diagnosis is defined as a medical condition that is clinically unusual or unforeseen and should be addressed at some point in the patient's course. Further details of this statement are provided.
鉴于将危急值概念应用于解剖病理学诊断存在困难，美国病理学家学会和解剖与外科病理学主任协会选择重新评估危急诊断的概念。
促进外科病理学和细胞学中紧急和重要、意外诊断的有效沟通。
进行了全面的文献检索，并由专家小组进行了审查。
为了增强患者安全性并满足多项监管要求，在外科病理学和细胞学中有效传达重要结果的政策是可取的。
每个机构都应针对解剖病理学中的紧急诊断和意外重要诊断制定自己的政策。该政策应与临床病理学中的危急值或恐慌值政策分开，预计沟通的时间框架也不同。紧急诊断的定义为在大多数情况下应尽快处理的医疗状况。意外的重要诊断的定义为临床上不常见或未预见的医疗状况，应在患者病程的某个时间点进行处理。本声明提供了更详细的信息。
