Schettini Daniel Almeida, Schettini Antonio Pedro Mendes, Sardinha José Carlos Gomes, Ferreira Luiz Carlos de Lima, Vasques Felicien, Xerez Luena
Air Force Hospital, Manaus, AM, Brazil.
An Bras Dermatol. 2012 Jan-Feb;87(1):115-8. doi: 10.1590/s0365-05962012000100014.
Information contained in request forms for histopathological examinations is essential for interpreting tissue changes observed in microscopy.
To determine the adequacy of information provided on forms requesting skin biopsies.
Assessment, in two health institutions, of 647 forms requesting skin biopsies in order to determine the completeness on the forms of the clinical details/items considered necessary for undertaking skin biopsies.
Of the total 18 items on the forms, 7 were found to relay complete information in under 10% of the forms and only 9 items were correctly completed in over 80% of the requests.
We concluded that information on many of the essential items required for a correct interpretation of the anatomopathologic examination was missing from the request forms.
组织病理学检查申请表中包含的信息对于解释显微镜下观察到的组织变化至关重要。
确定皮肤活检申请表所提供信息的充分性。
在两家医疗机构中对647份皮肤活检申请表进行评估，以确定申请表中进行皮肤活检所需临床细节/项目的完整性。
申请表上总共18项内容中，7项在不到10%的申请表中传达了完整信息，只有9项在超过80%的申请中填写正确。
我们得出结论，申请表中缺少许多正确解释解剖病理学检查所需的关键项目的信息。
