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皮肤病理中的黑色素瘤和色素性皮损的医学法律问题。

Medicolegal issues with regard to melanoma and pigmented lesions in dermatopathology.

机构信息

Department of Dermatology, University of Illinois at Chicago, Chicago, IL, USA.

出版信息

Dermatol Clin. 2012 Oct;30(4):593-615, v-vi. doi: 10.1016/j.det.2012.06.011. Epub 2012 Aug 24.

DOI:10.1016/j.det.2012.06.011
PMID:23021048
Abstract

Understanding malpractice risk and practicing risk management strategies results in better care and a less stressful environment of practice. Errors in diagnosis are most commonly related to melanoma and neoplasms of the skin. To offset the threat of malpractice litigation, malpractice data can be used to focus safety efforts on common diagnostic errors. Recognition of sources of error in the analysis of pigmented lesions by dermatopathologists, and the development of new immunohistochemical or genotypic techniques for the recognition and distinction of malignant disease from benign pigmented lesions, will also provide important improvements in care and diagnosis in the future.

摘要

了解医疗事故风险并实施风险管理策略可提高医疗质量并降低执业压力。诊断错误最常与黑色素瘤和皮肤肿瘤有关。为了应对医疗事故诉讼的威胁,可以利用医疗事故数据将安全工作重点放在常见的诊断错误上。皮肤科病理学家在分析色素性病变时认识到错误来源,并开发出用于识别和区分恶性疾病与良性色素性病变的新免疫组织化学或基因技术,这也将为未来的医疗护理和诊断提供重要改进。

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Malpractice Concerns, Defensive Medicine, and the Histopathology Diagnosis of Melanocytic Skin Lesions.医疗失误担忧、防御性医疗与黑素细胞性皮肤病变的组织病理学诊断。
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Atypical Melanocytic Proliferations: A Review of the Literature.
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How concerns and experiences with medical malpractice affect dermatopathologists' perceptions of their diagnostic practices when interpreting cutaneous melanocytic lesions.医疗事故方面的担忧和经历如何影响皮肤病理学家在解读皮肤黑素细胞性病变时对其诊断实践的认知。
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