Venkatraman Narayan T, Bhadranna Abhishek, Shenoy Sadhana, Mohanty Leeky
Department of Oral and Maxillofacial Pathology, The Oxford Dental College, Bommanahalli, Bangalore, Karnataka, India.
J Oral Maxillofac Pathol. 2013 May;17(2):234-9. doi: 10.4103/0973-029X.119738.
Reading a slide and rendering a diagnosis is not only a science but also requires us to appreciate the constant artifact that is introduced in a controlled manner by tissue processing and obtaining a stained tissue section. There are a number of steps involved in getting the final stained tissue section and all these procedures if not performed properly have the potential to give rise to erroneous picture on the slide. Simple errors in judgments can lead to wrong diagnosis and unwarranted treatment. Such mistakes can put us at risk for Medico-Legal problems. The subject of Medico-Legal issues and practice of pathology has been neglected and amount of information available to the practicing professional in India is scarce. This paper focuses on standardized procedures for the various histopathology laboratory exercises. The paper highlights the importance of proper record maintenance with reporting protocols. A list of do's and don'ts for an Oral Pathologist is provided to help him/her in reducing the probable Medico-Legal issues. It does not in any way address the issue of individual competence and diagnostic abilities: That is an aspect for each individual to introspect upon and take remedial action.
读玻片并做出诊断不仅是一门科学,还要求我们认识到在组织处理和获取染色组织切片过程中以可控方式引入的持续存在的假象。获得最终染色组织切片涉及多个步骤,如果所有这些程序执行不当,都有可能在玻片上产生错误的图像。判断上的简单错误可能导致误诊和不必要的治疗。此类错误可能使我们面临医疗法律问题的风险。医疗法律问题和病理学实践这一主题一直被忽视,印度执业专业人员可获取的相关信息量很少。本文重点关注各种组织病理学实验室操作的标准化程序。本文强调了按照报告规程妥善保存记录的重要性。为口腔病理学家提供了一份注意事项清单,以帮助他/她减少可能出现的医疗法律问题。它绝不是在讨论个人能力和诊断能力的问题:这是每个人需要反思并采取补救措施的方面。