Namiki T
Japan Surgical Pathology Laboratory, Sendai.
Rinsho Byori. 1994 Sep;42(9):897-901.
Three recommendation articles proposed by the Association of Directors of Anatomic and Surgical Pathology in the United States were presented as to serve as the baseline of the quality assurance in the pathomorphological diagnosis. The first article was related to the internal quality assurance in the pathology laboratories. The prospective and retrospective methods were presented for daily and monthly bases. The importance of the turnaround time was stressed in addition to the reliable diagnosis. The second article was concerned about the standardization of the surgical pathology report. This was accepted nationwide in the United States like the Bethesda System in cytology. The third article covered the consultation in surgical pathology. The Association divided the consultation into personal and institutional consultations. The role of the institutional consultation has increased markedly in recent years. This is related to the new trend of the patients and their families seeking the second opinion in the clinical diagnosis. In these situations, the clinician frequently requested the new diagnostic impressions of their own pathologists. The second opinion is very important in recent practice in medicine along with informed consent. The pathologists should also be aware of these subjects.
美国解剖与外科病理学主任协会提出的三篇推荐文章被展示出来，作为病理形态学诊断质量保证的基线。第一篇文章与病理实验室的内部质量保证有关。介绍了每日和每月的前瞻性和回顾性方法。除了可靠的诊断外，还强调了周转时间的重要性。第二篇文章关注外科病理报告的标准化。这在美国全国范围内被接受，就像细胞学中的贝塞斯达系统一样。第三篇文章涵盖了外科病理会诊。该协会将会诊分为个人会诊和机构会诊。近年来，机构会诊的作用显著增加。这与患者及其家属在临床诊断中寻求第二种意见的新趋势有关。在这些情况下，临床医生经常要求自己的病理学家给出新的诊断意见。在最近的医学实践中，第二种意见与知情同意一样非常重要。病理学家也应该了解这些问题。
