Young N A, Naryshkin S
Department of Pathology and Laboratory Medicine, Hahnemann University Hospital, Philadelphia, Pa.
Arch Pathol Lab Med. 1993 May;117(5):531-4.
The few guidelines that exist for performing autopsy quality assurance are vague. Much has been written about the use of the autopsy to monitor clinical services, but not how to monitor the quality of the autopsy and autopsy reports. We present the comprehensive quality assurance program that has been developed and implemented at Hahnemann University Hospital, Philadelphia, Pa, for the past 2 years; this program has encompassed quality control of our diagnostic work. Key features have included in-depth peer review of completed reports, documentation of review at conferences, and careful monitoring of turnaround time. We have found that integrating quality assurance into departmental conferences is a useful supplement to in-depth peer review of randomly chosen autopsies. Our approach to quality assurance may serve as a model for other pathology departments, particularly those with pathology residency training programs.
现有的关于尸检质量保证的指南寥寥无几且含糊不清。关于利用尸检来监测临床服务已有诸多著述，但对于如何监测尸检及尸检报告的质量却鲜有涉及。我们介绍了过去两年来在宾夕法尼亚州费城哈内曼大学医院制定并实施的全面质量保证计划；该计划涵盖了我们诊断工作的质量控制。关键特征包括对已完成报告进行深入的同行评审、在会议上记录评审情况以及仔细监测周转时间。我们发现，将质量保证纳入部门会议是对随机选取的尸检进行深入同行评审的有益补充。我们的质量保证方法可为其他病理科，尤其是那些设有病理住院医师培训项目的科室提供一个范例。
