Consensus statement on effective communication of urgent diagnoses and significant, unexpected diagnoses in surgical pathology and cytopathology from the college of American pathologists and association of directors of anatomic and surgical pathology

Raouf E. Nakhleh, Jeffrey L. Myers, Timothy C. Allen, Barry R. DeYoung, Patrick L. Fitzgibbons, William K. Funkhouser, Dina R. Mody, Amy Lynn, Lisa A. Fatheree, Anthony T. Smith, Avtar Lal, Jan F. Silverman

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Context.-Recognizing the difficulty in applying the concept of critical values to anatomic pathology diagnoses, the College of American Pathologists and the Association of Directors of Anatomic and Surgical Pathology have chosen to reevaluate the concept of critical diagnoses. Objective.-To promote effective communication of urgent and significant, unexpected diagnoses in surgical pathology and cytology. Design.-A comprehensive literature search was conducted and reviewed by an expert panel. Results.-A policy of effective communication of important results in surgical pathology and cytology is desirable to enhance patient safety and to address multiple regulatory requirements. Conclusions.-Each institution should create its own policy regarding urgent diagnoses and significant, unexpected diagnoses in anatomic pathology. This policy should be separate from critical results or panic-value policies in clinical pathology, with the expectation of a different time frame for communication. Urgent diagnosis is defined as a medical condition that, in most cases, should be addressed as soon as possible. Significant, unexpected diagnosis is defined as a medical condition that is clinically unusual or unforeseen and should be addressed at some point in the patient's course. Further details of this statement are provided.

Original languageEnglish (US)
Pages (from-to)148-154
Number of pages7
JournalArchives of Pathology and Laboratory Medicine
Volume136
Issue number2
DOIs
StatePublished - Feb 2012
Externally publishedYes

Fingerprint

Surgical Pathology
Consensus
Communication
Cell Biology
Pathology
Panic
Clinical Pathology
Patient Safety
Pathologists

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Medical Laboratory Technology

Cite this

Consensus statement on effective communication of urgent diagnoses and significant, unexpected diagnoses in surgical pathology and cytopathology from the college of American pathologists and association of directors of anatomic and surgical pathology. / Nakhleh, Raouf E.; Myers, Jeffrey L.; Allen, Timothy C.; DeYoung, Barry R.; Fitzgibbons, Patrick L.; Funkhouser, William K.; Mody, Dina R.; Lynn, Amy; Fatheree, Lisa A.; Smith, Anthony T.; Lal, Avtar; Silverman, Jan F.

In: Archives of Pathology and Laboratory Medicine, Vol. 136, No. 2, 02.2012, p. 148-154.

Research output: Contribution to journalArticle

Nakhleh, Raouf E. ; Myers, Jeffrey L. ; Allen, Timothy C. ; DeYoung, Barry R. ; Fitzgibbons, Patrick L. ; Funkhouser, William K. ; Mody, Dina R. ; Lynn, Amy ; Fatheree, Lisa A. ; Smith, Anthony T. ; Lal, Avtar ; Silverman, Jan F. / Consensus statement on effective communication of urgent diagnoses and significant, unexpected diagnoses in surgical pathology and cytopathology from the college of American pathologists and association of directors of anatomic and surgical pathology. In: Archives of Pathology and Laboratory Medicine. 2012 ; Vol. 136, No. 2. pp. 148-154.
@article{3c7b6cc2eef0414f93c335a0b142e435,
title = "Consensus statement on effective communication of urgent diagnoses and significant, unexpected diagnoses in surgical pathology and cytopathology from the college of American pathologists and association of directors of anatomic and surgical pathology",
abstract = "Context.-Recognizing the difficulty in applying the concept of critical values to anatomic pathology diagnoses, the College of American Pathologists and the Association of Directors of Anatomic and Surgical Pathology have chosen to reevaluate the concept of critical diagnoses. Objective.-To promote effective communication of urgent and significant, unexpected diagnoses in surgical pathology and cytology. Design.-A comprehensive literature search was conducted and reviewed by an expert panel. Results.-A policy of effective communication of important results in surgical pathology and cytology is desirable to enhance patient safety and to address multiple regulatory requirements. Conclusions.-Each institution should create its own policy regarding urgent diagnoses and significant, unexpected diagnoses in anatomic pathology. This policy should be separate from critical results or panic-value policies in clinical pathology, with the expectation of a different time frame for communication. Urgent diagnosis is defined as a medical condition that, in most cases, should be addressed as soon as possible. Significant, unexpected diagnosis is defined as a medical condition that is clinically unusual or unforeseen and should be addressed at some point in the patient's course. Further details of this statement are provided.",
author = "Nakhleh, {Raouf E.} and Myers, {Jeffrey L.} and Allen, {Timothy C.} and DeYoung, {Barry R.} and Fitzgibbons, {Patrick L.} and Funkhouser, {William K.} and Mody, {Dina R.} and Amy Lynn and Fatheree, {Lisa A.} and Smith, {Anthony T.} and Avtar Lal and Silverman, {Jan F.}",
year = "2012",
month = "2",
doi = "10.5858/arpa.2011-0400-SA",
language = "English (US)",
volume = "136",
pages = "148--154",
journal = "Archives of Pathology and Laboratory Medicine",
issn = "0003-9985",
publisher = "College of American Pathologists",
number = "2",

}

TY - JOUR

T1 - Consensus statement on effective communication of urgent diagnoses and significant, unexpected diagnoses in surgical pathology and cytopathology from the college of American pathologists and association of directors of anatomic and surgical pathology

AU - Nakhleh, Raouf E.

AU - Myers, Jeffrey L.

AU - Allen, Timothy C.

AU - DeYoung, Barry R.

AU - Fitzgibbons, Patrick L.

AU - Funkhouser, William K.

AU - Mody, Dina R.

AU - Lynn, Amy

AU - Fatheree, Lisa A.

AU - Smith, Anthony T.

AU - Lal, Avtar

AU - Silverman, Jan F.

PY - 2012/2

Y1 - 2012/2

N2 - Context.-Recognizing the difficulty in applying the concept of critical values to anatomic pathology diagnoses, the College of American Pathologists and the Association of Directors of Anatomic and Surgical Pathology have chosen to reevaluate the concept of critical diagnoses. Objective.-To promote effective communication of urgent and significant, unexpected diagnoses in surgical pathology and cytology. Design.-A comprehensive literature search was conducted and reviewed by an expert panel. Results.-A policy of effective communication of important results in surgical pathology and cytology is desirable to enhance patient safety and to address multiple regulatory requirements. Conclusions.-Each institution should create its own policy regarding urgent diagnoses and significant, unexpected diagnoses in anatomic pathology. This policy should be separate from critical results or panic-value policies in clinical pathology, with the expectation of a different time frame for communication. Urgent diagnosis is defined as a medical condition that, in most cases, should be addressed as soon as possible. Significant, unexpected diagnosis is defined as a medical condition that is clinically unusual or unforeseen and should be addressed at some point in the patient's course. Further details of this statement are provided.

AB - Context.-Recognizing the difficulty in applying the concept of critical values to anatomic pathology diagnoses, the College of American Pathologists and the Association of Directors of Anatomic and Surgical Pathology have chosen to reevaluate the concept of critical diagnoses. Objective.-To promote effective communication of urgent and significant, unexpected diagnoses in surgical pathology and cytology. Design.-A comprehensive literature search was conducted and reviewed by an expert panel. Results.-A policy of effective communication of important results in surgical pathology and cytology is desirable to enhance patient safety and to address multiple regulatory requirements. Conclusions.-Each institution should create its own policy regarding urgent diagnoses and significant, unexpected diagnoses in anatomic pathology. This policy should be separate from critical results or panic-value policies in clinical pathology, with the expectation of a different time frame for communication. Urgent diagnosis is defined as a medical condition that, in most cases, should be addressed as soon as possible. Significant, unexpected diagnosis is defined as a medical condition that is clinically unusual or unforeseen and should be addressed at some point in the patient's course. Further details of this statement are provided.

UR - http://www.scopus.com/inward/record.url?scp=84863012252&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84863012252&partnerID=8YFLogxK

U2 - 10.5858/arpa.2011-0400-SA

DO - 10.5858/arpa.2011-0400-SA

M3 - Article

C2 - 21992705

AN - SCOPUS:84863012252

VL - 136

SP - 148

EP - 154

JO - Archives of Pathology and Laboratory Medicine

JF - Archives of Pathology and Laboratory Medicine

SN - 0003-9985

IS - 2

ER -