Errors in Oncology Pathologies

Robert Bell rmsbell at ESEDONA.NET
Tue Aug 13 20:35:53 UTC 2013


In general I have been amazed at the lack of information provided for laboratory requests, and also to radiologists, and pathologists, etc. 

Should the EMR overcome this in time and could the different pertinent information for each specialist be extracted for ease. Is that being done already in some facilities?

Rob

Sent from my iPad

On Aug 13, 2013, at 12:43 PM, "Giltnane, Jennifer M" <jennifer.giltnane at VANDERBILT.EDU> wrote:

> Peggy Zuckerman writes, "Clinicians can assist pathologists with more accurate analysis of underlying disease by providing pertinent clinical information and radiologic testing to the pathologists. 4" As a junior pathologist, I am ever so grateful that she included this simple statement. All of the missed and delayed diagnoses I have encountered so far (thankfully, few, but more than I imagined) had a significant component of minimal to no supporting clinical information, or even misleading information. I insist that all of my family and friends get a second oncology and/or pathology opinion when a major treatment decision is based on a limited biopsy. Thankfully, referral pathology is often a "package deal" when a patient seeks a second oncology opinion, and so this may be the best route for patients to pursue. It works best, however, when the pathology material can be received and reviewed with ample time before the patient's visit. 
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> Best regards, Jena
> Jennifer M. Giltnane, MD, PhD
> Dept. of Pathology, Microbiology, and Immunology
> Division of Investigative Pathology
> Arteaga Lab @ Vanderbilt University School of Medicine
> jennifer.giltnane at vanderbilt.edu
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> Moderator: Lorri Zipperer Lorri at ZPM1.com, Communication co-chair, Society for Improving Diagnosis in Medicine
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