Impact of Consensus Conference Review on Diagnostic Disagreements in the Evaluation of Cervical Biopsy Specimens

被引：0
|
作者：
Layfield, Lester J. [1 ]
Hammer, Richard D. [1 ]
Frazier, Shellaine R. [1 ]
Esebua, Magda [1 ]
Bivin, William W. [1 ]
Laziuk, Katsiaryna [1 ]
Nguyen, Van T. [1 ]
Johannesen, Eric [1 ]
Schmidt, Robert L. [2 ]
机构：
[1] Univ Missouri, Dept Pathol & Anat Sci, One Hosp Dr,M263 Med Sci Bldg, Columbia, MO 65212 USA
[2] ARUP Labs, Dept Pathol & Lab Med, Salt Lake City, UT USA
来源：
AMERICAN JOURNAL OF CLINICAL PATHOLOGY | 2017年 / 147卷 / 05期
关键词：
Consensus conference; Diagnostic discrepancies; Agreement analysis; Error reduction;
D O I：
10.1093/AJCP/AQX024
中图分类号：
R36 [病理学];
学科分类号：
100104 ;
摘要：
Objectives: To determine the impact of consensus conferences on the frequency of discrepant cases in a surgical pathology practice. Methods: The percentage of discrepancies in cases reviewed at a weekly consensus conference was calculated for the first and last months of a 13-month period. Both interrater agreement and agreement with the consensus diagnoses were assessed. A total of 309 diagnoses were performed for the first month and 518 for the last month. Both absolute and chance-corrected agreement were calculated for each period. Results: Absolute agreement rate increased from 91.2% in the first month to 98.2% in the final month. Chance-corrected agreement increased from 0.80 in the first month to 0.97 in the final month. Conclusions: The consensus conference technique appears to be a useful method to reduce intradepartmental diagnostic discrepancies. Both absolute and chance-corrected agreement are improved by using consensus conferences.
引用
收藏
页码：473 / 476
页数：4
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