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Formal and Informal Programs: Case Review Quality Assurance
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Tables
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Table 1:
Formal Quality Assurance Programs Informal Quality Assurance Programs
Retrospective Case Review Autopsy
Proficiency Testing Diagnostic Consult
Prospective Case Review Patient Referral


Table 2: Current Formal Quality Assurance Program for AP
Characteristic Proficiency Testing Internal Case Review (Retrospective) Internal Case Review (Prospective) External Peer Case Review by Sub-Specialist (Retrospective)
Adds to the Pathologist Workload          ✔          ✔          ✔
Peer Reviewed          ✔          ?          ?          ✔
Standardized          ✔          ✔
False Negative & Positive cases          ✔          ✔
QA Total Process          ✔          ✔          ✔
Benchmarking          ✔          ✔
Ability to influence the diag. in real/near-real-time          ✔
Key Positive Feature/s Established minimum quality tool Most common QA practice Real Time External subspecialist review, does not use Pathologist time
Negative Consideration Does not QA the full case detail from gross to report Demanding on Pathologist and Technologist time Most Demanding on Pathologist and Technologist time Program needs to be double blinded for confidentiality
Best Demonstrated Practice CAP and ASCP Proficiency Programs ADASP Guidelines on QC & QA in AP Quality Assurance UPMC QualityStar™ External QA Case Review by Subspecialist


Proficiency Testing (PT) or External Quality Assurance (EQA)
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Internal Case Review (Retrospective)
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Internal Case Review (Prospective)
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External (Peer) Case Review by Sub-Specialist (Retrospective)
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Conclusion
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References
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End of Management > Quality Control > Peer (Case) Review in Anatomic Pathology



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