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Evaluation of errors related to surgical pathology specimens of different hospital departments with a patient safety approach: a case study in Iran

BACKGROUND: Most surgical specimen errors occur in the pre-analysis stage, which can be prevented. This study aims to identify errors related to surgical pathology specimens in one of the most comprehensive healthcare centers in Northeast Iran. METHODS: The present study is descriptive and analytica...

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Autores principales: Tabatabaee, Seyed Saeed, Ghavami, Vahid, Kalhor, Rohollah, Amerzadeh, Mohammad, Zomorrodi-Niat, Hadi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10114301/
https://www.ncbi.nlm.nih.gov/pubmed/37072837
http://dx.doi.org/10.1186/s13037-023-00360-1
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author Tabatabaee, Seyed Saeed
Ghavami, Vahid
Kalhor, Rohollah
Amerzadeh, Mohammad
Zomorrodi-Niat, Hadi
author_facet Tabatabaee, Seyed Saeed
Ghavami, Vahid
Kalhor, Rohollah
Amerzadeh, Mohammad
Zomorrodi-Niat, Hadi
author_sort Tabatabaee, Seyed Saeed
collection PubMed
description BACKGROUND: Most surgical specimen errors occur in the pre-analysis stage, which can be prevented. This study aims to identify errors related to surgical pathology specimens in one of the most comprehensive healthcare centers in Northeast Iran. METHODS: The present study is descriptive and analytical research conducted cross-sectionally in 2021 at Ghaem healthcare center in the Mashhad University of Medical Sciences on the basis of a census sampling. We used a standard checklist to collect information. Professors and pathologists evaluated the validity and reliability of the checklist using Cronbach’s alpha calculation method of 0.89. We analyzed the results using statistical indices, SPSS 21 software, and the chi-square test. RESULTS: Out of 5617 pathology specimens studied, we detected 646 errors. The highest number of errors is the mismatch of the specimen with the label (219 cases; 3.9%) and the non-compliance of the patient’s profile in the specimen sent with the label (129 cases; 2.3%), and the lowest errors are the inappropriate volume of the fixator(24 cases; 0.4%), and they accounted for insufficient sample size (25 cases; 0.4%). Based on Fisher’s exact test results, there was a significant difference between the proportion of errors in different departments and months. CONCLUSION: Considering the frequency of labeling errors in the stage before the analysis in the pathology department, the use of barcode imprinted in specimen containers, the removal of the paper request for pathology, the use of radio frequency chip technology, the use of the rechecking system and improving communication in different departments can be effective in reducing these errors.
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spelling pubmed-101143012023-04-20 Evaluation of errors related to surgical pathology specimens of different hospital departments with a patient safety approach: a case study in Iran Tabatabaee, Seyed Saeed Ghavami, Vahid Kalhor, Rohollah Amerzadeh, Mohammad Zomorrodi-Niat, Hadi Patient Saf Surg Research BACKGROUND: Most surgical specimen errors occur in the pre-analysis stage, which can be prevented. This study aims to identify errors related to surgical pathology specimens in one of the most comprehensive healthcare centers in Northeast Iran. METHODS: The present study is descriptive and analytical research conducted cross-sectionally in 2021 at Ghaem healthcare center in the Mashhad University of Medical Sciences on the basis of a census sampling. We used a standard checklist to collect information. Professors and pathologists evaluated the validity and reliability of the checklist using Cronbach’s alpha calculation method of 0.89. We analyzed the results using statistical indices, SPSS 21 software, and the chi-square test. RESULTS: Out of 5617 pathology specimens studied, we detected 646 errors. The highest number of errors is the mismatch of the specimen with the label (219 cases; 3.9%) and the non-compliance of the patient’s profile in the specimen sent with the label (129 cases; 2.3%), and the lowest errors are the inappropriate volume of the fixator(24 cases; 0.4%), and they accounted for insufficient sample size (25 cases; 0.4%). Based on Fisher’s exact test results, there was a significant difference between the proportion of errors in different departments and months. CONCLUSION: Considering the frequency of labeling errors in the stage before the analysis in the pathology department, the use of barcode imprinted in specimen containers, the removal of the paper request for pathology, the use of radio frequency chip technology, the use of the rechecking system and improving communication in different departments can be effective in reducing these errors. BioMed Central 2023-04-18 /pmc/articles/PMC10114301/ /pubmed/37072837 http://dx.doi.org/10.1186/s13037-023-00360-1 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Tabatabaee, Seyed Saeed
Ghavami, Vahid
Kalhor, Rohollah
Amerzadeh, Mohammad
Zomorrodi-Niat, Hadi
Evaluation of errors related to surgical pathology specimens of different hospital departments with a patient safety approach: a case study in Iran
title Evaluation of errors related to surgical pathology specimens of different hospital departments with a patient safety approach: a case study in Iran
title_full Evaluation of errors related to surgical pathology specimens of different hospital departments with a patient safety approach: a case study in Iran
title_fullStr Evaluation of errors related to surgical pathology specimens of different hospital departments with a patient safety approach: a case study in Iran
title_full_unstemmed Evaluation of errors related to surgical pathology specimens of different hospital departments with a patient safety approach: a case study in Iran
title_short Evaluation of errors related to surgical pathology specimens of different hospital departments with a patient safety approach: a case study in Iran
title_sort evaluation of errors related to surgical pathology specimens of different hospital departments with a patient safety approach: a case study in iran
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10114301/
https://www.ncbi.nlm.nih.gov/pubmed/37072837
http://dx.doi.org/10.1186/s13037-023-00360-1
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