与混淆相容:解剖病理学报告中的措辞陷阱

IF 0.1 Q4 PATHOLOGY AJSP: reviews & reports Pub Date : 2022-07-01 DOI:10.1097/PCR.0000000000000516
S. Findeis, Aaron R. Huber, Christa L. Whitney-Miller
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引用次数: 0

摘要

诊断的不确定性和这种不确定性的沟通是所有医学专业所固有的。外科病理学界使用各种各样的短语来表达诊断的不确定性,尽管有文献表明使用不确定性短语会导致误解。我们提出了一个案例,表明不确定性措辞如何在最终诊断中导致患者护理的混乱,并导致将病例发送到外部咨询。此外,我们回顾了有关不确定性措辞的文献,并讨论了报告的修改或修订。
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Compatible With Confusion: Phrasing Pitfalls in Anatomic Pathology Reports
Abstract Diagnostic uncertainty and the communication of this uncertainty is inherent in all specialties of medicine. The surgical pathology community uses a wide variety of phrases to express diagnostic uncertainty, even though there is literature that has shown use of uncertainty phrases leads to misunderstandings. We present a case that shows how uncertainty phrasing in a final diagnosis contributed to confusion surrounding patient care and resulted in sending the case for outside consultation. In addition, we review the literature surrounding uncertainty phrasing and discuss reporting of altered or amended reports.
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