评估细胞病理学实践模式的质量指标:关注甲状腺细针穿刺细胞学

IF 0.1 Q4 PATHOLOGY AJSP: reviews & reports Pub Date : 2022-07-01 DOI:10.1097/PCR.0000000000000514
Paul A. Vander Laan
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引用次数: 1

摘要

细胞学实验室的质量保证措施有助于确保准确和一致的诊断。对于甲状腺细针穿刺(FNAs),已经提出了各种细胞学家的表现指标来帮助监测和解释细胞学家的实践模式。考虑周到的实施指标,如诊断类别使用率,关键诊断类别的比例,手术结果数据,以及与辅助分子检测结果的相关性,已被提出,以帮助减少甲状腺FNAs中不确定诊断类别的使用,如不确定意义的异型性。开发实验室仪表板,并定期向细胞病理学家或细胞技术专家提供机密反馈,可以帮助监控和纠正超出目标规范的实践模式。
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Quality Metrics to Assess Cytopathology Practice Patterns: Focus on Thyroid Fine-Needle Aspiration Cytology
Abstract Quality assurance measures in the cytology laboratory help ensure accurate and consistent diagnoses. For thyroid fine-needle aspirations (FNAs), various cytologist performance metrics have been proposed to help monitor and explain cytologist practice patterns. Thoughtful implementation of metrics such as diagnostic category utilization rates, ratios of key diagnostic categories, surgical outcome data, and correlation with ancillary molecular testing results have been proposed to help minimize the use of indeterminate diagnostic categories in thyroid FNAs, such as atypia of undetermined significance. Development of laboratory dashboards coupled with periodic confidential feedback to the cytopathologist or cytotechnologist can help monitor and correct practice patterns that fall outside target norms.
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