Tracking of Report Defects

Review of report defects is an important component of any laboratory’s quality management plan, as this activity enables the laboratory to detect weakness in workflow and organization, thus identifying opportunities for targeted interventions aimed at red

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Error Reduction and Prevention in Surgical Pathology

Raouf E. Nakhleh  •  Keith E. Volmar Editors

Error Reduction and Prevention in Surgical Pathology Second Edition

Editors Raouf E. Nakhleh Mayo Clinic Florida Jacksonville, FL USA

Keith E. Volmar Rex Healthcare Raleigh, NC USA

ISBN 978-3-030-18463-6    ISBN 978-3-030-18464-3 (eBook) https://doi.org/10.1007/978-3-030-18464-3 © Mayo Foundation for Medical Education and Research 2019 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Preface

The first edition of Error Reduction and Prevention in Surgical Pathology was an opportunity to pull together into one place all the ideas related to errors in surgical pathology and to organize a discipline in error reduction. The second edition is an opportunity to refine this information. Most notably, the second edition has a second editor that brings a fresh and younger perspective. In this edition, we wanted to continue to include what works and to improve sections that have not met the mark. We tried to reorganize the book to improve its usability and practicality and to include topics that were not previously addressed. In the introductory section, we include general principles and ideas that are necessary to understand the context of error reduction. In addition to general principles of error reduction and legal and regulatory responsibilities, we added a chapter on regulatory affairs and payment systems which increasingly may be impacted by error reduction and improvement activities. This later chapter is particularly important in view of the implementation of various value-based payment programs, such as the Medicare Merit-Based Incentive Payment System, that became law in 2015. The r