Stephen Spencer Raab * The current and ideal state of anatomic pathology patient safety

The current and ideal state of anatomic pathology patient safety.

An anatomic pathology diagnostic error may be secondary to a number of active and latent technical and/or cognitive components, which may occur anywhere along the total testing process in clinical and/or laboratory domains. For the pathologist interpretive steps of diagnosis, we examine Kahneman's framework of slow and fast thinking to explain different causes of error in precision (agreement) ...

Secondary case review methods and anatomic pathology culture.

Anatomic pathology workload and error.

The Institute of Medicine defined medical error as the failure of a planned action to be completed as intended or the use of a wrong plan to achieve an aim.1 During the last 2 decades, the pathology patient safety literature mainly has focused on reporting the frequency of error, and this frequency depends on the detection method.2-6 Few anatomic pathology studies have focused on the performanc...

Disturbing the Doxa of Patient Safety; Comment on “False Dawns and New Horizons in Patient Safety Research and Practice”

In a recent edition of this journal, Mannion and Braithwaite provide a succinct analysis of the emergence, and ultimately limited impact, of what they term the current ‘Safety I’ movement in healthcare. They describe the arc of this field from denial, through engagement via mechanisms and approaches imported from other industries, to the current situation where, despite ‘best efforts,’ error ra...

Restoring Nature Through Individualized Anatomic Anterior Cruciate Ligament Reconstruction Surgery

Anterior cruciate ligament (ACL) reconstruction surgery has significantly evolved in recent years. This has led to development of new technologies that facilitate the diagnosis of ACL injury and the application of state of the art methods for treatment. In particular, individualized anatomical ACL reconstruction aims to restore native ACL function. Treatment is tailored to each patient based on...