A Multidisciplinary Approach for Reducing Lost Surgical Specimens

Morris, Ann Marie

doi:10.1002/aorn.13061

AORN Journal

2020

DOI: 10.1002/aorn.13061

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A Multidisciplinary Approach for Reducing Lost Surgical Specimens

Ann Marie Morris¹

Abstract: indicates that continuing education (CE) contact hours are available for this activity. Earn the CE contact hours by reading this article, reviewing the purpose/goal and objectives, and completing the online Learner Evaluation at http://www.aornj ournal.org/conte nt/cme. Each applicant who successfully completes this program can immediately print a certificate of completion.

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2024

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Lost, mislabeled, and mishandled surgical and clinical pathology specimens: A systematic review of published literature

Carmack,

Lazenby,

Wilson

et al. 2024

American Journal of Clinical Pathology

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Objectives To perform a systematic review of published academic literature related to lost, mislabeled, and mishandled surgical and clinical pathology specimens during the preanalytical stage. Methods The authors used Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines to search PubMed, MEDLINE, Web of Science, and Scopus for relevant articles published from January 1, 1990, to May 1, 2023. Results The authors screened 1313 articles and identified 44 peer-reviewed, English-language articles published between 1990 and 2021 for inclusion in the final systematic review. Most articles (n = 36) reported results from US-based facilities. Articles primarily focused on general clinical and general surgical pathology. Analysis of the articles revealed that articles reported a range of methodological approaches, including incident reports, implementation analyses, case studies, and commentary recommendations. Most articles focused on mislabeling errors (61.3%) and missing or lost specimens (18.2%), while several articles combined specimen errors (20.5%). Several implementation studies (22.7%) reported using multiple interventions to mitigate errors. Implementation efforts reported between 70% and 100% reduction in pathology errors. Conclusions The review highlights the limited research on the topic, with an average of 2 articles per year discussing lost, mislabeled, or mishandled specimens. Intervention studies addressed The Joint Commission’s patient safety goals for laboratory practice. More research is needed about error incidents and reporting in non-Western countries to gain a more global perspective on the topic.

show abstract

Lost, mislabeled, and mishandled surgical and clinical pathology specimens: A systematic review of published literature

Carmack,

Lazenby,

Wilson

et al. 2024

American Journal of Clinical Pathology

View full text Add to dashboard Cite

show abstract

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A Multidisciplinary Approach for Reducing Lost Surgical Specimens

Cited by 1 publication

References 12 publications

Lost, mislabeled, and mishandled surgical and clinical pathology specimens: A systematic review of published literature

Lost, mislabeled, and mishandled surgical and clinical pathology specimens: A systematic review of published literature

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