Medicolegal Issues in Anatomic Pathology. Mark R. Wick, M.D. Malpractice Claims: Necessities.
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Mark R. Wick, M.D.
Specimen Type % Claims %FN %FP Total Claims (%)
Breast Bx 42 48 52 15.5
Melanoma 44 95 5 16
Lymphoma 14 57 43 5
FNA, Misc. 10 40 60 3.5
FNA, Breast 5 40 60 2
Gastric biopsy 12 42 58 4.5
Prostate biopsy 9 67 33 3
Lung biopsy 12 42 58 4.5
GYN pathology 31 74 16 11.5
Sarcoma pathology 15 80 20 5.5
Bladder pathology 5 100 0 2
Cysts 3 100 0 1
Miscellaneous 48 65 19 26*
* Included cases involving failure to diagnose metastatic carcinoma (especially in lymph nodes), suits against primary pathologists for mistakes made by their consultants (“vicarious liability”), failure to solicit consultation or perform special diagnostic studies, frozen section misdiagnoses, and actions resulting from specimen misidentification, processing, or mistakes in written or verbal reporting
Staying Out of
Biopsies from gastric biopsy specimen, taken from clinical “mild gastritis”
Blood group Ag immunostains done after negative gastrectomy procedure
Breast J 2001 Jul-Aug;7(4):271-274
Synoptic/Checklist Reporting of Breast Biopsies: Has the Time Come?Leong ASY.Narrative descriptive reporting has been the traditional format employed in surgical pathology for almost as long as its inception as a specialty. While the descriptive prose has served us well in the past, its accuracy and readability is variable. Descriptions of color, shape, and texture are often subjective. Surgical pathologists are trained observers, but there are inherent differences in reporting style, and descriptive prowess depends on language skills and vocabulary. These differences are reflected in reports generated by pathologists in the same laboratory and may even be more evident in reports from different laboratories and across nations using the English language. The reproducibility of morphologic descriptions is thus a matter of some concern.
bronchial epithelial metaplasia)