http://snipurl.com/mglo

Confusion about errors in anatomic pathology:
problems with categorizing and reporting

February 2006
PAP/NGC Programs Review
CAP Cytopathology Committee*
The Institute of Medicine raised the national awareness of medical errors
and patient safety in 1999 by publishing "To Err Is Human: Building a Safer
Health System," a landmark document that reported "stunningly high rates of
medical errors-resulting in deaths, permanent disability, and unnecessary
suffering" in U.S. hospitals. Since its publication, the IOM report has had
the positive effects of raising concern for patient safety and increasing
patient safety activities by researchers and clinical practitioners. Within
the field of anatomic pathology, there has been an explosion of academic
work examining sources and significance of diagnostic errors, methods for
detecting and categorizing errors, and processes for reducing errors.