Quality Management in Gynecologic Cytology Using Interlaboratory Comparison

Author:

Jones Bruce A.12,Davey Diane D.2

Affiliation:

1. Reprints: Bruce A. Jones, MD, Department of Pathology, St John Hospital and Medical Center, 22101 Moross Rd, Detroit, MI 48236.

2. From the Department of Pathology, St John Hospital and Medical Center, Detroit, Mich (Dr Jones); and the Department of Pathology and Laboratory Medicine, University of Kentucky Medical Center, Lexington, Ky (Dr Davey).

Abstract

Abstract Objective.—To describe a comprehensive integrated laboratory quality management plan for gynecologic cytology. Design and Setting.—Cytopathology laboratory performance monitors with interlaboratory comparison. Results.—Utilizing College of American Pathologists Q-Probes studies, the College of American Pathologists Interlaboratory Comparison Program in Cervicovaginal Cytology, and other published data, a quality management program for gynecologic cytology involving diagnostic statistics, screening limits and competency assessment, retrospective rescreening, real-time rescreening, cytology-biopsy correlation, follow-up of patients with abnormal cytology results, turnaround time, examination of unknown slides (survey programs), and new technology is described. Conclusion.—Regular coordinated monitoring of performance, with longitudinal and interlaboratory comparison utilizing the methods described, provides an opportunity to optimize gynecologic cytology service.

Publisher

Archives of Pathology and Laboratory Medicine

Subject

Medical Laboratory Technology,General Medicine,Pathology and Forensic Medicine

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