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Related Experiment Video

Updated: Jun 25, 2026

Reduced Procedure Time and Variability with Active Esophageal Cooling During Radiofrequency Ablation for Atrial Fibrillation
04:58

Reduced Procedure Time and Variability with Active Esophageal Cooling During Radiofrequency Ablation for Atrial Fibrillation

Published on: August 25, 2022

A quality initiative to decrease pathology specimen-labeling errors using radiofrequency identification in a

Dawn L Francis1, Shalini Prabhakar, Schuyler O Sanderson

  • 1Department of Gastroenterology, Mayo Clinic, Rochester, Minnesota 55905, USA. francis.dawn@mayo.edu

The American Journal of Gastroenterology
|March 5, 2009
PubMed
Summary

Implementing radiofrequency identification (RFID) specimen labeling, paperless requisitions, and dual provider confirmation significantly reduced specimen labeling errors in endoscopy units. This initiative improved patient safety by minimizing critical errors before pathology processing.

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Area of Science:

  • Medical technology
  • Patient safety
  • Surgical pathology

Background:

  • Specimen mislabeling in gastrointestinal and colorectal surgery endoscopy units poses significant risks to patient care.
  • Errors often stem from incorrect patient labels or unlabelled specimens, leading to potential diagnostic and therapeutic delays.

Purpose of the Study:

  • To evaluate the effectiveness of a novel specimen labeling system in reducing errors.
  • To enhance patient safety through improved specimen identification and tracking.

Main Methods:

  • A multi-component initiative was implemented, including radiofrequency identification (RFID) technology for specimen bottles, a paperless pathology requisition system, and two-provider confirmation of patient and site accuracy.
  • Specimen labeling error rates were compared before (Q1 2007) and after (Q1 2008) the initiative's implementation using Fischer's exact test.
  • Errors were categorized into Class 1 (typographical), Class 2 (minor), and Class 3 (clinically significant).

Main Results:

  • Overall specimen labeling errors decreased significantly, with Class 1 errors dropping from 7.85% to 0.41% and Class 2 errors from 1.36% to 0.12% (P<0.001).
  • Class 3 errors reduced from 0.09% to 0.02% (P=0.001), with all critical errors identified and corrected before pathology processing in the post-implementation period.
  • The total number of specimens processed increased slightly from 8,231 to 8,539 between the study periods.

Conclusions:

  • The integrated system of RFID technology, paperless requisitions, and dual provider verification substantially decreased specimen labeling errors.
  • This approach is highly effective in high-volume endoscopy centers for improving accuracy and patient safety in surgical pathology.
  • The findings support the widespread adoption of such systems to mitigate risks associated with specimen handling.