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Surgical Specimen Handover from Operation Theater to Laboratory: A Survey
Reshma Poothakulath Krishnan1, Pratibha Ramani1, Herald J Sherlin1
1Department of Oral Pathology, Saveetha Dental College and Hospital, SIMATS, Chennai, Tamil Nadu, India.
Introduction:
Essential communication between surgeons and pathologists is required when a specimen is transferred from operation theater to a laboratory. Any errors during transferring of specimen can lead to serious consequences such as wrong diagnosis, inappropriate treatment, reoperations, and physical and emotional disaster.
Aim:
To evaluate the incidence of mishaps and misses during the transfer of specimen from operation theater to pathology department.
Methodology:
This cross-sectional study was conducted among the oral and maxillofacial surgeons and postgraduate students of the Department of Oral and Maxillofacial Surgery. A self-administered questionnaire containing 15 questions pertaining to entry, collection, preservation, and transport of specimens to the laboratory was made. The questionnaire was validated and later distributed to the participants.
Results:
Our study showed that there are misses and mishaps during the entry, collection, preservation, and transport of specimen to the laboratory. 97.1% of participants reported that they require a checklist during the transfer of specimen.
Conclusion:
Use of checklist can reduce mishaps and communication failures which is an initial link for reporting.
Insights
Specimen transfer errors between surgeons and pathology labs are common. A checklist is highly recommended by 97.1% of participants to improve accuracy and prevent misdiagnosis.
Area of Science:
- Medical Diagnostics
- Surgical Pathology
- Healthcare Communication
Background:
- Effective communication between surgeons and pathologists is critical for accurate specimen transfer.
- Errors in specimen handling can lead to severe patient harm, including misdiagnosis, incorrect treatment, and repeat surgeries.
Purpose of the Study:
- To determine the frequency of errors and oversights during specimen transfer from the operating room to the pathology department.
- To identify areas for improvement in the specimen transfer process.
Main Methods:
- A cross-sectional study involving oral and maxillofacial surgeons and postgraduate students.
- A validated, self-administered questionnaire assessed specimen entry, collection, preservation, and transport.
- Data collected from participants on their experiences and perceived needs.
Main Results:
- The study identified significant misses and mishaps in specimen handling processes.
- A vast majority (97.1%) of participants expressed a need for a standardized checklist.
- Current practices indicate a vulnerability in the specimen transfer chain.
Conclusions:
- Implementing a checklist for specimen transfer can significantly mitigate errors and communication failures.
- Checklists serve as a crucial initial step in ensuring accurate diagnostic reporting.
- Standardizing the specimen transfer process is essential for patient safety.
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