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.

Abstract

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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