Departmental audit in surgical anatomical pathology

Internal auditing of performance by pathology providers is a necessary component of total quality management. In this study a peer review of 10% of departmental surgical anatomical pathology accessions received over a seven month period was performed. A number of critical performance parameters were analysed including turn-around times, accuracy of reports and technical proficiency. The results demonstrated an approximate 2% significant error rate in macroscopic and microscopic descriptions, technically good quality sections and stains and generally satisfactory turn-around times. The value and costing of such an audit and changes initiated by the audit are discussed.