The level of cooperation between Clinicians
and Pathologists as it is expressed in the requesting forms
Kairis M.,1 Kapranou A.2,
Karentzou U.3, Leontara V.4
1"P.&A. Kyriakou" Children’s
Hospital, Pathology Dept. Athens
2Tzanion Gen. Hospital, Pathology
Dept. Piraeus
3"Aghia Sophia" Children’s Hospital,
Pathology Dept. Athens
4“Metaxa“ Cancer Hospital, Pathology
Dept. Piraeus
There is a general impression amongst Pathologists that many
clinicians do not understand the workings of a Pathology Department
and that the provided clinical information, accompanying specimens,
is incomplete.
Aim: To study the practice and attitudes of clinicians,
we have assessed the information written in 500 consecutive
requesting forms for histological examination, in each Pathology
Department of four central Hospitals in the cities of Athens and
Piraeus.
Method: The handfilled information of the requesting
forms was assessed by the assistance of a checking list where
information has been divided in three categories: a) Demographic. b) Name of clinic, requesting clinician with contact tel.
number and date sent. c) Specimen description, anatomic site,
investigation requested, clinical history, probable diagnosis.
Results: 75% of the requesting forms came from surgical
clinics and 25% from clinics of Internal Medicine and subspecialties.
Physicians provide more often adequate information when requesting
an histopathological investigation in comparison with surgeons.
Demographic details were supplied adequately except the patient’s
serial code number which was recorded in only 44% (mean value)
of the requesting forms. The name of the requesting doctor and
contact number was recorded in 56.2% and 0.5% respectively. Information
about clinical history in 40.7%, probable clinical diagnosis in
49.9%, special investigation requested in 35.1% of cases. It is
concluded that Pathologist’s information is far from complete
and in cases ambiguous. As for remedial measures it is suggested:
a) The Pathologist must reform the requesting forms in use so
that to meet his needs. b) Hospital’s administration has to introduce
automated systems (Bar code system or addresograph) for recording
patient’s personal data. c) Continuing Medical education programs
for young clinicians, must include the topic of “how to use Medical
Laboratories”.
Key words: Requesting form, Pathology Department, Quality
control.
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