Skip to main content

Communicating Certainty in Pathology Reports.

Publication ,  Journal Article
Gibson, BA; McKinnon, E; Bentley, RC; Mohlman, J; Witt, BL; Yang, EJ; Geisler, D; DeFrances, M
Published in: Arch Pathol Lab Med
July 1, 2022

CONTEXT.—: Pathology reports are the main modality in which results are communicated to other physicians. For various reasons, the diagnosis may be qualified on a spectrum of uncertainty. OBJECTIVE.—: To examine how communication of uncertainty is an unexamined source of possible medical error. No study to our knowledge has examined pathology reports across multiple institutions. This study seeks to identify commonly used phrases of diagnostic uncertainty and their interpreted meanings by surgical pathologists and clinicians. DESIGN.—: Anonymous surveys were completed at 3 major US academic institutions by 18 practicing staff pathologists, 12 pathology residents, 53 staff clinicians, and 50 resident/allied health professional clinicians at 5 standard tumor boards. All participants rated percentage certainty associated with 7 diagnostic terms. Pathologists answered 2 questions related to the ability to clarify a diagnosis using a comment and comfort wording pathology reports. Clinicians answered questions on how often they read a pathology report comment, if they found the comment helpful, and how comfortable they were in reading pathology reports. RESULTS.—: A wide range in percentage certainty was found for each of the 7 diagnostic phrases. Both staff and resident clinicians and residents showed wide variability in interpreting the phrases. Twenty-five of 50 staff clinicians (52%) were very comfortable reading a pathology report, whereas only 4 of 53 resident clinicians (8%) were very comfortable reading a pathology report. Twenty-four of 53 staff clinicians (63%) reported always reading the comment, yet only 20 of 53 (27%) always found the comment helpful. The phrases "diagnostic of" and "consistent with" had the strongest agreement in meaning. The weakest agreement was between "suspicious for" and "compatible with." CONCLUSIONS.—: Efforts to standardize diagnostic terms may improve communication.

Duke Scholars

Published In

Arch Pathol Lab Med

DOI

EISSN

1543-2165

Publication Date

July 1, 2022

Volume

146

Issue

7

Start / End Page

886 / 893

Location

United States

Related Subject Headings

  • Uncertainty
  • Surveys and Questionnaires
  • Physicians
  • Pathology
  • Pathologists
  • Humans
  • Communication
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Gibson, B. A., McKinnon, E., Bentley, R. C., Mohlman, J., Witt, B. L., Yang, E. J., … DeFrances, M. (2022). Communicating Certainty in Pathology Reports. Arch Pathol Lab Med, 146(7), 886–893. https://doi.org/10.5858/arpa.2020-0761-OA
Gibson, Blake A., Elizabeth McKinnon, Rex C. Bentley, Jeffrey Mohlman, Benjamin L. Witt, Eric J. Yang, Daniel Geisler, and Marie DeFrances. “Communicating Certainty in Pathology Reports.Arch Pathol Lab Med 146, no. 7 (July 1, 2022): 886–93. https://doi.org/10.5858/arpa.2020-0761-OA.
Gibson BA, McKinnon E, Bentley RC, Mohlman J, Witt BL, Yang EJ, et al. Communicating Certainty in Pathology Reports. Arch Pathol Lab Med. 2022 Jul 1;146(7):886–93.
Gibson, Blake A., et al. “Communicating Certainty in Pathology Reports.Arch Pathol Lab Med, vol. 146, no. 7, July 2022, pp. 886–93. Pubmed, doi:10.5858/arpa.2020-0761-OA.
Gibson BA, McKinnon E, Bentley RC, Mohlman J, Witt BL, Yang EJ, Geisler D, DeFrances M. Communicating Certainty in Pathology Reports. Arch Pathol Lab Med. 2022 Jul 1;146(7):886–893.

Published In

Arch Pathol Lab Med

DOI

EISSN

1543-2165

Publication Date

July 1, 2022

Volume

146

Issue

7

Start / End Page

886 / 893

Location

United States

Related Subject Headings

  • Uncertainty
  • Surveys and Questionnaires
  • Physicians
  • Pathology
  • Pathologists
  • Humans
  • Communication
  • 3202 Clinical sciences
  • 1103 Clinical Sciences