The Health Insurance Portability and Accountability Act (HIPAA) has many physicians nervous about their responsibilities in protecting patient information. Respecting patient privacy has always been both a moral…
Synoptic reporting offers benefits that reach beyond simple accuracy and compliance with the College of American Pathologists (CAP) checklist. Synoptic reporting offers benefits that reach beyond simple…
One of the biggest benefits of moving from narrative (text) pathology reporting formats to synoptic (coded values) is enhanced research capabilities. When your data is trapped in…
When someone dies of a treatable illness, fingers start pointing. When someone dies of a treatable illness, fingers start pointing. In the October 13, 2014 New York Times article,…
How do you determine if a procedure was successful? Patient-reported outcomes (PRO’s) are increasingly important in evaluating results of treatment. How do you determine if a procedure…
Accuracy in pathology reporting and interpretation is vital to patient care, risk management and physician compliance. Clinical skill, no matter how insightful, is diminished by weak reporting…
Synoptic reports provide a more complete view of a patient’s condition than is generally achieved with longer narrative formats. Synoptic reports provide a more complete view of…
Synoptic reporting is a clinical documentation method that’s popular among pathologists because of its ease of use and ability to increase efficiency [1]. Synoptic reporting is a…
Although updated CAP templates are an excellent and necessary foundation to synoptic pathology reporting, it is important to remember that the information that is provided with a…
When using any type of clinical documentation method, there is always a concern about errors within patient reports. When using any type of clinical documentation method, there…
