[Histonet] Pathology amended reports

[histotech at imagesbyhopper.com]

We layer the amended/addended report information at the top of the printed/faxed report. We do not allow for changing the original report, as that is a legal document.  Further, if an amendment or addendum is needed and the report is faxed (with the new information on top), there is no confusion on the part of the receiving personnel.  We do require that these reports explain the reason for the change or addition.  The EMR will show both the original and the amended/addended report contents on a separate tab.

Best,
Michelle

On Nov 15, 2015, at 9:44 PM, ian bernard via Histonet <histonet at lists.utsouthwestern.edu> wrote:

For us an amended report is just that; it is an amended report for a
particular reason, namely for typographical or other minor errors and/or
diagnostic changes and/or disagreements.   Additional and new information
(further testing/consults) is treated with an addendum. Once the error or
information is corrected in the report, we disclaim in the report why the
report was amended and indicate that the provider or clinician was notified
of the amendment on a particular date and time if the amendment was
significant.  

No need to confused the final product report with initial errors.  This can
lead to other errors.

IB 

-----Original Message-----
From: STEVEN PINHEIRO via Histonet
[mailto:histonet at lists.utsouthwestern.edu] 
Sent: Wednesday, October 28, 2015 10:33 AM
To: histonet at lists.utsouthwestern.edu
Subject: [Histonet] Pathology amended reports

I realize this is a broad topic but I am trying to get a flavor for best
practices.
When you issue an amended report, is the original 'removed'? Unlike the
practice on the clinical lab side of leaving the first errant test result in
place and issuing a corrected result, pathology (at least here) has felt
there are more down side issues with leaving the wrong information in the
patient chart.
Your specific thoughts on the actual protocol used for amended reports
issued in your practice is appreciated.
Thanks
Steven Pinheiro, MBA, MLS(ASCP)DLMCM
Manager Anatomic Pathology and Cytology
Loyola University Medical Center
2160 S First Ave, Bldg 110 Rm 2214
Maywood, IL 60153
708-327-2642 (O)
708-327-2620 (F)
spinheiro at lumc.edu<mailto:spinheiro at lumc.edu>

"You must do the thing you think you cannot do"
  E. Roosevelt


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