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TAT FOR IMAGE-GUIDED BRST NDLE BX SPECS - QP204
QP204
Needle biopsies are performed increasingly for the primary diagnosis of breast disease, particularly in patients with
mammographic or ultrasound abnormalities suspicious for malignancy. In a typical workflow the radiologist incorporates
the pathologic findings into the radiology report with correlation, requiring a rapid turnaround time for the pathology
report in order to expedite patient care. As the goal of these procedures is to expedite surgical intervention in those
patients requiring it, often with the assistance of a nurse navigator, many institutions track the turnaround times for biopsy
submission, pathologist and radiologist verification of their respective reports, and time to surgery. Notably, there are no
established pathology benchmarks for breast needle biopsy turnaround time.
Objectives
The aims of this study are to:
Determine the average turnaround time for image-guided breast needle biopsy specimens, defined as the time from
specimen accessioning in the laboratory to verification and release of the final report by the pathologist
Identify key elements of processing and reporting that influence the turnaround time, including the American Society
of Clinical Oncology/College of American Pathologists guideline for at least six hours of formalin fixation, the relative
complexity of establishing benign, atypical/borderline, and malignant diagnoses, and the frequent need for additional
studies, including additional deeper sections, immunohistochemistry, and intradepartmental consultation
Data Collection
Participants will submit data from up to 50 image-guided breast needle biopsy specimens received during the study period,
including the time of biopsy (when available), the time the specimen was accessioned in the laboratory, the duration of
formalin fixation, and all non-routine studies obtained on the case, as outlined in the objectives above. The final pathologic
diagnosis will also be recorded in order to stratify turnaround times with regard to benign, atypical/borderline, and
malignant diagnoses, if sufficient data is provided.
Performance Indicators
Time from specimen accessioning in the laboratory to final pathologist report
Shipping Schedule
D Mailing: August 31, 2020
Additional Information
This is a one-time study conducted in the fourth quarter.
Q-PROBES qualify for Self-Reported Training Opportunities to be used for fulfilling requirements for certification maintenance by agencies such as the American Society for Clinical Pathology (ASCP). Please verify with your certifying agency to determine your education requirements.
Satisfaction with Outpatient Specimen Collection (QT7)
✓
✓
✓
✓
Stat Test Turnaround Time Outliers (QT8)
✓
✓
✓
✓
✓
✓
Critical Values Reporting (QT10)
✓
✓
✓
✓
Troponin Turnaround Times (QT15)
✓
✓
✓
✓
✓
✓
✓
✓
Corrected Results (QT16)
✓
✓
✓
✓
✓
✓
✓
Outpatient Order Entry Errors (QT17)
✓
✓
✓
✓
*The CAP requires accredited laboratories to have a quality management plan that covers all areas of the laboratory and includes benchmarking key measures of laboratory performance (GEN.13806, GEN.20316, COM.04000). The Joint Commission requires accredited hospitals to regularly collect and analyze performance data (PI.01.01.01, PI.02.01.01). CLIA requires laboratories to monitor, assess, and correct problems identified in preanalytic, analytic, and postanalytic systems (§493.1249, §493.1289, §493.1299).