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Recommendations for Reporting and Flagging of Reference Limits on Pathology Reports
Authors:Robert Flatman  Michael Legg  Graham RD Jones  Peter Graham  Donna Moore  Jill Tate
Affiliation:1.Sullivan Nicolaides Pathology, Taringa QLD 4068;2.Michael Legg & Associates and UNSW, 12 Dianella Street Caringbah, NSW 2229;3.SydPath, St Vincent’s Hospital, Darlinghurst NSW 2010;4.Australasian Association of Clinical Biochemists, Alexandria NSW 2015;5.PITUS Project, The Royal College of Pathologists of Australasia, Durham Hall, 207 Albion St, Surry Hills NSW 2010;6.Pathology Queensland, Royal Brisbane and Women’s Hospital, Brisbane, Qld 4029, Australia
Abstract:Surveys by the RCPA PITUS Project have shown significant variations in report rendering between Australasian Pathology Providers. The same project collected anecdotal evidence that this variation has led to the misunderstanding and misreading of results - a clinical safety issue. Recommendations are given for the rendering of reference limits on pathology reports, determination and rendering of result flags, and the documentation of sub-population partitions for reference intervals. These recommendations apply equally for paper or electronic reporting, but should not limit the use of novel techniques within electronic reports to convey additional meaning. PITUS Working Group 4 will publish draft recommendations for peer review and comment in relation to the above in the second half of 2014.
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