Presentation on theme: "NCN Prostate Core Biopsy Reporting Audit Dr Ursula Earl NCN Histopath SSG Audit Lead."— Presentation transcript:
NCN Prostate Core Biopsy Reporting Audit Dr Ursula Earl NCN Histopath SSG Audit Lead
Methodology Lab managers asked to complete a datasheet 4 questions One side of A4
Lab Managers’ Data Sheet Number of cases received between Oct 1 st to Dec 31 st 2013 Histological diagnosis by % type using specific (RCPath) SNOMED code search Turnaround time from date of biopsy taken to date of report authorisation % of cases with immunohistochemistry
Standards – Final diagnosis % of cases in four diagnostic categories (malignant, benign, high grade PIN, suspicious) Re-audit of TRUS prostate biopsy reporting in West Kent comparing data from two trusts with Ontario 2010 data ( Bulletin of RCPath April 2012, 158, 95-100 )
Standards – Turnaround Times RCPath KPI 6.4 – 80% of cases reported within 7 calendar days, 90% of cases reported within 10 calendar days of biopsy/procedure NHS Improvement: Learning how to achieve a seven day turnaround time in histopathology
Number of cases received NCN Trust Range 93-200 Kent – figures supplied for a 10 month period March – Dec 2010 for Trust A, Trust B & Trusts A & B combined) Kent A - 136.5 in 3 month period Kent B - 43.8 in 3 month period Kent A&B - 233 in 3 month period
Summary - TAT All trusts meeting the RCPath KPI 6.4 standard of 80% of cases reported within 7 calendar days 6 of 7 trusts meeting the RCPath KPI 6.4 standard of 90% of cases reported within 10 calendar days No trust met NHS Improvement target of 100%, 7 day turnaround
Questions? Variable use of IHC between trusts Use of suspicious as a diagnostic category Data recording & retrieval on lab computer systems, is Pathosys fullfilling all the audit functions?
Action Plan Present findings at NCN Histopath Audit meeting at Evolve, June 10 th 2014 Send presentation to participating pathologists & lab managers. Individual departments to review their figures & compare with other trusts Root cause analysis if significant discrepancies flagged
Acknowledgements & Thanks Peter Booth, Trudy Johnson, Derek Pace Jacqui Richards, Sharron Williams, IanTaylor,, Phil Gibson, Adrienne Mutton, Paul Barrett, Muhammad Siddiqui, Matthew Theodosiou, Diane Hemming, Bob Stirling, Amira El Sharif, Sri Nagarajan
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