Research Topics
| S S RaabSummaryAffiliation: University of Colorado Health Sciences Center Country: USA Publications
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Detail Information
Publications
Effect of Lean method implementation in the histopathology section of an anatomical pathology laboratoryS S Raab
Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
J Clin Pathol 61:1193-9. 2008..The effectiveness of large-scale quality improvement initiatives has been evaluated rarely...
Measuring quality in anatomic pathologyStephen S Raab
Department of Pathology, University of Colorado Denver, Aurora, CO 80045, USA
Clin Lab Med 28:245-59, vi. 2008....
National practice characteristics and utilization of pathologists' assistantsD M Grzybicki
Department of Pathology and Laboratory Medicine, Allegheny General Hospital, Pittsburgh, PA 15212, USA
Arch Pathol Lab Med 125:905-12. 2001..CONCLUSIONS: To our knowledge, this national survey provides the first description of pathologists' assistants across the United States. These data provide a useful tool for tracking changes in the profession...
Fine-needle aspiration for the diagnosis of primary epithelial tumors of the lacrimal gland and ocular adnexaC D Sturgis
Department of Pathology, Allegheny General Hospital, 320 East North Ave, Pittsburgh, PA 15212 4772, USA
Diagn Cytopathol 24:86-9. 2001..Our experience indicates that FNA is a reliable and effective tool in the diagnosis and management of primary lacrimal and ocular adnexal tumors...
Clinical perception of disease probability associated with Bethesda System diagnosesS S Raab
Department of Pathology and Laboratory Medicine, Allegheny General Hospital, 320 E North Ave, Pittsburgh, PA 15212, USA
Am J Clin Pathol 115:681-8. 2001..OGYNs generally were more accurate in probability estimates than PCPs. Methods to convey more accurately these diagnostic disease probabilities should be examined...
The utility of histological examination of tissue removed during elective joint replacement. A preliminary assessmentS S Raab
Department of Pathology, University of Iowa Hospitals and Clinics, Iowa City 52242 1009, USA
J Bone Joint Surg Am 80:331-5. 1998..24. Although there would be considerable cost-savings on a population basis if histological examination were not performed, this savings must be weighed against the effect of a misdiagnosis on the management of a particular patient...
Pathologists' assistants practice: a measurement of performanceC O Galvis
Department of Pathology and Laboratory Medicine, Allegheny General Hospital, Pittsburgh, PA 15212, USA
Am J Clin Pathol 116:816-22. 2001..These results provide the first information available relating to pathologists' assistants' performance in surgical pathology...
Interobserver and intraobserver variability in the cytologic diagnosis of normal and abnormal metaplastic squamous cells in pap smearsD K Gupta
Department of Pathology, Shadyside Hospital and University of Pittsburgh Medical Center, Pennsylvania 15213, USA
Acta Cytol 45:697-703. 2001..Interobserver variability has not been measured adequately for metaplastic squamous lesions. We analyzed interobserver and intraobserver variability and diagnostic accuracy in the diagnosis of dysplastic metaplastic cells...
Microtubule-associated protein-2: a new sensitive and specific marker for pulmonary carcinoid tumor and small cell carcinomaY Liu
Department of Pathology and Laboratory Medicine, Allegheny General Hospital, Pittsburgh, Pennsylvania 15212, USA
Mod Pathol 14:880-5. 2001..We recommend that MAP-2 be added to immunohistochemical panels to separate non-neuroendocrine from neuroendocrine lung tumors...
Can glandular lesions be diagnosed in pap smear cytology?S S Raab
Department of Pathology, Allegheny General Hospital, Pittsburgh, Pennsylvania, 15212 4772, USA
Diagn Cytopathol 23:127-33. 2000..Other categories of AGUS, such as AGUS favor endometrial origin, are more appropriately named and encompass endometrial lesions which are either neoplastic or non-neoplastic...
Effect of cervical disease history on outcomes of women who have a pap diagnosis of atypical glandular cells of undetermined significanceS S Raab
Department of Pathology and Laboratory Medicine, Division of Clinical Effectiveness and Outcomes Research, Allegheny General Hospital, 320 East North Avenue, Pittsburgh, Pennsylvania 15212, USA
Gynecol Oncol 74:460-4. 1999....
The cost-effectiveness of routine histologic examinationS S Raab
Department of Pathology, University of Iowa Hospitals and Clinics, Iowa City, USA
Am J Clin Pathol 110:391-6. 1998..Before definitive policy conclusions can be made, additional studies are needed to better define the trade-off between cost and the value of information and the incidence of detecting clinically significant disease...
Patient safety in anatomic pathology: measuring discrepancy frequencies and causesStephen S Raab
Department of Pathology, University of Pittsburgh, UPMC Shadyside Hospital, Pittsburgh, PA 15232, USA
Arch Pathol Lab Med 129:459-66. 2005..Anatomic pathology discrepancy frequencies have not been rigorously studied...
Variability of practice in anatomic pathology and its effect on patient outcomesStephen S Raab
Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15232, USA
Semin Diagn Pathol 22:177-85. 2005..quot; Few of those analyses have addressed the impact of diagnostic disagreement on patient care; in addition, proposed and effective methods to reduce interpretative variability have only rarely been included...
Improving patient safety through quality assuranceStephen S Raab
Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
Arch Pathol Lab Med 130:633-7. 2006..Anatomic pathology laboratories use several quality assurance tools to detect errors and to improve patient safety...
Identification errors involving clinical laboratories: a College of American Pathologists Q-Probes study of patient and specimen identification errors at 120 institutionsPaul N Valenstein
Department of Pathology, St Joseph Mercy Hospital, Ann Arbor, Mich 48106 0998, USA
Arch Pathol Lab Med 130:1106-13. 2006..Misidentified laboratory specimens may cause patient injury, but their frequency in general laboratory practice is unknown...
Effectiveness of Toyota process redesign in reducing thyroid gland fine-needle aspiration errorStephen S Raab
Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15232, USA
Am J Clin Pathol 126:585-92. 2006..001). Toyota process change led to significantly fewer diagnostic errors for patients who underwent thyroid fine-needle aspiration...
Use of a new method in reaching consensus on the cause of cytologic-histologic correlation discrepancyStephen S Raab
Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
Am J Clin Pathol 126:836-42. 2006..Most discrepancies resulted from pathologists diagnosing noninterpretable samples. Pathologists who used the No-Blame Box showed significant agreement in the adjudication of discrepancy cause...
Patient identification error among prostate needle core biopsy specimens--are we ready for a DNA time-out?Eric J Suba
Kaiser Permanente Medical Center, South San Francisco, California 94080, USA
J Urol 178:1245-8. 2007..We assessed strategies for decreasing the occurrence of these uncommon and yet potentially catastrophic events...
The effect of continuous monitoring of cytologic-histologic correlation data on cervical cancer screening performanceStephen S Raab
University of Pittsburgh School of Medicine, UPMC Shadyside Hospital, Department of Pathology, 5150 Centre Ave, Pittsburgh, PA 15232, USA
Arch Pathol Lab Med 132:16-22. 2008..The use of Papanicolaou (Pap) test cytologic-histologic correlation in quality improvement activities is not well studied...
Anatomic pathology and patient safety: it's not an error: it's a diagnostic misadventure!Dana Marie Grzybicki
Am J Clin Pathol 129:167-8; author reply 169. 2008
Double slide viewing as a cytology quality improvement initiativeStephen S Raab
Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15232, and Henry Ford Health System, Detroit, MI, USA
Am J Clin Pathol 125:526-33. 2006..We conclude that double viewing detects errors in up to 1 of every 37 cases and that biases in the double-viewing process limit error detection...
Discrepancy analysis, communication, and feedback for cytotechnologist quality improvement of nongynecologic cytopathologyPeggy Whigham
Department of Pathology, University of Pittsburgh Medical Center Presbyterian Shadyside, Pennsylvania 15213, USA
Diagn Cytopathol 34:265-9. 2006..We believe our process is a fundamental step in improving CT performance in Nongynecologic cytopathology and keeps the CT informed of complexities of nongynecologic cytopathology...
Papanicolaou tests diagnosed as atypical by a cytotechnologist and downgraded to benign by a pathologist: a measure of laboratory qualityJennifer L Condel
Department of Pathology and Laboratory Medicine, Allegheny General Hospital, Pittsburgh, PA 15212, USA
Am J Clin Pathol 117:534-40. 2002..9%) was similar to that for a downgraded ASCUS (11.0%) or AGUS (7.3%). The parameters of downgraded ASCU and AGUS Pap test interpretations are good quality indicators of individual performance and overall laboratory quality...
Factors affecting the adoption of new cytology technologiesStephen S Raab
Diagn Cytopathol 30:105-6. 2004
Pathology and patient safety: the critical role of pathology informatics in error reduction and quality initiativesMichael J Becich
Center for Pathology Informatics, Department of Pathology, University of Pittsburgh Medical School, 5150 Centre Avenue, UPMC Cancer Pavilion, 3rd Floor, Pittsburgh, PA 15232, USA
Clin Lab Med 24:913-43, vi. 2004..They aim to highlight the areas where pathology informatics in all of its flavors (production systems provided by vendors as well as research and development efforts) can play a role in promoting patient safety...
Variability in cytologic-histologic correlation practices and implications for patient safetyColleen M Vrbin
Department of Pathology, University of Pittsburgh, Pittsburgh, PA 15232, USA
Arch Pathol Lab Med 129:893-8. 2005..5 and 8.7, respectively. CONCLUSIONS: Laboratories record data from the cytologic-histologic correlation process in a number of ways, indicating the lack of standardization of the data collection process...
Database construction for improving patient safety by examining pathology errorsDana Marie Grzybicki
Department of Pathology, University of Pittsburgh, School of Medicine, Pittsburgh, PA 15232, USA
Am J Clin Pathol 124:500-9. 2005..Development of these electronic data abstraction capabilities is critical for efforts to improve patient safety through the examination of pathology diagnostic errors...
Error detection in anatomic pathologyRichard J Zarbo
Department of Pathology and Laboratory Medicine, Henry Ford Health System, Detroit, MI 48202, USA
Arch Pathol Lab Med 129:1237-45. 2005..In particular, the value of double-reading, case conferences, and consultations (the traditional triad of error control in anatomic pathology) awaits objective assessment...
Clinical impact and frequency of anatomic pathology errors in cancer diagnosesStephen S Raab
Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15232, USA
Cancer 104:2205-13. 2005..To the authors' knowledge, the frequency and clinical impact of errors in the anatomic pathology diagnosis of cancer have been poorly characterized to date...
Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methodsStephen S Raab
Department of Pathology, School of Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA 15232, USA
Am J Obstet Gynecol 194:57-64. 2006..The objective of the study was to determine whether the Toyota production system process improves Papanicolaou test quality and patient safety...
Improving the quality of cytology diagnosis: root cause analysis for errors in bronchial washing and brushing specimensLaurentia Nodit
Department of Pathology, University of Pittsburgh Medical Center, PA 15232, USA
Am J Clin Pathol 124:883-92. 2005..Sampling issues had a major role in the misdiagnosis in 31 cases (97%), and recommendations for error reduction include immediate interpretation and the use of transmucosal fine-needle aspiration...
The value of monitoring frozen section-permanent section correlation data over timeStephen S Raab
Department of Pathology, University of Pittsburgh, Pittsburgh, PA 15232, USA
Arch Pathol Lab Med 130:337-42. 2006..The effectiveness of the long-term monitoring of errors detected by frozen section-permanent section correlation is unknown...
Amended reports: development and validation of a taxonomy of defectsFrederick A Meier
Department of Pathology and Laboratory Medicine, Henry Ford Hospital, Detroit, MI 48202, USA
Am J Clin Pathol 130:238-46. 2008..Conference review revealed 40% to 80% of misinterpretations. This taxonomy produced excellent reproducibility and good agreement across institutions...
