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Chapter 17 - Reporting Templates

from Reporting

Published online by Cambridge University Press:  07 August 2021

Mirna Lechpammer
Affiliation:
New York University School of Medicine
Marc Del Bigio
Affiliation:
University of Manitoba, Canada
Rebecca Folkerth
Affiliation:
New York University School of Medicine
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Summary

The conventional fetal and infant autopsy remains the gold standard for determining the cause of death and the final summary of all pathologic findings, even in the era of new emerging technologies. Therefore, timeliness, accuracy, and completeness continue to be key quality parameters in neuropathology, along with clarity in communication and conformance to current standards [1, 2]. To improve the quality and uniformity of autopsy reports, pathology organizations have developed several guidelines defining key parameters for macroscopic and histopathology autopsy reporting. One example is the Autopsy Lexicon, prepared in 2000 by the Autopsy Committee of the College of American Pathologists with the intention to foster more uniform reporting of autopsy information, which may facilitate review of autopsy reports and retrieval of information from electronically stored autopsy reports [3].

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Publisher: Cambridge University Press
Print publication year: 2021

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References

Ernst, LM. A pathologist’s perspective on the perinatal autopsy. Semin Perinatol. 2015;39(1):5563.CrossRefGoogle ScholarPubMed
Ellis, DW, Srigley, J. Does standardized structured reporting contribute to quality in diagnostic pathology? The importance of evidence-based datasets. Virchows Arch. 2016;468(1):51–9.Google Scholar
Hanzlick, RL. The autopsy lexicon: suggested headings for the autopsy report. Arch Pathol Lab Med. 2000;124(4):594603.CrossRefGoogle ScholarPubMed

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