Specimen identification errors in breast biopsies: Age matters. Report of two near-miss events and review of the literature Journal Article


Authors: Tozbikian, G.; Gemignani, M. L.; Brogi, E.
Article Title: Specimen identification errors in breast biopsies: Age matters. Report of two near-miss events and review of the literature
Abstract: The consequences of patient identification errors due to specimen mislabeling can be deleterious. We describe two near-miss events involving mislabeled breast specimens from two patients who sought treatment at our institution. In both cases, microscopic review of the slides identified inconsistencies between the histologic findings and patient age, unveiling specimen identification errors. By correlating the clinical information with the microscopic findings, we identified mistakes that had occurred at the time of specimen accessioning at the original laboratories. In both cases, thanks to a timely reassignment of the specimens, the patients suffered no harm. These cases highlight the importance of routine clinical and pathologic correlation as a critical component of quality assurance and patient safety. A review of possible specimen identification errors in the anatomic pathology setting is presented. © 2017 Wiley Periodicals, Inc.
Keywords: breast; biopsy; laboratory error; lactating adenoma; monckeberg medial calcific sclerosis; needle core; specimen misidentification
Journal Title: Breast Journal
Volume: 23
Issue: 5
ISSN: 1075-122X
Publisher: Wiley Blackwell  
Date Published: 2017-09-01
Start Page: 583
End Page: 588
Language: English
DOI: 10.1111/tbj.12797
PROVIDER: scopus
PMCID: PMC5600634
PUBMED: 28299848
DOI/URL:
Notes: Article -- Export Date: 4 October 2017 -- Source: Scopus
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  1. Mary L Gemignani
    218 Gemignani
  2. Edi Brogi
    521 Brogi