Molly K Walsh

Learn More
CONTEXT Misidentified laboratory specimens may cause patient injury, but their frequency in general laboratory practice is unknown. OBJECTIVES To determine (1) the frequency of identification errors detected before and after result verification, (2) the frequency of adverse patient events due to specimen misidentification, and (3) factors associated with(More)
CONTEXT Automated laboratory hematology analyzers are capable of performing differential counts on peripheral blood smears with greater precision and more accurate detection of distributional and morphologic abnormalities than those performed by manual examinations of blood smears. Manual determinations of blood morphology and leukocyte differential counts(More)
CONTEXT Hospital accreditors are placing increased emphasis on the timeliness with which critical laboratory results are reported to caregivers. OBJECTIVE To measure the speed of critical result notification at a group of laboratories, identify factors associated with faster reporting, and place findings in the context of the time required to transport(More)
CONTEXT Continuous monitoring of key laboratory indicators of quality by hundreds of laboratories in a standardized measurement program affords an opportunity to document the influence of longitudinal tracking on performance improvement by participants focused on that outcome. OBJECTIVE To describe the results of the first 2 years of participation in a(More)
CONTEXT The manual microscopic examination (MME) of the urine sediment is an imprecise and labor-intensive procedure. Many laboratories have developed rules from clinical parameters or urinalysis results to limit the number of these examinations. OBJECTIVE To determine the rate of urinalysis specimens on which an MME of the urine sediment was performed,(More)
CONTEXT Monitoring customer satisfaction is a valuable component of a laboratory quality improvement program. OBJECTIVE To survey the level of physician satisfaction with hospital clinical laboratory services. DESIGN Participating institutions provided demographic and practice information and survey results of physician satisfaction with defined aspects(More)
CONTEXT Measurement of physicians' and patients' satisfaction with laboratory services has recently become a requirement of health care accreditation agencies in the United States. To our knowledge, this is the first customer satisfaction survey of anatomic pathology services to provide a standardized tool and benchmarks for subsequent measures of(More)
CONTEXT Accurate specimen identification is critical for quality patient care. Improperly identified specimens can result in delayed diagnosis, additional laboratory testing, treatment of the wrong patient for the wrong disease, and severe transfusion reactions. Specimen identification errors have been reported to occur at rates of 0.1% to 5%. OBJECTIVE(More)
CONTEXT Adenocarcinoma in situ of the cervix is a recently recognized interpretation in the Bethesda 2001 system. Although specific morphologic criteria have been published, recognizing this entity is still difficult. OBJECTIVE To compare pathologists' ability to correctly identify and categorize adenocarcinoma in situ with their ability to identify and(More)
CONTEXT While urine culture contamination may not be completely avoidable, some laboratories have lower contamination rates than others. A College of American Pathologists (CAP) 1998 Q-Probes study showed that many interventions commonly assumed to reduce contamination were not demonstrably effective. This article revisits the issue. OBJECTIVE To examine(More)