Documentation of Intraoperative Pathology Specimens

Published: 10/11/2021

  • The Joint Commission
Relevant To:
  • Ambulatory Surgical Centers,
  • Critical Access Hospitals,
  • Hospitals,
  • Clinical Lab

Intraoperative pathology reports can be vital tools for decision making during surgical procedures. According to a new Frequently Asked Question posted by The Joint Commission, results of intraoperative pathology specimens may be communicated to surgeons verbally, but it is also preferable for a copy of the frozen specimen report to be included in the clinical record. The placement in the clinical record should be done in a time frame concurrent with application of the information in patient car

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