Close

Presentation

Multi-Site Comparison of Communications During Intraoperative Pathological Assessment of Breast Tissue
DescriptionSurgical Pathology is the gold standard for cancer diagnosis, with results reported to the surgeon and oncology team to guide future treatment. The finalized pathology report can take up to two weeks after the procedure to know definitively whether all cancer was removed, and whether the diagnosis matches what they believed it to be. Uncertainty during this waiting period is difficult for patients and providers, so some institutions perform intraoperative pathologic consultation. This provides surgeons with preliminary diagnostic information to make more informed intraoperative decisions, potentially resecting additional tissue and preventing the need for reoperation. The timeliness and accuracy of these assessments are critical to ensuring safe and high quality care for cancer patients, as errors could lead to missed diagnoses, unnecessary reoperations, etc.
Among institutions with frozen section pathology capabilities, workflows and the proportion of specimens assessed intraoperatively vary. These differences are of interest because they are an opportunity to investigate how different work systems and processes shape the ways in which teams communicate and outcomes resulting from team-based work. Thus, this exploratory multi-site case study aims to compare and contrast communication involved in the intraoperative pathological assessment of breast tissue at two quaternary hospitals with differing practices.