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Correspondence to Author: Dr. Lekamwasam Hikkaduwa Liyanage Chinthani De Silva, 

Department of Medicine, Faculty of Medicine, University of Peradeniya, Galaha Rd, Peradeniya, 20400, Sri Lanka.

Abstract:

Objective: This audit aimed to evaluate the diagnostic accuracy and completeness of documentation in frozen section reporting of CNS lesions at a tertiary care center. Methods: A retrospective analysis was conducted on 46 frozen section pathology reports from September 2023 to September 2024. Data were collected on the inclusion of critical documentation elements such as imaging findings, specimen receipt time, and informed diagnosis time. Diagnostic concordance between frozen section diagnoses and final histopathological diagnoses was also assessed. Results: All reports included a unique patient identification number, while 38 (82.6%) documented imaging findings. Only 5 reports (10.9%) recorded the specimen receipt time, and 16 reports (34.8%) documented the informed diagnosis time. Diagnostic concordance was achieved in 40 cases (87%). Conclusion: Although diagnostic accuracy was high, significant gaps were identified in documentation, particularly regarding specimen receipt and informed diagnosis times. Recommendations include adopting standardized documentation practices, improving communication with the neurosurgical team, and encouraging frequent use of frozen sections to enhance diagnostic accuracy and exposure for histopathologists.

Citation:

Dr. Lekamwasam Hikkaduwa Liyanage Chinthani De Silva.Audit Report: Evaluation of Diagnostic Accuracy and Completeness of Documentation in Frozen Sections of CNS Lesions: A Tertiary Care Center Audit. World Neurosurgery Research 2024.