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Join the Zrinjka Mišak Referral Centre for expert advice on identifying, evaluating, and interpreting pediatric diagnostic issues online. Discuss methods, quality, and improvements in diagnostic tools with an international network of professionals. Solve difficult cases and share knowledge in a collaborative environment. Hosted by Children’s Hospital Zagreb, Croatia.
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On-line consultation about diagnostic issues: critical points Zrinjka Mišak Referral Centre for Paediatric Gastroenteorology and Nutrition Children’s Hospital Zagreb Zagreb, Croatia Palermo Meeting 2014
Critical points • Identifying problems • Diagnostic methods - availability • Qualityof diagnostic tools • Casedefinition
Identifying problems • Availability of diagnostic tools at each center • serology • biopsy • genetics • Repeat the audit – to see changes / improvements
Identifying problems • Quality of diagnostic tools • Serology - check • validation of the test • intra-laboratory control • local inter-laboratory controls • inter-laboratory control within the network • Biopsy • Sharing the knowledge on how to interpret biopsies
Identifying problems • Difficult / unclear cases • Discussing diagnostic work-up • Sharing photos on histology
Defining problems • Regular group online meetings • Reporting problems → suggesting solutions • Presenting difficult cases or unclear diagnosis • discussing online • biopsy slides • consulting pathologists
Reporting problems • One sheet forms: • Serology Y N • HLA Y N • Biopsy Y N • Problems _______ • Comments _______ • Suggestions ________ • Difficult cases: • Short history • Test results: • Dilemmas
Online meetings • Online discussions • Changing „hosts” of the online meetings • „Host” prepares and presents data to the group • Data shared within the group some time before the online meeting • Online meeting • „Host”sums up conclusions
Sharing experience • within the group • at national level • creating the national network