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On-line consultation about diagnostic issues: critical points

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

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On-line consultation about diagnostic issues: critical points

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  1. 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

  2. Critical points • Identifying problems • Diagnostic methods - availability • Qualityof diagnostic tools • Casedefinition

  3. Identifying problems • Availability of diagnostic tools at each center • serology • biopsy • genetics • Repeat the audit – to see changes / improvements

  4. 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

  5. Identifying problems • Difficult / unclear cases • Discussing diagnostic work-up • Sharing photos on histology

  6. Defining problems • Regular group online meetings • Reporting problems → suggesting solutions • Presenting difficult cases or unclear diagnosis • discussing online • biopsy slides • consulting pathologists

  7. Reporting problems • One sheet forms: • Serology Y N • HLA Y N • Biopsy Y N • Problems _______ • Comments _______ • Suggestions ________ • Difficult cases: • Short history • Test results: • Dilemmas

  8. 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

  9. Sharing experience • within the group • at national level • creating the national network

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