Lazenby, Braidyn

Abstract Objectives To perform a systematic review of published academic literature related to lost, mislabeled, and mishandled surgical and clinical pathology specimens during the preanalytical stage. Methods The authors used Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines to search PubMed, MEDLINE, Web of Science, and Scopus for relevant articles published from January 1, 1990, to May 1, 2023. Results The authors screened 1313 articles and identified 44 peer-reviewed, English-language articles published between 1990 and 2021 for inclusion in the final systematic review. Most articles (n = 36) reported results from US-based facilities. Articles primarily focused on general clinical and general surgical pathology. Analysis of the articles revealed that articles reported a range of methodological approaches, including incident reports, implementation analyses, case studies, and commentary recommendations. Most articles focused on mislabeling errors (61.3%) and missing or lost specimens (18.2%), while several articles combined specimen errors (20.5%). Several implementation studies (22.7%) reported using multiple interventions to mitigate errors. Implementation efforts reported between 70% and 100% reduction in pathology errors. Conclusions The review highlights the limited research on the topic, with an average of 2 articles per year discussing lost, mislabeled, or mishandled specimens. Intervention studies addressed The Joint Commission’s patient safety goals for laboratory practice. More research is needed about error incidents and reporting in non-Western countries to gain a more global perspective on the topic.

In 2022, Mariah Bell won the U.S. National Figure Skating Championship in women’s singles. Media coverage of her win and subsequent appointment to the U.S. Olympic figure skating team did not center on her performance; rather journalists primarily focused on the fact that Bell was the oldest woman to win a U.S. national title since 1927 and the oldest woman to compete in figure skating for the U.S. since 1928. The purpose of this paper was to analyze the media framing of Bell’s win connected to her age as well as Bell’s attempts to de-emphasize her age and reposition her win as evidence of her determination and experience. These competing frames serve as a backdrop to larger discussions about age and participation in sport.