{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T14:30:45Z","timestamp":1787581845644,"version":"build-2736575974"},"reference-count":8,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2021,6,18]],"date-time":"2021-06-18T00:00:00Z","timestamp":1623974400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Cutan Pathol"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Occasionally specimen containers are received in the dermatopathology laboratory without an accompanying specimen. The consequences in this scenario can range from delay in care and inconvenience to patients to increased morbidity and even mortality. Data regarding incidence and associated characteristics of missing specimens are scant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Over a 10\u2010year period (7 January 2010 to 7 January 2020) all cases with a missing specimen in a single academic dermatopathology laboratory and a single dermatopathology practice embedded within a dermatology practice were reviewed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Out of 270,754 specimens received, 83 empty specimen containers were identified for an incidence of 0.031%. There were 14 (0.005%) cases in which patients had a separate procedure and a second container with both specimens in it accompanying the empty container. The most common missing specimen\u2010generating procedures were shave biopsies (51%) with most common clinical diagnosis being unspecified (30%). The most common specimen location from the 97 total specimen bottles containing either zero or two specimens was head\/neck (53%). Although no further procedures were performed after the specimen was lost for 48% of cases, re\u2010biopsy occurred for 28%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Failure to insert specimens into the correct container is rare, but represents a potential significant negative event where vigilance and improvement is required.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cup.14071","type":"journal-article","created":{"date-parts":[[2021,6,2]],"date-time":"2021-06-02T07:45:29Z","timestamp":1622619929000},"page":"1347-1352","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Incidence of missing pathology specimens in dermatology"],"prefix":"10.1111","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0340-0363","authenticated-orcid":false,"given":"Amy G.","family":"Johnson","sequence":"first","affiliation":[{"name":"Department of Dermatology University Hospitals Cleveland  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberley G.","family":"Behrens","sequence":"additional","affiliation":[{"name":"Associated Dermatologists  West Bloomfield Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0804-8864","authenticated-orcid":false,"given":"Sarah J.","family":"Delozier","sequence":"additional","affiliation":[{"name":"Center for Clinical Research University Hospitals Cleveland  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kord S.","family":"Honda","sequence":"additional","affiliation":[{"name":"Department of Dermatology University Hospitals Cleveland  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,6,18]]},"reference":[{"issue":"3","key":"e_1_2_6_2_1","first-page":"98","article-title":"Lost, mislabeled, and unsuitable surgical pathology specimens","volume":"8","author":"Nakhleh RE","year":"2003","journal-title":"Am J Surg Pathol"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2015.06.034"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.5858\/2007-131-615-TMAOEI"},{"key":"e_1_2_6_5_1","unstructured":"Patient Safety Network.Systems Approach 2019.http:\/\/www.psnet.ahrq.gov\/primer\/systems-approach. Accessed January 2021."},{"key":"e_1_2_6_6_1","unstructured":"Institute for Healthcare Improvement.Eliminating Pathology Specimen Handling and Labeling Errors\/Deficiencies 2021.http:\/\/www.ihi.org\/resources\/Pages\/ImprovementStories\/EliminatingPathologySpecimenHandlingandLabelingErrorsDeficiencies.aspx. Accessed January 2021."},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.2010.01587.x"},{"issue":"7","key":"e_1_2_6_8_1","first-page":"356","article-title":"An intervention study to reduce the loss of pathology specimens","volume":"15","author":"Shalom A","year":"2013","journal-title":"Isr Med Assoc J"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/DAD.0000000000000452"}],"container-title":["Journal of Cutaneous Pathology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cup.14071","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/cup.14071","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cup.14071","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T02:35:40Z","timestamp":1693190140000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cup.14071"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,18]]},"references-count":8,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1111\/cup.14071"],"URL":"https:\/\/doi.org\/10.1111\/cup.14071","archive":["Portico"],"relation":{},"ISSN":["0303-6987","1600-0560"],"issn-type":[{"value":"0303-6987","type":"print"},{"value":"1600-0560","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,18]]},"assertion":[{"value":"2021-02-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-30","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-06-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}