Checking the quality of diagnostic tools

On-line consultation about diagnostic issues: critical pointsZrinjka MiakReferral Centre for Paediatric Gastroenteorology and NutritionChildrens Hospital ZagrebZagreb, Croatia

Palermo Meeting 2014Critical pointsIdentifying problems

Diagnostic methods - availabilityQuality of diagnostic tools Case definition

Identifying problemsAvailability of diagnostic tools at each centerserology biopsygenetics

Repeat the audit to see changes / improvementsIdentifying problemsQuality of diagnostic tools

Serology - check validation of the test intra-laboratory controllocal inter-laboratory controlsinter-laboratory control within the network

BiopsySharing the knowledge on how to interpret biopsiesIdentifying problemsDifficult / unclear cases

Discussing diagnostic work-upSharing photos on histology

Defining problemsRegular group online meetings

Reporting problems suggesting solutions

Presenting difficult cases or unclear diagnosis discussing online biopsy slidesconsulting pathologists

Reporting problemsOne sheet forms:Serology YNHLAYNBiopsyYNProblems _______Comments _______Suggestions ________

Difficult cases:Short historyTest results:Dilemmas

Online meetingsOnline discussionsChanging hosts of the online meetingsHost prepares and presents data to the groupData shared within the group some time before the online meetingOnline meetingHostsums up conclusions

Sharing experiencewithin the group

at national levelcreating the national network