Clinical Audit on the Diagnostic Workup and Histopathological Staging of Bladder Biopsy Specimens at BDF Hospital in Bahrain

Jenna Paulson

Volume : VII, Issue : II, February - 2018

Clinical Audit on the Diagnostic Workup and Histopathological Staging of Bladder Biopsy Specimens at BDF Hospital in Bahrain

Jenna Paulson

Abstract :

In this clinical audit, raw patient data was extracted from the Histopathology Patient Record Books and EMR from September 2014 to January 2017, inclusive, at Bahrain Defense Military Hospital in West Riffa, Kingdom of Bahrain.

A comparative best practice guideline, the NICE Bladder Biopsy Clinical Audit Tool, was adhered to throughout the data collection process. Excerpted items included basic patient features such as Age and Sex, and elaborate, pathology–specific details such as Grade and Stage, plus treatment–specific particularities, such as whether Chemotherapy or Immunotherapy were included in the patient management plan.

This paper has 2 principal aims: (1) to assess local practice guidelines around acquisition of bladder tissue specimens for histopathological workup, and (2) to draw conclusions from the patient demographic undergoing bladder biopsy at BDF Hospital, through use of a best–practice clinical tool. Ultimately, this retrospective clinical audit focusses on aspects of diagnostic workup, referral and initial management pathways.