Clinical pathology


The pathologies receive their orders directly from the clinicians in the hospital or also from general practitioners (but this applies rather rarely). Thus, our clients are primarily internal departments, external hospitals/rehabilitation clinics/ old people's and nursing homes/ psychiatrists (either the order must be fulfilled on site, or the deceased are brought to us). In order for an autopsy to be performed in the first place, the consent of the relatives must be obtained (the
necessity of consent is regulated by the cantonal health law).

The Institute of Clinical Pathology of the University of Zurich, to give an example, is responsible for the entire range of morphological diagnostics, as well as for education, training and continuing education in the field of pathology. (A hospital therefore also sees itself as a teaching institution, since it is responsible for
Therefore, there are also various student courses. A main focus of the institute is clinically oriented research using molecular methods. The Institute of Clinical Pathology consists of the departments of Biopsy/Autopsy, Cytology, Pedopathology, Neuropathology and Molecular Pathology (Diagnostics/Research). The Cancer Registry of the Cantons of Zurich and Zug, which is run jointly with the Institute for Social and Preventive Medicine
and Zug has an important function in the documentation of tumors and incidence of cancer.
cancer diseases.

The aim of the Institute is to provide highly specialized diagnostics at university level. For this purpose, the Institute can be accredited according to the standards ISO 15189 and ISO/IEC 17025 as well as ISO/IEC 17020. The Institute of Clinical Pathology thus exercises a center function for pathology. At the same time, the institute strives for high performance in clinical (patient-oriented) research and teaching.

The autopsy is performed in a small team (a human preparator and a resident accompanied by a senior physician).
Subsequently, the diagnosis is discussed with the senior physician (only the macroscopic findings/ findings visible to the naked eye). The final diagnosis, which includes the histology (microscopic findings), is then sent to the client in a report. Internally, the macroscopic findings are shown directly to the clinicians. This is important for quality assurance, i.e., if, for example, there is a new surgical technique or also new
If, for example, there is a new surgical technique or new surgical material, attention must of course be paid to whether the wound has healed well or whether other complications have occurred. This can also be monitored in the case of novel therapies. However, quality assurance is also used for diagnoses that have already been made. Today, the profession of a human specimen preparator includes many additional activities, which vary depending on the institute, for example, assistance in the laboratories, management of the specimens, supervision of ordering
the order system, the keeping of statistics, contacts with authorities, morticians and relatives, and much more.

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