Anatomic pathology quality assurance: Developing an LIS based tracking and documentation module for intradepartmental consultations.

Anatomic pathology Electronic intradepartmental consultation Laboratory information system Surgical pathology

Journal

Journal of pathology informatics
ISSN: 2229-5089
Titre abrégé: J Pathol Inform
Pays: United States
ID NLM: 101528849

Informations de publication

Date de publication:
2022
Historique:
received: 26 02 2022
revised: 27 05 2022
accepted: 31 05 2022
entrez: 21 10 2022
pubmed: 22 10 2022
medline: 22 10 2022
Statut: epublish

Résumé

An electronic intradepartmental consultation system for anatomic pathology (AP) was conceived and developed in the laboratory information system (LIS) in 2019. Previously, all surgical pathology intradepartmental consultative activities were initiated and documented with paper forms which circulated with the pertinent microscopic slides and were eventually filed. In this study, we discuss the implementation and utilization of an electronic intradepartmental AP consultation system. Workflows and procedures were developed to organize intradepartmental surgical pathology consultations from the beginning to the end point of the consultative activities entirely using a paperless system that resided in the LIS. The electronic consult system allowed electronic documentation of all steps of intradepartmental consultative activities. The system provided tracking ability for consulted cases and improved access to consult discussion for all departmental personnel, staff, and trainees. Consultation work queue was created for each pathologist and a summary of individual consultative workload was possible. Documentation of anatomic pathology quality assurance for intradepartmental consultative activity was easily assessed. The electronic intradepartmental consult system has allowed our department to electronically track intradepartmental consult cases, store the consultative opinion text with the case, record the pathologists involved, and document the consultation for internal quality assurance review as well as for accrediting organizations. Summarization of pathologist workload related to consultative activity was quantifiable and optimization of the consultative process was maximized for education in an academic setting.

Sections du résumé

Background UNASSIGNED
An electronic intradepartmental consultation system for anatomic pathology (AP) was conceived and developed in the laboratory information system (LIS) in 2019. Previously, all surgical pathology intradepartmental consultative activities were initiated and documented with paper forms which circulated with the pertinent microscopic slides and were eventually filed. In this study, we discuss the implementation and utilization of an electronic intradepartmental AP consultation system.
Methods UNASSIGNED
Workflows and procedures were developed to organize intradepartmental surgical pathology consultations from the beginning to the end point of the consultative activities entirely using a paperless system that resided in the LIS.
Results UNASSIGNED
The electronic consult system allowed electronic documentation of all steps of intradepartmental consultative activities. The system provided tracking ability for consulted cases and improved access to consult discussion for all departmental personnel, staff, and trainees. Consultation work queue was created for each pathologist and a summary of individual consultative workload was possible. Documentation of anatomic pathology quality assurance for intradepartmental consultative activity was easily assessed.
Conclusions UNASSIGNED
The electronic intradepartmental consult system has allowed our department to electronically track intradepartmental consult cases, store the consultative opinion text with the case, record the pathologists involved, and document the consultation for internal quality assurance review as well as for accrediting organizations. Summarization of pathologist workload related to consultative activity was quantifiable and optimization of the consultative process was maximized for education in an academic setting.

Identifiants

pubmed: 36268096
doi: 10.1016/j.jpi.2022.100109
pii: S2153-3539(22)00703-9
pmc: PMC9577041
doi:

Types de publication

Journal Article

Langues

eng

Pagination

100109

Informations de copyright

© 2022 The Authors.

Déclaration de conflit d'intérêts

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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Auteurs

Bilge Dundar (B)

Department of Pathology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.

Stephanie J Chen (SJ)

Department of Pathology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.

John L Blau (JL)

Department of Pathology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.

K D Anand Rajan (KD)

Department of Pathology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.

Megan I Samuelson (MI)

Department of Pathology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.

Michelle L Greek-Lippe (ML)

Health Care Information Services, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.

Kim S Lake (KS)

Health Care Information Services, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.

Robert A Robinson (RA)

Department of Pathology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.

Classifications MeSH