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

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Full article title Anatomic pathology quality assurance: Developing an LIS-based tracking and documentation module for intradepartmental consultations
Journal Journal of Pathology Informatics
Author(s) Dundar, Bilge; Chen, Stephanie J.; Blau, John L.; Anand Rajan, K.D.; Samuelson, Megan I.; Greek-Lippe, Michelle L.; Lake, Kim S.; Robinson, Robert A.
Author affiliation(s) University of Iowa Hospitals and Clinics
Primary contact bilge-dundar at uiowa dot edu
Year published 2022
Volume and issue 13
Article # 100109
DOI 10.1016/j.jpi.2022.100109
ISSN 2153-3539
Distribution license Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
Website https://www.sciencedirect.com/science/article/pii/S2153353922007039
Download https://www.sciencedirect.com/science/article/pii/S2153353922007039/pdfft (PDF)

Abstract

Background: An electronic intradepartmental consultation system for anatomic pathology (AP) was conceived and developed in the laboratory information system (LIS) of University of Iowa Hospitals and Clinics in 2019. Previously, all surgical pathology intradepartmental consultative activities were initiated and documented with paper forms, which were 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: 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: The electronic consult system allowed electronic documentation of all steps of intradepartmental consultative activities. The system provided a tracking ability for consulted cases and improved access to consult discussion for all departmental personnel, staff, and trainees. A consultation work queue was created for each pathologist, and a summary of individual consultative workload was made possible. Documentation of anatomic pathology quality assurance for intradepartmental consultative activity was easily assessed.

Conclusions: 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.

Keywords: electronic intradepartmental consultation, anatomic pathology, surgical pathology, laboratory information system

Introduction

References

Notes

This presentation is faithful to the original, with only a few minor changes to presentation, grammar, and spelling. In some cases important information was missing from the references, and that information was added. No other modifications were made in accordance with the "no derivatives" portion of the distribution license.