Journal:Informatics-driven quality improvement in the modern histology lab

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Full article title Informatics driven quality improvement in the modern histology lab
Journal JAMIA Open
Author(s) Seifert, Robert P.; Casler, Vektra; Al Qaysi, Nada; Gothi, Shaileshbhai R.; Williams, Leah; Christensen, Patricia R.; Flax, Sherri; Chamala, Srikar
Author affiliation(s) University of Florida - Gainesville, UF Health Medical Laboratories
Primary contact schamala at ufl dot edu
Year published 2020
Volume and issue 3
Page(s) 4
DOI 10.1093/jamiaopen/ooaa066
ISSN 2574-2531
Distribution license Creative Commons Attribution 4.0 International
Website https://academic.oup.com/jamiaopen/article/3/4/530/6012900
Download https://academic.oup.com/jamiaopen/article-pdf/3/4/530/36625866/ooaa066.pdf (PDF)

Abstract

Laboratory information systems (LISs) and data visualization techniques have untapped potential in anatomic pathology laboratories. The pre-built functionalities of an LIS do not address all the needs of a modern histology laboratory. For instance, “go live” is not the end of LIS customization, only the beginning. After closely evaluating various histology lab workflows, we implemented several custom data analytics dashboards and additional LIS functionalities to monitor and address weaknesses. Herein, we present our experience with LIS and data-tracking solutions that improved trainee education, slide logistics, staffing and instrumentation lobbying, and task tracking. The latter was addressed through the creation of a novel “status board” akin to those seen in inpatient wards. These use-cases can benefit other histology laboratories.

Lay summary: Histopathology is the branch of medicine that involves the gross and microscopic examination of sampled tissue to help reach a diagnosis. Histology lab workflows incorporate a multitude of automated and manual steps that require close monitoring. Data visualization is a powerful tool that can illustrate workflow trends using a graphic representation of data. This manuscript describes data visualization and data analysis techniques leveraged to address frequent pitfalls in histology laboratory workflows. This led to multiple improvements in patient safety and quality of care. Our use-case solutions, presented here, can be adapted by other histology laboratories to overcome common laboratory challenges.

Keywords: informatics, laboratory information system, quality improvement, pathology, workflow

Introduction

References

Notes

This presentation is faithful to the original, with only a few minor changes to presentation and updates to spelling and grammar. In some cases important information was missing from the references, and that information was added.