Combined Pathology-Driven Algorithmic Testing and Integrated Reporting for Bone Marrow Examination.
Context.--The College of American Pathologists published guideline recommending bone marrow synoptic reporting for hematologic neoplasms. Objective.--To evaluate the impact of pathology-driven algorithmic testing (PDAT) with integrated reporting for bone marrow examination on test utilization, abili...
| Published in: | Archives of Pathology & Laboratory Medicine Vol. 143; no. 6; pp. 732 - 738 |
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| Main Authors: | , , , , , |
| Format: | forms protocol research tables/charts Journal Article |
| Published: |
College of American Pathologists
Jun2019
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=136682436&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 136682436 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00039985 1FS jtl: Archives of Pathology & Laboratory Medicine issn: 00039985 maglogo: N pubinfo: dt: Jun2019 vid: 143 iid: 6 pid: 2550 pub: College of American Pathologists place: Northfield, Illinois artinfo: ui: 136682436 136682436 136682436 10.5858/arpa.2018-0161-OA 136682436 ppf: 732 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Combined Pathology-Driven Algorithmic Testing and Integrated Reporting for Bone Marrow Examination. aug: au: Pearson, Lauren N. Miller, Jill M. Lunde, John H. Bryant, Ronald J. Lewis, Michael R. Tang, Mary E. affil: Department of Pathology and ARUP Laboratories, University of Utah, Salt Lake City sug: subj: Bone Marrow Examination Utilization Algorithms Pathology, Clinical Hematologic Neoplasms Diagnosis Hematologic Neoplasms Pathology World Health Organization Pathologists Psychosocial Factors Job Satisfaction Human Record Review Surveys Treatment Errors Hematologic Neoplasms Prognosis ab: Context.--The College of American Pathologists published guideline recommending bone marrow synoptic reporting for hematologic neoplasms. Objective.--To evaluate the impact of pathology-driven algorithmic testing (PDAT) with integrated reporting for bone marrow examination on test utilization, ability to render a specific World Health Organization diagnosis, and clinician satisfaction 1 year after implementation. Design.--We reviewed the hematopathology reports, integrated synoptic reports, and ancillary test results generated during a 12-month period. The initial diagnosis from the hematopathology report was compared with the final diagnosis on the integrated synoptic reports. Test utilization data were compared with a previous year in which ancillary testing was ordered at clinician discretion. Clinicians were anonymously surveyed to assess their satisfaction with PDAT and integrated reporting. Results.--Integrated reporting resulted in a World Health Organization diagnosis for 80 of 85 cases (94%) compared with 54 (64%) for the hematopathology report alone. Unnecessary testing decreased from 45% pre-PDAT (124 of 274 cases) to 0.7% PDAT (2 of 268 cases), and PDAT resulted in fewer omissions of necessary tests. Clinicians preferred PDAT and valued integrated reporting for a variety of reasons, including the ease of finding relevant prognostic information. Conclusions.--Pathology-driven algorithmic testing with integrated reporting improves the pathologist's ability to render a specific World Health Organization diagnosis and improves test utilization. Clinicians prefer PDAT to clinician-ordered testing. This is the first study to examine how synoptic reporting can modify hematologic diagnoses. pubtype: Academic Journal doctype: forms protocol research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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