Do we need Diagnostic Decision Support For Pathologists in Anatomic Pathology Laboratory Information System (APLIS)?

Abstract

Abstract Introduction/Objective On a typical day, pathologists spend time not just looking at the slides but have various information needs in order to facilitate the sign-out. This study was performed to find out various resources utilized by pathologists to facilitate the sign-out and if having the diagnostic decision support in APLIS will improve the sign-out experience? To answer these questions a survey was created. Methods/Case Report An anonymous Google survey of 10 questions inquiring about practice setting, training level, work experience, various resources utilized to facilitate daily sign-out, time spent to find the information, and ways the sign-out experience can be enhanced was created and distributed among the pathologists via a social media platform. Results (if a Case Study enter NA) 85 pathologists participated in the survey, and the results showed that 66% of respondents worked in an academic setting while 34% worked in a community practice setting. 37% of respondents had work experience >5 years while 23% had work experience < 5 years and the remainder of them were in training. 44% of them had a subspecialty sign-out system. EPICBeaker (27.3%) was the most commonly utilized APLIS system, followed by Cerner (22%) and Copath(16%), and reminder used Novopath, soft path, Med-tech, and Power path. The pathologists use various resources to facilitate daily sign out which include textbooks, ebooks, PubMed, CAP protocols, WHO books, own notes, and internet searches. Reasons to refer to these resources include finding the grossing guidelines, differential diagnosis, special or immunohistochemical stains, practices guidelines, correct tumor stage, and grade or molecular tests. On a typical day, 41% of the respondents spend 1-2 hours/day, and 25% of the respondents spend 2-3hrs/day finding the correct information to sign out their cases. 81% of the pathologists responded that if all the resources are available in APLIS will increase their productivity. Conclusion Having all the resources in one place in APLIS in the form of diagnostic decision support will enhance the sign-out experience for pathologists and will increase productivity.

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