[1358] A Synoptic Reporting System for Peripheral Blood Smear Interpretation

JM Jaso, A Nguyen, ND Nguyen. University of Texas Medical School at Houston, Houston, TX; Baylor University, Waco, TX

Background: Peripheral blood smear examination findings encompass a broad spectrum of complex hematologic changes. This can be challenging for pathology trainees attempting to create a peripheral blood smear report that is both accurate and concise while including all pertinent findings. Synoptic reporting systems are frequently used to generate surgical pathology reports. Such systems improve the quality and uniformity of the report and ensure that all pertinent information is provided to the clinician. There is a need for such a system to assist trainees in rendering optimal peripheral blood smear reports.
Design: We have developed a synoptic reporting system that has a knowledge-base containing 150 peripheral blood smear report templates covering a wide range of findings. The synoptic panel consists of 45 key findings seen in different cell types. Users access the system on the Internet and select relevant attributes from drop-down lists to obtain a short list of report templates of which findings match those of the case under consideration.

These templates are used to create a draft which can then be edited online to create a final report.

This reporting system was put into place and used by senior and junior residents rotating through hematopathology from July 2008 through September 2009. All reports were reviewed by faculty before final verification and evaluated for accuracy and typographical errors.
Results: Evaluation of the program by residents and attending pathologists was overwhelmingly positive and most users report a significant reduction in typographic errors with decreased turn-around-time and improved accuracy.
Conclusions: This synoptic reporting system helps pathology trainees draft a complete and concise report. It has been found to reduce errors and improve turn-around-time and can be easily used by both senior and junior trainees.
Category: Hematopathology

Wednesday, March 24, 2010 1:00 PM

Poster Session VI # 205, Wednesday Afternoon


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