[1439] Synoptic Reporting for Hematopathology

Christine E Jabcuga, Andy Nguyen. The University of Texas Medical School-Houston, Houston, TX

Background: Synoptic reporting has been implemented in multiple pathology subspecialties to improve efficiency, accuracy, and provide an adjunct learning tool for trainees in academic institutions. The College of American Pathologists synoptic reports provide easily accessible, practical cancer checklists to standardize surgical pathology reports. We have recently completed the implementation of a synoptic reporting system for all sections of hematopathology including: bone marrow aspirate and biopsy, flow cytometry, coagulation, lymph node pathology, and peripheral blood smear.
Design: This web-based synoptic reporting system is implemented in Hypertext Markup Language (HTML), and JavaScript, which allows users to interact with graphic interface components through buttons, lists, and text boxes to enter or retrieve the desired information. Templates covering a wide clinical spectrum for all sections of hematopathology were compiled from hundreds of selected reports previously issued for patient care in our institution. Users access the system via the internet (www.hemepathreview.com), select the appropriate section, and enter relevant findings for the case of interest. After the criteria are applied, multiple drafts are displayed for selection and subsequent modification. The final report is then copied to the laboratory information system. Residents, fellows, and attendings were instructed to use the templates and provide feedback on the impact of this synoptic reporting system on various facets: efficiency, time to generate reports, accuracy, and typographical errors.
Results: The synoptic reporting system was first introduced in July 2008 and was expanded through its completion in June 2011. The residents and fellows used the system since its origination to generate reports which were then reviewed by faculty before final verification. Evaluation of the synoptic reporting system in the early phase of this project by users has been overwhelmingly positive with all users (20 out of 20) reporting a marked improvement in completeness of the reports, a significant reduction in typographic errors and turn-around-time (40%), greater accuracy, and favorable reviews regarding the effectiveness of the system. Our evaluation of the synoptic reporting system is still ongoing to cover different panels in all sections.
Conclusions: We have demonstrated that a synoptic reporting system for hematopathology is practical, efficient, and effective at all training levels in our academic institution. It is our intention that this reporting system can be applied to multiple sections of hematopathology and help to standardize reporting in this field.
Category: Hematopathology

Monday, March 19, 2012 1:00 PM

Poster Session II # 233, Monday Afternoon

 

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