[2020] Impact of Integrated Speech Recognition and Digital Dictation Software on Turnaround Times for Surgical Pathology Specimens

Vivian S Snyder, Christopher L Kinonen, Charnell EJ Johnson, Briana C Gleason, Antoinette B Thomas, Thomas L Cibull. NorthShore University HealthSystem, Evanston, IL; Diagnostic Pathology Medical Group, Sacramento, CA

Background: Integrated speech recognition and digital dictation software (ISRDDS) has been used for medical transcription in various medical fields for many years. Recently, pathology and laboratory medicine professionals have implemented this technology, but there is little literature on how it impacts pathology practices. The goal of this study is to evaluate how ISRDDS has affected turnaround times (TATs) for surgical biopsy specimens.
Design: We evaluated TATs (number of hours from accession to sign out) pre-ISRDDS (6/1/2011-8/31/2011) and post-ISRDDS (6/1/2012-8/31/2012) implementation. Specimens included in the study were all biopsies: skin, prostate cores, endometrium (L = Lab services, H = Hospital), breast cores, and GI biopsies.
Results: The percentage of cases signed out at a given number of hours, pre- and post-ISRDDS implementation is summarized in Tables 1 and 2, and illustrated graphically in Figure 1. For each specimen type, TATs were faster post-ISRDDS implementation.

Table 1: Pre-ISRDDS. % cases signed out at given number of hours after accessioning.
 Hours post accessioning
Specimen type12161820222628
Skin0.525507994100100
Prostate018436374100100
Endometrium (L)08.5275172100100
Endometrium (H)000076888
Breast0006155882
GI0019246891
L = Lab services; H = Hospital



Table 2: Post-ISRDDS. % cases signed out at given number of hours after accessioning.
 Hours post accessioning
Specimen type12161820222628
Skin5.941668797100100
Prostate5.434607383100100
Endometrium (L)040658394100100
Endometrium (H)003.216358694
Breast00514348194
GI00210298092
L = Lab services; H = Hospital




Conclusions: TATs improved after implementation of ISRDDS, most notably among breast and endometrial biopsies. The decrease in TAT was less dramatic for skin and prostate biopsies, in which TAT was already excellent, with >80% of cases signed out in 22 hours pre-ISRDDS. However, the introduction of ISRDDS improved TATs for skin and prostate biopsies such that post ISRDDS >50% of cases were signed out by 18 hours, which impacts patient care by allowing clinicians to provide their patients results the day after the biopsy was performed.
Category: Quality Assurance

Tuesday, March 5, 2013 9:30 AM

Poster Session III # 252, Tuesday Morning

 

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