Diagnostics | Free Full-Text | Best Practice Recommendations for the Implementation of a Digital Pathology Workflow in the Anatomic Pathology Laboratory by the European Society of Digital and Integrative Pathology (ESDIP)

The interest in implementing digital pathology (DP) workflows to obtain whole slide image (WSI) files for diagnostic purposes has increased in the last few years. The increasing performance of technical components and the Food and Drug Administration (FDA) approval of systems for primary diagnosis led to increased interest in applying DP workflows. However, despite this revolutionary transition, real world data suggest that a fully digital approach to the histological workflow has been implemented in only a minority of pathology laboratories. The objective of this study is to facilitate the implementation of DP workflows in pathology laboratories, helping those involved in this process of transformation to identify: a) the scope and the boundaries of the DP transformation; b) how to introduce automation to reduce errors; c) how to introduce appropriate quality control to guarantee the safety of the process and d) the hardware and software needed to implement DP systems inside the pathology laboratory. The European Society of Digital and Integrative Pathology (ESDIP) provided consensus-based recommendations developed through discussion among members of the Scientific Committee. The recommendations are thus based on the expertise of the panel members and on the agreement obtained after virtual meetings. Prior to publication, the recommendations were reviewed by members of the ESDIP Board. The recommendations comprehensively cover every step of the implementation of the digital workflow in the anatomic pathology department, emphasizing the importance of interoperability, automation and tracking of the entire process before the introduction of a scanning facility. Compared to the available national and international guidelines, the present document represents a practical, handy reference for the correct implementation of the digital workflow in Europe.

Source: Diagnostics | Free Full-Text | Best Practice Recommendations for the Implementation of a Digital Pathology Workflow in the Anatomic Pathology Laboratory by the European Society of Digital and Integrative Pathology (ESDIP)

Hastaların patoloji raporlarını okuyup detaylarda kaybolduklarını ve gereksiz endişelere kapıldıklarını biliyorum. Bazı vakalarda diğer hekimlerle de anlaşmak zor oluyor. Özellikle onkoloji konseyleri bunun için var. Hastalara yönelik bilgilendirmenin açık, anlaşılır ve düzgün yapılmasının gerektiği bir dönemi yaşıyoruz. What to Consider When Reading Your Medical Notes | Electronic Health Records | JAMA | JAMA Network

Hastaların patoloji raporlarını okuyup detaylarda kaybolduklarını ve gereksiz endişelere kapıldıklarını biliyorum. Bazı vakalarda diğer hekimlerle de anlaşmak zor oluyor. Özellikle onkoloji konseyleri bunun için var. Hastalara yönelik bilgilendirmenin açık, anlaşılır ve düzgün yapılmasının gerektiği bir dönemi yaşıyoruz.

Source: What to Consider When Reading Your Medical Notes | Electronic Health Records | JAMA | JAMA Network

Klinisyenleri rapor konusunda memnun ettikten sonra sırada hastaların anlayacağı raporlar var. Improving the impact of clinical documentation through patient-driven co-design: experiences with cancer pathology reports http://dx.doi.org/10.1136/bmjhci-2020-100197 Unutmadan; Zarfa değil mazrufa bakın diyen canlar, sizlere aşk olsun.

Klinisyenleri rapor konusunda memnun ettikten sonra sırada hastaların anlayacağı raporlar var.

Improving the impact of clinical documentation through patient-driven co-design: experiences with cancer pathology reports

http://dx.doi.org/10.1136/bmjhci-2020-100197

Unutmadan;
Zarfa değil mazrufa bakın diyen canlar, sizlere aşk olsun.

 

 

Objective With the unprecedented rise of patient access to clinical documentation through electronic health records, there is a need for health systems to understand best practices for redesigning clinical documentation to support patient needs. This study used an experience-based co-design approach to inform the redesign of cancer pathology reports to improve their patient-centeredness and impact on patient engagement.Materials and methods Multiple methods for data collection and stakeholder engagement were used, including Delphi prioritisation with breast and colorectal cancer experts (n=78) and focus groups with patients with cancer (n=23) in the Seattle area. Iterative rounds of consensus generation and reflection were used to elicit themes and design recommendations for the development of patient-centred pathology reports on cancer care.Results Although each cancer type had nuanced elements to consider, common design requirements emerged around two key themes: (1) clinical documentation language should be framed in a way that informs and engages patients, and (2) clinical documentation format should be leveraged to enhance readability and information flow. Study activities illuminated detailed recommendations to improve the patient-centeredness of pathology reports based on patients’ and clinicians’ lived experience.Discussion The design requirements that emerged from this study provide a framework that can guide the rapid development of patient-centred pathology reports for all cancer types. Even further, health systems can replicate these methods to guide experience-based co-design of clinical documentation for contexts beyond cancer care.Conclusion This work offers practice-based learnings that can more effectively guide health systems in their clinical documentation redesign efforts.

Source: Improving the impact of clinical documentation through patient-driven co-design: experiences with cancer pathology reports | BMJ Health & Care Informatics

Improving the impact of clinical documentation through patient-driven co-design: experiences with cancer pathology reports | BMJ Health & Care Informatics

Objective With the unprecedented rise of patient access to clinical documentation through electronic health records, there is a need for health systems to understand best practices for redesigning clinical documentation to support patient needs. This study used an experience-based co-design approach to inform the redesign of cancer pathology reports to improve their patient-centeredness and impact on patient engagement.Materials and methods Multiple methods for data collection and stakeholder engagement were used, including Delphi prioritisation with breast and colorectal cancer experts (n=78) and focus groups with patients with cancer (n=23) in the Seattle area. Iterative rounds of consensus generation and reflection were used to elicit themes and design recommendations for the development of patient-centred pathology reports on cancer care.Results Although each cancer type had nuanced elements to consider, common design requirements emerged around two key themes: (1) clinical documentation language should be framed in a way that informs and engages patients, and (2) clinical documentation format should be leveraged to enhance readability and information flow. Study activities illuminated detailed recommendations to improve the patient-centeredness of pathology reports based on patients’ and clinicians’ lived experience.Discussion The design requirements that emerged from this study provide a framework that can guide the rapid development of patient-centred pathology reports for all cancer types. Even further, health systems can replicate these methods to guide experience-based co-design of clinical documentation for contexts beyond cancer care.Conclusion This work offers practice-based learnings that can more effectively guide health systems in their clinical documentation redesign efforts.

Source: Improving the impact of clinical documentation through patient-driven co-design: experiences with cancer pathology reports | BMJ Health & Care Informatics