[Histonet] Pathology Protocols

[Michael Mihalik]

Karen, it all depends on your LIS's functionality and whether you have a
separate tracking system or not.  I'm an LIS vendor, but I'll describe how a
5 hospital client works:

1.  Electronic and paper orders are accessioned.
2.  All paperwork is barcoded as it is accessioned.
3.  Paperwork is scanned and attached to the case 'automatically'.
4.  At grossing, the barcoded specimen is scanned and barcoded cassettes
print.  Simultaneously, the patient history and requisition appears on the
screen for confirmation.
5.  At transcription, this same history, current case and requisition
appears and the transcriptionist does a double check of information as well
as type.
6.  This client does not use tracking at the processor or embedding by
choice, but they do at  'cutting' so blocks are scanned and the associated
slides are printed.
7.  skipping some steps for brevity.
8.  At pathologist workcenter, the pathologist scans the barcoded slides and
the case with history displays.  Any previous quality alerts are
highlighted.  The pathologist can enter additional alerts, enter their
diagnosis, etc.


So, yes, they are completely 'paperless', use Dragon for dictation of
diagnoses, not gross at the moment, and do this for cytology as well as
surgical cases.


In your situation, you have a middleware tracking system so it brings up
some questions.  Do you want grossing to see the paperwork?  Sometimes there
are diagrams that are relevant.   If you do, then your tracking system is
where you'll want to scan the documents into.  On the other hand if you want
the documents to be available to the transcriptionist or the pathologist,
you may want to scan into your LIS.

It's all about the workflow of your laboratory, right.....

Michael Mihalik
PathView Systems | cell: 214.733.7688 | 800.798.3540 | fax: 952.241.7369


-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Bauer, Karen
L.
Sent: Tuesday, March 11, 2014 8:25 AM
To: 'histonet <@t> lists.utsouthwestern.edu'
Subject: [Histonet] Pathology Protocols
Importance: Low

Hi all,

Are there any AP labs that are totally paper free during slide diagnosis?

We have the Vantage system with Sunquest CoPath.  We still keep the paper
specimen requisition with the specimen container during grossing.  After
digital gross dictation, the req slips are given to the transcriptionists.
Transcriptionists type up the gross, print out patient histories, and place
dictation and histories in a plastic sleeve.  These case protocols are then
brought back to Histology to be matched up with the slides.

Slides are place in cardboard trays and matched up with the protocols.
These are then placed in the pathologist slide area for the docs to pick up.

We would really like to get rid of the paper protocols.  Having Vantage,
docs are able to scan the slides at their desks to bring up the patient
information.  Unfortunately, we are not doing this at this time.

If there are any labs who are doing this, could you please tell me how your
computer systems are set up?  Are the specimen reqs scanned at accessioning?
Do the docs have two monitors at their desks so they can view gross
dictation and patient history at the same time?  What did you do to
essentially get rid of all the paper information?

Any information that anyone can share with me is greatly appreciated.  :)

Thank you,

Karen

Karen Bauer, MHA, HTL/HT (ASCP) | Histology Supervisor | Pathology | MOHS
Lab Supervisor | Dermatology | Phone: 715-838-3205 |
bauer.karen <@t> mayo.edu<mailto:bauer.karen <@t> mayo.edu> | Mayo Clinic Health
System | 1221 Whipple Street | Eau Claire, WI 54702 |
mayoclinichealthsystem.org<http://www.mayoclinichealthsystem.org/>


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