Introducing a Software-Based Template for Standardized Structured Reports of Urinary Cytology and Its Impact on Turnaround Time in a Tertiary Center.

IF 1 4区医学 Q4 MEDICAL LABORATORY TECHNOLOGY Diagnostic Cytopathology Pub Date : 2024-12-27 DOI:10.1002/dc.25434

Maja Kebe Radulović, Damjana Cimerman, Margareta Strojan Fležar

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Abstract

Introduction: Standardized pathology reports enhance completeness and readability, contributing to the overall improvement in the management of patients. The standardization of urine cytology reporting has gained widespread acceptance with the use of the Paris system (TPS) for reporting urinary cytology, primarily focused on detecting high-grade urothelial carcinoma (HGUC). The next phase at the Institute of Pathology, Medical Faculty, University of Ljubljana, was the implementation of TPS, including standardized additional findings on non-neoplastic changes, into a software-based standardized structured reporting (SBSSR) system.

Methods: The implementation of SBSSR for urinary cytology at the Institute of Pathology, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia, began in March 2023. Before daily usage, the SBSSR template was tested and approved by all cytopathology team members. An informative briefing for clinicians was organized to facilitate inter-specialty communication. To assess the impact of the SBSSR system on reporting efficiency, the turnaround time was tracked from the receipt of the cytology sample in the lab to the time of digital signature on its diagnostic report during two consecutive 11-month periods (04/01/2022-03/01/2023 and 04/01/2023-03/01/2024).

Results: All team members easily adopted the new SBSSR for urinary cytology. Reports are generated, costs are calculated, and they are digitally signed in a single step. The adoption of SBSSR for urinary cytology led to the replacement of dictation and administrative tasks. The average turnaround time for urine cytology has been reduced from 1,8 days (based on 2843 samples) to 1,5 days (based on 3438 samples).

Conclusions: The introduction of SBSSR for urinary cytology increased the quality of patient care with a shorter time to diagnosis and a higher level of report clarity.

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介绍一种基于软件的标准化结构化尿细胞学报告模板及其对三级中心周转时间的影响。

导读：标准化的病理报告提高了完整性和可读性，有助于患者管理的整体改善。随着Paris系统（TPS）报告尿细胞学的使用，尿细胞学报告的标准化已得到广泛接受，主要集中在检测高级别尿路上皮癌（HGUC）。卢布尔雅那大学医学院病理研究所的下一阶段是实施TPS，包括将非肿瘤性变化的标准化附加发现纳入基于软件的标准化结构化报告（SBSSR）系统。方法：于2023年3月在斯洛文尼亚卢布尔雅那卢布尔雅那大学医学院病理研究所实施SBSSR尿液细胞学检测。在日常使用前，SBSSR模板由所有细胞病理学团队成员检测并批准。为临床医生组织了一次信息丰富的简报，以促进跨专业交流。为了评估SBSSR系统对报告效率的影响，在连续两个11个月的时间内（2022年1月4日至2023年3月1日和2023年4月1日至2024年3月1日），跟踪从实验室收到细胞学样本到诊断报告数字签名的周转时间。结果：所有组员均能轻松采用新版SBSSR进行泌尿细胞学检查。生成报告，计算成本，并在一个步骤中对其进行数字签名。在泌尿细胞学中采用SBSSR导致了口授和管理任务的替代。尿液细胞学的平均周转时间从1.8天（基于2843个样本）减少到1.5天（基于3438个样本）。结论：引入SBSSR用于泌尿细胞学检查，提高了患者的护理质量，缩短了诊断时间，提高了报告的清晰度。

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来源期刊

Diagnostic Cytopathology 医学-病理学

CiteScore

2.60

自引率

7.70%

发文量

163

审稿时长

3-6 weeks

期刊介绍： Diagnostic Cytopathology is intended to provide a forum for the exchange of information in the field of cytopathology, with special emphasis on the practical, clinical aspects of the discipline. The editors invite original scientific articles, as well as special review articles, feature articles, and letters to the editor, from laboratory professionals engaged in the practice of cytopathology. Manuscripts are accepted for publication on the basis of scientific merit, practical significance, and suitability for publication in a journal dedicated to this discipline. Original articles can be considered only with the understanding that they have never been published before and that they have not been submitted for simultaneous review to another publication.