Sydney L. Proffer MD, MS, Jacob Reinhart MD, Jennifer L. Ridgeway PhD, Barbara Barry PhD, Celia Kamath PhD, Erin Wissler Gerdes MA, Austin Todd MS, Derek J. Cervenka MS, David J. DiCaudo MD, Olayemi Sokumbi MD, Emma F. Johnson MD, Margot S. Peters MD, Carilyn N. Wieland MD, Nneka I. Comfere MD
{"title":"数字化皮肤病理学的实施:多地点学术机构的经验。","authors":"Sydney L. Proffer MD, MS, Jacob Reinhart MD, Jennifer L. Ridgeway PhD, Barbara Barry PhD, Celia Kamath PhD, Erin Wissler Gerdes MA, Austin Todd MS, Derek J. Cervenka MS, David J. DiCaudo MD, Olayemi Sokumbi MD, Emma F. Johnson MD, Margot S. Peters MD, Carilyn N. Wieland MD, Nneka I. Comfere MD","doi":"10.1111/cup.14629","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Technology has revolutionized not only direct patient care but also diagnostic care processes. This study evaluates the transition from glass-slide microscopy to digital pathology (DP) at a multisite academic institution, using mixed methods to understand user perceptions of digitization and key productivity metrics of practice change.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Participants included dermatopathologists, pathology reporting specialists, and clinicians. Electronic surveys and individual or group interviews included questions related to technology comfort, trust in DP, and rationale for DP adoption. Case volumes and turnaround times were abstracted from the electronic health record from Qtr 4 2020 to Qtr 1 2023 (inclusive). Data were analyzed descriptively, while interviews were analyzed using methods of content analysis.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Thirty-four staff completed surveys and 22 participated in an interview. Case volumes and diagnostic turnaround time did not differ across the institution during or after implementation timelines (<i>p</i> = 0.084; <i>p</i> = 0.133, respectively). 82.5% (28/34) of staff agreed that DP improved the sign-out experience, with accessibility, ergonomics, and annotation features described as key factors. Clinicians reported positive perspectives of DP impact on patient safety and interdisciplinary collaboration.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Our study demonstrates that DP has a high acceptance rate, does not adversely impact productivity, and may improve patient safety and care collaboration.</p>\n </section>\n </div>","PeriodicalId":15407,"journal":{"name":"Journal of Cutaneous Pathology","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Digital dermatopathology implementation: Experience at a multisite academic institution\",\"authors\":\"Sydney L. Proffer MD, MS, Jacob Reinhart MD, Jennifer L. Ridgeway PhD, Barbara Barry PhD, Celia Kamath PhD, Erin Wissler Gerdes MA, Austin Todd MS, Derek J. Cervenka MS, David J. DiCaudo MD, Olayemi Sokumbi MD, Emma F. Johnson MD, Margot S. Peters MD, Carilyn N. Wieland MD, Nneka I. Comfere MD\",\"doi\":\"10.1111/cup.14629\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Technology has revolutionized not only direct patient care but also diagnostic care processes. This study evaluates the transition from glass-slide microscopy to digital pathology (DP) at a multisite academic institution, using mixed methods to understand user perceptions of digitization and key productivity metrics of practice change.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>Participants included dermatopathologists, pathology reporting specialists, and clinicians. Electronic surveys and individual or group interviews included questions related to technology comfort, trust in DP, and rationale for DP adoption. Case volumes and turnaround times were abstracted from the electronic health record from Qtr 4 2020 to Qtr 1 2023 (inclusive). 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Digital dermatopathology implementation: Experience at a multisite academic institution
Background
Technology has revolutionized not only direct patient care but also diagnostic care processes. This study evaluates the transition from glass-slide microscopy to digital pathology (DP) at a multisite academic institution, using mixed methods to understand user perceptions of digitization and key productivity metrics of practice change.
Methods
Participants included dermatopathologists, pathology reporting specialists, and clinicians. Electronic surveys and individual or group interviews included questions related to technology comfort, trust in DP, and rationale for DP adoption. Case volumes and turnaround times were abstracted from the electronic health record from Qtr 4 2020 to Qtr 1 2023 (inclusive). Data were analyzed descriptively, while interviews were analyzed using methods of content analysis.
Results
Thirty-four staff completed surveys and 22 participated in an interview. Case volumes and diagnostic turnaround time did not differ across the institution during or after implementation timelines (p = 0.084; p = 0.133, respectively). 82.5% (28/34) of staff agreed that DP improved the sign-out experience, with accessibility, ergonomics, and annotation features described as key factors. Clinicians reported positive perspectives of DP impact on patient safety and interdisciplinary collaboration.
Conclusions
Our study demonstrates that DP has a high acceptance rate, does not adversely impact productivity, and may improve patient safety and care collaboration.
期刊介绍:
Journal of Cutaneous Pathology publishes manuscripts broadly relevant to diseases of the skin and mucosae, with the aims of advancing scientific knowledge regarding dermatopathology and enhancing the communication between clinical practitioners and research scientists. Original scientific manuscripts on diagnostic and experimental cutaneous pathology are especially desirable. Timely, pertinent review articles also will be given high priority. Manuscripts based on light, fluorescence, and electron microscopy, histochemistry, immunology, molecular biology, and genetics, as well as allied sciences, are all welcome, provided their principal focus is on cutaneous pathology. Publication time will be kept as short as possible, ensuring that articles will be quickly available to all interested in this speciality.