Document Detail


Increasing the efficiency of autopsy reporting.
MedLine Citation:
PMID:  19961247     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
CONTEXT: -When autopsy reports are delayed, clinicians and families do not receive information in a timely fashion. OBJECTIVE: -Using lean principles derived from the Toyota Production System, we set out to streamline our autopsy reporting process. DESIGN: -In a formal workshop setting, we identified the steps involved in producing an autopsy report, then sought to eliminate, abbreviate, or reschedule them into a more efficient format. We established intermediate deadlines for each case, taking care to make them visible; we initiated a weekly quality assurance review, giving attention to both scientific issues and approaching deadlines. RESULTS: -By adopting a more standardized approach, eliminating redundancy, and improving the visibility of tasks, we improved the mean completion time of autopsy reports from 53 days (N = 47 cases) to 25 days (N = 47 cases). Previously, 17% of reports were completed by 30 days and 71% by 60 days; in the 15 months following initiation of the program, 72% of reports were completed by 30 days and 100% by 60 days. A follow-up survey of attending physicians revealed continuing appreciation for the autopsy and timely communication, with no perceived diminution in the quality of reports. CONCLUSIONS: -This approach was of great benefit in our laboratory and may assist others in reducing the turnaround time of their autopsy reports. It may also benefit other areas of the laboratory.
Authors:
Joseph R Siebert
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of pathology & laboratory medicine     Volume:  133     ISSN:  1543-2165     ISO Abbreviation:  Arch. Pathol. Lab. Med.     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-07     Completed Date:  2010-01-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7607091     Medline TA:  Arch Pathol Lab Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1932-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Laboratories, Seattle Children's Hospital, Seattle, Washington and the Department of Pathology, University of Washington School of Medicine, Seattle, WA 98105, USA. joseph.siebert@seattlechildrens.org
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MeSH Terms
Descriptor/Qualifier:
Autopsy / standards*
Competency-Based Education / methods,  standards
Forms and Records Control
Humans
Medical Records / standards*
Quality Assurance, Health Care / standards*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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