Low-Cost Workflow Improvement Reduces Gastrointestinal Block Use 17% by Altering Classic Histotechnology Testing

Steussy, Bryan; Gailey, Michael P.; Becker, K.; Fuller, Emily; Jans, Melissa; Lewis, Sue; Guerin, Leana; Kirby, Patricia; Robinson, Robert A.

doi:10.1309/ajcp3ysxdk9jjfmn

Cited by 2 publications

(1 citation statement)

References 3 publications

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“…Their low-cost process change leads to a 17% reduction in the number of blocks used for these specimens and a decrease of 3% total blocks processed by our histology laboratory. 28 One resident participated in a multidepartmental study with pathology and otolaryngology colleagues to evaluate the accuracy of fine needle aspiration (FNA) in comparison with imaging in the preoperative workup of salivary gland masses. They demonstrated that FNA is a reliable method to preoperatively assess both benign and malignant salivary gland lesions with higher sensitivity and specificity than imaging.…”

Section: Resultsmentioning

confidence: 99%

Using Focused Laboratory Management and Quality Improvement Projects to Enhance Resident Training and Foster Scholarship

et al. 2017

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Training in patient safety, quality, and management is widely recognized as an important element of graduate medical education. These concepts have been intertwined in pathology graduate medical education for many years, although training programs face challenges in creating explicit learning opportunities in these fields. Tangibly involving pathology residents in management and quality improvement projects has the potential to teach and reinforce key concepts and further fulfill Accreditation Council for Graduate Medical Education goals for pursuing projects related to patient safety and quality improvement. In this report, we present our experience at a pathology residency program (University of Iowa) in engaging pathology residents in projects related to practical issues of laboratory management, process improvement, and informatics. In this program, at least 1 management/quality improvement project, typically performed during a clinical chemistry/management rotation, was required and ideally resulted in a journal publication. The residency program also initiated a monthly management/informatics series for pathology externs, residents, and fellows that covers a wide range of topics. Since 2010, all pathology residents at the University of Iowa have completed at least 1 management/quality improvement project. Many of the projects involved aspects of laboratory test utilization, with some projects focused on other areas such as human resources, informatics, or process improvement. Since 2012, 31 peer-reviewed journal articles involving effort from 26 residents have been published. Multiple projects resulted in changes in ongoing practice, particularly within the hospital electronic health record. Focused management/quality improvement projects involving pathology residents can result in both meaningful quality improvement and scholarly output.

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Section: Resultsmentioning

confidence: 99%

Using Focused Laboratory Management and Quality Improvement Projects to Enhance Resident Training and Foster Scholarship

et al. 2017

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Lean and Six Sigma as continuous quality improvement frameworks in the clinical diagnostic laboratory

Thakur

Akerele²,

Randell

2022

Critical Reviews in Clinical Laboratory Sciences

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Low-Cost Workflow Improvement Reduces Gastrointestinal Block Use 17% by Altering Classic Histotechnology Testing

Abstract: This simple, low-cost, low-effort process change yielded immediate and significant time savings for grossing and histology staff, increased job satisfaction, and challenges conventional histotechnology teaching.

Cited by 2 publications

References 3 publications

Using Focused Laboratory Management and Quality Improvement Projects to Enhance Resident Training and Foster Scholarship

Using Focused Laboratory Management and Quality Improvement Projects to Enhance Resident Training and Foster Scholarship

Lean and Six Sigma as continuous quality improvement frameworks in the clinical diagnostic laboratory

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