Synoptic reporting improves histopathological assessment of pancreatic resection specimens

Gill, Anthony J.; Johns, Amber; Eckstein, Robert P.; Samra, Jaswinder S.; Kaufman, Antony; Chang, David K.; Merrett, Neil D.; Cosman, Peter H.; Smith, Ross C.; Biankin, Andrew V.; Kench, James G.

doi:10.1080/00313020802337329

Cited by 98 publications

(74 citation statements)

References 18 publications

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“…Several studies report that SRs provide more complete information than the NRs. 4,[23][24][25][26][27] In other specialties, par ticularly in pathology, synoptic reporting has been widely embraced, which has improved interdisciplinary com munication and led to more effective coordination of clinical care for individual patients. [28][29][30] There is wide acceptance of SRs by clinicians who prefer the readability of SRs over NRs.…”

Section: Discussionmentioning

confidence: 99%

“…Several jurisdictions mandate the use of synoptic pathology reports as a performance indicator. 23,[31][32][33][34] Little research has been conducted to evaluate the potential benefits and/or limitations of synoptic reporting of operative procedures. 2,[4][5][6]8 However, owing to the potential benefits of SRs, many groups are develop ing and using SRs at the institutional level as quality improvement strategies.…”

Section: Discussionmentioning

confidence: 99%

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Quality of narrative operative reports in pancreatic surgery

et al. 2013

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Background: Quality in health care can be evaluated using quality indicators (QIs). Elements contained in the surgical operative report are potential sources for QI data, but little is known about the completeness of the narrative operative report (NR). We evaluated the completeness of the NR for patients undergoing a pancreaticoduodenectomy. Methods:We reviewed NRs for patients undergoing a pancreaticoduodenectomy over a 1-year period. We extracted 79 variables related to patient and narrator characteristics, process of care measures, surgical technique and oncology-related outcomes by document analysis. Data were coded and evaluated for completeness. Results:We analyzed 74 NRs. The median number of variables reported was 43.5 (range 13-54). Variables related to surgical technique were most complete. Process of care and oncology-related variables were often omitted. Completeness of the NR was associated with longer operative duration. Conclusion:The NRs were often incomplete and of poor quality. Important elements, including process of care and oncology-related data, were frequently missing. Thus, the NR is an inadequate data source for QI. Development and use of alternative reporting methods, including standardized synoptic operative reports, should be encouraged to improve documentation of care and serve as a measure of quality of surgical care. Conclusion :Les NO sont souvent incomplètes et leur qualité laisse à désirer. Des éléments importants, dont le protocole opératoire et les données oncologiques, étaient souvent manquants. Ainsi, les NO constituent une source inadéquate de données en ce qui concerne les IQ. Il faudra encourager la mise au point et l'utilisation d'autres types de rapports, dont des synopsis opératoires standardisés, pour mieux documenter les soins chirurgicaux prodigués et pour en évaluer la qualité. Q uality improvement is an important component of health care systems. Quality in health care can be evaluated in terms of the structures, processes and outcomes of care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Quality of narrative operative reports in pancreatic surgery

et al. 2013

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“…Several studies have documented the benefits of structured synoptic cancer pathology reports, including the elimination of missing information, [1][2][3][4] increased completeness and accessibility of information, [5][6][7][8][9] improved information to support clinical decision making and for research purposes, 3,[10][11][12][13] and increased clinician satisfaction. [14][15][16][17] The purpose of this study was to determine the impact of standardized synoptic pathology reporting on physician satisfaction regarding process (eg, timeliness and completeness) and practice (eg, clinical decision making).…”

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confidence: 99%

Standardized Synoptic Cancer Pathology Reports — So What and Who Cares?: A Population-Based Satisfaction Survey of 970 Pathologists, Surgeons, and Oncologists

Lankshear

Srigley

McGowan

et al. 2013

Archives of Pathology &Amp; Laboratory Medicine

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Care Ontario implemented synoptic pathology reporting across Ontario, impacting the practice of pathologists, surgeons, and medical and radiation oncologists. The benefits of standardized synoptic pathology reporting include enhanced completeness and improved consistency in comparison with narrative reports, with reported challenges including increased workload and report turnaround time.Objective.-To determine the impact of synoptic pathology reporting on physician satisfaction specific to practice and process.Design.-A descriptive, cross-sectional design was utilized involving 970 clinicians across 27 hospitals. An 11-item survey was developed to obtain information regarding timeliness, completeness, clarity, and usability. Open-ended questions were also employed to obtain qualitative comments.Results.-A 51% response rate was obtained, with descriptive statistics reporting that physicians perceive synoptic reports as significantly better than narrative reports. Correlation analysis revealed a moderately strong, positive relationship between respondents' perceptions of overall satisfaction with the level of information provided and perceptions of completeness for clinical decision making (r ¼ 0.750, P , .001) and ease of finding information for clinical decision making (r ¼ 0.663, P , .001). Dependent t tests showed a statistically significant difference in the satisfaction scores of pathologists and oncologists (t 169 ¼ 3.044, P ¼ .003). Qualitative comments revealed technology-related issues as the most frequently cited factor impacting timeliness of report completion.Conclusion.-This study provides evidence of strong physician satisfaction with synoptic cancer pathology reporting as a clinical decision support tool in the diagnosis, prognosis, and treatment of cancer patients.(Arch Pathol Lab Med. 2013;137:1599-1602; doi: 10.5858/arpa.2012-0656-OA) I n 2004, Cancer Care Ontario initiated a pathology reporting project aimed at improving the quality of cancer pathology by standardizing the content, format, and transmission of reports to the Ontario Cancer Registry. This large-scale, change-management project involved more than 400 Ontario pathologists and 100 hospitals producing more than 70 000 cancer pathology reports annually from a population of 12.9 million. Structured pathology reporting was implemented based on the nationally and provincially endorsed College of American Pathologists cancer pathology checklists, utilizing innovative electronic tools in hospital laboratory information systems linked by an electronic pathology network.Phase 1 of the project focused on the implementation of synoptic pathology reporting for resections pertaining to the 5 main disease site groups: lung, colorectal, prostate, endometrium, and breast. This accounted for approximately 70% of all surgical pathology reports and involved 33 hospitals across Ontario.High-quality, complete cancer pathology reports describing diagnostic, prognostic, and predictive elements are required for contemporary oncologic practice. Several stu...

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“…Dictated, narrative reports are poor at providing the information needed to make informed patient care decisions. [20][21][22] Synoptic reports, or structured abstracts using key words and phrases (not free-text sentences) to present clinically relevant elements, have been shown to greatly improve the quality of pathology reporting for colorectal, 20,[23][24][25][26][27][28][29] breast, 23,27,[30][31][32] lung, 27,33 prostate, 27 pancreatic, 34 melanoma, 35 and hematolymphoid cancers, 36 and the quality of surgical reporting • Formal communication strategy targeting stakeholder groups…”

Section: Selecting Potentially Useful Framework To Advance Our Undermentioning

confidence: 99%

Exploring the Usefulness of Two Conceptual Frameworks for Understanding How Organizational Factors Influence Innovation Implementation in Cancer Care

Urquhart¹,

Sargeant²,

Grunfeld³

2013

Journal of Continuing Education in the Health Professions

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Moving knowledge into practice and the implementation of innovations in health care remain significant challenges. Few researchers adequately address the influence of organizations on the implementation of innovations in health care. The aims of this article are to (1) present 2 conceptual frameworks for understanding the organizational factors important to the successful implementation of innovations in health care settings; (2) discuss each in relation to the literature; and (3) briefly demonstrate how each may be applied to 3 initiatives involving the implementation of a specific innovation-synoptic reporting tools-in cancer care. Synoptic reporting tools capture information from diagnostic tests, surgeries, and pathology examinations in a standardized, structured manner and contain only the information necessary for patient care. The frameworks selected were the Promoting Action on Research Implementation in Health Services framework and an organizational framework of innovation implementation; these frameworks arise from different disciplines (nursing and management, respectively). The constructs from each framework are examined in relation to the literature, with each construct applied to synoptic reporting tool implementation to demonstrate how each may be used to inform both practice and research in this area. By improving our understanding of existing frameworks, we enhance our ability to more effectively study and target implementation processes.

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Synoptic reporting improves histopathological assessment of pancreatic resection specimens

Cited by 98 publications

References 18 publications

Quality of narrative operative reports in pancreatic surgery

Quality of narrative operative reports in pancreatic surgery

Standardized Synoptic Cancer Pathology Reports — So What and Who Cares?: A Population-Based Satisfaction Survey of 970 Pathologists, Surgeons, and Oncologists

Exploring the Usefulness of Two Conceptual Frameworks for Understanding How Organizational Factors Influence Innovation Implementation in Cancer Care

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