A web application to support the coordination of reflexive, interpretative toxicology testing.
J Pathol Inform
; 14: 100303, 2023.
Article
in En
| MEDLINE
| ID: mdl-36941960
ABSTRACT
Background:
Reflexive laboratory testing workflows can improve the assessment of patients receiving pain medications chronically, but complex workflows requiring pathologist input and interpretation may not be well-supported by traditional laboratory information systems. In this work, we describe the development of a web application that improves the efficiency of pathologists and laboratory staff in delivering actionable toxicology results.Method:
Before designing the application, we set out to understand the entire workflow including the laboratory workflow and pathologist review. Additionally, we gathered requirements and specifications from stakeholders. Finally, to assess the performance of the implementation of the application, we surveyed stakeholders and documented the approximate amount of time that is required in each step of the workflow.Results:
A web-based application was chosen for the ease of access for users. Relevant clinical data was routinely received and displayed in the application. The workflows in the laboratory and during the interpretation process served as the basis of the user interface. With the addition of auto-filing software, the return on investment was significant. The laboratory saved the equivalent of one full-time employee in time by automating file management and result entry.Discussion:
Implementation of a purpose-built application to support reflex and interpretation workflows in a clinical pathology practice has led to a significant improvement in laboratory efficiency. Custom- and purpose-built applications can help reduce staff burnout, reduce transcription errors, and allow staff to focus on more critical issues around quality.
AMR, analytical measurement range; AWS, Amazon Web Services; CSV, Comma-separated values; Custom web application; GC-MS, gas chromatography-mass spectrometry; LC-MS/MS, Liquid chromatography-tandem mass spectrometry; LIS, laboratory information system; Laboratory workflows; MLS, medical laboratory scientist; Mass spectrometry; Python; QC, Quality control; Quality control; RRT, Relative retention time; S/N, Signal to noise ratio; S3, Simple storage service; TSV, tab-separated values; UDT, urine drug testing; UW Medicine, Department of Laboratory Medicine and Pathology at University of Washington Medicine; XML, Extensible markup language; mg, milligram
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
J Pathol Inform
Year:
2023
Document type:
Article
Affiliation country:
United States