Improving the quality of information on pathology request forms

Leslie Burnett1, Douglas Chesher, Yugan Mudaliar

  • 1Pacific Laboratory Medicine Services, University of Sydney, Royal North Shore Hospital, St Leonards NSW 2065, Australia. Lburnett@med.usyd.edu.au

Insights

Personalized stamps significantly reduced incomplete pathology request forms by improving data accuracy. This simple intervention enhanced healthcare systems, cutting missing information from 43% to 2%.

Area of Science:

  • Healthcare Systems Improvement
  • Clinical Pathology
  • Laboratory Medicine

Background:

  • Pathology request forms frequently lack essential data, including physician identification and signatures.
  • Audits revealed missing doctor's name, unique provider number, or signature as common issues.
  • Incomplete forms pose challenges for clinical chemistry laboratory operations.

Purpose of the Study:

  • To identify causes of incomplete pathology request forms.
  • To evaluate a low-cost intervention for improving data completeness.
  • To assess the impact of personalized stamps on form accuracy.

Main Methods:

  • Investigated causes of incomplete pathology request forms through an audit.
  • Implemented an intervention providing doctors with self-inking stamps containing their name and unique provider number.
  • Compared the effectiveness of stamps versus a memorandum for improving compliance.

Main Results:

  • The intervention resulted in a dramatic decrease in incomplete forms, from 43% to 2%.
  • This improvement was immediate and sustained over the study period.
  • Distributing a memorandum alone had no significant effect on form completeness.

Conclusions:

  • Personalized self-inking stamps offer a simple, low-cost solution to reduce incomplete pathology request forms.
  • Systems improvement strategies can effectively enhance healthcare processes.
  • The study highlights the importance of accurate data in laboratory medicine.
Abstract

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