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Developing dashboards for performance improvement in cytopathology.

Katharine Horback1, Kaitlin E Sundling1, Ryan J Schmidt1

  • 1Department of Pathology, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.

Journal of the American Society of Cytopathology
|August 7, 2021
PubMed
Summary
This summary is machine-generated.

Cytopathology quality metrics were transformed into personalized dashboards for cytopathologists and cytotechnologists. These real-time dashboards provide on-demand feedback, facilitating performance improvement and adherence to benchmarks.

Keywords:
CytologyFine-needle biopsyInformaticsPapanicolaou testQuality improvement

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Area of Science:

  • Medical Diagnostics
  • Laboratory Medicine
  • Quality Improvement in Healthcare

Background:

  • Cytopathology relies on objective quality metrics for evaluating cytopathologists (CPs) and cytotechnologists (CTs).
  • Effective monitoring systems are crucial for maintaining high standards in cytopathology services.

Purpose of the Study:

  • To develop and implement personalized, real-time dashboards for visualizing cytopathology quality metrics.
  • To provide on-demand feedback to CPs and CTs for performance monitoring and improvement.

Main Methods:

  • Quality metrics data spanning 10 years were utilized.
  • Tableau software was employed to construct interactive dashboards for CPs and CTs.
  • Dashboards incorporated gynecologic and non-gynecologic metrics, including ASCUS:SIL ratio, HPV+ ASCUS rate, and thyroid interpretation proportions, with color-coded performance zones based on benchmarks.

Main Results:

  • Personalized dashboards were successfully developed and implemented for CPs and CTs.
  • Dashboards are automatically updated weekly, requiring minimal curation.
  • Individualized access via unique links allows on-demand review of quality metrics over time, with a laboratory director having aggregate and individual access.

Conclusions:

  • Personalized dashboards empower individuals to monitor their performance metrics actively.
  • On-demand access to performance data and historical trends fosters self-motivation for improvement.
  • The system supports adherence to professional benchmarks and enhances overall quality in cytopathology.