PARAFFIN: A software tool for Pathology Report Automated Feedback for Improved Education of anatomic pathology trainees

Q2 Medicine

Journal of Pathology Informatics Pub Date : 2025-02-13 DOI:10.1016/j.jpi.2025.100424

Clarissa E. Jordan, Justin E. Juskewitch, Andrew P. Norgan

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引用次数: 0

Abstract

Background

Feedback on the diagnosis and reporting of pathology findings is essential to the training of residents and fellows, but time constraints and other factors can make it difficult to ensure learners are made aware of the outcome of all cases in which they participated. Many trainees attempt to keep track of their cases and later look up final pathology reports in the laboratory information system (LIS); however, this manual and time-consuming process is prone to error and may prevent them from spending time reviewing and learning from these reports.

Methods

To address this, we developed a software solution, (Pathology Report Automated Feedback for Improved Education; “PARAFFIN”), which provides pathology trainees with a weekly email digest containing an attached case log with the date, accession sequence, attending pathologist initials, and final diagnosis text for each case in which they participated. PARAFFIN is implemented as two R scripts running on a Posit Connect server: a data extraction script, which accesses an interactive report from our enterprise analytics SQL server, and a reporting script, which performs recipient-specific filtering and emails the trainee with their personalized case log attached as .txt and .csv files. After implementation, pathology trainees were surveyed about PARAFFIN's impact on report collection and case feedback.

Results

Of the total 51 pathology trainees who were receiving PARAFFIN digests at the long-term follow-up timepoint, 20 responded to our survey. 90% (18 of 20) of respondents report that PARAFFIN allows them to spend more time reviewing the content of final anatomic pathology reports, rather than collecting reports. Trainees report utilizing PARAFFIN for feedback on multiple aspects of pathology reporting, with final diagnosis, wording/style of final diagnostic line, and diagnostic comment being most frequently used.

Conclusions

Our automated case feedback solution provides trainees with a record of final pathology reports for cases in which they participated, which allows trainees to spend more time reviewing reports for feedback rather than manually collecting them from the LIS.

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石蜡：一种用于病理报告自动反馈的软件工具，用于改进解剖病理学培训生的教育

关于诊断和病理结果报告的反馈对住院医师和研究员的培训至关重要，但时间限制和其他因素可能使学习者难以确保了解他们参与的所有病例的结果。许多受训者试图跟踪他们的病例，然后在实验室信息系统（LIS）中查找最终的病理报告；然而，这种手动且耗时的过程容易出错，并且可能阻止他们花时间审查和学习这些报告。为了解决这个问题，我们开发了一个软件解决方案，病理报告自动反馈改进教育；“石蜡”)，它为病理学学员提供每周电子邮件摘要，其中包含附加的病例日志，其中包含日期，加入序列，主治病理学家首字母缩写以及他们参与的每个病例的最终诊断文本。石蜡被实现为运行在Posit Connect服务器上的两个R脚本：一个数据提取脚本，它访问来自我们的企业分析SQL服务器的交互式报告，一个报告脚本，它执行收件人特定的过滤，并通过电子邮件将他们的个性化案例日志附加为。txt和。csv文件。实施后，对病理学员进行问卷调查，了解石蜡对报告收集和病例反馈的影响。结果在长期随访时间点接受石蜡消化的51名病理学员中，有20人对我们的调查做出了回应。90%（18 / 20）的应答者报告说，石蜡使他们能够花更多的时间审查最终解剖病理报告的内容，而不是收集报告。学员报告使用石蜡对病理报告的多个方面进行反馈，最终诊断、最终诊断线的措辞/风格和诊断评论是最常用的。结论我们的自动化病例反馈解决方案为学员提供了他们参与的病例的最终病理报告记录，这使得学员可以花更多的时间审查报告以获得反馈，而不是手动从LIS收集报告。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pathology Informatics Medicine-Pathology and Forensic Medicine

CiteScore

3.70

自引率

0.00%

发文量

审稿时长

18 weeks

期刊介绍： The Journal of Pathology Informatics (JPI) is an open access peer-reviewed journal dedicated to the advancement of pathology informatics. This is the official journal of the Association for Pathology Informatics (API). The journal aims to publish broadly about pathology informatics and freely disseminate all articles worldwide. This journal is of interest to pathologists, informaticians, academics, researchers, health IT specialists, information officers, IT staff, vendors, and anyone with an interest in informatics. We encourage submissions from anyone with an interest in the field of pathology informatics. We publish all types of papers related to pathology informatics including original research articles, technical notes, reviews, viewpoints, commentaries, editorials, symposia, meeting abstracts, book reviews, and correspondence to the editors. All submissions are subject to rigorous peer review by the well-regarded editorial board and by expert referees in appropriate specialties.