Ann Diagn Pathol. 2010 Oct;14(5):347-54. doi: 10.1016/j.anndiagpath.2010.07.005.
Details of cytology work in 103 US histology laboratories (histolabs) and in 200 from 18 other countries are presented. Data from 1345 additional US cytology practices surveyed from 1985 to 2004 are also included. The average annual workload in 130 histolabs from the United States and 12 other countries combined is 32 200 cases. The average annual workload in 173 histolabs from Spain and 5 Hispano-American countries is 20 000 cytology cases, a workload that is significantly lower (P < .0005) than that in US laboratories. Gynecologic cases, with an average of 1.2 slides each, represent 79% of all cytology accessions in all laboratories. The average annual workload per cytotechnologist (CT) is 6600 cases; this number is not significantly different between countries (P > .10 to P > .75) and is significantly correlated (P < .0008) with the laboratories' total workloads. In the United States, the average annual productivity per CT is 6700 cases with 1.8 slides each, for a daily screening of 55 to 60 slides. The annual benchmark is from 7900 to 8700 cases, equivalent to 14 300 to 15 000 slides per each full-time CT position. The benchmark per cytology aide is 17 000 to 20 000 cases. The number of CTs per histolab is significantly correlated (P < .0002) with its workload. In the United States, there is an average of 4 CTs and 2.7 cytology aides per laboratory, and the cytology tasks completed by the histology staff average 4.1 hours daily. The average turnaround time for cytology cases in the United States is approximately 6 calendar days, with 90% of all cases signed out between 7 and 8 calendar days. In addition to the productivity benchmarks, the pathology leadership must address the ergonomic conditions of the work when filling a new CT position because muscular discomfort caused by the microscopy work is a common occurrence.
本文呈现了 103 家美国组织病理学实验室（histolabs）和 200 家来自其他 18 个国家的组织病理学实验室的细胞学工作细节。本文还包括了 1985 年至 2004 年对美国 1345 家细胞学诊所的调查数据。美国和其他 12 个国家的 130 家组织病理学实验室的平均年工作量为 32200 例。西班牙和 5 个西班牙裔国家的 173 家组织病理学实验室的平均年工作量为 20000 例细胞学检查，工作量明显低于（P <.0005）美国实验室。妇科病例平均每例有 1.2 张幻灯片，占所有实验室细胞学标本的 79%。每位细胞技术人员（CT）的平均年工作量为 6600 例；各国之间（P >.10 至 P >.75）的这一数字没有显著差异，并且与实验室的总工作量呈显著相关（P <.0008）。在美国，每位 CT 的平均年生产率为 6700 例，每张幻灯片 1.8 张，每天筛查 55 至 60 张幻灯片。每年的基准工作量为 7900 至 8700 例，相当于每位全职 CT 职位完成 14300 至 15000 例幻灯片。细胞学助手的年基准工作量为 17000 至 20000 例。组织病理学实验室的 CT 数量与工作量呈显著相关（P <.0002）。在美国，每个实验室平均有 4 名 CT 和 2.7 名细胞学助手，组织病理学工作人员完成的细胞学任务平均每天为 4.1 小时。美国细胞学病例的平均周转时间约为 6 个日历日，90%的病例在 7 至 8 个日历日内完成。除了生产力基准外，病理科领导层在填补新的 CT 职位时还必须解决工作的人体工程学条件，因为显微镜工作引起的肌肉不适是很常见的。
