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3
The Pathologist Workforce in the United States: II. An Interactive Modeling Tool for Analyzing Future Qualitative and Quantitative Staffing Demands for Services.美国病理学家劳动力：II. 用于分析未来服务定性和定量人员配置需求的交互式建模工具。
Arch Pathol Lab Med. 2015 Nov;139(11):1413-30. doi: 10.5858/arpa.2014-0559-OA.

绘制与精准肿瘤学检测相关的病理学工作

Mapping Pathology Work Associated With Precision Oncology Testing.

作者信息

Mettman Daniel J, Gao Linlin, Evans Karsten, Frey Amy B, Scheuner Maren T, Klutts J Stacey, Frias-Kletecka M Carmen, Wang-Rodriguez Jessica, Becker Daniel J, Mathur Sharad C, Goodman Michael M

机构信息

Kansas City Veterans Affairs Medical Center, Missouri.

Rocky Mountain Regional Veterans Affairs Medical Center, Aurora, Colorado.

出版信息

Fed Pract. 2025 May;42(Suppl 2):S16-S21. doi: 10.12788/fp.0583. Epub 2025 May 8.

DOI:10.12788/fp.0583
PMID:40832011
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12360821/
Abstract

BACKGROUND

Management of precision oncology testing imposes a substantial burden on pathology departments. As the number of tests continue to grow, developing more efficient processes will become even more important.

OBSERVATIONS

A consult process for anatomic pathology molecular testing offers a way to maximize efficiency. While use of such a consult has been reported, detailed descriptions of the steps involved to facilitate adoption and adaptation at prospective sites is lacking. This article describes a consult process that was implemented at the Kansas City Veterans Affairs Medical Center in 2021. Areas of inefficiency are identified and a target process map is presented.

CONCLUSIONS

The proposed consult process increases test utilization, ensures appropriateness of orders, standardizes reporting, and improves efficiency. Laboratory understaffing and growing demand for testing necessitate more efficient processes for pathology to manage the workload and maintain the highest quality of cancer care.

摘要

背景

精准肿瘤学检测的管理给病理科带来了巨大负担。随着检测数量持续增加，开发更高效的流程将变得更加重要。

观察结果

解剖病理学分子检测的会诊流程提供了一种提高效率的方法。虽然已有使用此类会诊的报道，但缺乏对相关步骤的详细描述，以促进未来机构的采用和调整。本文描述了2021年在堪萨斯城退伍军人事务医疗中心实施的会诊流程。识别了低效领域并给出了目标流程图。

结论

提议的会诊流程提高了检测利用率，确保了医嘱的合理性，规范了报告，并提高了效率。实验室人员不足以及对检测需求的不断增长，使得病理科需要更高效的流程来管理工作量并维持最高质量的癌症护理。