Abstract：
BACKGROUND: Technology has revolutionized not only direct patient care but also diagnostic care processes. This study evaluates the transition from glass-slide microscopy to digital pathology (DP) at a multisite academic institution, using mixed methods to understand user perceptions of digitization and key productivity metrics of practice change.
METHODS: Participants included dermatopathologists, pathology reporting specialists, and clinicians. Electronic surveys and individual or group interviews included questions related to technology comfort, trust in DP, and rationale for DP adoption. Case volumes and turnaround times were abstracted from the electronic health record from Qtr 4 2020 to Qtr 1 2023 (inclusive). Data were analyzed descriptively, while interviews were analyzed using methods of content analysis.
RESULTS: Thirty-four staff completed surveys and 22 participated in an interview. Case volumes and diagnostic turnaround time did not differ across the institution during or after implementation timelines (p = 0.084; p = 0.133, respectively). 82.5% (28/34) of staff agreed that DP improved the sign-out experience, with accessibility, ergonomics, and annotation features described as key factors. Clinicians reported positive perspectives of DP impact on patient safety and interdisciplinary collaboration.
CONCLUSIONS: Our study demonstrates that DP has a high acceptance rate, does not adversely impact productivity, and may improve patient safety and care collaboration.
METHODS: Participants included dermatopathologists, pathology reporting specialists, and clinicians. Electronic surveys and individual or group interviews included questions related to technology comfort, trust in DP, and rationale for DP adoption. Case volumes and turnaround times were abstracted from the electronic health record from Qtr 4 2020 to Qtr 1 2023 (inclusive). Data were analyzed descriptively, while interviews were analyzed using methods of content analysis.
RESULTS: Thirty-four staff completed surveys and 22 participated in an interview. Case volumes and diagnostic turnaround time did not differ across the institution during or after implementation timelines (p = 0.084; p = 0.133, respectively). 82.5% (28/34) of staff agreed that DP improved the sign-out experience, with accessibility, ergonomics, and annotation features described as key factors. Clinicians reported positive perspectives of DP impact on patient safety and interdisciplinary collaboration.
CONCLUSIONS: Our study demonstrates that DP has a high acceptance rate, does not adversely impact productivity, and may improve patient safety and care collaboration.
摘要：
背景：技术不仅彻底改变了直接患者护理，而且彻底改变了诊断护理流程。这项研究评估了在多站点学术机构中从载玻片显微镜到数字病理学（DP）的转变，使用混合方法来了解用户对数字化的看法和实践变化的关键生产力指标。
方法：参与者包括皮肤病理学家，病理报告专家，和临床医生。电子调查和个人或团体访谈包括与技术舒适度相关的问题，对DP的信任，以及采用DP的理由。病例量和周转时间从2020年第4季度至2023年第1季度(含)的电子健康记录中提取。数据进行了描述性分析，而访谈采用内容分析法进行分析。
结果：34名工作人员完成了调查，22人参加了面试。在实施时间表期间或之后，整个机构的病例量和诊断周转时间没有差异（分别为p=0.084；p=0.133）。82.5%(28/34)的员工认为DP改善了签出体验，具有可达性，人体工程学,和注释功能被描述为关键因素。临床医生报告了DP对患者安全和跨学科合作的积极影响。
结论：我们的研究表明，DP具有很高的接受率，不会对生产力产生不利影响，并可以改善患者安全和护理合作。
方法：参与者包括皮肤病理学家，病理报告专家，和临床医生。电子调查和个人或团体访谈包括与技术舒适度相关的问题，对DP的信任，以及采用DP的理由。病例量和周转时间从2020年第4季度至2023年第1季度(含)的电子健康记录中提取。数据进行了描述性分析，而访谈采用内容分析法进行分析。
结果：34名工作人员完成了调查，22人参加了面试。在实施时间表期间或之后，整个机构的病例量和诊断周转时间没有差异（分别为p=0.084；p=0.133）。82.5%(28/34)的员工认为DP改善了签出体验，具有可达性，人体工程学,和注释功能被描述为关键因素。临床医生报告了DP对患者安全和跨学科合作的积极影响。
结论：我们的研究表明，DP具有很高的接受率，不会对生产力产生不利影响，并可以改善患者安全和护理合作。
