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Pathologist Opinions about EPIC Beaker AP: a Multi-Institutional Survey of Early Adopters

  • Systems-Level Quality Improvement
  • Published:
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Abstract

EPIC Systems Corporation provides a widely used electronic medical record. Beaker Anatomic Pathology is a newly developed laboratory information system (LIS) that has been implemented at a small number of academic pathology departments. Pathologist opinions of EPIC Beaker AP have not been well described in the literature. A 37-question survey was administered to pathologists and pathology trainees to assess overall satisfaction and efficiency of report generation using Beaker AP. Data about experience in pathology, signout responsibilities, Beaker AP usage, and the legacy LIS was also collected. Seventy-four pathologists (51 faculty, 23 residents) responded to the survey (overall response rate 29.7%). Overall pathologist satisfaction with Beaker AP showed high inter-institutional variability; institutions with legacy LISs with a graphical interface had a generally neutral to negative assessment of Beaker AP. The majority of respondents disagreed with the statement “Beaker AP is easy to use and designed for my needs”. Pathologists felt that Beaker AP was useful for reviewing clinical information and billing; areas of weakness included searching for prior cases and grossing efficiency. Overall, pathologists had a neutral opinion of whether generating and signing out a complete report was faster in Beaker AP, with marked inter-institutional variation. This variability was likely due to a combination of the efficacy of the legacy LIS, familiarity with Beaker AP at the time of the survey, and institution-specific optimization efforts.

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Authors and Affiliations

  1. Department of Pathology, Oregon Health & Science University, Portland, OR, United States

    Mandy VanSandt, Kevin Turner & Philipp W. Raess

  2. Department of Pathology, Duke University Medical Center, Durham, NC, United States

    Raj Dash

  3. Department of Pathology and Laboratory Medicine, University of California, Davis, Sacramento, CA, United States

    Dorina Gui

  4. Department of Pathology, Anatomy, and Cell Biology, Jefferson University Hospitals, Philadelphia, PA, United States

    Madalina Tuluc

  5. Department of Pathology, University of California, Los Angeles, CA, United States

    Steven Hart

Authors
  1. Mandy VanSandt
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  2. Kevin Turner
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  3. Raj Dash
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  4. Dorina Gui
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  5. Madalina Tuluc
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  6. Steven Hart
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  7. Philipp W. Raess
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Corresponding author

Correspondence to Philipp W. Raess.

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No external funding was obtained for this study.

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All authors declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional review board and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.

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The authors have no conflicts of interest to declare. The authors have no funding support to declare. This study was approved by the appropriate Institutional Review Boards.

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This article is part of the Topical Collection on Systems-Level Quality Improvement

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VanSandt, M., Turner, K., Dash, R. et al. Pathologist Opinions about EPIC Beaker AP: a Multi-Institutional Survey of Early Adopters. J Med Syst 44, 111 (2020). https://doi.org/10.1007/s10916-020-01574-x

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  • DOI: https://doi.org/10.1007/s10916-020-01574-x

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