Overall Concepts

Progeny is Simple, Fast, and Flexible. In order for any system to affect its objective it must be easily understood and it must be simple to interact with. (If you don’t know how to use the shovel you can’t dig the hole, no matter how fancy the shovel may be.) Simplicity and Consistency are the conditions necessary for a “LEAN” environment.

  • Identically functioning windows for each workcenter (training and understanding issues)
  • Minimal use of different tabs or windows. (workflow is Integrated not Patched On)
  • Integral, ‘state based’ pendings allow tracking of cases as they progress through the system
  • Comprehensive, browser based query — everything about a case is CLEARLY displayed, using a mechanism that is understood by anyone who has been on the internet.
  • System data entry can be either mouse or keyboard driven. Mouse clicks are easier to learn for the novice user. Keyboard clicks allow advanced users to speed through entry.

Accessioning

Accurate Order Entry into the system is critical. Incorrect or illegible orders create quality and workflow issues that impact all further processing of the case.

  • All interfaced pending orders are displayed during accessioning. If any specimens are not present, the accessioning staff can take appropriate action immediately.
  • Case # assignment, specimen login, and assignment to previous cases are integrated into a single screen.
  • Patient search is integrated in accessioning.
  • Bar coded specimen labels are generated per specimen.
  • Specimen codes drive standardized protocols, but the accessioner has the capability to modify the protocol on the fly, including special instructions to be printed on the cassette.

Gross Workcenter

Accurate Gross descriptions and cassette labeling that is accurate and meaningful is of particular importance in this step.

  • Transcriptionists may flag a case with the GROSSREVIEW event to communicate to the PA that some dictation is not understood. This state is highlighted on the PA’s integrated pending and the PA resolves the issue directly or via communication with the transcriptionist.
  • 2D, barcoded cassettes are generated as the specimen label is scanned.
  • Deletion and addition of extra cassettes are done by the click of a button
  • Decals and other user defined specimen types may have cassette indicators to communicate special processing is required.

Histotechnologist Workcenter

Histotechnologists manage the largest volumes in the laboratory and it is absolutely critical that each slide is of the highest quality.

  • Techs scan a block and the slide labels for that block print.
  • Special instructions are printed on the block.
  • Techs can reprint labels by simply scanning a REPRINT label.
  • Integrated pendings are displayed in several formats and user defined procedures can even play sound files if they are pending. This enables the histotechnologist to view and track their work from the perspective that best fits their workflow.

Transcription Workcenter

Transcriptionists must communicate vital information to the other areas of the department.

  • A PATHREVIEW event communicates to the pathologist that certain dictation was not understood.
  • User defined characters provide the ultimate level of safety. Transcription which includes these characters may not be signed out unless removed by the pathologist.
  • Transcriptionists can prevent a case from being signed out through the use of user defined stop characters
  • Dictation System interfaces ensure that the transcription and case number match.
  • Scanned, outside reports are automatically queued to the pathologist pending for review.

Cytology Workcenter

Cytotechnologists screen a large number of slides and must share their findings with pathologists very often.

  • Techs scan the slide and the result entry display and patient history display are shown side by side.
  • Abnormal prior results are highlighted in red.
  • An abnormal history causes any Negative findings to be selected for QC analysis.
  • Random QC selection occurs dynamically. As a slide is signed off, a pop up window tells the tech to put the slide aside for further QC analysis.
  • Follow-up and QC indicators are automated, but they may be dynamically modified if special circumstances arise.

Pathologist Workcenter

Pathologists perform the most complex and the most varied tasks and they must do this for a large workflow volume.

  • Integrated pendings are categorized and user defined so that the pathologist can determine his own priorities, be they outside report review, signoff, diagnosis, or pending stains. These can be optionally changed on a daily or hourly basis.
  • When the Pathologist scans the slide label, the case work and patient history are displayed side by side.
  • Most pathologist data entry occurs in one window. A pathologist can order stains or sendouts, type their own diagnosis, and indicate QC issues all in a single display.
  • Abnormal cytology cases and previously ALERTED case histories are highlighted in red.
  • Billing and consults can be ordered from the same workcenter
  • QC checks at signoff ensure that the highest diagnostic quality is maintained.