1. Fetal Autopsy Report Automation with Microsoft Excel and Word
Keluo Yao MD
5/25/2016

2. Background info Largest regional medical autopsy center 2015
238 autopsies
19 fetal autopsies
CAP guideline
written provisional report
2 working days.
The final report
30 working days for routine
90 working days for complicated cases.

4. Old workflow dissection, record findings on paper
Finalize and sign out preliminary report
Laminate blood stained paper with transparent plastic cover
Check for any errors and review with attendings
Make new copies of the documents
Dictate or copy and paste documents into co-path
Insert correct references ranges
Manually type in findings

7. Data entry
Check boxes
Switch buttons
Drop down menu
Free text

8. Automatic reference lookup
OCR of reference tables
Extensive use of lookup functions
Placement of reference ranges directly next to data fields
Linked data fields to avoid redundant data entry

9. Automatic data insertion into word document

10. New workflow Perform dissection, record findings on computer
Dictate or copy and paste documents into co-path
Check for any error and review with attendings
Finalize and sign out report

11. Workflow assessment
Ten manually completed fetal autopsy reports from
Autopsy findings re-entered into new system
Data accuracy comparison

12. Workflow assessment
Minor impact on diagnosis due to liver weight incorrectly transcribed
Clerical errors include use of incorrect reference range and inconsistent data

13. Conclusion
pros
cons
Significant reduction of time spent on preliminary fetal autopsy reports
Reduction of missed findings and clerical errors
Happier residents
Maintenance
Software changes
Loss of essential resident skills?

14. Acknowledgement Alexander Fitzthum MD Eric Freitag MD Kaila Buckley MD
Jesus Chavez MD
Cassandra Heller DO
Ian Talbott DO
Anil Parwani MD PhD MBA
Patricia Allenby MD

15. References
Levy, Bruce. "Informatics and Autopsy Pathology." Surgical pathology clinics 8.2 (2015):
Siebert, Joseph R. "Increasing the efficiency of autopsy reporting." Archives of pathology & laboratory medicine  (2009):