Title: Improving lead time in CVC frozen section practice (author: Jeffrey Myers). Goal : To improve TAT for frozen sections so that, all cases are reported in ≤ 20 minutes with a mean TAT of 15 minutes or less.
Title: Improving lead time in CVC frozen section practice (author: Jeffrey Myers)
Background: Thoracic surgery cases occasionally require frozen section support for intraoperative decision making. A small laboratory with frozen section capability is staffed by a single medical technologist or histotechnologist and supported by either a Room 1 resident (8:00 am to 12:00 am) or the Room 1 fellow (12:00 – 6:00 pm) and a scheduled faculty member. After 5:00 pm frozen section requests are supported by the on-call residents and fellow/attending.
Travel and grossing times highly variable
turnaround time (TAT), measured from time of specimen receipt to first contact with OR, is drifting upward, with 36% of cases exceeding current CAP expectations of ≤ 20 minutes in the last week of April
travel + grossing time account for > 60% of the lead time