Evidence map›Paper›PMID 29387505›Full record

ArticleJournal of pathology informatics2017

Implementation of Epic Beaker Anatomic Pathology at an Academic Medical Center.

John Larry Blau, Joseph D Wilford, Susan K Dane, Nitin J Karandikar, Emily S Fuller, Debbie J Jacobsmeier, Melissa A Jans, Elisabeth A Horning, Matthew D Krasowski, Bradley A Ford and 3 more

Abstract read
In one paragraph

Article in Journal of pathology informatics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

John Larry BlauDepartment of Pathology, University of Iowa, Iowa City, Iowa 52242, United States of America.
Joseph D WilfordDepartment of Health Care Information Systems, University of Iowa, Iowa City, Iowa 52242, United States of America.
Susan K DaneDepartment of Pathology, University of Iowa, Iowa City, Iowa 52242, United States of America.
Nitin J KarandikarDepartment of Pathology, University of Iowa, Iowa City, Iowa 52242, United States of America.
Emily S FullerDepartment of Pathology, University of Iowa, Iowa City, Iowa 52242, United States of America.
Debbie J JacobsmeierDepartment of Pathology, University of Iowa, Iowa City, Iowa 52242, United States of America.
Melissa A JansDepartment of Pathology, University of Iowa, Iowa City, Iowa 52242, United States of America.
Elisabeth A HorningDepartment of Pathology, University of Iowa, Iowa City, Iowa 52242, United States of America.
Matthew D KrasowskiDepartment of Pathology, University of Iowa, Iowa City, Iowa 52242, United States of America.
Bradley A FordDepartment of Pathology, University of Iowa, Iowa City, Iowa 52242, United States of America.
Kent R BeckerDepartment of Pathology, University of Iowa, Iowa City, Iowa 52242, United States of America.
Jeanine M BeranekDepartment of Pathology, University of Iowa, Iowa City, Iowa 52242, United States of America.
Robert A RobinsonDepartment of Pathology, University of Iowa, Iowa City, Iowa 52242, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBeaker is a relatively new laboratory information system (LIS) offered by Epic Systems Corporation as part of its suite of health-care software and bundled with its electronic medical record, EpicCare. It is divided into two modules, Beaker anatomic pathology (Beaker AP) and Beaker Clinical Pathology. In this report, we describe our experience implementing Beaker AP version 2014 at an academic medical center with a go-live date of October 2015.

methodsThis report covers preimplementation preparations and challenges beginning in September 2014, issues discovered soon after go-live in October 2015, and some post go-live optimizations using data from meetings, debriefings, and the project closure document.

resultsWe share specific issues that we encountered during implementation, including difficulties with the proposed frozen section workflow, developing a shared specimen source dictionary, and implementation of the standard Beaker workflow in large institution with trainees. We share specific strategies that we used to overcome these issues for a successful Beaker AP implementation. Several areas of the laboratory-required adaptation of the default Beaker build parameters to meet the needs of the workflow in a busy academic medical center. In a few areas, our laboratory was unable to use the Beaker functionality to support our workflow, and we have continued to use paper or have altered our workflow. In spite of several difficulties that required creative solutions before go-live, the implementation has been successful based on satisfaction surveys completed by pathologists and others who use the software. However, optimization of Beaker workflows has continued to be an ongoing process after go-live to the present time.

conclusionsThe Beaker AP LIS can be successfully implemented at an academic medical center but requires significant forethought, creative adaptation, and continued shared management of the ongoing product by institutional and departmental information technology staff as well as laboratory managers to meet the needs of the laboratory.

Indexed as

Beaker anatomic pathologyimplementationlaboratory information system

Identifiers

PMID29387505
PMCPMC5760958

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.