Pathology & Laboratory Medicine Outcomes

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Why Choose Us: Pathology & Laboratory Medicine

Our Outcomes: The Results of Our Care

Your child’s physician may order lab tests to learn more about your child’s health, or to discover the specific cause or status of an illness. The doctor will send samples of your child’s cells or bodily fluids (such as urine or blood) to our lab, where our board-certified pathologists (doctors specially trained to examine cells, tissues and fluids) will run tests and examine the samples under microscopes. You and your child usually won’t meet with the pathologists, but they play an essential role in the diagnosis of your child’s disease — they’ll work with your child’s primary physician or specialist to decide on the most accurate diagnosis.

Getting lab work can be stressful for you and your kids. So when blood work or urine samples are needed you want to make sure you’re getting accurate, fast results.

Why Measuring Results Matters

We measure our results and compare them to national rates to help track our progress in providing pediatric care with the best possible results. Why do we do all this? It’s all so we can:

  • help you make decisions about your child’s care
  • be clear about our results
  • improve so we can consistently deliver better, safer care

Here are a few outcomes we track and focus on to improve the experience for both you and your child.

 

Our Pathology & Laboratory Medicine Outcomes by Location

Using Every Pathologists' Expertise to Ensure Accurate Results

Using Every Pathologists' Expertise to Ensure Accurate Results


Pooling All of Our Pathologists' Experience

One way to achieve excellence in pathology is for all of the pathologists to review every member of the team’s work and analysis of lab results (this is called peer review). At Nemours/Alfred I. duPont Hospital for Children in Wilmington, Del., all four of our pathologists review other pathologists' work in at least 10 percent of our cases — and we often do better than the industry’s standards.

We also work very closely:

  • as a group and share all of our expertise to achieve the best for each baby, child and teen
  • with the clinical team (including your child’s primary care physician or specialist) to deliver well-rounded, comprehensive patient care

 

Cases Reviewed by All Pathologists

11-12%

Nemours/Alfred I. duPont Hospital for Children (Wilmington, Del.; 2015, 2016, 2017)

10%

National Benchmark

 

Data sources: Data for the above metrics is gathered quarterly and derived from Pathologist Peer Review Forms. A benchmark level of 10 percent of peer review is suggested in pathology literature.

The Importance of Having All Eyes on Cancer Testing

The Importance of Having All Eyes on Cancer Testing


Every New Cancer Test Is Reviewed by All Pathologists

When doctors suspect a child has cancer, it’s crucial to get the diagnosis right. To best evaluate and treat a malignancy (cancer), all four of our pathologists (who are board-certified in Pediatric Pathology) review the tests run on the child’s tissue samples. This allows us to combine and make the most of our experience and talents in analyzing cancerous tumors.

 

Percentage Cancer Tests Reviewed by All Pathologists 

100%

Nemours/Alfred I. duPont Hospital for Children (Wilmington, Del.)

 

Data source: Data for the above metrics is gathered quarterly and derived from Pathologist Peer Review Forms.

Getting You Test Results as Fast as Possible

Getting You Test Results as Fast as Possible


Exams and Results in One Day or Less

If your child needs lab tests to help diagnose an illness, the last thing you want is to wait a long time for the results. To better provide fast, accurate results, we combine experienced staff, good processes and communication, and all of the necessary lab equipment.

Our pathologists in the lab at Nemours Children's Hospital in Orlando:

  • are pediatric pathologists — that means they specialize in children’s lab work. All are board-certified in pediatric pathology or have extensive experience in pediatric pathology.
  • have extensive knowledge in pediatric surgical pathology and broad pediatric subspecialty expertise in subspecialties such as pediatric hematopathology (dealing with leukemia, lymphoma and bone marrow failure syndromes), pediatric neuropathology (related to pediatric brain tumors and epilepsy), pediatric neuromuscular pathology and pediatric microbiology.
  • work only at Nemours Children's Hospital, so they can establish good lines of communication with other physicians at the hospital in order to provide the best care and faster results.

 

Turnaround Time: Specimens Examined and Analyzed in One Day or Less

87%

Nemours Children's Hospital (Orlando), Annual Average, 2016

76%

Nemours Children's Hospital (Orlando), Annual Average, 2015

28%

National Average (Benchmark)

 

Data source: Forlenza CJ1, Levy AS. Pathology turnaround time in pediatric oncology: a tool to prepare patients and families for the diagnostic waiting period. J Pediatr Hematol Oncol. 2013 Oct; 35(7):534-6. 2. Volmar KE, Idowu MO, Souers RJ et al.

Getting Families Fast Results About Acute Leukemia

Getting Families Fast Results About Acute Leukemia


We Complete More Than 85 Percent of Acute Leukemia Diagnoses in Six Hours or Less 

By being able to provide quicker diagnoses, we reduce the time that families spend anxiously awaiting the news of whether or not their child has cancer — or, whether or not they are in remission.

Faster diagnosis can also help:

  • clinicians begin therapy sooner
  • reduce the risk of complications
  • shorten hospital stays
  • minimize costs
  • improve outcomes

We’re able to do this because we’ve invested in advanced equipment like flow cytometry (an advanced machine to sort and count cells). This allows the lab to start leukemia and lymphoma testing within minutes of a biopsy (the collection of a child’s tissue sample).

And thanks to our pediatric pathologists, who specialize in diagnosing children and recognizing the types of cells in pediatric cancers, we’re also able to finish most complicated tumor cases within 72 hours (including holidays and weekends). We also complete muscle pathology cases in one to two weeks, compared to the national average of one to two months.

 

Turnaround Time: Acute Leukemia Specimens Examined and Analyzed

85% in 6 hours or less

Nemours Children's Hospital (Orlando), Annual Average, 2016

4 days

National Average (Benchmark)

 

Data source: Volmar KE, Idowu MO, Souers RJ et al. Turnaround time for large or complex specimens in surgical pathology: a college of American Pathologists Q-Probes study of 56 Institutions. Arch Pathol Lab Med. 2015; 139(2):171-7.

Our Differentiators: What Sets Us Apart

Our Differentiators: What Sets Us Apart


Why Choose Nemours Pathology & Laboratory Medicine

At Nemours, we’re dedicated to getting children’s diagnoses right — and getting test results to families as quickly as possible. We don’t want you and your child to wait unnecessarily for results. That’s why we’ve made investments in specialized equipment that allow us to do as many examinations as possible right in our own labs. This eliminates the need, time and expense of having to send samples out to some other lab for processing. And all of our pathologists:

  • are fellowship-trained and board-certified
  • are exclusively pediatric pathologists, so they immediately know exactly what to look for with the cells, tissues and fluids of children
  • work very closely with each other and your child’s doctors and nurses to provide the best coordinated care possible
  • serve as teachers of the next generation of pediatric pathologists. For example, those at Nemours/Alfred I. duPont Hospital for Children have professorships in the Division of Pediatric Pathology for the Department of Pathology of the Sidney Kimmel Medical College at Thomas Jefferson University in Philadelphia.
  • are published and well-established in their subspecialty areas. They’re reviewers for professional medical pathology organizations and help establish leading treatment protocols. And they’re speakers at national and international meetings, as well as authors of books and peer-reviewed medical journal articles in pediatric pathology. 

Learn More About Nemours Pathology & Laboratory Medicine »

 

We ask for your honest feedback so we can make improvements for all of our patients. Here's how families ranked us in surveys:

Nemours/Alfred I. duPont Hospital for Children (Wilmington, Del.)

  • Likelihood to recommend: Greater than 90% average (Sept. 2016-Sept. 2017)

Nemours Children's Hospital (Orlando)

  • Likelihood to recommend: 95% average (2016)

See how Nemours' care is recognized locally, across the country, and around the world. View Awards »