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Table 3 List of Indicators and Measures

From: The effects of a regional telepathology project: a study protocol

Construct

Dimension

Question

SYSTEM QUALITY

Ease of use

Generally speaking, the telepathology system is easy to use.

  

It is easy to master the telepathology system functionalities.

  

The graphical interfaces of the telepathology system are clear and easy to understand.

  

It is easy to find slides from the other facilities in the telepathology system.

  

It is easy to send slides and information to other facilities using telepathology.

Screen quality

The PC screens available in our facility are of acceptable quality.

  

The screens dedicated to the telepathology system are of acceptable quality.

  

The quality of the screens encourages me to use the telepathology system.

Systems integration

The telepathology system and the laboratory information system (LIS) are well integrated.

  

The telepathology system, the LIS and the dictation subsystem are well integrated.

  

Joint use of the telepathology system/LIS/dictation subsystem makes the work easier.

  

When the data on a patient come from different facilities, the telepathology/LIS systems provide well-integrated information.

  

When the data on a patient come from different facilities, the telepathology system/LIS/dictation subsystem provide well-integrated information.

Reliability

The telepathology system is rarely offline because of technology breakdowns.

  

Unexpected service outages of the telepathology system rarely occur.

  

Use of the telepathology system is uninterrupted because it is bug-free.

Accessibility

We have a sufficient number of telepathology work stations.

  

I have rarely had to wait for access to a work station in order to use the telepathology system.

  

I have easy access to the telepathology system from my home computer.

Response time

I have the impression that slides are digitized quickly.

  

I have the impression that the macroscopic images are fluid.

  

I have the impression that the microscopic images download quickly.

  

We have quick access to images from other facilities.

  

Setting aside image acquisition, the telepathology system responds quickly.

Perceived Usefulness

Overall, the telepathology system provides a complete range of functionalities that support my work as a professional.

  

My clinical practices are very well harmonized with the telepathology system.

  

Using the telepathology system is compatible with all aspects of my tasks.

INFORMATION QUALITY

Data quality

The slide images produced locally in my facility are:

‱ Complete

‱ Reliable and precise

‱ Well organized and carefully presented

‱ Available in a timely manner

‱ Secure and confidential

  

The slide images produced externally in other facilities are:

‱ Complete

‱ Reliable and precise

‱ Well organized and carefully presented

‱ Available in a timely manner

‱ Secure and confidential

SERVICE QUALITY

Technical support

The pilots or super-users in my hospital who provide technical assistance for the telepathology system:

‱ Are easy to reach

‱ Provide quick service

‱ Are competent

‱ Pay attention to user needs

‱ Are able to find satisfactory solutions

  

The staff from the regional support centre who provide technical assistance for the telepathology system:

‱ Are easy to reach

‱ Provide quick service

‱ Are competent

‱ Pay attention to user needs

‱ Are able to find satisfactory solutions

Training

I am satisfied with the training I received on using the telepathology system.

  

I learned how to use the telepathology system properly because of the training I received.

  

I apply what I have learned during my training on the telepathology system.

  

I can better use the telepathology system because of the training I received.

USER SATISFACTION

  

Overall, my experience using the telepathology system has been satisfactory.

  

I enjoy using the telepathology system in my work.

  

Overall, examining digitized slides on a monitor is more satisfying than examining glass slides with a microscope.

  

Being able to obtain a second opinion via the telepathology system satisfies me greatly.

  

Being able to perform intraoperative frozen section analyses via telepathology satisfies me greatly.

  

Being able to obtain an intraoperative rapid diagnosis via telepathology satisfies me greatly.

  

Being able to use the telepathology system for immunohistochemistry cases satisfies me greatly.

USE

Breadth

I use a wide range of the telepathology system's functionalities.

Type

How often do you...

  

...use the telepathology system to fulfill your functions?

  

...use the telepathology system to get/provide a second opinion?

  

...use the telepathology system to get/provide a intraoperative frozen section diagnosis?

  

...use the telepathology system for immunochemistry cases?

BENEFITS

Individual impacts

Using the telepathology system improves the quality of my diagnoses.

  

The telepathology system improves my confidence level when I perform some surgical procedures.

  

Some of my surgical procedures are less invasive because of the telepathology system.

  

Using the telepathology system saves me some of the time I used to spend moving about.

  

The telepathology system reduces my sense of professional isolation.

Organizational impacts

Quality

The telepathology system's tracking mode reduces the risk of medical errors.

  

The quality of patient care is improved because of the telepathology system.

 

Efficiency

The telepathology system reduces the time between a surgical procedure and the availability of a preliminary report.

  

The telepathology system reduces the time between the moment a slide is available for reading and the final diagnosis.

 

Effectiveness

The telepathology system reduces the number of surgical procedures postponed due to a lack of pathologists.

  

The telepathology system reduces the number of surgical procedures performed in two stages.

 

Retention/

Recruitment

The telepathology system helps retain workers from different pathology professions (pathologists, pathology technologists, etc.) in our facility.

  

The telepathology system helps recruit workers in different pathology professions for our region.

  

The telepathology system makes the various pathology professions more attractive.

Regional impacts

Accessibility

The telepathology system has improved the accessibility of pathology services.

  

The pathology coverage rate is improved because of telepathology.

  

Fewer patients are transferred to regional or tertiary sites because of telepathology.

 

Continuity

Patients enjoy improved continuity of care because of telepathology.