Author Archives: David Novis

Lean Production and Error Reduction

 

Mistake Proofing the Laboratory: An Industrial View. Clinical Laboratory Management Association. Webinar, December 2, 2009; American Society for Clinical Pathology. Annual Meeting. Chicago. October 29, 2009; Clinical Laboratory Managment Association. ThinkLab ’09 Conference & Exhibition, Tampa, Florida, Tuesday, May 5, 2009;

Reducing Errors in the Laboratory: A Lean System Approach. Clinical Laboratory Managment Association AudioLab Webinar. December 2, 2008.

Reducing Errors in the Clinical Laboratory A Lean Production System Approach. American Society of Clinical Pathologists Annual Meeting, Baltimore, Maryland, October 19, 2008 – Details

Practice Management Institute: Reducing Error and Patient Risk in the Practice of Pathology College of American Pathologists Annual Meeting, San Diego, California, September 26, 2008 – Details

Reducing Errors in Pathology and Laboratory Medicine: A Lean Production System Approach. Washington G2 Reports Laboratory Outreach 2008. June 18, Las Vegas, Nevada;  College of American Pathologists Annual Meeting September 26, 2008, San Diego, California; American Society of Clinical Pathologists Annual Meeting, October 19, 2008 Baltimore Maryland;  American Society of Clinical Pathologists Annual Meeting, October 20, 2007 the Hilton New Orleans Riverside Hotel.

Improving Value and Reducing Errors: What does making automobiles have to do with your practice? Wentworth Douglass Hospital May 1, 2007 8:00 AM.

Strategies to reduce errors in the delivery of health care services: Lessons from the College of American Pathologists Q-Probes Program. Presented at the Conference on “Improving Hospital & Laboratory Safety” University of Pittsburgh School of Medicine, Pittsburgh, PA. May 10, 11, 2006.

Reducing Errors in Surgical Pathology: an Industrial View. Lessons from the College of American Pathologists Q-PROBES Program and Summary of notes Pittsburgh Regional Healthcare Initiative: Perfecting Patient Care November 11-18, 2005 Baystate Medical Center, Springfield MA April 26, 2006.

Adapting industrial techniques to health care delivery. 49th Annual Meeting of the Northeast Medical Association, Zermatt, Switzerland, March 30, 2006.

 

 

 

Medical Practice

Laboratory Medical Directorship, A Pragmatic Approach. Annual Meeting of the Ohio Society of Pathologists, April 21, 2018

Coping with the Quota: Ethnic profiling in American medical school admissions, 1930’s Annual Meeting of the Northeast Medical Association, Park City, UT March 9, 2017; and President’s Lecture, 51st Annual Meeting of the Northeast Medical Association, Steamboat Springs, CO March 7, 2000.

Small community-based pathology practice–The current issues. CBLPath, Rye Brook, New York. April 21, 2010.

Strategic Planning in Youth Sports: Physical Fitness Beyond Childhood. Presented at the 50th Annual Meeting of the Northeast Medical Association, Mont St. Anne Quebec, Canada February 11, 2007

Managing Conflict: Bridging the Generational Gap,” Medical Group Management Association (MGMA) 2006 Annual Conference. Las Vegas Convention Center, Las Vegas, Nevada. October 20, 2006.

Reducing Errors in Pathology 49th Annual Meeting of the Northeast Medical Association, Zermatt, Switzerland, March 28, 2006.

Medical Legal Issues in Gynecologic Cytology. American Society of Clinical Pathologists, Spring Meeting, Los Angeles California, April 5, 1998.

Utilization of Pathologic Findings in the Treatment of Breast Cancer, Project HOPE Breast Cancer Project, Poland, Hungary and the, Czech Republic, Fall, 1998.

Quality

Benchmarking turnaround time in Pathology and Laboratory Medicine, Program Director; College of American Pathologists, Spring Meeting, Boston, MA April 10, 2000 and Fall Meeting, Philadelphia, PA, October 21 2001

Benchmarking in Anatomic Pathology; College of American Pathologists, Spring Meeting, Chicago, Illinois, April 1997

Q-Probes; 37th Annual Meeting Northeast Medical Association, Grindelwald, Switzerland, March 6,1994

 

Laboratory Practice

Author and Reviewer: Essentials of Laboratory Management – Building a Quality Management System, ©2022 College of American Pathologists. Online CME/CE education activity released December 15, 2022.

David A. Novis MD, Tom Long, MPH, Barbara Blond MT(ASCP) MBA, Joseph Tworek MD,Michael L. Talbert MD. Phlebotomy Staffing: A College of American Pathologists Q-Probes Study of 42 Clinical Laboratories. Archives of Pathology. Early Online Arch Pathol Lab Med. doi: 10.5858/arpa.2021-0158-CP).

David A. Novis, MD; Suzanne N. Coulter, MS; Barbara Blond, MT(ASCP), MBA; Peter Perrotta, MD. Technical Staffing Ratios: Summary of 3 College of American Pathologists Q-Probes Studies

Perrotta P, Novis DA, Nelson S, Blond B, Stancovic A, Talbert M. Workflow Mapping: Pre-Analytical Testing Processes. A College of American Q-Probes Study of 35 Clinical Laboratories. Archives of Pathology

DA, Nelson S, Blond B, Guidi A, Talbert M, Mix P, Perrotta P. Laboratory Staff Turnover. A College of American Pathologists Q-Probes Study of 23 Clinical Laboratories. Arch. Pathol. Lab Med. Online.

Harper A, Novis DA. What are lab orders costing you? MLO-Online.com; March 2016. Vol 48. No. 3.  Page 43. 

THE POINT OF CARE TESTING TOOLKIT The Point of Care Testing Committee College of American Pathologists Northfield, IL 2010.

Novis DA, Bowman C. Gastrointestinal Bleeding. Continuing Education. College of American Pathologists, Northfield IL. 2010 .

Novis, David. LAB WORK Advice to hospital administrators: Maximizing the Value of Your Laboratory Medical Director. Health Executive. August 2006.

Novis DA, Ellzey I, Cojita, D. Complete Histology Slide Lab Set-up Manual. IEPG. Casselberry, FL. 2009.

Murphy K, Novis DA, Hansen AJ. Chapter VI.A New Approach To Surveys: Building Quality From the Inside. CLIA Compliance Handbook. The Essential Guide for the Clinical Laboratory. 2nd Edition. Institute of Management & Administration Inc. New York. 2009.

Howanitz PJ, Miller KA, Dale JC, Novis DA. 02-QP17. Physician satisfaction with clinical laboratory services: A College of American Pathologists Q-PROBES STUDY. Data Analysis and Critique. College of American Pathologists. Northfield, Ill. 2002.

Novis DA, Walsh M, St. Louis MA, Ben-Ezra J, Wilkinson DS. Laboratory Productivity and the Rate of Manual Peripheral Blood Smear Review: A College of American Pathologists Q-PROBES Study of 95,141 Complete Blood Count Determinations Performed in 263 Institutions. Arch Pathol Lab Med. 2006;130:633-637.

Novis DA. Detecting and preventing the occurrence of errors in the practices of Laboratory Medicine and Anatomic Pathology: Fifteen years experience with the College of American Pathologists Q- PROBES and Q-TRACKS programs. Clin Lab Med. 2004; 24:965-978.

Novis DA, Jones BA, Dale, JC, Walsh, MK. Biochemical markers of myocardial injury test turnaround time: A College of American Pathologists Q-PROBES study of 7 020 troponin and 4 368 CK-MB determinations in 159 institutions. Arch Pathol Lab Med. 2004;128: 158-164.

Novis DA, Walsh MK., Dale JC., Howanitz PJ. Continuous monitoring of stat and routine outlier turnaround times: two College of American Pathologists Q-TRACKS monitors in 291 hospitals. Arch Pathol Lab Med. 2004;128:621-626.

Novis DA, Miller KA, Howanitz PJ, Renner MD, Walsh MK. Audit of transfusion procedures in 660 hospitals: a College of American Pathologists Q-Probes study of patient identification and vital sign monitoring frequencies in 16 494 transfusions. Arch Pathol Lab Med. 2003; 127:541-548.

Howanitz P, Novis D. Accuracy and Adequacy of point of care glucose testing: A College Of American Pathologists Q-Probes study. Clin Chem Clin Lab Med 2002; 40 (Suppl) S244.

Novis DA, Friedberg RC, Renner SW, Meier FA, Walsh MK. Operating room blood delivery turnaround time. A College of American Pathologists Q-Probes study of 12 647 units of blood components in 466 institutions. Arch Pathol Lab Med. 2002; 126:909-914.

Novis DA, Renner S, Friedberg R, Walsh MK, Saladino AJ. Quality indicators of fresh frozen plasma And platelet utilization: three College of American Pathologists Q-Probes studies of 8 981 796 units of fresh frozen plasma and platelets in 1 639 hospitals. Arch Pathol Lab Med. 2002; 126:527-532.

Dale JC, Novis DA. Outpatient phlebotomy success and reasons for specimen rejection. A Q-Probes Study. Arch Pathol Lab Med. 2002; 126:416-419.

Novis DA, Renner S, Friedberg R, Walsh MK, Saladino AJ. Quality indicators of blood utilization: three College of American Pathologists Q-Probes studies of 12 288 404 red blood cell units in 1 639 hospitals. Arch Pathol Lab Med. 2002; 126:150-156.

Novis, DA, Dale JC, Schifman RB, Ruby SG, Walsh MK Solitary blood cultures: A College of American Pathologists Q-Probes Study of 132 778 Blood Culture Sets in 333 Small Hospitals. Arch Pathol Lab Med: 2001;125:1285-1289.

Jones BA, Novis DA. Non-Gynecologic Cytology Turnaround Time: A College of America Pathologists Q-Probes Study of 180 Laboratories. Arch Pathol Lab Med: 2001;125:1279-1284.

Dale JC, Novis DA, Meier. Reference laboratory telephone service quality. Arch Pathol Lab Med. 2001 May;125(5):608-12.

Novis DA, Dale JC. Morning rounds inpatient test availability: A College of American Pathologists Q- Probes study of 79 860 morning CBC and electrolyte test results in 367 institutions. Arch Pathol Lab Med.2000; 124:499-503. (abstract: Yearbook of Pathology and Laboratory Medicine 2002, 374-375).

Jones BA, Novis DA. Follow-up of abnormal gynecologic cytology: a College of American Pathologists Q-Probes study of 16,132 cases from 306 laboratories. Arch Pathol Lab Med. 2000; 124:665-71. See Editorial: Austin RM. Arch Pathol Lab Med. 2000; 124:1113-4.

Steindel SJ, Novis DA. Using outlier events to monitor test turnaround time: A College of American Pathologists Q-Probes study in 495 laboratories. Arch Pathol Lab Med. 1999;123:607-14. (Reprint: abstract JAMA, 1999;282 1408m).

Novis DA, Zarbo RJ, Valenstein P. Diagnostic uncertainty expressed in prostate needle biopsies. A College of American Pathologists Q-Probes study of 15,753 prostate needle biopsies performed in 332 institutions. Arch Pathol Lab Med. 1999;123:687-92. (abstract. Modern Pathology 12:102A, 1999 abstract #50. abstract JAMA, 1999;282:2106).

Novis DA, Zarbo RJ, Saladino AJ. Inter-institutional comparison of surgical biopsy diagnosis turnaround time. A College of American Pathologists Q-Probes study of 5384 surgical biopsies in 157 small hospitals. Arch Pathol Lab Med. 1998;122:951-956. ( abstract JAMA 1999; 281:880. abstract Yearbook of Pathology and Laboratory Medicine 2000, 316-317. abstract JAMA 1997; 277:1179).

Novis DA, Jones BA. Inter-institutional comparison of blood glucose monitoring program characteristics, accuracy, and quality control documentation. A College of American Pathologists Q- Probes study of bedside blood glucose monitoring performed in 226 small hospitals. Arch Pathol Lab Med. 1998;122:495-502.

Novis DA, Steindel SJ. Emergency department test turnaround time: data analysis and critique. 93-12, Q- Probes. Northfield Ill: College of American Pathologists; 1993.

Pathology Practice

Less is More. Solutions to the shortage of pathologists in America

Pathologists—Why Your Strategic Plan May Not Be Working 

Talking to Our Customers

Pathology Outlines: Strategic Planning for Pathology Practices and Laboratory Directors

Pathology Outlines: Creating a Business Plan

 Pathology Reports, a Second Look. Reducing errors in anatomic pathology. Novis, D.Pathol Lab Med, April 2016, Vol 150, No. 4, Page 300.

The Pathologist Workforce in the United States. II. An Interactive Modeling Tool for Analyzing Future Qualitative and Quantitative Staffing Demands for Services. Robboy J…Novis DA. et alPathol Lab Med. 2015; 139(11):1413-1430.

Pathology Practice Management. Novis Networks. Outsourcing to reduce the need for manpower.   D.Novis MLO October 1, 2015. 

Requisites to Strategic Planning. Archives of Pathology & Laboratory Medicine., D. Mudge-Riley M, Raich M.  March 2015, Vol. 139, No. 3, pp. 305-6.

Corporate Culture in Decision Making. Archives of Pathology & Laboratory Medicine: Novis, D. 2014, Vol. 138, No. 8, p. 999.

Providing value: the key to job security.  Novis, D.  Laboratory Observer, Volume 42 November 2010 Page 20.

 The Quality of Customer Service in Anatomic Pathology. D. Novis. Diagnostic Histopathology 2008; 14: 308-315.

Best Practices: Passing the Test.  D Novis Health Executive. 4; April 20,2008; 14-17.

Novis, David. LAB WORK Advice to hospital administrators: Maximizing the Value of Your Laboratory Medical Director. Health Executive. August 2006.

Routine review of surgical pathology cases as a method by which to reduce diagnostic errors in a community hospital. D Novis. Pathology Case Reviews 2005; 10:63-67.

 Current state of malpractice litigation. Novis, DA. Cytol. 1998; 42:1302-4.

College of American Pathologists CAP connect blog 
Turnaround Time–The Wrong Metric?
Is It Time for a Change in CAP Governance?
A Shortage of Pathologists. The right solution?
Workforce Strategy: Aiming for the Wrong Target?
Now is the Time to Re-arm Ourselves: Requisites to Strategic Planning
Suggestions for Sharpening Your Competitive Razor

CAP Cancer Protocols and Checklists Upper Aerodigestive Tract (Including Salivary Glands) Pilch, Gillies, Houck,  Kyung-Whan Min,  Novis, Shah, Zarbo, Wenig.  November 16, 2006

. Follow-up of abnormal gynecologic cytology: a College of American Pathologists Q-Probes study of 16,132 cases from 306 laboratories. Jones BA, Novis DA Pathol Lab Med. 2000; 124:665-71. See Editorial: Austin RM. Arch Pathol Lab Med. 2000; 124:1113-4.

 Inter-institutional comparison of frozen section consultation in small hospitals. A College of American Pathologists Q-Probes study of 18532 frozen section consultation diagnoses in 233 small hospitals. Novis DA, Gebhardt GN, Zarbo RJ. Pathol Lab Med. 1996;120:1087-1093 (abstract: Yearbook of Pathology and Laboratory Medicine 1998, 344-346. abstract JAMA 1997; 277:1179).

 Cervical biopsy-cytology correlation. A College of American Pathologists Q- Probes study of 22,439 correlations in 348 laboratories. Jones BA, Novis DA. Pathol Lab Med. 1996;120:523-53.

 Inter-institutional comparison of frozen section turnaround time. A College of American Pathologists Q-Probes study of 32868 frozen sections in 700 hospitals. Novis DA, Zarbo RJ. Pathol Lab Med. 1996;121:559-567.

Lean Production and Error Reduction

Novis D. Avoiding Errors in the Lab. Medical Laboratory Observer November 2011 Page 23.

Novis, D. Being LEAN never hurt anyone. Medical Laboratory Observer. April 2011. Page 50.

Parker E, Berte L, Garton D, Gayken J, Good K, Novis DA, Smith L. Domain 6: Quality Management for Patient Safety. Body of Knowledge (BOK) Clinical Laboratory Management Association November, 2010 Edition.

Novis, DA. The Lean Way. Chapter 2. How to Lean Your Laboratory Outreach Program. In Business Strategies for Lab Outreach Programs, edited by Kim Scott and Mark Terry. Newark, NJ. Washington G2 Reports 2009: 104-117.

Novis DA. Reducing errors in the clinical laboratory: a lean production system approach. Laboratory Medicine 2008;39:521-529.

Novis, D. Slim Down: an industrial view of medical errors. Health Executive. September 2006, pages 18-21.

Novis DA, Konstantakos G. Reducing errors in the practices of Pathology and Laboratory Medicine: an industrial approach. American Journal of Clinical Pathology, Am J Clin Pathol 2006;126(Suppl):S30-S35.

 

Quality Outcomes: College of American Pathologists Q-Probes Studies

Novis DA, Nelson S, Blond B, Guidi A, Talbert M, Mix P, Perrotta P. Laboratory Staff Turnover. A College of American Pathologists Q-Probes Study of 23 Clinical Laboratories. Arch. Pathol. Lab Med. Online.

Novis D, Lindholm P, Ramsey G, Alcorn K, Souers R, Blond B. Blood Band Specimen Mislabeling: A College of American Pathologists Study of 41,333 Blood Bank Specimens in 30 Institutions. Arch Pathol Lab Med. 2017; 141:255-259.

Harper A, Novis DA. What are lab orders costing you? MLO-Online.com; March 2016. Vol 48. No. 3.  Page 43. 

Howanitz PJ, Miller KA, Dale JC, Novis DA. 02-QP17. Physician satisfaction with clinical laboratory services: A College of American Pathologists Q-PROBES STUDY. Data Analysis and Critique. College of American Pathologists. Northfield, Ill. 2002.

Novis DA, Walsh M, St. Louis MA, Ben-Ezra J, Wilkinson DS. Laboratory Productivity and the Rate of Manual Peripheral Blood Smear Review: A College of American Pathologists Q-PROBES Study of 95,141 Complete Blood Count Determinations Performed in 263 Institutions. Arch Pathol Lab Med. 2006;130:633-637.

Novis DA. Detecting and preventing the occurrence of errors in the practices of Laboratory Medicine and Anatomic Pathology: fifteen years experience with the College of American Pathologists Q- PROBES and Q-TRACKS programs. Clin Lab Med. 2004; 24:965-978.

Novis DA, Jones BA, Dale, JC, Walsh, MK. Biochemical markers of myocardial injury test turnaround time: A College of American Pathologists Q-PROBES study of 7 020 troponin and 4 368 CK-MB determinations in 159 institutions. Arch Pathol Lab Med. 2004;128: 158-164.

Novis DA, Walsh MK., Dale JC., Howanitz PJ. Continuous monitoring of stat and routine outlier turnaround times: two College of American Pathologists Q-TRACKS monitors in 291 hospitals. Arch Pathol Lab Med. 2004;128:621-626.

Novis DA, Miller KA, Howanitz PJ, Renner MD, Walsh MK. Audit of transfusion procedures in 660 hospitals: a College of American Pathologists Q-Probes study of patient identification and vital sign monitoring frequencies in 16 494 transfusions. Arch Pathol Lab Med. 2003; 127:541-548.

Howanitz P, Novis D. Accuracy and Adequacy of point of care glucose testing: A College Of American Pathologists Q-Probes study. Clin Chem Clin Lab Med 2002; 40 (Suppl) S244.

Novis DA, Friedberg RC, Renner SW, Meier FA, Walsh MK. Operating room blood delivery turnaround time. A College of American Pathologists Q-Probes study of 12 647 units of blood components in 466 institutions. Arch Pathol Lab Med. 2002; 126:909-914.

Novis DA, Renner S, Friedberg R, Walsh MK, Saladino AJ. Quality indicators of fresh frozen plasma And platelet utilization: three College of American Pathologists Q-Probes studies of 8 981 796 units of fresh frozen plasma and platelets in 1 639 hospitals. Arch Pathol Lab Med. 2002; 126:527-532.

Dale JC, Novis DA. Outpatient phlebotomy success and reasons for specimen rejection. A Q-Probes Study. Arch Pathol Lab Med. 2002; 126:416-419.

Novis DA, Renner S, Friedberg R, Walsh MK, Saladino AJ. Quality indicators of blood utilization: three College of American Pathologists Q-Probes studies of 12 288 404 red blood cell units in 1 639 hospitals. Arch Pathol Lab Med. 2002; 126:150-156.

Novis, DA, Dale JC, Schifman RB, Ruby SG, Walsh MK Solitary blood cultures: A College of American Pathologists Q-Probes Study of 132 778 Blood Culture Sets in 333 Small Hospitals. Arch Pathol Lab Med: 2001;125:1285-1289.

Jones BA, Novis DA. Non-Gynecologic Cytology Turnaround Time: A College of America Pathologists Q-Probes Study of 180 Laboratories. Arch Pathol Lab Med: 2001;125:1279-1284.

Dale JC, Novis DA, Meier. Reference laboratory telephone service quality. Arch Pathol Lab Med. 2001 May;125(5):608-12.

Novis DA, Dale JC. Morning rounds inpatient test availability: A College of American Pathologists Q- Probes study of 79 860 morning CBC and electrolyte test results in 367 institutions. Arch Pathol Lab Med.2000; 124:499-503. (abstract: Yearbook of Pathology and Laboratory Medicine 2002, 374-375).

Jones BA, Novis DA. Follow-up of abnormal gynecologic cytology: a College of American Pathologists Q-Probes study of 16,132 cases from 306 laboratories. Arch Pathol Lab Med. 2000; 124:665-71. See Editorial: Austin RM. Arch Pathol Lab Med. 2000; 124:1113-4.

Steindel SJ, Novis DA. Using outlier events to monitor test turnaround time: A College of American Pathologists Q-Probes study in 495 laboratories. Arch Pathol Lab Med. 1999;123:607-14. (Reprint: abstract JAMA, 1999;282 1408m).

Novis DA, Zarbo RJ, Valenstein P. Diagnostic uncertainty expressed in prostate needle biopsies. A College of American Pathologists Q-Probes study of 15,753 prostate needle biopsies performed in 332 institutions. Arch Pathol Lab Med. 1999;123:687-92. (abstract. Modern Pathology 12:102A, 1999 abstract #50. abstract JAMA, 1999;282:2106).

Novis DA, Zarbo RJ, Saladino AJ. Inter-institutional comparison of surgical biopsy diagnosis turnaround time. A College of American Pathologists Q-Probes study of 5384 surgical biopsies in 157 small hospitals. Arch Pathol Lab Med. 1998;122:951-956. ( abstract JAMA 1999; 281:880. abstract Yearbook of Pathology and Laboratory Medicine 2000, 316-317. abstract JAMA 1997; 277:1179).

Novis DA, Jones BA. Inter-institutional comparison of blood glucose monitoring program characteristics, accuracy, and quality control documentation. A College of American Pathologists Q- Probes study of bedside blood glucose monitoring performed in 226 small hospitals. Arch Pathol Lab Med. 1998;122:495-502.

Novis DA, Gebhardt GN, Zarbo RJ. Inter-institutional comparison of frozen section consultation in small hospitals. A College of American Pathologists Q-Probes study of 18532 frozen section consultation diagnoses in 233 small hospitals. Arch Pathol Lab Med. 1996;120:1087-1093 (abstract: Yearbook of Pathology and Laboratory Medicine 1998, 344-346. abstract JAMA 1997; 277:1179).

Jones BA, Novis DA. Cervical biopsy-cytology correlation. A College of American Pathologists Q- Probes study of 22,439 correlations in 348 laboratories. Arch Pathol Lab Med. 1996;120:523-53.

Novis DA, Zarbo RJ. Inter-institutional comparison of frozen section turnaround time. A College of American Pathologists Q-Probes study of 32868 frozen sections in 700 hospitals. Arch Pathol Lab Med. 1996;121:559-567.

Novis DA, Steindel SJ. Emergency department test turnaround time: data analysis and critique. 93-12, Q- Probes. Northfield Ill: College of American Pathologists; 1993.