{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:32:23Z","timestamp":1789000343165,"version":"build-2803163510"},"reference-count":19,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,2,20]],"date-time":"2012-02-20T00:00:00Z","timestamp":1329696000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostic Cytopathology"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Based on current literature and the best available research to date, the current FDA workload limits for automated image\u2010assisted screening, including the ThinPrep Imaging System and the FocalPoint GS, of 100 slides\/day (imaged only slides counted as 0.5) are extremely high and may be associated with significant reduction in sensitivity. This task force has proposed six recommendations relating to cytotechnologist (CT) workload in automated image\u2010guided Pap test screening, which have already been endorsed by major pathology professional societies. These evidence\u2010based recommendations, however, pertain only to gynecologic specimens with image\u2010assisted screening, as there is no current available data to justify modifying screening practices regarding non\u2010gynecologic specimens. The proposed recommendations are as follow: 1) CT workday should not include more than 7 hours of Pap test screening in a 24\u2010hr period, and an 8\u2010hr shift day must include at least 2 paid mini\u2010breaks of 15 minutes each and a 30\u2010minute lunch break. 2) Future Studies examining CT workload should use actual hours of screening rather than lesser number of hours extrapolated to 8\u2010hour days. 3) Average laboratory CT workload should NOT exceed 70 slides\/day (slides counted per 2010 FDA bulletin). 4) Proportion of imaged slides that undergo full manual review should be at least either 15%, or twice (2\u00d7) the epithelial cell abnormality (ECA) rate, whichever is greater. 5) ECA\u2010adjusted workload measure is a promising method for calculating and monitoring CT workload, but further studies of this method are necessary before full endorsement. 6) CT productivity and workload limits are just one aspect of a good quality assurance program in a cytology laboratory, so other quality indicators to assess CT performance are essential. Diagn. Cytopathol. 2013. \u00a9 2012 Wiley Periodicals, Inc.<\/jats:p>","DOI":"10.1002\/dc.22817","type":"journal-article","created":{"date-parts":[[2012,2,21]],"date-time":"2012-02-21T05:00:45Z","timestamp":1329800445000},"page":"174-178","source":"Crossref","is-referenced-by-count":48,"title":["American society of cytopathology workload recommendations for automated pap test screening: Developed by the productivity and quality assurance in the era of automated screening task force"],"prefix":"10.1002","volume":"41","author":[{"given":"Tarik M.","family":"Elsheikh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. Marshall","family":"Austin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David F.","family":"Chhieng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fern S.","family":"Miller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann T.","family":"Moriarty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew A.","family":"Renshaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,2,20]]},"reference":[{"key":"e_1_2_4_2_2","unstructured":"How Laboratorians Can Safely Calculate Workload for FDA\u2010Approved Semi\u2010Automated Gynecologic Cytology Screening Devices.http:\/\/www.fda.gov\/MedicalDevices\/Safety\/AlertsandNotices\/TipsandArticlesonDeviceSafety\/ucm220292.htm.2010."},{"key":"e_1_2_4_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncy.20060"},{"key":"e_1_2_4_4_2","unstructured":"NHSCSP publication No 14 January 2003. Laboratory organization a guide for laboratories participating in the NHS cervical screening program. Available atwww.cancerscreening.nhs.uk\/ceervical\/publications\/nhscsp14.pdf. (last accessed 1\u20104\u20102012)"},{"key":"e_1_2_4_5_2","unstructured":"Cytology Benchmarkin working Group. Workload guidelines for cytotechnologists.http:\/\/www.cmlto.com\/quality_assurance\/MLT_practice_guidelines\/default.asp?load=cytotechnologists www.cmlto.com\/quality_assurance\/MLT_practice_guidelines\/default.asp?load=cytotechnologists.1997."},{"key":"e_1_2_4_6_2","unstructured":"Becton Dickinson Co. BD FocalPoint GS Imaging System Package Insert. Becton Dickinson Co. 2009.http:\/\/www.bd.com\/tripath\/downloads\/msds_pi\/focalpoint\/focalpoint_gs_pi.pdf(last accessed 1\u20104\u20102012)"},{"key":"e_1_2_4_7_2","doi-asserted-by":"publisher","DOI":"10.1309\/AGB1MJ9H5N43MEGX"},{"key":"e_1_2_4_8_2","unstructured":"Operation summary and clinical information ThinPrep imaging system.Cytyc corporation Part No. 86093\u2010001 Rev. E00 2006.http:\/\/www.thinprep.com\/pdfs\/thinprep_package_insert_imaging.pdf(last accessed 1\u20104\u20102012)."},{"key":"e_1_2_4_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncy.20065"},{"key":"e_1_2_4_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/dc.20689"},{"key":"e_1_2_4_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2006.07.025"},{"issue":"5","key":"e_1_2_4_12_2","first-page":"575","article-title":"Concordance between original screening and final diagnosis using imager vs","volume":"52","author":"Pacheco MC","year":"2008","journal-title":"manual screen of cervical liquid\u2010based cytology slides"},{"key":"e_1_2_4_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/dc.20779"},{"key":"e_1_2_4_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/dc.21439"},{"key":"e_1_2_4_15_2","first-page":"307","article-title":"Effects of increasing cytotechnologist workload using the location guided imaging system FocalPoint GS on Surepath Pap tests","volume":"118","author":"Levi A","year":"2010","journal-title":"Cancer Cytopathol"},{"key":"e_1_2_4_16_2","article-title":"What is a reasonable and realistic workload limit in the age of image assisted pap testing? Current issues in cytology","author":"Miller F","year":"2009","journal-title":"57th annual scientific meeting of the American Society of Cytopathology"},{"key":"e_1_2_4_17_2","article-title":"HSIL, epithelial cell abnormality\u2010adjusted workload, and the Thinprep imaging system","author":"Renshaw AA","year":"2010","journal-title":"Diagn Cytopathol"},{"key":"e_1_2_4_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/dc.21541"},{"key":"e_1_2_4_19_2","article-title":"Low grade squamous intraepithelial lesion, epithelial cell abnormality\u2010adjusted workload, and the thinprep imaging system","author":"Renshaw AA","year":"2010","journal-title":"Diagn Cytopathol"},{"key":"e_1_2_4_20_2","doi-asserted-by":"publisher","DOI":"10.1002\/dc.21167"}],"container-title":["Diagnostic Cytopathology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fdc.22817","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/dc.22817","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T16:00:32Z","timestamp":1696953632000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/dc.22817"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,2,20]]},"references-count":19,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2013,2]]}},"alternative-id":["10.1002\/dc.22817"],"URL":"https:\/\/doi.org\/10.1002\/dc.22817","archive":["Portico"],"relation":{},"ISSN":["8755-1039","1097-0339"],"issn-type":[{"value":"8755-1039","type":"print"},{"value":"1097-0339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,2,20]]}}}