One measure of the efficiency of a surgical pathology service is the rapidi
ty of reporting the diagnosis to clinicians. The turnaround time (TAT) has
been used for this purpose. This study showed that the TAT for 66% of speci
mens submitted to the surgical pathology laboratory in the University Hospi
tal of the West Indias was within 3 days and for 89% within 6 days. The TAT
within 7 days was considered acceptable, but it was shown that it was more
than 7 days for 9%, of the specimens submitted. The importance of this inf
ormation is discussed and recommendations made for identifying more accurat
ely the source of delays in those cases in which the TAT was considered to
be unusually prolonged.