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Middleware and the Clinical Hematology Laboratory


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Think Differently About the CBC!

Slide 13

February 2009

I want to give you an example of how we went about creating change and solving one of our lab problems at Mayo.  The problem in the laboratory: the physicians were calling the laboratory wanting the CBC and differential results now!  The response from the laboratory:  The CBC is not normal and I have to do a manual differential count.  Call back later.  The retort from the clinican:   “I know the CBC is not normal; this patient is on chemo!  It is not supposed to be normal!   I don’t want a perfect CBC - I just want reasonably accurate platelet and neutrophil counts so I can make a decision NOW as to whether this patient can receive today’s chemotherapy dose.

Think Differently About the CBC!


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