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Middleware and the Clinical Hematology Laboratory


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Middleware Conclusions

Slide 28

February 2009

Automating rules for differentials is the easy but most critical part for middleware implementation in the hematology laboratory.  I must challenge your concept of the CBC and differential and urge you to think of the CBC as not a single test but as a common assay that is used in a variety of very different clinical situations and scenarios.  Second, focus your middleware on patient safety issues: every laboratory needs to look at all their revised reports and near misses.  Why did they happen, what went wrong in the process?  And then use middleware to fill in the gaps in your patient safety processes using, as we talked about before, the Mrs. Johnson rules, and using SOP and disease specific popup reminders.

Middleware Conclusions


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