let’s take a cellfie · let’s take a cellfie the digital microscopy dilemma. rebecca warwick...

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Let’s take a Cellfie The digital microscopy dilemma. Rebecca Warwick Chris Greenwood r [email protected] c [email protected]

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Page 1: Let’s take a Cellfie · Let’s take a Cellfie The digital microscopy dilemma. Rebecca Warwick Chris Greenwood rebecca.warwick@hawkesbaydhb.govt.nz chris.greenwood@hawkesbaydhb.govt.nz

Let’s take a CellfieThe digital microscopy dilemma.

Rebecca Warwick

Chris Greenwood

[email protected]

[email protected]

Page 2: Let’s take a Cellfie · Let’s take a Cellfie The digital microscopy dilemma. Rebecca Warwick Chris Greenwood rebecca.warwick@hawkesbaydhb.govt.nz chris.greenwood@hawkesbaydhb.govt.nz

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Page 3: Let’s take a Cellfie · Let’s take a Cellfie The digital microscopy dilemma. Rebecca Warwick Chris Greenwood rebecca.warwick@hawkesbaydhb.govt.nz chris.greenwood@hawkesbaydhb.govt.nz

What is cellavision anyway?

Page 4: Let’s take a Cellfie · Let’s take a Cellfie The digital microscopy dilemma. Rebecca Warwick Chris Greenwood rebecca.warwick@hawkesbaydhb.govt.nz chris.greenwood@hawkesbaydhb.govt.nz
Page 5: Let’s take a Cellfie · Let’s take a Cellfie The digital microscopy dilemma. Rebecca Warwick Chris Greenwood rebecca.warwick@hawkesbaydhb.govt.nz chris.greenwood@hawkesbaydhb.govt.nz

Differential?

Page 6: Let’s take a Cellfie · Let’s take a Cellfie The digital microscopy dilemma. Rebecca Warwick Chris Greenwood rebecca.warwick@hawkesbaydhb.govt.nz chris.greenwood@hawkesbaydhb.govt.nz
Page 7: Let’s take a Cellfie · Let’s take a Cellfie The digital microscopy dilemma. Rebecca Warwick Chris Greenwood rebecca.warwick@hawkesbaydhb.govt.nz chris.greenwood@hawkesbaydhb.govt.nz

Barriers

▹ Genuine problems▸ Gold standard of microscopy▸ Optical microscopy is all we knew

▹ Resistance to change▸ Human nature to resist change▸ Low average age in our diff room

Page 8: Let’s take a Cellfie · Let’s take a Cellfie The digital microscopy dilemma. Rebecca Warwick Chris Greenwood rebecca.warwick@hawkesbaydhb.govt.nz chris.greenwood@hawkesbaydhb.govt.nz

What are the benefits?

Time – CellaVision has done the hard work

Reduced costs – less FTE required

Quality remains high

Remote access

Page 9: Let’s take a Cellfie · Let’s take a Cellfie The digital microscopy dilemma. Rebecca Warwick Chris Greenwood rebecca.warwick@hawkesbaydhb.govt.nz chris.greenwood@hawkesbaydhb.govt.nz

Job loss?

Page 10: Let’s take a Cellfie · Let’s take a Cellfie The digital microscopy dilemma. Rebecca Warwick Chris Greenwood rebecca.warwick@hawkesbaydhb.govt.nz chris.greenwood@hawkesbaydhb.govt.nz

Job loss?

Page 11: Let’s take a Cellfie · Let’s take a Cellfie The digital microscopy dilemma. Rebecca Warwick Chris Greenwood rebecca.warwick@hawkesbaydhb.govt.nz chris.greenwood@hawkesbaydhb.govt.nz

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Facebook Poll

Page 12: Let’s take a Cellfie · Let’s take a Cellfie The digital microscopy dilemma. Rebecca Warwick Chris Greenwood rebecca.warwick@hawkesbaydhb.govt.nz chris.greenwood@hawkesbaydhb.govt.nz

There are drawbacks

▹ Film quality

▹ Can’t “go looking”

▹ Platelet clumps

▹ Depth of field

▹ Extreme WBC’s

😒

Page 13: Let’s take a Cellfie · Let’s take a Cellfie The digital microscopy dilemma. Rebecca Warwick Chris Greenwood rebecca.warwick@hawkesbaydhb.govt.nz chris.greenwood@hawkesbaydhb.govt.nz

Other niggly differences

▹ Toxic gran

▹ Blasts

▹ Rouleaux

😒

Page 14: Let’s take a Cellfie · Let’s take a Cellfie The digital microscopy dilemma. Rebecca Warwick Chris Greenwood rebecca.warwick@hawkesbaydhb.govt.nz chris.greenwood@hawkesbaydhb.govt.nz

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HSIG Poll

Page 15: Let’s take a Cellfie · Let’s take a Cellfie The digital microscopy dilemma. Rebecca Warwick Chris Greenwood rebecca.warwick@hawkesbaydhb.govt.nz chris.greenwood@hawkesbaydhb.govt.nz

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Page 16: Let’s take a Cellfie · Let’s take a Cellfie The digital microscopy dilemma. Rebecca Warwick Chris Greenwood rebecca.warwick@hawkesbaydhb.govt.nz chris.greenwood@hawkesbaydhb.govt.nz

Platelet clumps

Microscope image!

XN’s platelet clumping

flag has room for

improvement

EDTA-mediated platelet

clumping

IT3000 rules and

platelet clumping flag

Diagnosis analyte

Not a perfect system

Page 17: Let’s take a Cellfie · Let’s take a Cellfie The digital microscopy dilemma. Rebecca Warwick Chris Greenwood rebecca.warwick@hawkesbaydhb.govt.nz chris.greenwood@hawkesbaydhb.govt.nz
Page 18: Let’s take a Cellfie · Let’s take a Cellfie The digital microscopy dilemma. Rebecca Warwick Chris Greenwood rebecca.warwick@hawkesbaydhb.govt.nz chris.greenwood@hawkesbaydhb.govt.nz

Recommendations

▹ Yes it is safe!

▹ If in doubt – go back to the film!

▹ Most Haematology patients.

▹ Manually made slides

Page 19: Let’s take a Cellfie · Let’s take a Cellfie The digital microscopy dilemma. Rebecca Warwick Chris Greenwood rebecca.warwick@hawkesbaydhb.govt.nz chris.greenwood@hawkesbaydhb.govt.nz

When CellaVision goes right19

Page 20: Let’s take a Cellfie · Let’s take a Cellfie The digital microscopy dilemma. Rebecca Warwick Chris Greenwood rebecca.warwick@hawkesbaydhb.govt.nz chris.greenwood@hawkesbaydhb.govt.nz

Experience counts20

Page 21: Let’s take a Cellfie · Let’s take a Cellfie The digital microscopy dilemma. Rebecca Warwick Chris Greenwood rebecca.warwick@hawkesbaydhb.govt.nz chris.greenwood@hawkesbaydhb.govt.nz

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THANKS!Any questions?You can find me at▹ [email protected]