Art and Science of Laboratory Medicine. Clinical laboratory and biomedical science related news, abstracts and images for medical laboratory professionals, students and other laboratory geeks.
Art and Science of Laboratory Medicine
Tuesday, June 18, 2013
Haematology - Check That Slide
There may be nothing in the clinical lab that wastes more time and is more poorly implemented and understood than hematology review criteria. Hematology is a strange animal. It doesn't lend itself to sharp black and white rules and distinctions. It's subjective, murky and sometimes frustrating because you must deal with things like: How many atypical lymphs are significant? How atypical must they be to count? Should you look at a slide with a low hemoglobin? Why? Does a pathologist need to look at a slide with macrocytosis? These, and the dozens of questions like them, are the type of nebulous questions you have to deal with daily in hematology. And most labs do a lousy job of addressing them. The result? Too much unneeded work.