关键词: digital pathology implementation management of digital transformation normalization measure development tool (NoMAD) technology whole slide imaging (WSI)

Mesh : Humans Laboratories Microscopy / methods Motivation Workflow

来  源:   DOI:10.3390/ijerph19127253

Abstract:
The Region of Southern Denmark is the first in Denmark to implement digital pathology (DIPA), starting at the end of 2020. The DIPA process involves changes in workflow, and the pathologist will have to diagnose based on digital whole slide imaging instead of through the traditional use of the conventional light microscope and glass slides. In addition, in the laboratory, the employees will have to implement one more step to their workflow-scanning of tissue. The aim of our study was to assess the expectations and readiness among employees and management towards the implementation of DIPA, including their thoughts and motivations for starting to use DIPA. We used a mixed-method approach. Based on the findings derived from 18 semi-structured interviews with employees from the region\'s departments of pathology, we designed a questionnaire, including questions from the normalization measure development tool. The questionnaires were e-mailed to 181 employees. Of these employees, 131 responded to the survey. Overall, they reported feeling sufficiently tech-savvy to be able to use DIPA, and they had high expectations as well as motivation and readiness for the upcoming changes. However, the employees were skeptical regarding the allocation of resources, and few were aware of reports about the effects of DIPA. Based on the findings, it seems to be important to provide not only a thorough introduction to the new intervention and the changes it will entail, but also to continue to ensure that the staff know how it works and why it is necessary to implement.
摘要:
丹麦南部地区是丹麦第一个实施数字病理学(DIPA)的地区。从2020年底开始。DIPA流程涉及工作流程的更改,和病理学家将不得不诊断基于数字整个幻灯片成像,而不是通过传统的使用传统的光学显微镜和玻璃幻灯片。此外,在实验室里,员工将不得不实施一个步骤,他们的工作流程-组织扫描。我们研究的目的是评估员工和管理层对实施DIPA的期望和准备情况,包括他们开始使用DIPA的想法和动机。我们使用了混合方法。根据对该地区病理部门员工进行的18次半结构化访谈得出的结果,我们设计了一份问卷,包括来自归一化度量开发工具的问题。问卷通过电子邮件发送给181名员工。在这些员工中,131回答了调查。总的来说,他们报告说,他们对技术有足够的了解,能够使用DIPA,他们对即将到来的变化有很高的期望以及动力和准备。然而,员工对资源分配持怀疑态度,很少有人知道关于DIPA影响的报道。根据调查结果,似乎不仅要全面介绍新的干预措施及其带来的变化,但也要继续确保员工知道它是如何工作的,以及为什么需要实施。
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