Swiss center for laboratory medicine reduces peripheral blood smear analysis turnaround time by up to 57%
Highlights
Scopio enables ZLM to achieve fully digital remote workflows, accelerate diagnosis, and improve patient care.
-
57%
Improvement
on site PBS review TAT at the core lab
-
97%
Improvement
of remote TAT over manual microscopy
-
50%
Improvement
in lab staff
productivity
Overview
Complete blood counts (CBC) requiring morphological examination are vital tests in the hematology laboratory
and essential to diagnosis and monitoring of disease. But these analyses are often a bottleneck in the lab. They are personnel- and expertise-intensive and require time-consuming manual microscopy and workflows.
The Center for Laboratory Medicine (ZLM) was looking for an automated digital solution that would make the process faster and more efficient at its six locations in Switzerland. They tested Scopio’s Full-Field digital morphology solution, and the results were transformative.
The Challenge
ZLM faces rising demand for its services alongside staffing shortages. Morphology analysis was a particular productivity drain.
-
Labor-intensive and slow manual workflows
-
Wasted time transporting slides
-
Lack of standardization
-
Time consuming referral validation
Meet ZLM
-
ZLM offers 24-hour medical
laboratory service. It operates five additional satellite locations.
-
Provides service to:
Public and private hospitals, Independent physicians
University hospitals in Switzerland. -
Its hematology department specializes in morphology, flow cytometry, hemostasis, and immunohematology.
The Solution
The Solution:
ZLM underwent a rigorous evaluation of Scopio’s full-field high resolution imaging and built-in AI-driven decision
support system to determine whether the Scopio platform could partially or fully replace manual microscopy and provide a more efficient, consistent, and remote-accessible method for PBS analysis.
ZLM has to date deployed one X100HT at the central lab and three X100 devices at its satellite locations.
Full-Field images can now be reviewed digitally from anywhere, immediately. Reviewers can access complete information and thus don’t have to return to the microscope before making a report for clinicians.
Results
Clinical Full-Field images for early detection and diagnoses
Full-field image of PCL:
This is a snap from a full-field image. You can see plasma cells that are not normally in a peripheral blood smear.
Single-cell view of PCL:
You can see what the differential looks like and that the patient has more than 20% plasma cells, so this is a plasma cell leukemia
-
On site and remote TAT
Full-field digital cell morphology review of peripheral blood smears showed a 57% improvement in St. Gallen’s core lab and a 97% Improvement in the satellite labs over manual light microscopy.
-
Remote review
With Scopio installed, the lab shares the full-field image digitally, so the consulting expert has the full field of view, providing all the information needed to immediately and confidently report without returning to the lab to view the physical slide.
-
Greater lab staff productivity
Prior to the implementation of Scopio, ZLM needed two members of the team dedicated to the DIFF workstation daily. Following implementation and once the new system was fully operational within the lab workflow, just one biomedical lab scientist is required.
-
Workflow Standardization
Scopio technology has enabled ZLM to standardize both its morphology workflow and service levels for clinicians and patients. They now see less inter-variability across labs and faster diagnoses, especially at satellite locations.