• “Uncertains” are the hardest to deal with; many will resist attempts to pull them into deployment plans. Arranging
informal visits and one-on-one discussions with enthusiastic pathologists who already work successfully with DP can
help assuage those who are apprehensive and help advance their appreciation and comfort level with the technology.
3. Have a representative of the digital deployment team attend all relevant departmental and pathologist meetings to
provide updates on the deployment planning and progress.
4. Provide email updates to the pathologists, even on the small successes, as this can lend credence and confidence
to the DP deployment (e.g. “This week, Dr. X reported 100 skin biopsies digitally and presented his/her first digital
MDT. Clinicians were impressed with the quality of the images and look forward to receiving more digital histology
updates and other examples of the technology at work.” We found that positive messages from “normal” users
were more powerful than those from the project team.
5. Log any workflow, performance, or diagnostic issues and respond to them quickly. Identify key personnel in the
department who can troubleshoot issues such as image quality, workstation set up difficulties, workflow issues,
etc. Ensure that everyone knows who to contact, the method of contact, and the best time to communicate to get
issues resolved.
B. Engaging Laboratory Personnel
1. In the early stages of deployment, seek opportunities to discuss your vision of DP to laboratory personnel and
allow staff to provide feedback, express concerns, and make suggestions for laboratory workflow improvements.
We found that this is best achieved with distribution of a brief survey, followed by targeted focus groups and/or
discussions with key individuals – the movers, shakers, and shapers of opinion in the lab.
2. DP should be presented as an integral part of the laboratory process and not an optional “add-on.” The laboratory’s
role in the diagnostic workflow is not complete until the glass slides have been scanned and sent out to the
pathologist diagnosticians. Cementing the idea that DP is going to be part of standard departmental practice
is important in encouraging staff to make the effort necessary to learn new skills and ultimately embrace the
advantages that digital reporting offers. Laboratory managers are vital here.
3. Seek every available opportunity to educate and explain the technology and plans for deployment. Take advantage
of informal lunchtime or coffee break meetings. Promote the idea of discussions as educational content and
continuing professional development activity.
4. Identify enthusiastic supporters who might be willing to share their knowledge and belief in DP with others who are
less on board. With their help, you can implement and sustain change in the laboratory.
C. Engaging with IT and Informatics
1. It is critical to engage with your IT and informatics departments and secure their involvement, at as high a level
as possible, from the earliest stages of your deployment. The buy-in and expert advice of these professionals is
fundamental to a successful DP deployment.
2. It is important that all stakeholders, whether pathologists, laboratory personnel, or members of the IT/Informatics
group, can communicate about the project in clear language. Setting up early sessions with key team members
to exchange and explain information from diagnostic, laboratory and IT perspectives should be one of your first
priorities. Try to come to a group understanding of what is expected and what is potentially achievable from your
deployment, and what each professional group will be expected to contribute in terms of time and staff.
3. Early opportunities for engagement may include laboratory office tours for your IT and informatics teams. Let
them see for themselves the pressure points of your current conventional glass slide workflows and grasp the
opportunities that digital can present. Explain ideas that you have for future digital workflows and see what
potential problems and solutions your IT colleagues can generate.
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