Objective:

To address the staffing challenges in cytopathology and improve rapid on-site evaluation (ROSE) processes at Washington University School of Medicine.

Approach:

Key Findings:

• Digital ROSE reclaimed an additional workday of diagnostic time per pathologist each week.
• Real-time adequacy assessment prevents repeat biopsies and ensures sufficient tissue for molecular testing.
• Improved slide preparation consistency across sites due to digital archiving.

Interpretation:

The integration of digital technology in cytopathology enhances operational efficiency, improves patient care, and expands access to specialized diagnostics.

Limitations:

• Initial resistance from some pathologists regarding technology adoption.
• Dependence on adequate network bandwidth and compliance with security requirements.

Conclusion:

The model demonstrates a scalable solution for providing expert cytopathology services across multiple sites, particularly in underserved areas, with potential for future expansion into other diagnostic areas.

Sources:

• Washington University School of Medicine
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