Pathology Image Exchange: The Dutch Digital Pathology Platform for Exchange of Whole-Slide Images for Efficient Teleconsultation, Telerevision, and Virtual Expert Panels.

Among the many uses of digital pathology, remote consultation, remote revision, and virtual slide panels may be the most important ones. This requires basic slide scanner infrastructure in participating laboratories to produce whole-slide images. More importantly, a software platform is needed for exchange of these images and functionality to support the processes around discussing and reporting on these images without breaching patient privacy. This poses high demands on the setup of such a platform, given the inherent complexity of the handling of digital pathology images. In this article, we describe the setup and validation of the Pathology Image Exchange project, which aimed to create a vendor-independent platform for exchange of whole-slide images between Dutch pathology laboratories to facilitate efficient teleconsultation, telerevision, and virtual slide panels. Pathology Image Exchange was released in April 2018 after technical validation, and a first successful validation in real life has been performed for hematopathology cases.

Effects of visitation among allied health professionals.

OBJECTIVE: Visitation is a method for external peer review. The goal is to improve the quality of patient care by giving feedback on quality of competence and performance of a professional during a practice visit. Feedback is offered as recommendations for improvement. This study aims to evaluate the effects of visitation and to determine which factors are related to the effectiveness of visitation. PARTICIPANTS: Members of seven allied health professions in the Netherlands: dieticians, exercise therapists, physiotherapists, dental hygienists, occupational therapists, podiatrists, and radiology assistants. DESIGN: Evaluation questionnaires were sent to 151 allied health professionals who had participated in visitation. The questions included all practice management aspects that had been assessed during the practice visit. The effects of visitation were studied at three levels: change in awareness of weak and strong aspects of competence and performance, intention to carry out recommendations, and actual improvements. RESULTS: Results showed effects of visitation on all three levels. Respondents intended to carry out two-thirds of the recommendations. Visitation led to a better awareness of weak points on 36% of the aspects and better awareness of strong points on 53% of the aspects of practice management. Young respondents reported more changes in awareness than older respondents. Actual improvements were carried out on 33% of the aspects. CONCLUSIONS: Visitation is an effective method to stimulate quality improvement in allied health professionals. Although changes in awareness more often occurred in younger respondents, actual improvements were made by all respondents.