Physician review of the peripheral blood smear: When and Why An opinion

P. Peterson, D. J. Blomberg, A. Rabinovitch, P. J. Cornbleet, S. J. Agosti, M. Aronson, G. S. Cembrowski, B. H. Davis, T. F. Dutcher, K. A.S. Galagan, B. E. Glader, E. F. Glassy, J. Hoyer, J. A. Koepke, G. C. Glenn, C. Lawrence, D. J. Loschen, J. S. Nosanchuk, R. Novak, L. PetersonL. M. Sandhaus, C. M. Spier, P. C.J. Ward

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

Objectives: To determine when a physician should review a peripheral blood smear and to propose criteria for such review. Participants: The members of the Hematology and Clinical Microscopy Resource Committee of the College of American Pathologists (CAP) reached consensus on this topic with the assistance of 12 other CAP members with expertise in outcomes research. In addition, the Committee obtained expert opinions of representatives of the American Academy of Family Practitioners, the American Academy of Pediatrics, the American College of Physicians, the American Society of Clinical Pathologists, and the American Society of Hematology. The Committee sponsored the study. Evidence: The 17 members of the Committee reviewed relevant articles from Medline literature searches covering 1970-1999 and from manual searches of bibliographies. The consensus statement was written by one of the authors (PP) and was reviewed by the entire Committee, other CAP members, and representatives of other medical societies. Conclusions: In many instances physician review of the peripheral blood smear is an essential component of proper patient care. In both clinical and laboratory settings the practice can result in more timely diagnosis, better-quality laboratory data, and improved patient management.

Original languageEnglish (US)
Pages (from-to)175-179
Number of pages5
JournalLaboratory Hematology
Volume7
Issue number4
StatePublished - Jan 1 2001
Externally publishedYes

Keywords

  • Clinical outcomes
  • Hematology instrumentation
  • Medical econimcs
  • Peripheral blood smear
  • Quality management

ASJC Scopus subject areas

  • Hematology
  • Clinical Biochemistry
  • Biochemistry, medical

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