{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T06:03:17Z","timestamp":1788328997954,"version":"build-2803163510"},"reference-count":6,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,9,17]],"date-time":"2020-09-17T00:00:00Z","timestamp":1600300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Lab Hematology"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Examination of a blood film is the second most common hematology test, after the complete blood count. Interpretation of a peripheral blood film by trained laboratory professionals provides valuable diagnostic information. The Institute for Quality Management in Healthcare (IQMH) Hematology Scientific Committee developed a questionnaire to gather information regarding current practices for manual blood film review and reporting from laboratories participating in IQMH Morphology proficiency testing (PT) surveys.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An online survey was distributed to 174 laboratories, 97% submitted results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the respondents, the majority (82%) indicated affiliation with small\u2010 or medium\u2010sized hospitals (&lt;500 beds). 80% of respondents had core laboratory technologists performing manual blood film reviews, while only 2% utilized dedicated hematology technologists with morphology expertise. All respondents had a policy for manual blood film review by a technologist, 70% did not have blood films reviewed by a senior\/charge technologist prior to review by a physician. The majority (88%) of participants included morphological findings in their critical result list; of these, 98% include malaria and 88% include the first\u2010time finding of blasts as critical results. 59% of participants indicated that they have a procedure in place to ensure that interpretation and confirmation of first\u2010time potentially significant morphological findings are available from a physician at all times.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This survey identified significant variation in blood film review and reporting practices across participating laboratories. The IQMH Hematology Scientific Committee will develop best practice recommendations to guide and standardize practice.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijlh.13343","type":"journal-article","created":{"date-parts":[[2020,9,17]],"date-time":"2020-09-17T10:03:48Z","timestamp":1600337028000},"page":"184-190","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Laboratory practices for manual blood film review: Results of an IQMH patterns of practice survey"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8574-7872","authenticated-orcid":false,"given":"Elaine","family":"Leung","sequence":"first","affiliation":[{"name":"Division of Hematology and Transfusion Medicine Children\u2019s Hospital of Eastern Ontario Ottawa ON Canada"},{"name":"Institute of Quality Management in Healthcare (IQMH) Hematology Scientific Committee Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4785-2895","authenticated-orcid":false,"given":"Anna","family":"Johnston","sequence":"additional","affiliation":[{"name":"Institute of Quality Management in Healthcare (IQMH) Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Olsen","sequence":"additional","affiliation":[{"name":"Institute of Quality Management in Healthcare (IQMH) Hematology Scientific Committee Toronto ON Canada"},{"name":"Department of Laboratory Medicine and Pathology William Osler Health System Hamilton ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3106-2776","authenticated-orcid":false,"given":"Hong","family":"Chang","sequence":"additional","affiliation":[{"name":"Institute of Quality Management in Healthcare (IQMH) Hematology Scientific Committee Toronto ON Canada"},{"name":"Laboratory Medicine Program University Health Network Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracy","family":"Martin","sequence":"additional","affiliation":[{"name":"Institute of Quality Management in Healthcare (IQMH) Hematology Scientific Committee Toronto ON Canada"},{"name":"Health Sciences North\/Horizon Sant\u00e9\u2010Nord Sudbury ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miranda","family":"Wozniak","sequence":"additional","affiliation":[{"name":"Institute of Quality Management in Healthcare (IQMH) Hematology Scientific Committee Toronto ON Canada"},{"name":"LifeLabs Medical Laboratory Services Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Good","sequence":"additional","affiliation":[{"name":"Institute of Quality Management in Healthcare (IQMH) Hematology Scientific Committee Toronto ON Canada"},{"name":"Department of Pathology and Molecular Medicine Queen\u2019s University 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