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Digital Analysis of Immunostaining of ZW10 Interacting Protein in Human Lung Tissues

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Published on: May 1, 2019

Streamlining a Patchwork - Exploring the Challenges of Digital Transformation in Pathology: Ethnographic Study.

Birte Linny Geisler¹, Ourania Amperidou¹, Sina Patricia Pauly¹

¹Institute of Occupational and Social Medicine and Health Services Research, Faculty of Medicine, University Hospital Tübingen, Tübingen, Germany.

Journal of Medical Internet Research

|July 18, 2025

Summary

Digital transformation in pathology is challenging, with staff facing resource scarcity and increased stress. Protecting occupational health is crucial for successful healthcare modernization.

Keywords:

German university challenges cultural digital pathology digital transformation digital workflow digitization diversity employees ethnographic study health care occupational health pathology supervisors work-related stress

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Introduction of an Integrated Pathology Image Management, Artificial Intelligence, and Reporting System

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Published on: July 11, 2025

Area of Science:

Medical Informatics
Digital Pathology
Occupational Health

Background:

A German university hospital pathology department implemented a digital workflow, integrating new systems and scanners.
The transition aimed for improved patient care but faced technological and professional challenges.
Staff experiences with digital transformation and its impact on psychosocial demands were examined.

Purpose of the Study:

To explore the interplay between occupational health and digital transformation.
To conduct a holistic analysis of an ongoing digital transformation process in a pathology setting.

Main Methods:

Ethnographic research design with participant observation, focus groups, and interviews.
Over 30 pathology staff members participated across diagnostics, lab, quality management, administration, and IT.
Data collected in 3 field phases (July 2022-Dec 2023) and analyzed using reflexive thematic analysis, with member-checking workshops.

Main Results:

Key themes: demanding work in a complex system and striving for steadiness.
Digital transformation occurred with scarce resources, impacting staff negatively and not yet improving efficiency.
Demand-resource mismatch was a stressor, but staff adapted, renegotiated roles, and improved communication.

Conclusions:

Healthcare modernization risks inadequate working conditions and increased staff stress.
High work intensity and psychosocial stress during transformation may lead to staff attrition.
Prioritizing occupational health in digital transformation planning is essential for healthcare system sustainability.