[Histonet] Two patient identifiers and handwritten blocks

Weems, Joyce JWEEMS <@t> sjha.org
Tue Aug 15 12:15:31 CDT 2006

We use the case number and name on the slide label. We hope to have a barcode with our next LIS upgrade. j

Joyce Weems
Pathology Manager
Saint Joseph's Hospital 
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342
404-851-7376 - Phone
404-851-7831 - Fax

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu]On Behalf Of
chiggerson <@t> memhosp.com
Sent: Tuesday, August 15, 2006 12:22 PM
To: Richard Yeo; Blazek, Linda
Cc: histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] Two patient identifiers and handwritten blocks

Okay, so I do not receive any more "flaming" and vicious e-mails, let me 

JCAHO requires two patient identifiers when collecting specimens, 
administering meds, etc. JCAHO recommends and encourages laboratories to 
use two patient identifiers on all aliquots (this includes blocks and 
slides). Our institution has implemented a two patient identifier policy 
before taking any action with a patient, patient specimen, or patient 
record (NOT just specimen collection).  This is institution wide. In 
addition, the laboratory has implemented the two patient identifier policy 
for all testing phases including preanalytical, analytical and 
postanalytical for both specimens and records. This is not only 
recommended by JCAHO but also recommended by CAP. Please note it is 
currently a recommendation, not a requirement. If you need a reference, 
refer to CAP's publication "Quality Management in Anatomic Pathology". 
Recommendations for including two patient identifiers on both frozen 
section slides and on all blocks and slides is located in the chapter 
"Strategies for Error Reduction and Prevention in Surgical Pathology". 
More and more institutions are taking these recommendatioins seriously and 
implementing policies both institution wide and laboratory wide. Mine is 
such a place. We have always used two patient identifiers, except on the 
blocks. Therefore, for those that are taking this seriously, I would like 
to know which two patient identifiers are used and how you implemented it. 
 I NEED to comply with my institutional and laboratory's policies.


"Richard Yeo" <ryeo <@t> wchosp.org> 
08/15/2006 10:31 AM

<chiggerson <@t> memhosp.com>

RE: [Histonet] Two patient identifiers and handwritten blocks


-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of
chiggerson <@t> memhosp.com
Sent: Tuesday, August 15, 2006 9:37 AM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] Two patient identifiers and handwritten blocks

For those of you that are still handwriting accession numbers on your

1.      Do you require both the accession number and the patient's name
be handwritten on the cassettes to meet the two patient identifier
patient safety requirement?

2.      If so, do you require the patient's full name? Or last name,

3.      If not using the patient's name as the second identifier, what
you using? Medical Record Number? 

4.      If not using two patient identifiers (accession number only),
are you justifying not using two identifiers to meet the patient safety

5.      For those that have implemented adding a second handwritten 
identifier to blocks, how did your staff react?

The obvious solution is a cassette labeler, however it just is not going
to happen soon.  Thank you in advance for your response to this very
important issue. 


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