[Histonet] What are peoples feelings on pre labling slides?

[Laurie Colbert]

I worked at a hospital for years where we pre-made our slides.  Currently, we do not pre make them.  I don't feel that there were any more mistakes made when the slides were made out ahead of time.  Personally, I make out all my slides for one tray of blocks before I start cutting.  I check my block number and slide number before and after picking up each section.

I feel that making the change from one method to the other will result in more mistakes at first, but the techs need to always check and double-check their numbering, and once they get used to the new method it shouldn't be an issue.

Laurie Colbert 

-----Original Message-----
From: Stephen Peters M.D. [mailto:petepath <@t> yahoo.com]
Sent: Friday, February 03, 2006 5:02 AM
To: Histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] What are peoples feelings on pre labling slides?


I am curious to see if it is considered acceptable practice to pre-label multiple 
  slides before cutting the blocks and picking the tissues up on these pre-labeled 
  slides. We came close to a dangerous misdiagnosis because a tech picked up
   a malignant section from a " part 2 breast biopsy" on a prelabled part 1 slide. Luckily it made no sense that only one of many slides contained tumor that 
  looked like it was coming from an advanced tumor. After playing match the blocks
   it was obvious that the malignant part one slide matched a part 2 block. It seems 
  to me that this is a potentially dangerous habit despite the convenience of 
  assembly line labeling. Early in my career I stopped labeling my frozen section slides 
  up front and wait until after I pick up the section. When I am cutting frozens I  make
   variable #s of slides depending on the situation. Working quickly under the
   pressure of multiple cases it is not hard to pick up the wrong slide and make
   this mistake. I am curious to hear peoples thoughts.


Stephen Peters M.D. 
Vice Chairman of Pathology
Hackensack University Medical Center 
201 996 4836
 
Pathology Innovations, LLC 
410 Old Mill Lane, 
Wyckoff, NJ 07481 
201 847 7600 
www.pathologyinnovations.com 




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