[Histonet] Pre-labeling glass slides

Janice Mahoney jmahoney <@t> alegent.org
Fri Mar 16 10:25:08 CDT 2007

I can't keep quiet anymore.
Single piece flow, one specimen, slide, case at a time is the fastest and least error prone way of performing any task.  It is LEAN and it can be proven.  Please consider it for the patient's sake.
i know that it seems more efficient to batch.  I felt that way too before I started seeing the processes in my lab with LEAN eyes.  
All those checks along the way are slowing down your process.  If you single piece flow, one case/slide at at time you will make fewer errors and no longer need so many checks. You will get more slides out faster (with the right number on them whether they are  written or etched or labelled).

Janice Mahoney
Histology/Cytology Coordinator
Alegent Health Laboratory
4955 F Street
Omaha, NE 68117

>>> "Katri Tuomala" <katri <@t> cogeco.ca> 03/12/2007 9:35 PM >>>
I totally agree with Rene. We pre-label all our slides in approximately 20 
slide lots. We have so many checks along the way, before the slides are 
delivered, that the odd mistake gets discovered very quickly.
You just have to pay attention to what you are doing.
And yes, I remember the diamond pens, ouch!!


Katri Tuomala
Hamilton, Ontario, Canada
----- Original Message ----- 
From: "Rene J Buesa" <rjbuesa <@t> yahoo.com>
To: "Carmen Leschuk" <LESCHUKC <@t> trinity-health.org>; 
<histonet <@t> lists.utsouthwestern.edu>
Sent: Monday, March 12, 2007 12:44 PM
Subject: Re: [Histonet] Pre-labeling glass slides

> Carmen:
>  Labelling the slides BEFORE they are used is the normal and logical 
> practice. In this way the slides can be ready beforehand. The thing is 
> that if the person using the slides does NOT pay attention, the 
> "misslabelling" can occur.
>  On the other hand the amount of time you could WASTE by leballing 
> simultaneously while sectioning is astronomical.
>  The good practice is to have a log with the blocks to section, prepare 
> all the labelled slides in the needed amount and  BEFORE sectioning the 
> blocks, match slides to blocks and that is all you have to do.
>  Sloppines and carelessnes are the roots of any mistake in histology. The 
> solution is to pay attention, not to misuse a slides writing machine.
>  René J.
> Carmen Leschuk <LESCHUKC <@t> trinity-health.org> wrote:
>  Recently, I heard of a slide mislabeling that occurred in another histo 
> lab that they determined to be caused by pre-labeling slides before actual 
> use at the microtome. This lab said that if the slides would of been 
> labeled simultaneously (per their policy) as the blocks being cut, the 
> mislabeling would of been prevented. My lab currently pre-labels all of 
> slides before cutting a sequence of 10-20 blocks, which I thought was 
> common practice. My question is, what is common practice? Do other labs 
> have poli
> cies forbidding pre-labeling of glass slides?
> Carmen Leschuk, HT, SLS (ASCP)
> Supervisor, SJMO-Anatomic Pathology
> (248)858-6231
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