[Histonet] Re: H&E quality check. .

[Anne van Binsbergen]

we have a tissue array (tonsil, kidney, skin, L/N, appendix) block which we
made ourselves by using a dermatology punch tool
identical slides are cut and kept in a box
each morning we stain one and it gets viewed by a senior tech - the path
does not have time for such matters!!
results logged, adjustments noted, signed off, logs filed, slides filed -
all ready for CAP to scrutinise

if we adjust the stain (or anything else) we run another QC slide and relog
the results

we are in the process of making an extended array for a whole bunch of
specials too

its a pain in the @$$ but my staff are used to the process now

ideally it should be done the 'samurai' way - but im just the tech - what do
i know!!! ;))
annieinarabia
2008/7/8 Michael Mihalik <mike <@t> pathview.com>:

> I appreciate the response.  Let me ask this question another way.  Is there
> anybody who currently logs their histo QC in their computer system, not on
> paper, not on some department created excel spreadsheet?
>
> Would this not be desirable?
>
>
> Michael Mihalik
> PathView Systems | office: 207.483.0968 | cell: 214.733.7688 | 800.798.3540
> | fax: 270.423.0968
>
>
>
>
> -----Original Message-----
>  From: Henry, Charlene [mailto:Charlene.Henry <@t> STJUDE.ORG]
> Sent: Monday, July 07, 2008 4:14 PM
> To: 'Michael Mihalik'; 'Robert Richmond';
> histonet <@t> lists.utsouthwestern.edu
> Subject: RE: [Histonet] Re: H&E quality check. .
>
> Michael,
> Actually it is now a CAP requirement.
>
> ANP.11713 Is there documented evidence of daily review of the technical
> quality of histologic preparations by the pathologist.
>
> This is the way we address this question.
> Each morning while we are cutting surgical and bone marrow biopsies, we
> randomly select 2-3 blocks and cut a QC H&E slide in addition to the
> routine
> cuts. They are stained along the routine cases and these are given to our
> Director of AP for review. She then documents the quality of fixation,
> processing, cutting and staining on a log. While she is on vacation one of
> our other pathologists review the slides. When the log sheet is full, it is
> returned to me and filed with our QC records.
>
>
> Charlene Henry HT (ASCP), QIHC
> Anatomic Pathology Section Head
> Department of Pathology
> St. Jude Children's Research Hospital
> 901-495-3191
> fax 901-495-3100
>
> -----Original Message-----
> From: histonet-bounces <@t> lists.utsouthwestern.edu
> [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Michael
> Mihalik
> Sent: Monday, July 07, 2008 2:51 PM
> To: 'Robert Richmond'; histonet <@t> lists.utsouthwestern.edu
> Subject: RE: [Histonet] Re: H&E quality check. .
>
> To tag along with this statement.  Wouldn't it be nice if the pathologist
> could comment on the 'quality' of the stain as they are reviewing the slide
> in the first place?
>
> ...or am I missing something here?
>
> Michael Mihalik
> PathView Systems | office: 207.483.0968 | cell: 214.733.7688 | 800.798.3540
> | fax: 270.423.0968
>
>
>
>
> -----Original Message-----
> From: histonet-bounces <@t> lists.utsouthwestern.edu
> [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Robert
> Richmond
> Sent: Monday, July 07, 2008 3:34 PM
> To: histonet <@t> lists.utsouthwestern.edu
> Subject: [Histonet] Re: H&E quality check
>
> Well, I've worked in roughly 60 hospital and private lab pathology services
> in my locum tenens career, and I've never seen a functioning QA (or
> whatever
> they call it this year) program for H & E (or any other stain) in a
> pathology lab. An occasional lab has the pathologist fill out QA sheets
> telling them that the slides are wonderful - invariably in such labs the
> slides are horrible. In most labs nobody but the pathologist ever looks at
> a
> slide under a microscope.
>
> A meaningful QA program would have a pathologist and a senior
> histotechnologist review some of the day's production, during the working
> day. I've always been ridiculed for suggesting it.
>
> Bob Richmond
> Samurai Pathologist
> Knoxville TN
>
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-- 
Anne van Binsbergen (Hope)
Abu Dhabi
UAE