[Histonet] Logging in same type specimens consecutively

[Della Speranza, Vinnie]

Mike, I responded to one of our colleagues back channel that the dilemma in inserting different specimens is likely the reason the CAP has not made this a requirement.  I don't care what you call it, the semantics do not change the outcome if two patient samples are mixed up and cannot be distinguished at the microscope. Should that happen I doubt anyone including your risk management department will care what you called it.

And please understand that it was not my intent to sound like I was preaching. We have the same challenges here that others have. I was simply intending to answer the OP's question.

Vinnie Della Speranza
Manager for Anatomic Pathology Services
165 Ashley Avenue  Suite 309
Charleston, South Carolina 29425
Tel: (843) 792-6353
Fax: (843) 792-8974


-----Original Message-----
From: Mike Pence [mailto:mpence <@t> grhs.net]
Sent: Friday, June 13, 2008 9:44 AM
To: Horn, Hazel V; Della Speranza, Vinnie; Barbara Rouse; Histonet
Subject: RE: [Histonet] Logging in same type specimens consecutively

I don't think it should be called poor practice, because as it has been
stated many time here, some places have no choice but to log same
specimens back to back.  It should be called not "best practice". I
think everyone would agree that if you can put a different case between
like specimens that would be "best practice".

Mike

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Horn,
Hazel V
Sent: Friday, June 13, 2008 8:38 AM
To: Della Speranza, Vinnie; Barbara Rouse; Histonet
Subject: RE: [Histonet] Logging in same type specimens consecutively


I don't understand why it is considered poor practice to accession like
specimens.  Every part of the clinical lab does this every day.   We get
so many biopsies of the same kind we cannot accession them without
accessioning them consecutively.

Hazel Horn
Hazel Horn, HT/HTL (ASCP)
Supervisor of Histology
Arkansas Children's Hospital
800 Marshall    Slot 820
Little Rock, AR   72202

phone   501.364.4240
fax        501.364.3155

visit us on the web at:    www.archildrens.org

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Della
Speranza, Vinnie
Sent: Thursday, June 12, 2008 10:20 AM
To: 'Barbara Rouse'; Histonet
Subject: RE: [Histonet] Logging in same type specimens consecutively

The practice you are describing is recommended in the AP Quality
Assurance Manual published by the CAP. It is considered poor practice to
accession like specimens from different patients consecutively.

The reference is
Nakhleh RE, Fitzgibbons PL. Quality improvement manual in anatomic
pathology, second edition. Northfield, IL: CAP; 2002

I am not aware that this is a checklist item in the accreditation
requirements for AP

Vinnie Della Speranza
Manager for Anatomic Pathology Services
165 Ashley Avenue  Suite 309
Charleston, South Carolina 29425
Tel: (843) 792-6353
Fax: (843) 792-8974

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Barbara
Rouse
Sent: Wednesday, June 11, 2008 8:41 PM
To: Histonet
Subject: [Histonet] Logging in same type specimens consecutively

Does anyone know of a regulation by CAP that states that same type
specimens should not be logged in consecutively?  Thanks

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