AW: [Histonet] H-QIP

[Gudrun Lang]

What I have to add is, that such quality-assessments bring also the MDs and
managers in contact with technical questions. Sometimes these organisations
are the helping hand for the histotechs arguments.
Gudrun

-----Ursprüngliche Nachricht-----
Von: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] Im Auftrag von Terri
Braud
Gesendet: Dienstag, 06. Jänner 2009 18:29
An: histonet <@t> lists.utsouthwestern.edu
Betreff: [Histonet] H-QIP

I just reviewed the 2008 H-QIP B Final Critique with my staff.  For want of
a more practical discussion, their one overwhelming response was, "GET
REAL!!!"  
Case in point and I quote, "Fixation - the spleen should be weighed,
measured, sliced into thin sections, laid out, and placed into a large among
of fixative as soon as they are brought to the laboratory." 
In a busy working lab, few have the luxury of staff and time to perform the
steps necessary for the perfection of fixation and processing that these
surveys seem to desire. Also, frequently, a histotech has no input or
control over the initial fixation step. Histotechs often process a wide
variety of tissues together, and for the sake of turnaround time, not all
tissues are processed optimally, but NEVER suboptimal to the point of
compromising an accurate diagnosis. 
I see the benefit of the H-QIP discussion on how to achieve perfectly
processed and sectioned tissue, but often, the survey results and resulting
followup are forwarded to people outside of laboratory medicine.  Those
outside of Lab Medicine don't understand the subtle, qualitative difference
between "readable" and "perfect", and I, for one, would appreciate that
difference included in the Final Critique on H-QIP.
There, I feel better now.  Thank you for listening.

Terri L. Braud, HT(ASCP)
Anatomic Pathology Supervisor
Laboratory
Holy Redeemer Hospital and Medical Center
1648 Huntingdon Pike
Meadowbrook, PA 19046
(215) 938-3676 phone
(215) 938-3689 fax


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