[Histonet] Quality Improvement

[Jan Shivers]

Laurie, et al. -

This is what we do in my lab...

We use a computer quality control program called QPulse.  Everytime an SOP 
is changed (even slightly, such as vendor or incubation time change), the 
new revision is made through the QPulse Document Draft program, and in the 
process of making this revision permanent, one must state what changes have 
been made in a Comments box.  The SOP creator or another authorized person 
within your lab must OK the new revision (online through the QP program), 
and then a notification is sent out via email to all pertinent lab staff 
alerting them to the new revision.  They must then Acknowledge receipt of 
this email (online again), so that you are aware of who has actually read 
the new revision.  All of these actions are recorded in QPulse forever.

The old revision becomes Obsolete and is permanently moved within the QPulse 
computer program to an Obsolete folder (so if you needed to look it up in 
years to come, it's still there).  Paper copies (if you use them) are 
collected, stamped Obsolete, and put into an Obsolete binder stored in 
another room.

The QPulse program also has a feature that will alert the lab supervisor via 
email when an SOP is up for reviewal, if you have a system of annual 
reviewals in your institution.  This is a very handy reminder tool.

Jan Shivers
Section Head
IHC/Histo/EM
UMN Vet Diag Lab
St. Paul, MN


----- Original Message ----- 
From: "Laurie Colbert" <laurie.colbert <@t> huntingtonhospital.com>
To: <histonet <@t> lists.utsouthwestern.edu>
Sent: Monday, March 23, 2009 10:13 AM
Subject: [Histonet] Quality Improvement


I'm curious as to what others do, if anything, to document corrective
actions or improvements for H&E staining and/or tissue processing.  For
example, I made changes to my biopsy processing program and to my breast
processing program which helped improve the cutting quality of both
types of tissue.  I also had to make various changes to my H&E staining
program when we received hematoxylin and eosin from a new vendor.  Would
you document these changes somewhere?  Would you have one general
binder, for example, that would just be an ongoing log of
changes/improvements, or would you document the changes and keep with
the equipment?  I'm just thinking this might be something that a CAP
inspector would ask for, although I don't see any specific CAP question
on the checklist.



Laurie Colbert

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