[Histonet] Corrective Action Form

Akemi Allison akemiat3377 <@t> yahoo.com
Thu Aug 19 16:55:40 CDT 2010

This is used in concordance to CAP guidelines for PIP.  The phrasing  
scares people off because ii states "Incident/Complaint Form".   
People need to realize we ALL make mistakes.  This form is used for  
corrective measures and process improvement in Pre-Analytical- 
Technical-Analytical & Post-Analytical.  It is recommended to have  
Quarterly Reviews by Committee members to address what Corrective  
Measures have been implemented.

Remember folks, this is for improving patient care and not to finger  
point or put blame on anyone.

Akemi Allison BS, HT (ASCP) HTL
Phoenix Lab Consulting
Tele: 408.335.9994
E-Mail: akemiat3377 <@t> yahoo.com

On Aug 19, 2010, at 2:26 PM, Laurie Colbert wrote:

> I'm looking at it from the standpoint of an inspector - we had a  
> problem and what steps did we follow to correct it and prevent it  
> from happening again.  I'm not planning on using it as a punishment  
> for anyone.
> ________________________________
> From: Rene J Buesa [mailto:rjbuesa <@t> yahoo.com]
> Sent: Thursday, August 19, 2010 12:47 PM
> To: histonet <@t> lists.utsouthwestern.edu; Laurie Colbert
> Subject: Re: [Histonet] Corrective Action Form
> Probably many of us have but it would be better if you consult with  
> your HR Dept. because corrective actions could lead to some type of  
> "punishment" and they have to be approved by the HR Dept.
> René J.
> --- On Thu, 8/19/10, Laurie Colbert  
> <laurie.colbert <@t> huntingtonhospital.com> wrote:
> 	From: Laurie Colbert <laurie.colbert <@t> huntingtonhospital.com>
> 	Subject: [Histonet] Corrective Action Form
> 	To: histonet <@t> lists.utsouthwestern.edu
> 	Date: Thursday, August 19, 2010, 12:32 PM
> 	We recently had a false positive result on one of our immuno  
> stains.  I
> 	need to write up a report indicating the problem and what the  
> corrective
> 	action was.  Does anyone have a standard form that they use for
> 	Histology problems and resolutions that they would be willing to  
> share
> 	with me?
> 	Thanks,
> 	Laurie Colbert
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