[Histonet] Corrective Action Form

Maria Katleba Maria.Katleba <@t> stjoe.org
Thu Aug 19 17:19:03 CDT 2010

You don't want to call it corrective action, as that indicates 'negligence' or 'failure to follow direction' on the part of the tech... Unless that is the case and you are looking to go after an employee......

Instead you need to call it Performance Improvement... This notes a problem, reason for the problem, and a solution to the problem... followed up by a time line where you follow the change in Policy and Procedure.

It shows a problem that occurred where patient safety was compromised and a solution to the problem to avoid any potential future.

You document this... Say you change the procedure today... well, keep track of the IHCs for the next 2 months...6 months (what ever timeline you choose)... then write up the conclusion to your findings.

Here's and example: "The change to preparing IHC slides per Policy and Procedure #2001 on May 1, 2010 and studied for 4 months,  we found no more issues regarding false positives."

Maria Katleba MS HT(ASCP)
Pathology Dept. Mgr
Queen of the Valley Medical Center
1000 Trancas Street
Napa CA 94558
(707) 252-4411 x3689 direct
(707) 226-4385 pager
(707) 294-9229 cell- anytime
-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Rene J Buesa
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?


Laurie Colbert

Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu

Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu

Notice from St. Joseph Health System:
Please note that the information contained in this message may be privileged and confidential and protected from disclosure.

More information about the Histonet mailing list