[Histonet] mislabeling of slides and blocks

Maria Katleba Maria.Katleba <@t> stjoe.org
Mon Oct 11 10:25:46 CDT 2010


I would say the person who did the QC.... After all, isn't that their job?

But then again, 2 mislabeled slides does not justify termination (well, depending on the frequency)... I guess I would be looking at performance improvement.

Janice hit the nail on the head and is very right... bar-coding is the way to go! That was one of the big topics at this year's NSH.

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 Podawiltz, Thomas
Sent: Monday, October 11, 2010 8:16 AM
To: 'Mahoney,Janice A'; Amy Farnan; histonet <@t> lists.utsouthwestern.edu
Cc: Dean, Sherry
Subject: RE: [Histonet] mislabeling of slides and blocks

So who gets fired the person that made the error or the person who let the slide out of the lab after verifying that the block matched the number and tissue on the slide?

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Mahoney,Janice A
Sent: Friday, October 08, 2010 12:41 PM
To: Amy Farnan; histonet <@t> lists.utsouthwestern.edu
Cc: Dean, Sherry
Subject: RE: [Histonet] mislabeling of slides and blocks

I'd be happy to share mine but it is very strict.  People are given a final written warning for the first mislabel not caught in the department and can be fired for the second within a year.
I highly suggest the Ventana Vantage (there are others but in my opinion Vantage is the best) bar code system for patient safety.  It also relieves the stress on your Histo techs because the bar coding helps them assure they have the correct slide, block, etc.  Techs are hard to find and if we start firing for inevitable human error we will cause even more tech shortages.
When you look at all the costs that a mislabel can incur, (law suits, replacing personnel, rework, etc.) the cost of the software is not too bad.
Janice Mahoney HT(ASCP)
Histology/Cytology Coordinator
Alegent Health Laboratory
4955 F Street
Omaha, NE
(402)717-2889
fax(402)717-5231
________________________________________
From: histonet-bounces <@t> lists.utsouthwestern.edu [histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Amy Farnan [Farnana <@t> nehealth.com]
Sent: Friday, October 08, 2010 7:14 AM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] mislabeling of slides and blocks

Hello everyone,

I was wondering if you could share your policy for employee infractions of mislabeling blocks and slides? I would like to get an idea of what the standard is out there.  Any help would be appreciated.

Thank you

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