[Histonet] Quality Assurance for Histology

Mon Oct 11 11:06:13 CDT 2010

We have a place in out LIS that the Pathologist can choose and document everything, then we run a report that tabulates and give us the values and solutions.  One thing I am seeing here is that we also need to address the solution.  A lot of people that I have inspected do great with marking the issues, but solutions and tracking they do not do well.

Jesus Ellin

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Tench, Bill
Sent: Monday, October 11, 2010 9:02 AM
To: Podawiltz, Thomas; Rene J Buesa; histonet <@t> lists.utsouthwestern.edu; Laurie Colbert
Subject: RE: [Histonet] Quality Assurance for Histology

Why would you want to have the pathologists fill out a QA sheet for a function you have already performed (and should document).  This would seem to be a meaningless exercise (ie, waste of time) for the pathologist. 

Bill Tench
Associate Dir. Laboratory Services
Chief, Cytology Services
Palomar Medical Center
555 E. Valley Parkway
Escondido, California  92025
Bill.Tench <@t> pph.org
Voice: 760- 739-3037
Fax: 760-739-2604

-----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 8:28 AM
To: 'Rene J Buesa'; histonet <@t> lists.utsouthwestern.edu; Laurie Colbert
Subject: RE: [Histonet] Quality Assurance for Histology

I actually randomly review the slides before they are sent to the Pathologist any slide with incomplete sections, chatter or other major defects get re-cut at that time. Since doing this complaints from the Pathologist disappeared about the quality of the slides they were getting. They get the QA form with the last book of slides for the day. They fill it out then give it back to me. Works well for us. I do know this will not work for others, but it works for us. 

Tom 

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Rene J Buesa
Sent: Monday, October 11, 2010 11:21 AM
To: histonet <@t> lists.utsouthwestern.edu; Laurie Colbert
Subject: Re: [Histonet] Quality Assurance for Histology

After many different forms and many efforts to make the pathologists to provide feed back about the quality of the sections and procedures, this is what I finished doing:
to ask the pathologists to simply separate the slides they considered of poor quality and those unacceptable for diagnoses.
It was then my job to define the problem and to addressed it with the histotech who made the slide, to determine the re-training or any other administrative action deemed necessary.
After I did that I started to receive slides while before seldom any pathologist was willing to use any time to evaluate the slides. In all reality they are quite busy to take time to fill forms that, in any event, I also had to review, re-evaluate and discuss with the histotech.
This procedure worked very well for me and the quality of the work was improved considerably, as well as the rejections diminished.
Try this approach.
René J.

--- On Mon, 10/11/10, Laurie Colbert <laurie.colbert <@t> huntingtonhospital.com> wrote:

From: Laurie Colbert <laurie.colbert <@t> huntingtonhospital.com>
Subject: [Histonet] Quality Assurance for Histology
To: histonet <@t> lists.utsouthwestern.edu
Date: Monday, October 11, 2010, 11:08 AM

I am revising our daily QA sheet that we hand out to the pathologists with the H&E's in the morning. I would like to gather some ideas from other sites.  Does anyone have a form/chart that they would be willing to share with me?

Laurie Colbert

Huntington Hospital

Pasadena CA

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