[Histonet] Clarification-interfacing the IHC bond andCassettelabelers to Co-Path

Fri Oct 22 13:15:12 CDT 2010

  Toni,

We will be going live with the Bond shortly and will have the same 
workflow with a different LIS. Our pathologists have been ordering their 
own tests for years so there is no impact, except to save time in the 
Immuno Lab.

Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
victor <@t> pathology.washington.edu
206-598-2792
206-598-7659 Fax
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On 10/22/2010 10:56 AM, Rathborne, Toni wrote:
> I'd be interested in knowing how this has impacted your pathologists. Were they resistant at first? The extra time inputting requests would now fall on them.  And there is still a chance of keystroke errors with pathologist entry.
> I'm not disagreeing with the comments you made, only wondering since you were able to save .7 FTE, where the .7 pathologist came from. Or is it the interface itself that saves the time, and not who enters it?
> Also, did you have the slide printers before the LEAN process was implemented? or was it done because of LEAN and is part of the FTE savings?
> I'm very interested in this process, but know the types of questions I'll need to have answers for. We're a Cerner facility, so some things will be different but the principal will be the same.
>
> Toni
>
> -----Original Message-----
> From: histonet-bounces <@t> lists.utsouthwestern.edu
> [mailto:histonet-bounces <@t> lists.utsouthwestern.edu]On Behalf Of Feher,
> Stephen
> Sent: Friday, October 22, 2010 1:32 PM
> To: Akemi Allison; Walter Benton
> Cc: Histonet
> Subject: RE: [Histonet] Clarification-interfacing the IHC bond
> andCassettelabelers to Co-Path
>
>
> We have interfaced our Bonds with Soft Path LIS system.  My
> justification for this started with using it for LEAN processes in that
> the orders for IHC went directly from the Pathologist to the Bond and
> eliminated the need for my techs to have to input individual orders for
> IHC by hand.  Since we have set up our slide labelers to be recognized
> as just another printer as far as the LIS is concerned, we do not use
> paper labels at all but have 2d barcodes printed directly on our slides.
> When an order is put in by the pathologist for IHC, my techs can see the
> order, cut the section and print the slide with the correct bar code.
> Bond recognizes the barcode and initializes the tests that have been
> ordered and transferred from the pathologist.
>
> This has accomplished the following:
>
> No tech time lost in printing labels for slides to go on the bond.  No
> ambiguity or lost IHC orders due to hand writing orders by the
> pathologist.  No chance of keystroke errors on the part of my IHC tech
> while putting manual orders into the Bond.  In addition to eliminating
> hand writing and manual keystrokes, which are distinct patient safety
> issue, I have calculated that having the interface has saved me
> approximately 0.7 FTE.  Instead of having to hire extra staff to cover
> increased workloads or wasting existing staff on extraneous tasks (hand
> labeling, manually entering orders, etc), I can utilize them in other
> areas.
>
> The patient safety aspect of eliminating extra tasks involving manual
> data entry is huge.  A majority of the lawsuits against pathology labs
> involve some aspect of human error resulting from manual tasks in
> labeling or data entry.  In addition to being able to market my lab as
> patient safety focused, we have eliminated a major source of potential
> lawsuits.  It's hard to put a price tag on what that saves other than to
> say that the costs are sometimes much more than the dollar figures paid
> out.
>
>
> Steve
>
> -----Original Message-----
> From: histonet-bounces <@t> lists.utsouthwestern.edu
> [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Akemi
> Allison
> Sent: Thursday, October 21, 2010 4:01 PM
> To: Walter Benton
> Cc: Histonet
> Subject: Re: [Histonet] Clarification-interfacing the IHC bond and
> Cassettelabelers to Co-Path
>
> Hi Walter and Histo-subscribers,
>
> Ist I want to thank Walter for his quick reply.  I appreciate your
> answer!  2nd, I appreciate any and all replies, but does anyone have an
> "article" that addresses issues that can occur such as:
>
> Efficiency
> Omitting Duplication of Tests ordered: Additional Slides, Special
> Stains, IHC, FISH, CISH, Cost effectiveness due to omission of errors
> Patient Safety
>
> Thanks
>
> Akemi Allison BS, HT (ASCP) HTL
> Director
> Phoenix Lab Consulting
> Tele: 408.335.9994
> E-Mail: akemiat3377 <@t> yahoo.com
>
> On Oct 21, 2010, at 11:38 AM, Walter Benton wrote:
>
>> Efficiency
>> Patient Safety
>> Orders for the Bond come directly from the LIS and can not be
>> misunderstood due to poor handwriting, since they are interfaced with
>> the LIS.
>>
>>
>> Walter Benton HT(ASCP)QIHC
>> Histology Supervisor
>> Chesapeake Urology Associates
>> 806 Landmark Drive, Suite 126
>> (All Deliveries to Suite 127)
>> Glen Burnie, MD 21061
>> 443-471-5850 (Direct)
>> 410-768-5961 (Lab)
>> 410-768-5965 (Fax)
>> wbenton <@t> cua.md
>> ________________________________________
>> From: histonet-bounces <@t> lists.utsouthwestern.edu [histonet-
>> bounces <@t> lists.utsouthwestern.edu] On Behalf Of Akemi Allison
>> [akemiat3377 <@t> yahoo.com]
>> Sent: Thursday, October 21, 2010 2:33 PM
>> To: Histonet
>> Subject: [Histonet] interfacing the IHC bond and Cassette labelers
>> to Co-Path
>>
>> Hi out there in Histo Land!
>>
>> I would like your assistance in answering a question that was
>> proposed by a friend who is not a histonet member.  I don't have the
>> answer, but know that one of you would.  Below is the question:
>>
>> Could you help me justify the importance of interfacing our IHC bond
>> and Cassette labelers to Co-Path? A simple paragraph,  or if you
>> have, a white paper, that would be great.  I am attempting to get the
>> interfaces approved through our IT Department and running up against
>> some roadblocks.
>>
>> Thank you in advance for your assistance,
>>
>> Akemi Allison BS, HT (ASCP) HTL
>> Director
>> Phoenix Lab Consulting
>> Tele: 408.335.9994
>> E-Mail: akemiat3377 <@t> yahoo.com
>>
>> _______________________________________________
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>> Histonet <@t> lists.utsouthwestern.edu
>> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
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