[Histonet] Checks and balances for specimen accessioning

Mahoney,Janice A Janice.Mahoney <@t> alegent.org
Fri Feb 25 11:11:53 CST 2011


Allison and all,
As part of LEAN we use standard work.  This means we have best practice written down, step by step and every person does it the same way on every specimen. No matter what!  This gets "hard-wired" after a while. The inspection of the requisition against the container is one of the steps in the process.  Errors can be virtually eliminated using this practice.
There is also the wonderful innovation of using bar coding to assure things match.  Check out the Vantage system by Ventana.  I highly recommend it for eliminating the kind of mistakes you point out.
Jan
Omaha

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Nita Searcy
Sent: Friday, February 25, 2011 10:26 AM
To: Allison D' 'Scott; histonet <@t> lists.utsouthwestern.edu; Michael Mihalik
Subject: RE: [Histonet] Checks and balances for specimen accessioning

You are absolutely correct.

Nita Searcy, HT/HTL (ASCP)
Scott and White Hospital
Division Manager, Anatomic Pathology
2401 S. 31st. Street
254-724-2438
Temple, Texas, 76502
nsearcy <@t> swmail.sw.org


254-724-2438

>>> "Michael Mihalik" <mike <@t> pathview.com> 2/25/2011 10:22 AM >>>
To me, there is only one 100% solution -- barcodes.  I'm quite anxious to
hear other people's thoughts, though.


Michael Mihalik
PathView Systems | cell: 214.733.7688 | 800.798.3540 | fax: 952.241.7369




-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Scott,
Allison D
Sent: Friday, February 25, 2011 8:01 AM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] Checks and balances for specimen accessioning

Hello to all in histoland.  What types of checks and balances do you have in
place for specimen accessioning.  We had a incidcent where I was
accessioning a case and I did not catch that the name on the container was
different from the name on the requisition.  The resident grossing did not
catch it either.  They usually peel back the copath label and look at the
name on the label that came from the procedure area.  In my case the
resident did not do this. It was not until the pathologist saw a discrepancy
in the age on the requisition and what was written in the pertinent history,
that it was determined that it had been mislabeled from the beginning.  I
did a incident report and the area was cited.
Besides making sure that who ever is accesioning cases checks that the names
match, what else can be done?  Any help in this will be greatly appreciated.

Allison Scott HT(ASCP)
Histology Supervisor
LBJ Hospital
Houston, Texas
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