[Histonet] RE: Histology PI

Rathborne, Toni trathborne <@t> somerset-healthcare.com
Fri Sep 23 10:19:36 CDT 2011


We are required to do 3, a pre-analytic, analytic, and post-analytic. So from that you can do things like specimen id (whether received from the OR that way, or the cassettes mislabeled during grossing, or the slides mislabeled). You can compare % of cytology/histology cases correlated, TAT with regard to routine cases or autopsy, FS TAT, repeated stains, the list is endless. I would begin where ever you have some issues you would like to improve on, or if you are a CAP accredited facility use their standards. If you are able to retrieve the information for the last 6 months, I would use that as a baseline. Look for small changes, and work to gradually improve.   

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Amy Self
Sent: Friday, September 23, 2011 11:00 AM
To: 'histonet <@t> lists.utsouthwestern.edu'
Subject: [Histonet] Histology PI

Happy Friday Histonetters,

Hope everyone has a great weekend while I pull some thoughts together about histology PI studies. I am looking for any help possible from the histonet that can help me with a Performance Improvement Plan. I am now required to come up with two studies a year and have no idea what to do or how to go about doing it. So I am seeking much needed help in the PI area for histology.   Thanks in advance for your help.

Amy Self
Georgetown Hospital System
Dept. of Pathology
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