[Histonet] RE: error rate for sectioning

[joelle weaver]

My current QA monitors
 


Not more than 0.17% slides mislabeledNot
more than 1.0% of tissue blocks-reoriented ( embedding errors)Not more than 1.0% of tissue blocks reprocessed ( gross problem)Not
more than 1% of specials and IHC stain slides repeated ( technical issues-not DX)Not
more than 0.1% of slides, with documented evidence of cross contamination, requires RCA Based mostly on CAP- HQUIP, but some literature. Use LIS and HC1 to track in addition to manual methods for reporting, repeats etc. The medical director (pathologist) supervises , provides oversight for the quality issues and resulting corrective actions. 







Joelle Weaver MAOM, HTL (ASCP) QIHC
 
> From: Michael.LaFriniere <@t> ccplab.com
> To: zerfasp <@t> ors.od.nih.gov; histonet <@t> lists.utsouthwestern.edu
> Date: Tue, 14 Jan 2014 19:32:56 +0000
> CC: 
> Subject: [Histonet] RE: error rate for sectioning
> 
> Hi Patricia,
> 
> Error rates should not be set by employers. You should have an effective QA management program and committee even in small practices with the Medical Director as the Chair. The committee sets and establishes error rate thresholds with monthly monitors in place to seek opportunities of improvement should error rates exceed below the set threshold. 
> 
> Hope this helps!
> 
> Michael
>  
> Michael R. LaFriniere, HT (ASCP) 
> Executive Director
> 
>  
> Capital Choice Pathology Laboratory
> 
> 12041 Bournefield Way, Suite A * Silver Spring, MD 20904  
> 
> P: 240.471.3427 * F: 240.471.3401 * Cell 410-940-8844
> 
> michael.lafriniere <@t> CCPLab.com
> 
> -----Original Message-----
> From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Zerfas, Patricia (NIH/OD/ORS) [E]
> Sent: Saturday, January 11, 2014 4:25 PM
> To: histonet <@t> lists.utsouthwestern.edu
> Subject: [Histonet] error rate for sectioning
> 
> 
> 
> Hi All,
> What is the error rate set by you or your employer for paraffin sectioning?  
> 
> These are slides that are found to be unacceptable due to wrinkling, folding etc either by a pathologist or another reviewer.
> 
> I was found to have 6 slides out of approx 1500 that I have sectioned to date to be unacceptable.  I only perform this duty when I have completed all of my other work so this is not one of my regular duties.   At times I have gone several months without sectioning and utilize a microtome that is approx. 26 years old.
> 
> Since this was brought to my attention I have been given more up to date equipment which I have yet to utilize.
> 
> Thanks in advance for your feedback.
> 
> Patricia Zerfas
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