[Histonet] RE: Know Error

Clare Thornton CThornton <@t> dahlchase.com
Tue Feb 3 12:59:04 CST 2015


This may sound like a silly question, Rich, (or maybe not), but how do you know the buccal swab is properly labeled?  My experience is that when there's a mix-up in patients' tissue, it often occurs in the doctor's office.  A lot of pathology labs are barcoding, but all the tracking in the world can't prevent a mix up at the doctor's office.  How are they ensuring that their DNA swabs haven't gotten switched?

Sounds like frivolous spending to me...and where is the line drawn?  When are we sending out DNA testing on all specimens, not just prostate biopsies?

Good luck!

Clare


Clare J. Thornton, HTL(ASCP),QIHC
Lead Immunohistochemistry Tech
Dahl-Chase Diagnostic Services
417 State Street, Suite 540
Bangor, ME 04401
cthornton <@t> dahlchase.com




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Subject: Histonet Digest, Vol 135, Issue 2

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Today's Topics:

   1. RE: "Know Error" (Teri Johnson)
   2. QC for IHC bulk solutions (Davis, Cassie)
   3. Benchmark Special Stainers (Bitting, Angela K.)
   4. Re: Benchmark Special Stainers (STACEY)
   5. RE: Benchmark Special Stainers (Bitting, Angela K.)
   6. Lean Management (LeAnn Lang)
   7. QIHC (Algeo, Lacie A)
   8. RE: QIHC (Bea DeBrosse-Serra)
   9. RE: Know Error (Cesar Francisco Romero)
  10. Storage of paraffin blocks (Fawn Bomar)
  11. RE: Storage of paraffin blocks (Rathborne, Toni)
  12. RE: Know Error (Casey Arnold)
  13. ARKANSAS SPRING MEETING INCLUDES 1 DAY HT READINESS (Pam Marcum)
  14. Problems with Universal Cassette Clamp (Anna Rorick)


----------------------------------------------------------------------

Message: 1
Date: Mon, 2 Feb 2015 18:13:33 +0000
From: Teri Johnson <tejohnson <@t> genoptix.com>
Subject: [Histonet] RE: "Know Error"
To: "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <f418ac77cd7e4a61954fa6e75b7f3707 <@t> PHUSCB-SP37MB03.genoptix.org>
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That sounds like a valid concern, Richard. Thank you for being an advocate for good utilization of patient testing. What is behind their concern? Do they think there has been a mistake with patient identification in your lab? Or are they trying to reconcile low PSA or other discordant screening test results with a diagnosis of prostate CA?

I would offer to send whatever they need from the lab (paraffin section curls, unstained slides, etc) back to their office, so long as they provide patient consent. The urologist's office can then package that material with the buccal swabs they get from the patient. The onus can be on them to manage the cost of the testing, and they can then try to justify it with the patient when insurance will not reimburse for it.

Is this option feasible?

Teri

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Message: 2
Date: Mon, 2 Feb 2015 13:24:02 -0500
From: "Davis, Cassie" <CDavis <@t> che-east.org>
Subject: [Histonet] QC for IHC bulk solutions
To: "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
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        <BE7AF02009C3A74F9B8344E70F3655CB16A438DEFD <@t> CHEXCMS01.one.ads.che.org>
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Good afternoon Histoland folks,

         other than documenting the ph of each Ventana bulk solution after diluting and visual inspections of slides run with that solution lot what other way is there to QC the EZ Prep, Reaction Buffer, and Liquid Coverslip bulks solutions? (we currently have a lively dialog going on about this)

There is always something to do and something new in Histology...
Cassandra Davis
CDavis <@t> che-east.org
302-575-8095



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Message: 3
Date: Mon, 2 Feb 2015 20:48:15 +0000
From: "Bitting, Angela K." <akbitting <@t> geisinger.edu>
Subject: [Histonet] Benchmark Special Stainers
To: "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
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        <77F52EFAB8B1694B885E277C48FCD0F69C7E3DB1 <@t> GHSEXMBX1W8K1V.geisinger.edu>

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Can anyone tell me if the waste collection on the Benchmark Special Stainer is the same as the waste collection on the Benchmark Ultra or XT? Carboy with spigot??





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Message: 4
Date: Mon, 2 Feb 2015 12:56:49 -0800
From: STACEY <staceyjm <@t> sbcglobal.net>
Subject: Re: [Histonet] Benchmark Special Stainers
To: "Angela K.Bitting" <akbitting <@t> geisinger.edu>,
        "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
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Yes, it is the same. (Carboy with a spigot.)

Stacey Merica, B.S., HT
Histology Supervisor
North Kansas City Hospital
North Kansas City, MO 64116

------------------
On Mon, 2/2/15, Bitting, Angela K. <akbitting <@t> geisinger.edu> wrote:

 Subject: [Histonet] Benchmark Special Stainers
 To: "histonet <@t> lists.utsouthwestern.edu" <histonet <@t> lists.utsouthwestern.edu>
 Date: Monday, February 2, 2015, 2:48 PM

 Can anyone tell me if the waste
 collection on the Benchmark Special Stainer is the same as  the waste collection on the Benchmark Ultra or XT? Carboy  with spigot??





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------------------------------

Message: 5
Date: Mon, 2 Feb 2015 21:00:13 +0000
From: "Bitting, Angela K." <akbitting <@t> geisinger.edu>
Subject: RE: [Histonet] Benchmark Special Stainers
To: STACEY <staceyjm <@t> sbcglobal.net>,
        "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <77F52EFAB8B1694B885E277C48FCD0F69C7E3E0A <@t> GHSEXMBX1W8K1V.geisinger.edu>

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Thank you everyone for your swift replies.

-----Original Message-----
From: STACEY [mailto:staceyjm <@t> sbcglobal.net]
Sent: Monday, February 02, 2015 3:57 PM
To: Bitting, Angela K.; histonet <@t> lists.utsouthwestern.edu
Subject: Re: [Histonet] Benchmark Special Stainers

Yes, it is the same. (Carboy with a spigot.)

Stacey Merica, B.S., HT
Histology Supervisor
North Kansas City Hospital
North Kansas City, MO 64116

------------------
On Mon, 2/2/15, Bitting, Angela K. <akbitting <@t> geisinger.edu> wrote:

 Subject: [Histonet] Benchmark Special Stainers
 To: "histonet <@t> lists.utsouthwestern.edu" <histonet <@t> lists.utsouthwestern.edu>
 Date: Monday, February 2, 2015, 2:48 PM

 Can anyone tell me if the waste
 collection on the Benchmark Special Stainer is the same as  the waste collection on the Benchmark Ultra or XT? Carboy  with spigot??





 IMPORTANT WARNING: The information in this message (and the  documents attached to it, if any) is confidential and may be  legally privileged. It is intended solely for the addressee.
 Access to this message by anyone else is unauthorized. If  you are not the intended recipient, any disclosure, copying,  distribution or any action taken, or omitted to be taken, in  reliance on it is prohibited and may be unlawful. If you  have received this message in error, please delete all  electronic copies of this message (and the documents  attached to it, if any), destroy any hard copies you may  have created and notify me immediately by replying to this  email. Thank you.

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------------------------------

Message: 6
Date: Mon, 2 Feb 2015 21:13:19 +0000
From: LeAnn Lang <llang <@t> aipathology.com>
Subject: [Histonet] Lean Management
To: "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <D36CEBFE29A5AD4DA7CC6E2E7F8AF64442A129 <@t> SERV2012.aipathology.local>
Content-Type: text/plain; charset="us-ascii"

I am looking for some great programs for lean management in a laboratory setting (both cytology and histology).  Can anyone help me out?

Thank you,
LeAnn

<>*<>*<>*<>*<>*<>*<>*<>*<>*<>*<>*<>*<>*<>*<>*<>*<>*<>*<>
LeAnn Lang
Associates in Pathology
Practice Administrator
Phone:  715-847-0075 (ext 50259)
llang <@t> aipathology.com<mailto:llang <@t> aipathology.com>



------------------------------

Message: 7
Date: Mon, 2 Feb 2015 22:13:48 +0000
From: "Algeo, Lacie A" <Lacie.Algeo <@t> providence.org>
Subject: [Histonet] QIHC
To: "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <24C4B3C167E5694887AB594C7602CE3A03B860B6 <@t> WN35104.or.providence.org>
Content-Type: text/plain; charset="us-ascii"

Hi All,
What are the best methods for studying for the QIHC?
Thanks,
Lacie

Lacie Algeo, HTL (ASCP) MBCM
Histology Supervisor
Providence Sacred Heart Medical Center Laboratory
101 W 8th Avenue
L-2
Spokane, WA 99204
509-474-4418
FAX 509-474-2052
lacie.algeo <@t> providence.org<mailto:lacie.algeo <@t> providence.org>


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________________________________

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------------------------------

Message: 8
Date: Mon, 2 Feb 2015 23:20:00 +0000
From: Bea DeBrosse-Serra <BDeBrosse-Serra <@t> isisph.com>
Subject: [Histonet] RE: QIHC
To: "Algeo, Lacie A" <Lacie.Algeo <@t> providence.org>,
        "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <CB69CD3FBEB5524CA851930C971288FD329FBF01 <@t> Exch10MB02.isis.local>
Content-Type: text/plain; charset="us-ascii"

Dako IHC booklet.

Beatrice DeBrosse-Serra HT(ASCP)QIHC
Isis Pharmaceuticals
Antisense Drug Discovery
2855 Gazelle Ct.
Carlsbad, CA 92010
760-603-2371



-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Algeo, Lacie A
Sent: Monday, February 02, 2015 2:14 PM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] QIHC

Hi All,
What are the best methods for studying for the QIHC?
Thanks,
Lacie

Lacie Algeo, HTL (ASCP) MBCM
Histology Supervisor
Providence Sacred Heart Medical Center Laboratory
101 W 8th Avenue
L-2
Spokane, WA 99204
509-474-4418
FAX 509-474-2052
lacie.algeo <@t> providence.org<mailto:lacie.algeo <@t> providence.org>


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________________________________

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------------------------------

Message: 9
Date: Tue, 3 Feb 2015 00:30:52 -0300
From: Cesar Francisco Romero <chesarato <@t> hotmail.com>
Subject: [Histonet] RE: Know Error
To: "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID: <SNT148-W3743926C27FDC4C930F356BB3D0 <@t> phx.gbl>
Content-Type: text/plain; charset="iso-8859-1"



I live in a Corrupt Country .

I can assure to you that this request is simply that, Corruption. The well done job is not well paid. The one that returns money to a corrupt person or a group of persons , yes, it is well paid.
 C?sar RomeroBuenos AiresArgentina



------------------------------

Message: 10
Date: Tue, 3 Feb 2015 13:48:20 +0000
From: Fawn Bomar <Fawn.Bomar <@t> HalifaxRegional.com>
Subject: [Histonet] Storage of paraffin blocks
To: "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <0111BC10D77DC54EAB99B2DDA3BCE4B97E55F5 <@t> EXCH-2K10.hrhs.com>
Content-Type: text/plain; charset="iso-8859-1"

Hi everyone,



I hope all is going well in the new year.  I was wondering if everyone that stores their paraffin blocks in the plastic tissue tek block filing cabinets, stores these cabinets directly on the floor or do you all place them on some sort of stand?



Thank you

Fawn
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Thank you


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Message: 11
Date: Tue, 3 Feb 2015 13:58:02 +0000
From: "Rathborne, Toni" <Toni.Rathborne <@t> rwjuh.edu>
Subject: [Histonet] RE: Storage of paraffin blocks
To: 'Fawn Bomar' <Fawn.Bomar <@t> HalifaxRegional.com>,
        "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <59E09A4EFBD3F349BD75FDAE8AFB0F24F4264A <@t> vap1014.win.rwjuh.edu>
Content-Type: text/plain; charset="us-ascii"

To comply with Joint Commission standards, ours are stored 6" off the floor.

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Fawn Bomar
Sent: Tuesday, February 03, 2015 8:48 AM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] Storage of paraffin blocks

Hi everyone,



I hope all is going well in the new year.  I was wondering if everyone that stores their paraffin blocks in the plastic tissue tek block filing cabinets, stores these cabinets directly on the floor or do you all place them on some sort of stand?



Thank you

Fawn
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Thank you

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------------------------------

Message: 12
Date: Mon, 2 Feb 2015 18:37:30 +0000
From: Casey Arnold <CArnold <@t> opko.com>
Subject: [Histonet] RE: Know Error
To: "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID: <c111191782c142098ae2108ccad208ab <@t> USNVLEXC01.opko.corp>
Content-Type: text/plain; charset="iso-8859-1"

We have many clients who perform "Know Error" for their patients. What we do is send out only one site with malignancy (preferably the highest grade) instead of all sites. This cuts down on a lot of unnecessary work to be done by the tech and cuts costs for you. I find it easiest and most cost effective to send them the vial of tissue instead of the slides. I also believe that if you contact a Know Error representative you should be able to develop a contract to ensure reimbursement. Hope this helps!

Casey Arnold
Histology Supervisor



1450 Elm Hill Pike
Nashville, TN? 37210
Office:? 615.874.0410
Cell:? 615.714.2940
Fax:? 615.345.4595
carnold <@t> opko.com
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Subject: Histonet Digest, Vol 135, Issue 1

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Today's Topics:

   1. ARKANSAS SOCIETY FOR HISTOTECHNOLOGY - SPRING MEETING -   MARCH
      7TH (Marcum, Pamela A)
   2. "Know Error" (Cartun, Richard)


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Message: 1
Date: Mon, 2 Feb 2015 14:22:58 +0000
From: "Marcum, Pamela A" <PAMarcum <@t> uams.edu>
Subject: [Histonet] ARKANSAS SOCIETY FOR HISTOTECHNOLOGY - SPRING
        MEETING -       MARCH 7TH
To: "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID: <56d5892a005f4deaaf2cfed127d975b9 <@t> MAIL13M2N2.ad.uams.edu>
Content-Type: text/plain; charset="us-ascii"

Good Morning All,

THE ARKANSAS SOCIETY FOR HISTOTECHNOLOGY - SPRING MEETING - MARCH 7TH, 2015 IN LITTLE ROCK, ARKANSAS PLEASE JOU US!!

The meeting is being held at the Baptist Schools of Health in Little Rock and is open to anyone in Histology and related or interested fields.  The following list is for the speakers, who will all be presenting 90 minute seminars for the meeting.  We will have two rooms of speakers so you have a choice in classes and topics for the day.

7:30AM Registration

8AM to 9:30AM Seminars

Dr Ericka Olgaard from UAMS

Diagnostic Challenges of Breast Cancer

Dr Daisy Alapat UAMS

Methods and Basics of Protein Detection in Hematopathology

9:30AM to 10:00AM BREAK

10:00AM to 11:30AM  Seminars

Dr Shree Sharma Nephropath

Integrating Mobile Technology With Anatomic Pathology

Debbie Siena Technical Specialist Statlab

Controlling Your Special Stains

11:30AM to 1:00PM Lunch

1:00PM to 2:30PM Seminars

Dr Sara Shalin UAMS

How and Why Skin Is Different

Jennifer Feldman Ventana

Antibody Production

2:30PM to 3:00PM Break

3:00PM to 4:30PM Seminars

Dr Jennifer Forsythe ME Little Rock

Autopsy in America

Pamela Marcum HT UAMS

Reagent Alcohol - Can't Drink It - What Is It?







Thank You,

Pam Marcum

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Message: 2
Date: Mon, 2 Feb 2015 16:52:40 +0000
From: "Cartun, Richard" <Richard.Cartun <@t> hhchealth.org>
Subject: [Histonet] "Know Error"
To: "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <9215BD4B0BA1B44D962A71C758B68D2E3E0E26AE <@t> HHCEXCHMB03.hhcsystem.org>
Content-Type: text/plain; charset="us-ascii"

Our laboratory has a new urology group who is demanding that we send-out every "Positive" (with CA) prostate biopsy for the "Know Error" DNA identity test.  The test is used to confirm the identity of the patient diagnosed with cancer by matching the DNA in the cancer cells to that obtained from a buccal swab from the patient obtained in the doctor's office.  In my opinion, this test is absolutely unnecessary; another expense ($1,700 list price) to our healthcare system that is not justified.   In addition, the laboratory ends up doing a lot of work that it cannot get reimbursed for.  However, I would like to hear from those of you who have experience with it.  Thank you.

Richard

Richard W. Cartun, MS, PhD
Director, Histology & Immunopathology
Director, Biospecimen Collection Programs Assistant Director, Anatomic Pathology Hartford Hospital
80 Seymour Street
Hartford, CT  06102
(860) 972-1596
(860) 545-2204 Fax


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End of Histonet Digest, Vol 135, Issue 1
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Message: 13
Date: Tue, 3 Feb 2015 17:24:22 +0000 (UTC)
From: Pam  Marcum <mucram11 <@t> comcast.net>
Subject: [Histonet] ARKANSAS SPRING MEETING INCLUDES 1 DAY HT
        READINESS
To: Histonet <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <430097600.4706323.1422984262763.JavaMail.zimbra <@t> comcast.net>
Content-Type: text/plain; charset=utf-8


Shane Jones will be presenting a one day class for HT Readiness for anyone who needs review for the exam this spring or early summer.?? The cost will be $60.00 for the day and includes lunch and breaks.?? Please let me know if you need further information about the class or if you would like to attend.
??
Thank You,
??
Pam Marcum
??




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Message: 14
Date: Tue, 3 Feb 2015 12:50:33 -0500
From: Anna Rorick <anna.m.rorick <@t> gmail.com>
Subject: [Histonet] Problems with Universal Cassette Clamp
To: "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID: <03441E3C-E699-4EB1-A647-5F47D2B67B23 <@t> gmail.com>
Content-Type: text/plain;       charset=us-ascii

Hi Everyone,
I am using a Leica RM2255 microtome with a universal cassette clamp. Two of the clamps have broken over the past year.
Has anyone else had a problem with these?


Anna Rorick
Anatomic Pathology Technician
Battelle Memorial Institute
Columbus, Ohio
Sent from my iPhone


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End of Histonet Digest, Vol 135, Issue 2
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