[Histonet] Competency Assessments

[Rene J Buesa]

Elaine:As you wrote there are differences of opinion, so here is mine:Start with "analysis" which is the process of determining the qualities of something. As I see it, in histology the pathologist is the one who analyzes = determines the qualities of the tissue sections and gets to a diagnosis.Consequently, pre-analytical are all those steps leading to the preparation of the slide, namely, grossing, processing, sectioning and staining.The PT analyzes the finished tissue section and asks for special procedures; and those are post analytical but they can be also considered as part of a final diagnoses and, as such, are also "pre-analytical". If you take this last definition, then the post analytical will be limited to everything is done in the lab after the diagnosis is reached and will include billing, contacting the patient/referring physician, archiving and other tasks.So you have first to get CAP's definition or elaborate your own one in accordance with your lab director.René 


     On Saturday, November 7, 2015 2:36 PM, Elaine allison Hoffman via Histonet <histonet at lists.utsouthwestern.edu> wrote:
   

 Greeting everyone in Histo-land,
I'm still working on a competency assessment procedure but I have a question that needs clarification.  According to CAP, "A laboratory must evaluate and document the competency of all testing personnel for each test system.  A TEST SYSTEM is the process that includes pre-analytic, analytic, and post-analytic steps used to produce a test result or set of results.  A test system may be manual, automated, multi-channel or single use and can include reagents, components, equipment or instruments required to produce results".  My question is, what histology tasks or steps are considered pre-analytic, analytic, and post-analytic?  In all the resources I've found, there seems to be a difference of opinion as to what is considered pre-analytic, analytic, and post-analytic specific to histology tasks which is not really considered "resulting" in histology. Also, there should be a different TEST SYSTEM for what pathologists do (resulting slides) and what PA's do (gross description of tissue), so what tasks are considered pre-analytic, analytic, and post-analytic specific for their jobs? A person could go crazy with all this and to ask an inspector, they aren't really sure either.  And different inspectors will give you different answers.Any takers out there?
Elaine Hoffman
    
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