[Histonet] Paperwork

[WILLIAM DESALVO]

I am not a a big supporter of batch controls and managing that process.

Place a control section above patient sample, choosing 1 slide/case, prior to moving slides to stain. Control always gets to pathologist that is reading patient slides, assuming patient slides always get to pathologist and control is filed with the case.

Think through what are the opportunities for error and develop a change to either eliminate or reduce the opportunity.

There are multiple solutions to your problem and you will need to decide what process change gives you the results you desire. There should be multiple responses to facilitate your change.

William

William DeSalvo

________________________________
From: Campbell, Tasha M. <tmcampbe at fmh.org>
Sent: Friday, July 27, 2018 11:00 AM
To: WILLIAM DESALVO; histonet at lists.utsouthwestern.edu
Subject: RE: [Histonet] Paperwork

I am a little confused about your batch control explanation.  Do you mean to put a piece of control tissue on every case slide?




Tasha Campbell, B.S.,HTL(ASCP)
Frederick Gastroenterology Associates
310 W. 9th St.
Frederick, MD 21701
301-695-6800 ext. 144
________________________________
From: WILLIAM DESALVO [mailto:wdesalvo.cac at outlook.com]
Sent: Friday, July 27, 2018 1:20 PM
To: Campbell, Tasha M.; histonet at lists.utsouthwestern.edu
Subject: Re: [Histonet] Paperwork

I have a few suggestions:

Batch control - you do need to continue documentation of which cases/slides corresponds to the one control and be able to provide for inspection or re-review of a case. I suggest you consider taking pre-cut slide, add a new cut control section (1 per case if there are multiple slides) before staining. This conserves control tissue and removes some of the logistics of locating and matching batch control. I believe this will be a quality improvement without high cost.

Accessioning/ LIS - Ditch the log sheets and do not print, unless there is a specific need. All of your manual tracking process is now electronic. Do update all SOP’s and note date of change in process.

William

William DeSalvo

________________________________
From: Campbell, Tasha M. via Histonet <histonet at lists.utsouthwestern.edu>
Sent: Friday, July 27, 2018 8:41 AM
To: histonet at lists.utsouthwestern.edu
Subject: [Histonet] Paperwork

Hi everyone,

I have 2 questions:


1. Could someone please share some ways to keep track of the control that goes with the slides that it was used for? So I am a small GI lab and there is a pathologist here a couple days a week. We do trichrome on Microscopic colitis cases and so I have been batching the trichromes because it's a long stain to do by hand and it's a lot easier to do it that way. But my slides are automatically printed for me and they have the date on them that the specimen was entered into the system. I cut the slide but then hold it until I am ready to do the stain. I put a date on the trichrome control slide but it of course does not match the date on the patient slides because they have been held for a few days. Is this something I even need to worry about? So far I have just been writing down the date that I stain the patient slide on a log sheet but I am trying to minimize the amount of paperwork/manual logging.


1. We recently got a accessioning system and I can now pull the number of blocks and stains done each day. Do I need to still keep writing down in my log sheet the number of blocks and stains? Do I need to print out the report that has the numbers and file it or since I have the ability to pull it from the system, I don't need to have physical logs.

I am just trying to minimize as much manual logging and paperwork as possible! Thanks in Advance!!!




Tasha Campbell, B.S.,HTL(ASCP)
Frederick Gastroenterology Associates
310 W. 9th St.
Frederick, MD 21701
301-695-6800 ext. 144

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