Laurie, I have a binder that is for Continuous Quality Improvement. If something comes up that is not part of my regular schedule of Quality Control or Quality Improvement it goes in that binder. I have a form that I use to state the reason for the Quality Improvement (what initiated the change), what the standard is and what the change is. It is then signed off by the pathologist and all staff initials the change.
Linda Linda Blazek HT (ASCP) Manager/Supervisor GI Pathology of Dayton Huber Heights, OH 45424 Phone: (937) 293-4424 ext 7118 -----Original Message----- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Laurie Colbert Sent: Monday, March 23, 2009 11:13 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Quality Improvement I'm curious as to what others do, if anything, to document corrective actions or improvements for H&E staining and/or tissue processing. For example, I made changes to my biopsy processing program and to my breast processing program which helped improve the cutting quality of both types of tissue. I also had to make various changes to my H&E staining program when we received hematoxylin and eosin from a new vendor. Would you document these changes somewhere? Would you have one general binder, for example, that would just be an ongoing log of changes/improvements, or would you document the changes and keep with the equipment? I'm just thinking this might be something that a CAP inspector would ask for, although I don't see any specific CAP question on the checklist. Laurie Colbert _______________________________________________ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet _______________________________________________ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
