Like everyone we have had a rare occasion when tissue processed did not come 
out well at all.  My experience over the years has led me to believe that when 
there is an entire machine full of poorly processed tissue that the problem is 
usually human error where probably one of the chemicals was mixed or put into 
the wrong container.  There are of course situations where processors have 
failed but more likely the error was in loading the processor.   With that said 
can any of you share procedural changes you have added to try to prevent the 
problem.  We have made some immediate small changes and want to see if anyone 
else has any better ideas.   Thanks for your input.

Of course we did reprocess the tissue however we all know it never turns out 
great.

James Vickroy BS, HT(ASCP)

Surgical  and Autopsy Pathology Technical Supervisor
Memorial Medical Center
217-788-4046


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