There are now several commercial workload/work flow management systems 
available, if you are bar coded for your blocks and slides (Ventana, Thermo, 
Leica and Dako). These "automated " processes can simplify the capture of 
metrics for individuals, but not many have robust report functions. You could 
also use a manual system for capturing metrics, but this approach will require 
some additional effort over and above what is required for the automated 
systems. Both approaches will provide you a detailed look at what can be done, 
what is being done and what should be done at each step of your process and by 
whom. Productivity is a key management tool and with all the economy and 
industry pressures being applied, now being looked at closely for the Histology 
lab. 
 
I have been manually capturing workload metrics for accessioning, grossing, 
embedding and microtomy for 7+ years. It can be very useful when working with 
management to develop the correct staffing needs for the manual tasks in 
Histology. Workload recording allows you to better manage your process and 
employees. The data collected can be sliced and diced in many ways and I 
strongly suggest you collect on a daily basis. Each employee should know 
exactly what is expected of them for productivity and quality and you can only 
provide that direction when you have useful data. Once you have the data and 
create your reports, make sure you communicate with all employees regularly and 
continually.
 
All that said, what are you trying to accomplish with creating workload metrics 
and/or what does your boss want to accomplish? It is important to understand 
that just capturing the workload metrics mean nothing without coupling quality 
standards. I believe that since we are very manual in our unit 
(case/specimen/block/slide) production, you must not just look at the 
production factor, you must apply a quality factor/standard, before setting any 
production standards. Quality must come first. last and always in your process 
development. Of course, that will mean you will need to take the next step and 
develop a process for capturing, trending and correcting all Mislabel, 
Procedural and Technical errors produced at each step of the process and ensure 
that the production metric and quality metric, when combined will lead and 
direct you to improved quality and measurable standards.
 
I find that having the workload and quality metrics available provides valuable 
information for development of staff, training/competency documentation, SOP's 
and justifying equipment, consumables and reagent purchases. I learned from my 
CEO that "You cannot manage what you do not measure". I would be more than 
happy to discuss this process with you off line, just send me an e-mail to 
start the process.

William DeSalvo, B.S., HTL(ASCP)
wdesalvo....@hotmail.com



 
> Date: Fri, 3 Dec 2010 16:09:36 -0600
> From: allison_sc...@hchd.tmc.edu
> To: histonet@lists.utsouthwestern.edu
> Subject: [Histonet] Workload Recording
> 
> Hello to all in histoland. Does anyone keep a log of how many blocks
> that their techs cut. My boss asked me do I keep this type of
> information. Anyone doing workload recording?
> 
> Allison Scott HT(ASCP)
> Histology Supervisor
> LBJ Hospital
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