Allison and all, As part of LEAN we use standard work. This means we have best practice written down, step by step and every person does it the same way on every specimen. No matter what! This gets "hard-wired" after a while. The inspection of the requisition against the container is one of the steps in the process. Errors can be virtually eliminated using this practice. There is also the wonderful innovation of using bar coding to assure things match. Check out the Vantage system by Ventana. I highly recommend it for eliminating the kind of mistakes you point out. Jan Omaha
-----Original Message----- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Nita Searcy Sent: Friday, February 25, 2011 10:26 AM To: Allison D' 'Scott; histonet@lists.utsouthwestern.edu; Michael Mihalik Subject: RE: [Histonet] Checks and balances for specimen accessioning You are absolutely correct. Nita Searcy, HT/HTL (ASCP) Scott and White Hospital Division Manager, Anatomic Pathology 2401 S. 31st. Street 254-724-2438 Temple, Texas, 76502 nsea...@swmail.sw.org 254-724-2438 >>> "Michael Mihalik" <m...@pathview.com> 2/25/2011 10:22 AM >>> To me, there is only one 100% solution -- barcodes. I'm quite anxious to hear other people's thoughts, though. Michael Mihalik PathView Systems | cell: 214.733.7688 | 800.798.3540 | fax: 952.241.7369 -----Original Message----- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Scott, Allison D Sent: Friday, February 25, 2011 8:01 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Checks and balances for specimen accessioning Hello to all in histoland. What types of checks and balances do you have in place for specimen accessioning. We had a incidcent where I was accessioning a case and I did not catch that the name on the container was different from the name on the requisition. The resident grossing did not catch it either. They usually peel back the copath label and look at the name on the label that came from the procedure area. In my case the resident did not do this. It was not until the pathologist saw a discrepancy in the age on the requisition and what was written in the pertinent history, that it was determined that it had been mislabeled from the beginning. I did a incident report and the area was cited. Besides making sure that who ever is accesioning cases checks that the names match, what else can be done? Any help in this will be greatly appreciated. Allison Scott HT(ASCP) Histology Supervisor LBJ Hospital Houston, Texas CONFIDENTIALITY NOTICE: If you have received this e-mail in error, please immediately notify the sender by return e-mail and delete this e-mail and any attachments from your computer system. To the extent the information in this e-mail and any attachments contain protected health information as defined by the Health Insurance Portability and Accountability Act of 1996 ("HIPAA"), PL 104-191; 45 CFR Parts 160 and 164; or Chapter 181, Texas Health and Safety Code, it is confidential and/or privileged. This e-mail may also be confidential and/or privileged under Texas law. The e-mail is for the use of only the individual or entity named above. If you are not the intended recipient, or any authorized representative of the intended recipient, you are hereby notified that any review, dissemination or copying of this e-mail and its attachments is strictly prohibited. _______________________________________________ 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 Sponsored by Catholic Health Initiatives and Immanuel, Alegent Health is faithful to the healing ministry of Jesus Christ, providing high quality care for the body, mind and spirit of every person. The information contained in this communication, including attachments, is confidential and private and intended only for the use of the addressees. Unauthorized use, disclosure, distribution or copying is strictly prohibited and may be unlawful. If you received this communication in error, please inform us of the erroneous delivery by return e-mail message from your computer. Additionally, although all attachments have been scanned at the source for viruses, the recipient should check any attachments for the presence of viruses before opening. Alegent Health accepts no liability for any damage caused by any virus transmitted by this e-mail. Thank you for your cooperation. _______________________________________________ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet