Unfortunately (or is that fortunately?), pretty much all technology can be foiled by human beings. We've seen this scenario before as well. We tell our accession personnel that they must accession and label one case at a time, but when it comes down to it, there is no real way to FORCE people to follow a policy.
This is why we have inquiry come up automatically at Gross, Transcription, and Pathology workcenters. Ostensibly, one or more people need to confirm the correct labeling of the case. ...at least that's the theory ... and of course there's that people part of the equation again. 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 Della Speranza, Vinnie Sent: Tuesday, April 24, 2012 11:25 AM To: Morken, Timothy; Histonet Subject: [Histonet] RE: Barcoding specimen tracking, lessons you learned Hi Tim, One thing I did not anticipate that was an unfortunate eye opener. When humans are given a scanner to read barcodes they seem to trust the technology so much that they stop reading with their eyes. We had an unfortunate incident where the wrong barcode label was placed onto a specimen container at accessioning. Keep in mind the label containing the barcode also contained a patient name and MRN. Had the next individual in the chain of events, the individual at the grossing table, read the label, she might have noticed the discrepancy. Instead, the barcode on the cassettes was for the wrong patient and of course, the slides likewise. So while I adopted barcodes to reduce the likelihood of error, this event made me feel a bit more vulnerable because once the scanners are in use, you may find that staff become so reliant on the technology that they are no longer vigilant in keeping an eye out for problems. I'm sharing this in the hope that by alerting your staff to this pitfall you can avoid experiencing this in your lab. Vinnie Della Speranza, MS, HTL(ASCP) Manager for Anatomic Pathology Services Medical University of South Carolina 165 Ashley Avenue MSC 908 Charleston, SC 29425 tel. 843-792-6353 fax. 843-792-8974 -----Original Message----- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Morken, Timothy Sent: Monday, April 23, 2012 1:31 PM To: Histonet Subject: [Histonet] Barcoding specimen tracking, lessons you learned To anyone who has implemented a barcoding/specimen tracking system in your lab. What lessons did you learn that would make it easier if you did it over? We're starting the process and I would like to get some input on things to look out for! Thanks for any info and comments! Tim Morken Department of Pathology UC San Francisco Medical Center 505 Parnassus Ave, Box 1656 Room S570 San Francisco, CA 94132 (415) 353-1266 (ph) (415) 514-3403 (fax) tim.mor...@ucsfmedctr.org _______________________________________________ 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 _______________________________________________ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet