Linda, that's exactly what we do here. I wondered, if you fixed a cut-off. Because in quality-audits they often asked the "what do you if.."-questions. for example: "There is an increase in the number of discrepancies in this special month. The rate is over your defined aim. What did you do to fix the problem? Do you keep records about the process of solving the problem?"
I was just curious, if you go further than the counting of events. In daily work we often know the causes of mistakes, and very often we know, that a certain amount of mistakes can't be avoided, although everyone tries to give his/her best. I think QM should help to discover the special events or circumstances, that raise the number of mistakes above the "normal" level. I was curious, if you defined this "normal" level for your lab. Kind regards Gudrun -----Ursprüngliche Nachricht----- Von: Blazek, Linda [mailto:lbla...@digestivespecialists.com] Gesendet: Mittwoch, 13. Juni 2018 14:38 An: Gudrun Lang Cc: histonet@lists.utsouthwestern.edu Betreff: RE: [Histonet] Quality Measure for Pathology Gudrun, Our lab is 95% biopsy specimens. Therefor the number of pieces counted at gross is written on the side of the cassette so that at the time of embedding the tech knows what should be present. That helps in being sure there isn't a piece stuck to the lid or forceps, or popped out when opening the cassette. It's really more of a Quality Assurance measure than tracking a discrepancy. I do watch how frequent there is a discrepancy though and if there seems to be a pattern will initiate a review of processes for both the grossing person and the embedding person. What we see most is the gross will say one piece and there will actually be multiple tiny pieces or two pieces will be three at embedding. As all staff is aware that we are following this they tend to be much more precise in counting at grossing and embedding. Linda -----Original Message----- From: Gudrun Lang [mailto:gu.l...@gmx.at] Sent: Wednesday, June 13, 2018 4:19 AM To: Blazek, Linda Cc: histonet@lists.utsouthwestern.edu Subject: AW: [Histonet] Quality Measure for Pathology Linda, How do you handle this key figure of discrepancies? Have you set a cut-off (per person, per day) for any consequencies? What are the consequencies, besides repeated training? thanks Gudrun -----Ursprüngliche Nachricht----- Von: Blazek, Linda via Histonet [mailto:histonet@lists.utsouthwestern.edu] Gesendet: Dienstag, 12. Juni 2018 18:55 An: Normington Lacy; Amy Self Cc: histonet@lists.utsouthwestern.edu Betreff: Re: [Histonet] Quality Measure for Pathology Also a discrepancy between the number of pieces that are dictated at gross as being in a cassette compared to what is found in the cassette at embedding. You can record the number of blocks that need re-embedded and the number of slide recuts needed a month. Linda Linda Blazek HT (ASCP) Pathology Lab Manager GI Pathology of Dayton Digestive Specialists, Inc Phone: (937) 396-2623 Email: lbla...@digestivespecialists.com -----Original Message----- From: Normington Lacy via Histonet [mailto:histonet@lists.utsouthwestern.edu] Sent: Tuesday, June 12, 2018 9:34 AM To: Amy Self; 'histonet@lists.utsouthwestern.edu' Subject: Re: [Histonet] Quality Measure for Pathology Some ideas: Proficiency Testing Corrected Results (Addendums/Amendment) volume Turnaround Time Monitoring Frozen Section TAT (critical call) Rejected Tests (empty bottles, etc) -----Original Message----- From: Amy Self via Histonet [mailto:histonet@lists.utsouthwestern.edu] Sent: Tuesday, June 12, 2018 8:18 AM To: 'histonet@lists.utsouthwestern.edu' <histonet@lists.utsouthwestern.edu> Subject: [Histonet] Quality Measure for Pathology WARNING: This email appears to have originated outside of the UW Health email system. DO NOT CLICK on links or attachments unless you recognize the sender and know the content is safe. Good Morning, I am looking for ideas/suggestions for QM Histology/Pathology. My QM director wants me to "measure" something that I can place on the lab dashboard. Thanks in advance for your help.. Amy Self Histology Lab Senior Tech Lab Tidelands Georgetown Memorial Hospital 606 Black River Road Georgetown, SC 29440 843-520-8711 as...@tidelandshealth.org Our mission: We help people live better lives through better health. NOTE: The information contained in this message may be privileged, confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. 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