RE: [Histonet] Clarification-interfacing the IHC bond andCassettelabelers to Co-Path
I'd be interested in knowing how this has impacted your pathologists. Were they resistant at first? The extra time inputting requests would now fall on them. And there is still a chance of keystroke errors with pathologist entry. I'm not disagreeing with the comments you made, only wondering since you were able to save .7 FTE, where the .7 pathologist came from. Or is it the interface itself that saves the time, and not who enters it? Also, did you have the slide printers before the LEAN process was implemented? or was it done because of LEAN and is part of the FTE savings? I'm very interested in this process, but know the types of questions I'll need to have answers for. We're a Cerner facility, so some things will be different but the principal will be the same. Toni -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu]on Behalf Of Feher, Stephen Sent: Friday, October 22, 2010 1:32 PM To: Akemi Allison; Walter Benton Cc: Histonet Subject: RE: [Histonet] Clarification-interfacing the IHC bond andCassettelabelers to Co-Path We have interfaced our Bonds with Soft Path LIS system. My justification for this started with using it for LEAN processes in that the orders for IHC went directly from the Pathologist to the Bond and eliminated the need for my techs to have to input individual orders for IHC by hand. Since we have set up our slide labelers to be recognized as just another printer as far as the LIS is concerned, we do not use paper labels at all but have 2d barcodes printed directly on our slides. When an order is put in by the pathologist for IHC, my techs can see the order, cut the section and print the slide with the correct bar code. Bond recognizes the barcode and initializes the tests that have been ordered and transferred from the pathologist. This has accomplished the following: No tech time lost in printing labels for slides to go on the bond. No ambiguity or lost IHC orders due to hand writing orders by the pathologist. No chance of keystroke errors on the part of my IHC tech while putting manual orders into the Bond. In addition to eliminating hand writing and manual keystrokes, which are distinct patient safety issue, I have calculated that having the interface has saved me approximately 0.7 FTE. Instead of having to hire extra staff to cover increased workloads or wasting existing staff on extraneous tasks (hand labeling, manually entering orders, etc), I can utilize them in other areas. The patient safety aspect of eliminating extra tasks involving manual data entry is huge. A majority of the lawsuits against pathology labs involve some aspect of human error resulting from manual tasks in labeling or data entry. In addition to being able to market my lab as patient safety focused, we have eliminated a major source of potential lawsuits. It's hard to put a price tag on what that saves other than to say that the costs are sometimes much more than the dollar figures paid out. Steve -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Akemi Allison Sent: Thursday, October 21, 2010 4:01 PM To: Walter Benton Cc: Histonet Subject: Re: [Histonet] Clarification-interfacing the IHC bond and Cassettelabelers to Co-Path Hi Walter and Histo-subscribers, Ist I want to thank Walter for his quick reply. I appreciate your answer! 2nd, I appreciate any and all replies, but does anyone have an article that addresses issues that can occur such as: Efficiency Omitting Duplication of Tests ordered: Additional Slides, Special Stains, IHC, FISH, CISH, Cost effectiveness due to omission of errors Patient Safety Thanks Akemi Allison BS, HT (ASCP) HTL Director Phoenix Lab Consulting Tele: 408.335.9994 E-Mail: akemiat3...@yahoo.com On Oct 21, 2010, at 11:38 AM, Walter Benton wrote: Efficiency Patient Safety Orders for the Bond come directly from the LIS and can not be misunderstood due to poor handwriting, since they are interfaced with the LIS. Walter Benton HT(ASCP)QIHC Histology Supervisor Chesapeake Urology Associates 806 Landmark Drive, Suite 126 (All Deliveries to Suite 127) Glen Burnie, MD 21061 443-471-5850 (Direct) 410-768-5961 (Lab) 410-768-5965 (Fax) wben...@cua.md From: histonet-boun...@lists.utsouthwestern.edu [histonet- boun...@lists.utsouthwestern.edu] On Behalf Of Akemi Allison [akemiat3...@yahoo.com] Sent: Thursday, October 21, 2010 2:33 PM To: Histonet Subject: [Histonet] interfacing the IHC bond and Cassette labelers to Co-Path Hi out there in Histo Land! I would like your assistance in answering a question that was proposed by a friend who is not a histonet member. I don't have the answer, but know that one of you would. Below is the question: Could you help me justify the importance of interfacing our IHC bond
Re: [Histonet] Clarification-interfacing the IHC bond andCassettelabelers to Co-Path
Toni, We will be going live with the Bond shortly and will have the same workflow with a different LIS. Our pathologists have been ordering their own tests for years so there is no impact, except to save time in the Immuno Lab. Victor Victor Tobias Clinical Applications Analyst University of Washington Medical Center Dept of Pathology Room BB220 1959 NE Pacific Seattle, WA 98195 vic...@pathology.washington.edu 206-598-2792 206-598-7659 Fax = Privileged, confidential or patient identifiable information may be contained in this message. This information is meant only for the use of the intended recipients. If you are not the intended recipient, or if the message has been addressed to you in error, do not read, disclose, reproduce, distribute, disseminate or otherwise use this transmission. Instead, please notify the sender by reply e-mail, and then destroy all copies of the message and any attachments. On 10/22/2010 10:56 AM, Rathborne, Toni wrote: I'd be interested in knowing how this has impacted your pathologists. Were they resistant at first? The extra time inputting requests would now fall on them. And there is still a chance of keystroke errors with pathologist entry. I'm not disagreeing with the comments you made, only wondering since you were able to save .7 FTE, where the .7 pathologist came from. Or is it the interface itself that saves the time, and not who enters it? Also, did you have the slide printers before the LEAN process was implemented? or was it done because of LEAN and is part of the FTE savings? I'm very interested in this process, but know the types of questions I'll need to have answers for. We're a Cerner facility, so some things will be different but the principal will be the same. Toni -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu]on Behalf Of Feher, Stephen Sent: Friday, October 22, 2010 1:32 PM To: Akemi Allison; Walter Benton Cc: Histonet Subject: RE: [Histonet] Clarification-interfacing the IHC bond andCassettelabelers to Co-Path We have interfaced our Bonds with Soft Path LIS system. My justification for this started with using it for LEAN processes in that the orders for IHC went directly from the Pathologist to the Bond and eliminated the need for my techs to have to input individual orders for IHC by hand. Since we have set up our slide labelers to be recognized as just another printer as far as the LIS is concerned, we do not use paper labels at all but have 2d barcodes printed directly on our slides. When an order is put in by the pathologist for IHC, my techs can see the order, cut the section and print the slide with the correct bar code. Bond recognizes the barcode and initializes the tests that have been ordered and transferred from the pathologist. This has accomplished the following: No tech time lost in printing labels for slides to go on the bond. No ambiguity or lost IHC orders due to hand writing orders by the pathologist. No chance of keystroke errors on the part of my IHC tech while putting manual orders into the Bond. In addition to eliminating hand writing and manual keystrokes, which are distinct patient safety issue, I have calculated that having the interface has saved me approximately 0.7 FTE. Instead of having to hire extra staff to cover increased workloads or wasting existing staff on extraneous tasks (hand labeling, manually entering orders, etc), I can utilize them in other areas. The patient safety aspect of eliminating extra tasks involving manual data entry is huge. A majority of the lawsuits against pathology labs involve some aspect of human error resulting from manual tasks in labeling or data entry. In addition to being able to market my lab as patient safety focused, we have eliminated a major source of potential lawsuits. It's hard to put a price tag on what that saves other than to say that the costs are sometimes much more than the dollar figures paid out. Steve -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Akemi Allison Sent: Thursday, October 21, 2010 4:01 PM To: Walter Benton Cc: Histonet Subject: Re: [Histonet] Clarification-interfacing the IHC bond and Cassettelabelers to Co-Path Hi Walter and Histo-subscribers, Ist I want to thank Walter for his quick reply. I appreciate your answer! 2nd, I appreciate any and all replies, but does anyone have an article that addresses issues that can occur such as: Efficiency Omitting Duplication of Tests ordered: Additional Slides, Special Stains, IHC, FISH, CISH, Cost effectiveness due to omission of errors Patient Safety Thanks Akemi Allison BS, HT (ASCP) HTL Director Phoenix Lab Consulting Tele: 408.335.9994 E-Mail: akemiat3...@yahoo.com On Oct 21, 2010, at 11:38 AM, Walter Benton wrote: Efficiency Patient Safety Orders
