[Histonet] QC for IHC bulk solutions
Good afternoon Histoland folks, other than documenting the ph of each Ventana bulk solution after diluting and visual inspections of slides run with that solution lot what other way is there to QC the EZ Prep, Reaction Buffer, and Liquid Coverslip bulks solutions? (we currently have a lively dialog going on about this) There is always something to do and something new in Histology... Cassandra Davis cda...@che-east.org 302-575-8095 Confidentiality Notice: This e-mail, including any attachments is the property of Trinity Health and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] QC daily HEs
What are the CLIA/CAP labs doing for daily HE QC? Does a pathologist need to review the HE control slide daily, or do you have an ASCP certified tech delegated to doing this? Teri Johnson, HT(ASCP)QIHC Manager Clinical Trial Testing Genoptix, Inc. SAN5, Rm. 2005 760.516.5954 (office) 760.516.6201 (fax) CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and contains information that is confidential and proprietary to Genoptix Medical Laboratory or its subsidiaries. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, immediately contact the sender by e-mail and destroy all copies of the original message. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] QC daily HEs
Both. The pathologist has to sign off. Joelle Weaver MAOM, HTL (ASCP) QIHC From: tejohn...@genoptix.com To: histonet@lists.utsouthwestern.edu Date: Mon, 29 Dec 2014 18:09:19 + Subject: [Histonet] QC daily HEs What are the CLIA/CAP labs doing for daily HE QC? Does a pathologist need to review the HE control slide daily, or do you have an ASCP certified tech delegated to doing this? Teri Johnson, HT(ASCP)QIHC Manager Clinical Trial Testing Genoptix, Inc. SAN5, Rm. 2005 760.516.5954 (office) 760.516.6201 (fax) CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and contains information that is confidential and proprietary to Genoptix Medical Laboratory or its subsidiaries. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, immediately contact the sender by e-mail and destroy all copies of the original message. ___ 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] QC Slide retention
How long do you folks retain you Daily QC slides? Is it the same as the diagnostic slides? I know the correct length of time for diagnostic slides in my particular area, but I wasn't sure if the same timeline applies to the actual daily HE or PAP QC slides. Is the retention of the actual documentation that I have of the quality of these stains each day sufficient? I looked thru the archives, but could only find the previous discussions on Diagnostic slides. Thanks Histonetters!! Rebecca Riesen, Histology Supervisor, PRMC, Naples, FL ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] QC for fire shower
Does anyone have a QC log on the yearly fire shower testing they'd like to share? ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] QC
I am wondering how other labs are documenting techs checking their own slide quality? Are you making them check a certain percentage? Thank you. Susan Baker, HTL(ASCP) The documents accompanying this transmission may contain confidential health information that is legally privileged. This information is intended only for the use of the individual or entity named on this sheet. The authorized recipient of this information is prohibited from disclosing this information to any party unless required to do so by law or regulation and is required to destroy the information after its stated need has been fulfilled. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of these documents is strictly prohibited. Violators will be prosecuted. If you have received this information in error, please notify the sender immediately and arrange for the destruction of these documents. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] QC
In all reality techs do not have time to formally evaluate the quality of their work. Each tech looks at the sections they are producing and either accept or reject them attending to breaks, folds, incompleteness an the like. The final quality can only be evaluated when the slide is finished, after staining and cover slipping and at that moment the QC has to be done by either the supervisor or the lead tech on a macroscopic aspect for all and microscopicaly on 2-3 slides per folder. QC is the duty of the supervisor. At the end the pathologists will view all the slides and they are supposed to reject those they do not like and those unacceptable for diagnosis. At that moment again the supervisor will view the rejected slides and will use them to retrain the tech or determine the cause for the rejection that can be due to processing defects. Rejected slides (by the pathologists) are the basis for fine tuning the procedure and the technique, and that is the supervisor's task. René J. From: shernan...@st-joseph.org shernan...@st-joseph.org To: histonet@lists.utsouthwestern.edu Sent: Tuesday, October 30, 2012 11:34 AM Subject: [Histonet] QC I am wondering how other labs are documenting techs checking their own slide quality? Are you making them check a certain percentage? Thank you. Susan Baker, HTL(ASCP) The documents accompanying this transmission may contain confidential health information that is legally privileged. This information is intended only for the use of the individual or entity named on this sheet. The authorized recipient of this information is prohibited from disclosing this information to any party unless required to do so by law or regulation and is required to destroy the information after its stated need has been fulfilled. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of these documents is strictly prohibited. Violators will be prosecuted. If you have received this information in error, please notify the sender immediately and arrange for the destruction of these documents. ___ 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] QC vs QA
Working on my procedure manual for CLIA and was wondering what the difference is between QC procedures and QA procedures.? ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] QC vs QA
If you only need to keep QC records for 2 years, is it the same for QA records? -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of H R Sent: Wednesday, July 13, 2011 1:30 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] QC vs QA Working on my procedure manual for CLIA and was wondering what the difference is between QC procedures and QA procedures.? ___ 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
Re: [Histonet] QC vs QA
Quality Assurance outlines all required QC activities used to identify policies or procedures that are not working as desired, especially those that are not immediately apparent from following routine QC procedures. The purspose of a QA plan is effectively achieved by providing a mechanism for identifying problems so that corrective actions can be taken to ensure, reliable, and prompt reporting of patient test results. Quality Control is to assess the effectiveness of the quality control system to identify inaccuracies in test systems prior to result reporting. To verify the proper use and evaluation of quality control data by testing personnel. To assess test methodologies based upon past QC results. THANK YOU, PATTI RUBEN-NELSON H.T.(ASCP) PNP LABORATORY CONSULTANTS SUPERVISOR/DGC P.O. BOX 412 CABAZON, CA. 92230 cell (909) 841-9761 nelsonr...@verizon.net From: H R hrfulk...@gmail.com To: histonet@lists.utsouthwestern.edu Sent: Wed, July 13, 2011 11:29:30 AM Subject: [Histonet] QC vs QA Working on my procedure manual for CLIA and was wondering what the difference is between QC procedures and QA procedures.? ___ 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] QC Manual
I am updating my QC Manual and wanted to know if you QC your Processors and Microtomes? These are the only 2 pieces of equipment that I haven't been QC'ing. Here's what I QC each month, am I covering everything? 1. Eye wash station 2. Fridge temp 3. 10%formalin 4. Microscope 5. Processor alarm report 6. Embedder 7. HE stainer 8. Coverslipper 9. Special Stainers 10. Immuno stainers 11. Buffer's 12. Control slides 13. Water baths ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] QC Manual
If you have a fumes hood, and a body emergency shower you should QC them along with your drying oven microtomes and tissue processor. Any balance you may have also should be QC'd. René J. From: Amber McKenzie amber.mcken...@gastrodocs.net To: histonet@lists.utsouthwestern.edu Sent: Wednesday, May 18, 2011 3:36 PM Subject: [Histonet] QC Manual I am updating my QC Manual and wanted to know if you QC your Processors and Microtomes? These are the only 2 pieces of equipment that I haven't been QC'ing. Here's what I QC each month, am I covering everything? 1. Eye wash station 2. Fridge temp 3. 10%formalin 4. Microscope 5. Processor alarm report 6. Embedder 7. HE stainer 8. Coverslipper 9. Special Stainers 10. Immuno stainers 11. Buffer's 12. Control slides 13. Water baths ___ 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] QC records
I was wondering how long to keep all my QC log sheets...so CAP is 2 years? Does anyone know about CLIA's rules? -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jennifer MacDonald Sent: Monday, April 18, 2011 10:23 AM To: Rene J Buesa Cc: histonet@lists.utsouthwestern.edu; histonet-boun...@lists.utsouthwestern.edu Subject: Re: [Histonet] H E SLIDES I would say the same time as you keep your other QC records. CAP requires QC records to be kept for 2 years. Your state or individual institution may have longer retention times. Quality control records, including instrument printouts: at least 2 years. Rene J Buesa rjbu...@yahoo.com Sent by: histonet-boun...@lists.utsouthwestern.edu 04/18/2011 08:08 AM To histonet@lists.utsouthwestern.edu, Sara Baldwin/mhhcc.org sbald...@mhhcc.org cc Subject Re: [Histonet] H E SLIDES The same time you have to keep your case slides because in the event of legal dispute where the staining may become an issue you have to produce the HE control used along with the batch including the disputed case. René J. --- On Mon, 4/18/11, Sara Baldwin/mhhcc.org sbald...@mhhcc.org wrote: From: Sara Baldwin/mhhcc.org sbald...@mhhcc.org Subject: [Histonet] H E SLIDES To: histonet@lists.utsouthwestern.edu Date: Monday, April 18, 2011, 10:16 AM Histonetters Another question about H E control slides how long do you keep them? Thanks Pathology Supervisor Kathy Baldwin, SCT (ASCP) Memorial Hospital and Health Care Center sbald...@mhhcc.org Ph 812-482-0210, 482-0216, Fax 812-482-0232, Pager 812-481-0897 Confidential information, Authorized use only. ___ 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 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] QC records
Same to my knowledge. Amber McKenzie amber.mcken...@gastrodocs.net Sent by: histonet-boun...@lists.utsouthwestern.edu 04/18/2011 08:30 AM To Jennifer MacDonald jmacdon...@mtsac.edu, Rene J Buesa rjbu...@yahoo.com cc histonet@lists.utsouthwestern.edu, histonet-boun...@lists.utsouthwestern.edu Subject [Histonet] QC records I was wondering how long to keep all my QC log sheets...so CAP is 2 years? Does anyone know about CLIA's rules? -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jennifer MacDonald Sent: Monday, April 18, 2011 10:23 AM To: Rene J Buesa Cc: histonet@lists.utsouthwestern.edu; histonet-boun...@lists.utsouthwestern.edu Subject: Re: [Histonet] H E SLIDES I would say the same time as you keep your other QC records. CAP requires QC records to be kept for 2 years. Your state or individual institution may have longer retention times. Quality control records, including instrument printouts: at least 2 years. Rene J Buesa rjbu...@yahoo.com Sent by: histonet-boun...@lists.utsouthwestern.edu 04/18/2011 08:08 AM To histonet@lists.utsouthwestern.edu, Sara Baldwin/mhhcc.org sbald...@mhhcc.org cc Subject Re: [Histonet] H E SLIDES The same time you have to keep your case slides because in the event of legal dispute where the staining may become an issue you have to produce the HE control used along with the batch including the disputed case. René J. --- On Mon, 4/18/11, Sara Baldwin/mhhcc.org sbald...@mhhcc.org wrote: From: Sara Baldwin/mhhcc.org sbald...@mhhcc.org Subject: [Histonet] H E SLIDES To: histonet@lists.utsouthwestern.edu Date: Monday, April 18, 2011, 10:16 AM Histonetters Another question about H E control slides how long do you keep them? Thanks Pathology Supervisor Kathy Baldwin, SCT (ASCP) Memorial Hospital and Health Care Center sbald...@mhhcc.org Ph 812-482-0210, 482-0216, Fax 812-482-0232, Pager 812-481-0897 Confidential information, Authorized use only. ___ 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 ___ 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] QC documentation
How does everyone handle their QC documentation on special stains and IHC? We currently print out the run information from our stainer(s) and have the tech initial for her QC and the pathologist sign after they review the slides. I am hoping that someone has a way of doing this electronically. I hope to learn of a better way to save some trees!!! Thank you ahead of time! Dorothy Webb, HT Regions Histology Technical Specialist This e-mail and any files transmitted with it are confidential and are intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient or the individual responsible for delivering the e-mail to the intended recipient, please be advised that you have received this e-mail in error and that any use, dissemination, forwarding, printing, or copying of this e-mail is strictly prohibited. If you have received this e-mail in error, please immediately notify the HealthPartners Support Center by telephone at (952) 967-6600. You will be reimbursed for reasonable costs incurred in notifying us. HealthPartners R001.0 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] QC documentation
Dorothy, I'm only going to address what we are doing for IHC. We have a custom worksheet that is printed from the LIS for each patient. We were totally manual until 3 weeks ago when we went live with the Bond. We are still using our custom worksheet for the techs and pathologists. Boxes for them to check off and write comments. We just modified our IHC resulting tool and added fields for the pathologist to electronically record the QC. The manual QC paperwork gets returned to the lab and can be used for CAP and we can generate an electronic report also. Hopefully we'll get more paperless with time. Victor Victor Tobias HT(ASCP) Clinical Applications Analyst University of Washington Medical Center Dept of Pathology Room BB220 1959 NE Pacific Seattle, WA 98195 vic...@pathology.washington.edu 206-744-2735 206-744-8240 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 4/7/2011 9:59 AM, Webb, Dorothy L wrote: How does everyone handle their QC documentation on special stains and IHC? We currently print out the run information from our stainer(s) and have the tech initial for her QC and the pathologist sign after they review the slides. I am hoping that someone has a way of doing this electronically. I hope to learn of a better way to save some trees!!! Thank you ahead of time! Dorothy Webb, HT Regions Histology Technical Specialist This e-mail and any files transmitted with it are confidential and are intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient or the individual responsible for delivering the e-mail to the intended recipient, please be advised that you have received this e-mail in error and that any use, dissemination, forwarding, printing, or copying of this e-mail is strictly prohibited. If you have received this e-mail in error, please immediately notify the HealthPartners Support Center by telephone at (952) 967-6600. You will be reimbursed for reasonable costs incurred in notifying us. HealthPartners R001.0 ___ 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
RE: [Histonet] QC documentation
We currently use our LIS to support this issue,, the tech are able to go into the case and make comments about controls, staining, technical work etc. There are places for comment section, etc. I also use the LIS to document Fixation time for specimens. Multiple specimens are an issue, but we are able to document that as well. I then use the LIS to drill down the data and get me what I want. I still am using paper work, since the Pathologist needs to sign off. But the reports are attached and reviewed by the Pathologist. This also allows us to trend issues we are having within the Department. I like it a lot. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Victor Tobias Sent: Thursday, April 07, 2011 11:15 AM To: Webb, Dorothy L Cc: 'histonet@lists.utsouthwestern.edu' Subject: Re: [Histonet] QC documentation Dorothy, I'm only going to address what we are doing for IHC. We have a custom worksheet that is printed from the LIS for each patient. We were totally manual until 3 weeks ago when we went live with the Bond. We are still using our custom worksheet for the techs and pathologists. Boxes for them to check off and write comments. We just modified our IHC resulting tool and added fields for the pathologist to electronically record the QC. The manual QC paperwork gets returned to the lab and can be used for CAP and we can generate an electronic report also. Hopefully we'll get more paperless with time. Victor Victor Tobias HT(ASCP) Clinical Applications Analyst University of Washington Medical Center Dept of Pathology Room BB220 1959 NE Pacific Seattle, WA 98195 vic...@pathology.washington.edu 206-744-2735 206-744-8240 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 4/7/2011 9:59 AM, Webb, Dorothy L wrote: How does everyone handle their QC documentation on special stains and IHC? We currently print out the run information from our stainer(s) and have the tech initial for her QC and the pathologist sign after they review the slides. I am hoping that someone has a way of doing this electronically. I hope to learn of a better way to save some trees!!! Thank you ahead of time! Dorothy Webb, HT Regions Histology Technical Specialist This e-mail and any files transmitted with it are confidential and are intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient or the individual responsible for delivering the e-mail to the intended recipient, please be advised that you have received this e-mail in error and that any use, dissemination, forwarding, printing, or copying of this e-mail is strictly prohibited. If you have received this e-mail in error, please immediately notify the HealthPartners Support Center by telephone at (952) 967-6600. You will be reimbursed for reasonable costs incurred in notifying us. HealthPartners R001.0 ___ 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 __ This message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution, or copying of this message is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender at either the e-mail, fax, address, or telephone number listed above and delete this e-mail from your computer. Thank You. __ ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] QC documentation
What LIS are you using? This sounds great. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu]On Behalf Of Jesus Ellin Sent: Thursday, April 07, 2011 2:32 PM To: Victor Tobias; Webb, Dorothy L Cc: histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] QC documentation We currently use our LIS to support this issue,, the tech are able to go into the case and make comments about controls, staining, technical work etc. There are places for comment section, etc. I also use the LIS to document Fixation time for specimens. Multiple specimens are an issue, but we are able to document that as well. I then use the LIS to drill down the data and get me what I want. I still am using paper work, since the Pathologist needs to sign off. But the reports are attached and reviewed by the Pathologist. This also allows us to trend issues we are having within the Department. I like it a lot. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Victor Tobias Sent: Thursday, April 07, 2011 11:15 AM To: Webb, Dorothy L Cc: 'histonet@lists.utsouthwestern.edu' Subject: Re: [Histonet] QC documentation Dorothy, I'm only going to address what we are doing for IHC. We have a custom worksheet that is printed from the LIS for each patient. We were totally manual until 3 weeks ago when we went live with the Bond. We are still using our custom worksheet for the techs and pathologists. Boxes for them to check off and write comments. We just modified our IHC resulting tool and added fields for the pathologist to electronically record the QC. The manual QC paperwork gets returned to the lab and can be used for CAP and we can generate an electronic report also. Hopefully we'll get more paperless with time. Victor Victor Tobias HT(ASCP) Clinical Applications Analyst University of Washington Medical Center Dept of Pathology Room BB220 1959 NE Pacific Seattle, WA 98195 vic...@pathology.washington.edu 206-744-2735 206-744-8240 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 4/7/2011 9:59 AM, Webb, Dorothy L wrote: How does everyone handle their QC documentation on special stains and IHC? We currently print out the run information from our stainer(s) and have the tech initial for her QC and the pathologist sign after they review the slides. I am hoping that someone has a way of doing this electronically. I hope to learn of a better way to save some trees!!! Thank you ahead of time! Dorothy Webb, HT Regions Histology Technical Specialist This e-mail and any files transmitted with it are confidential and are intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient or the individual responsible for delivering the e-mail to the intended recipient, please be advised that you have received this e-mail in error and that any use, dissemination, forwarding, printing, or copying of this e-mail is strictly prohibited. If you have received this e-mail in error, please immediately notify the HealthPartners Support Center by telephone at (952) 967-6600. You will be reimbursed for reasonable costs incurred in notifying us. HealthPartners R001.0 ___ 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 __ This message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution, or copying of this message is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender at either the e-mail, fax, address, or telephone number listed above and delete this e-mail from your computer. Thank You. __ ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman
RE: [Histonet] QC on stained slides
You have included all the criteria; fixation, processing, embedding, microtomy, staining, coverslipping and labeling. If you were able to submit slides to CAP under their HQIP program, you would get graded evaluations. Short of that, could you perhaps send out duplicate slides to another local lab, or sister hospital, for peer review? You could offer to exchange slides on a twice yearly basis, since they, too, may be looking for additional quality control. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of louise renton Sent: Monday, August 02, 2010 2:25 AM To: Histonet@lists.utsouthwestern.edu Subject: [Histonet] QC on stained slides Hi all As part of a self assessment programme conducted by my employer, and related to my performance review and salary adjustment, I need to determine the criteria of what makes a stained slide acceptable or unacceptable. I was wondering if anyone out there had a checklist that they would be willing to share, that i could perhaps adapt. I realise that the easiest would be to send slides out for external control, but in this case it is not feasible. What I put together is this: - Quality of decalcification, processing, infiltration - Quality of sections (no wrinkles, missing bits, scores etc) - Entire representation of tissue area - staining pattern as expected according to protocol - coverslipped without bubbles or other inclusions - labelled neatly and correctly but, the question inmy mind is what would be the criteria that would make a slide merely adequate or truely outstanding? PLease help thank you -- Louise Renton Bone Research Unit University of the Witwatersrand Johannesburg South Africa +27 11 717 2298 (tel fax) 073 5574456 (emergencies only) There are nights when the wolves are silent and only the moon howls. George Carlin No trees were killed in the sending of this message. However, many electrons were terribly inconvenienced. ___ 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
Re: [Histonet] QC on stained slides
Thank you for your very helpful suggestionsThe situation here is a little weird as I am the only one doing the sectioning in this unit (research unit), and mostly i look at my own slides to do histomorphometry...so I have to grade myself??!!! Oh well, we do the best we can best regards On Mon, Aug 2, 2010 at 7:05 PM, WILLIAM DESALVO wdesalvo@hotmail.comwrote: Attached is a copy of the QA sheet that I provided at one of my NSH presentations. Review and use as needed. I believe your question of what makes a slide adequate or superior may be the wrong question. As long as you have a subjective review with a wide and varied specification, it will be extremely difficult to set a scoring process that will provide the desired feed back. I suggest you might want to approach in a different way and look at the number of defect or unacceptable products produced as compared to an agreed upon and high standard. use a Six Sigma tool to help you. I suggest you need an opportunities for improvement procedure and use the Defects per Million Opportunities (DPMO) tool. This will provide a process to evaluate the performance above and below standard in a simple and efficient manner. Your goal is never to deliver adequate work to your customer, the pathologist, but to always deliver the highest quality of work. You cannot improve the quality of work produced unless you know what is not meeting standard, not what is adequate or superior. Whether it is one person or multiple people working in the lab, there will always be variation in the product delivered because it is a manual process. You always want to reduce and narrow that variation to maintain the highest and consistent quality. But to narrow the variation you must have a standard and the standard must be agreed upon by the persons producing and the persons reviewing the work. I believe using a Six Sigma tool will provide you with the feedback you require and help you maintain the highest quality of slides delivered to the pathologists. Standardize your procedures and protocols, develop standards (highest quality standards) w/ your pathologists and then document, review, track and trend defects to improve the process. The data collected will give you specific information as to how you have performed to standard combined with the specific number of units produced by you (quality and quantity combined). This process will also allow you to compare multiple individuals working in the department and compare those individuals to each other. Everyone will be evaluated according to standards set for the work produced, plain, simple and effective. *William DeSalvo,* B.*S., HTL(ASCP)* * * Date: Mon, 2 Aug 2010 09:25:07 +0200 From: louise.ren...@gmail.com To: Histonet@lists.utsouthwestern.edu CC: Subject: [Histonet] QC on stained slides Hi all As part of a self assessment programme conducted by my employer, and related to my performance review and salary adjustment, I need to determine the criteria of what makes a stained slide acceptable or unacceptable. I was wondering if anyone out there had a checklist that they would be willing to share, that i could perhaps adapt. I realise that the easiest would be to send slides out for external control, but in this case it is not feasible. What I put together is this: - Quality of decalcification, processing, infiltration - Quality of sections (no wrinkles, missing bits, scores etc) - Entire representation of tissue area - staining pattern as expected according to protocol - coverslipped without bubbles or other inclusions - labelled neatly and correctly but, the question inmy mind is what would be the criteria that would make a slide merely adequate or truely outstanding? PLease help thank you -- Louise Renton Bone Research Unit University of the Witwatersrand Johannesburg South Africa +27 11 717 2298 (tel fax) 073 5574456 (emergencies only) There are nights when the wolves are silent and only the moon howls. George Carlin No trees were killed in the sending of this message. However, many electrons were terribly inconvenienced. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Louise Renton Bone Research Unit University of the Witwatersrand Johannesburg South Africa +27 11 717 2298 (tel fax) 073 5574456 (emergencies only) There are nights when the wolves are silent and only the moon howls. George Carlin No trees were killed in the sending of this message. However, many electrons were terribly inconvenienced. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] QC on stained slides
Since you are the only one there it might be useful for you and your work place to do proficiency testing. You can purchase one through CAP. The one that would measure the quality of your sections and stains is called HistoQIP. I don't have the link handy but I am sure you could find it on the CAP web site. Kim Donadio Pathology Supervisor Baptist Hospital 1000 W Moreno St. Pensacola FL 32501 Phone (850) 469-7718 Fax (850) 434-4996 louise renton louise.ren...@gmail.com Sent by: histonet-boun...@lists.utsouthwestern.edu 08/03/2010 02:25 AM To WILLIAM DESALVO wdesalvo@hotmail.com cc Histonet@lists.utsouthwestern.edu Subject Re: [Histonet] QC on stained slides Thank you for your very helpful suggestionsThe situation here is a little weird as I am the only one doing the sectioning in this unit (research unit), and mostly i look at my own slides to do histomorphometry...so I have to grade myself??!!! Oh well, we do the best we can best regards On Mon, Aug 2, 2010 at 7:05 PM, WILLIAM DESALVO wdesalvo@hotmail.comwrote: Attached is a copy of the QA sheet that I provided at one of my NSH presentations. Review and use as needed. I believe your question of what makes a slide adequate or superior may be the wrong question. As long as you have a subjective review with a wide and varied specification, it will be extremely difficult to set a scoring process that will provide the desired feed back. I suggest you might want to approach in a different way and look at the number of defect or unacceptable products produced as compared to an agreed upon and high standard. use a Six Sigma tool to help you. I suggest you need an opportunities for improvement procedure and use the Defects per Million Opportunities (DPMO) tool. This will provide a process to evaluate the performance above and below standard in a simple and efficient manner. Your goal is never to deliver adequate work to your customer, the pathologist, but to always deliver the highest quality of work. You cannot improve the quality of work produced unless you know what is not meeting standard, not what is adequate or superior. Whether it is one person or multiple people working in the lab, there will always be variation in the product delivered because it is a manual process. You always want to reduce and narrow that variation to maintain the highest and consistent quality. But to narrow the variation you must have a standard and the standard must be agreed upon by the persons producing and the persons reviewing the work. I believe using a Six Sigma tool will provide you with the feedback you require and help you maintain the highest quality of slides delivered to the pathologists. Standardize your procedures and protocols, develop standards (highest quality standards) w/ your pathologists and then document, review, track and trend defects to improve the process. The data collected will give you specific information as to how you have performed to standard combined with the specific number of units produced by you (quality and quantity combined). This process will also allow you to compare multiple individuals working in the department and compare those individuals to each other. Everyone will be evaluated according to standards set for the work produced, plain, simple and effective. *William DeSalvo,* B.*S., HTL(ASCP)* * * Date: Mon, 2 Aug 2010 09:25:07 +0200 From: louise.ren...@gmail.com To: Histonet@lists.utsouthwestern.edu CC: Subject: [Histonet] QC on stained slides Hi all As part of a self assessment programme conducted by my employer, and related to my performance review and salary adjustment, I need to determine the criteria of what makes a stained slide acceptable or unacceptable. I was wondering if anyone out there had a checklist that they would be willing to share, that i could perhaps adapt. I realise that the easiest would be to send slides out for external control, but in this case it is not feasible. What I put together is this: - Quality of decalcification, processing, infiltration - Quality of sections (no wrinkles, missing bits, scores etc) - Entire representation of tissue area - staining pattern as expected according to protocol - coverslipped without bubbles or other inclusions - labelled neatly and correctly but, the question inmy mind is what would be the criteria that would make a slide merely adequate or truely outstanding? PLease help thank you -- Louise Renton Bone Research Unit University of the Witwatersrand Johannesburg South Africa +27 11 717 2298 (tel fax) 073 5574456 (emergencies only) There are nights when the wolves are silent and only the moon howls. George Carlin No trees were killed in the sending of this message. However, many electrons were terribly inconvenienced. ___ Histonet
[Histonet] QC on stained slides
Hi all As part of a self assessment programme conducted by my employer, and related to my performance review and salary adjustment, I need to determine the criteria of what makes a stained slide acceptable or unacceptable. I was wondering if anyone out there had a checklist that they would be willing to share, that i could perhaps adapt. I realise that the easiest would be to send slides out for external control, but in this case it is not feasible. What I put together is this: - Quality of decalcification, processing, infiltration - Quality of sections (no wrinkles, missing bits, scores etc) - Entire representation of tissue area - staining pattern as expected according to protocol - coverslipped without bubbles or other inclusions - labelled neatly and correctly but, the question inmy mind is what would be the criteria that would make a slide merely adequate or truely outstanding? PLease help thank you -- Louise Renton Bone Research Unit University of the Witwatersrand Johannesburg South Africa +27 11 717 2298 (tel fax) 073 5574456 (emergencies only) There are nights when the wolves are silent and only the moon howls. George Carlin No trees were killed in the sending of this message. However, many electrons were terribly inconvenienced. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] QC log
Hello to all in histoland. Does anyone have a QC log sheet that documents the HE stain, microtomy, floaters and other issues that they would be willing to share with me. Any help in this matter will be greatly appreciated. Allison Scott HT(ASCP) Histology Supervisor LBJ Hospital Houston, Texas 77026 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
RE: [Histonet] QC log
This is the QC sheet we use and the Pathologist documents any issues there may be if any. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Scott, Allison D Sent: Wednesday, July 07, 2010 12:26 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] QC log Hello to all in histoland. Does anyone have a QC log sheet that documents the HE stain, microtomy, floaters and other issues that they would be willing to share with me. Any help in this matter will be greatly appreciated. Allison Scott HT(ASCP) Histology Supervisor LBJ Hospital Houston, Texas 77026 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
RE: [Histonet] QC log
I forgot to say that we use a different one for specials so if you need that also let me know. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Gill, Caula A. Sent: Wednesday, July 07, 2010 1:19 PM To: Scott, Allison D; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] QC log This is the QC sheet we use and the Pathologist documents any issues there may be if any. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Scott, Allison D Sent: Wednesday, July 07, 2010 12:26 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] QC log Hello to all in histoland. Does anyone have a QC log sheet that documents the HE stain, microtomy, floaters and other issues that they would be willing to share with me. Any help in this matter will be greatly appreciated. Allison Scott HT(ASCP) Histology Supervisor LBJ Hospital Houston, Texas 77026 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
