Re: [Histonet] Quality Assurance for Histology

2010-10-11 Thread Rene J Buesa
After many different forms and many efforts to make the pathologists to provide 
feed back about the quality of the sections and procedures, this is what I 
finished doing:
to ask the pathologists to simply separate the slides they considered of poor 
quality and those unacceptable for diagnoses.
It was then my job to define the problem and to addressed it with the histotech 
who made the slide, to determine the re-training or any other administrative 
action deemed necessary.
After I did that I started to receive slides while before seldom any 
pathologist was willing to use any time to evaluate the slides. In all reality 
they are quite busy to take time to fill forms that, in any event, I also had 
to review, re-evaluate and discuss with the histotech.
This procedure worked very well for me and the quality of the work was improved 
considerably, as well as the rejections diminished.
Try this approach.
René J.

--- On Mon, 10/11/10, Laurie Colbert laurie.colb...@huntingtonhospital.com 
wrote:


From: Laurie Colbert laurie.colb...@huntingtonhospital.com
Subject: [Histonet] Quality Assurance for Histology
To: histonet@lists.utsouthwestern.edu
Date: Monday, October 11, 2010, 11:08 AM


I am revising our daily QA sheet that we hand out to the pathologists
with the HE's in the morning. I would like to gather some ideas from
other sites.  Does anyone have a form/chart that they would be willing
to share with me?



Laurie Colbert

Huntington Hospital

Pasadena CA

___
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Histonet@lists.utsouthwestern.edu
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RE: [Histonet] Quality Assurance for Histology

2010-10-11 Thread Podawiltz, Thomas
I actually randomly review the slides before they are sent to the Pathologist 
any slide with incomplete sections, chatter or other major defects get re-cut 
at that time. Since doing this complaints from the Pathologist disappeared 
about the quality of the slides they were getting. They get the QA form with 
the last book of slides for the day. They fill it out then give it back to me. 
Works well for us. I do know this will not work for others, but it works for 
us. 

Tom 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa
Sent: Monday, October 11, 2010 11:21 AM
To: histonet@lists.utsouthwestern.edu; Laurie Colbert
Subject: Re: [Histonet] Quality Assurance for Histology

After many different forms and many efforts to make the pathologists to provide 
feed back about the quality of the sections and procedures, this is what I 
finished doing:
to ask the pathologists to simply separate the slides they considered of poor 
quality and those unacceptable for diagnoses.
It was then my job to define the problem and to addressed it with the histotech 
who made the slide, to determine the re-training or any other administrative 
action deemed necessary.
After I did that I started to receive slides while before seldom any 
pathologist was willing to use any time to evaluate the slides. In all reality 
they are quite busy to take time to fill forms that, in any event, I also had 
to review, re-evaluate and discuss with the histotech.
This procedure worked very well for me and the quality of the work was improved 
considerably, as well as the rejections diminished.
Try this approach.
René J.

--- On Mon, 10/11/10, Laurie Colbert laurie.colb...@huntingtonhospital.com 
wrote:


From: Laurie Colbert laurie.colb...@huntingtonhospital.com
Subject: [Histonet] Quality Assurance for Histology
To: histonet@lists.utsouthwestern.edu
Date: Monday, October 11, 2010, 11:08 AM


I am revising our daily QA sheet that we hand out to the pathologists
with the HE's in the morning. I would like to gather some ideas from
other sites.  Does anyone have a form/chart that they would be willing
to share with me?



Laurie Colbert

Huntington Hospital

Pasadena CA

___
Histonet mailing list
Histonet@lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet



  
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This e-mail message and any attachments are proprietary and confidential 
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please notify the sender by return e-mail and delete this message and any 
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RE: [Histonet] Quality Assurance for Histology

2010-10-11 Thread Tench, Bill
Why would you want to have the pathologists fill out a QA sheet for a function 
you have already performed (and should document).  This would seem to be a 
meaningless exercise (ie, waste of time) for the pathologist. 


Bill Tench
Associate Dir. Laboratory Services
Chief, Cytology Services
Palomar Medical Center
555 E. Valley Parkway
Escondido, California  92025
bill.te...@pph.org
Voice: 760- 739-3037
Fax: 760-739-2604

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Podawiltz, 
Thomas
Sent: Monday, October 11, 2010 8:28 AM
To: 'Rene J Buesa'; histonet@lists.utsouthwestern.edu; Laurie Colbert
Subject: RE: [Histonet] Quality Assurance for Histology

I actually randomly review the slides before they are sent to the Pathologist 
any slide with incomplete sections, chatter or other major defects get re-cut 
at that time. Since doing this complaints from the Pathologist disappeared 
about the quality of the slides they were getting. They get the QA form with 
the last book of slides for the day. They fill it out then give it back to me. 
Works well for us. I do know this will not work for others, but it works for 
us. 

Tom 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa
Sent: Monday, October 11, 2010 11:21 AM
To: histonet@lists.utsouthwestern.edu; Laurie Colbert
Subject: Re: [Histonet] Quality Assurance for Histology

After many different forms and many efforts to make the pathologists to provide 
feed back about the quality of the sections and procedures, this is what I 
finished doing:
to ask the pathologists to simply separate the slides they considered of poor 
quality and those unacceptable for diagnoses.
It was then my job to define the problem and to addressed it with the histotech 
who made the slide, to determine the re-training or any other administrative 
action deemed necessary.
After I did that I started to receive slides while before seldom any 
pathologist was willing to use any time to evaluate the slides. In all reality 
they are quite busy to take time to fill forms that, in any event, I also had 
to review, re-evaluate and discuss with the histotech.
This procedure worked very well for me and the quality of the work was improved 
considerably, as well as the rejections diminished.
Try this approach.
René J.

--- On Mon, 10/11/10, Laurie Colbert laurie.colb...@huntingtonhospital.com 
wrote:


From: Laurie Colbert laurie.colb...@huntingtonhospital.com
Subject: [Histonet] Quality Assurance for Histology
To: histonet@lists.utsouthwestern.edu
Date: Monday, October 11, 2010, 11:08 AM


I am revising our daily QA sheet that we hand out to the pathologists with the 
HE's in the morning. I would like to gather some ideas from other sites.  Does 
anyone have a form/chart that they would be willing to share with me?



Laurie Colbert

Huntington Hospital

Pasadena CA

___
Histonet mailing list
Histonet@lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet



  
___
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This e-mail message and any attachments are proprietary and confidential 
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are not the intended recipient, you may not print,distribute, or copy this 
message or any attachments.  If you have received this communication in error, 
please notify the sender by return e-mail and delete this message and any 
attachments from your computer. Any views or opinions expressed are solely 
those of the author and do not necessarily represent those of LRGHealthcare.


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RE: [Histonet] Quality Assurance for Histology

2010-10-11 Thread Jesus Ellin
We have a place in out LIS that the Pathologist can choose and document 
everything, then we run a report that tabulates and give us the values and 
solutions.  One thing I am seeing here is that we also need to address the 
solution.  A lot of people that I have inspected do great with marking the 
issues, but solutions and tracking they do not do well.

Jesus Ellin

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tench, Bill
Sent: Monday, October 11, 2010 9:02 AM
To: Podawiltz, Thomas; Rene J Buesa; histonet@lists.utsouthwestern.edu; Laurie 
Colbert
Subject: RE: [Histonet] Quality Assurance for Histology

Why would you want to have the pathologists fill out a QA sheet for a function 
you have already performed (and should document).  This would seem to be a 
meaningless exercise (ie, waste of time) for the pathologist. 


Bill Tench
Associate Dir. Laboratory Services
Chief, Cytology Services
Palomar Medical Center
555 E. Valley Parkway
Escondido, California  92025
bill.te...@pph.org
Voice: 760- 739-3037
Fax: 760-739-2604

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Podawiltz, 
Thomas
Sent: Monday, October 11, 2010 8:28 AM
To: 'Rene J Buesa'; histonet@lists.utsouthwestern.edu; Laurie Colbert
Subject: RE: [Histonet] Quality Assurance for Histology

I actually randomly review the slides before they are sent to the Pathologist 
any slide with incomplete sections, chatter or other major defects get re-cut 
at that time. Since doing this complaints from the Pathologist disappeared 
about the quality of the slides they were getting. They get the QA form with 
the last book of slides for the day. They fill it out then give it back to me. 
Works well for us. I do know this will not work for others, but it works for 
us. 

Tom 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa
Sent: Monday, October 11, 2010 11:21 AM
To: histonet@lists.utsouthwestern.edu; Laurie Colbert
Subject: Re: [Histonet] Quality Assurance for Histology

After many different forms and many efforts to make the pathologists to provide 
feed back about the quality of the sections and procedures, this is what I 
finished doing:
to ask the pathologists to simply separate the slides they considered of poor 
quality and those unacceptable for diagnoses.
It was then my job to define the problem and to addressed it with the histotech 
who made the slide, to determine the re-training or any other administrative 
action deemed necessary.
After I did that I started to receive slides while before seldom any 
pathologist was willing to use any time to evaluate the slides. In all reality 
they are quite busy to take time to fill forms that, in any event, I also had 
to review, re-evaluate and discuss with the histotech.
This procedure worked very well for me and the quality of the work was improved 
considerably, as well as the rejections diminished.
Try this approach.
René J.

--- On Mon, 10/11/10, Laurie Colbert laurie.colb...@huntingtonhospital.com 
wrote:


From: Laurie Colbert laurie.colb...@huntingtonhospital.com
Subject: [Histonet] Quality Assurance for Histology
To: histonet@lists.utsouthwestern.edu
Date: Monday, October 11, 2010, 11:08 AM


I am revising our daily QA sheet that we hand out to the pathologists with the 
HE's in the morning. I would like to gather some ideas from other sites.  Does 
anyone have a form/chart that they would be willing to share with me?



Laurie Colbert

Huntington Hospital

Pasadena CA

___
Histonet mailing list
Histonet@lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet



  
___
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Histonet@lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet
THIS MESSAGE IS CONFIDENTIAL.  
This e-mail message and any attachments are proprietary and confidential 
information intended only for the use of the recipient(s) named above. If you 
are not the intended recipient, you may not print,distribute, or copy this 
message or any attachments.  If you have received this communication in error, 
please notify the sender by return e-mail and delete this message and any 
attachments from your computer. Any views or opinions expressed are solely 
those of the author and do not necessarily represent those of LRGHealthcare.


___
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Confidential E-Mail: This e-mail is intended only for the person or entity to 
which

RE: [Histonet] Quality Assurance for Histology

2010-10-11 Thread Laurie Colbert
Actually, it is a CAP requirement: 
ANP.11713 There is documented evidence of daily review of the technical 
quality of histologic preparations by the pathologist.

-Original Message-
From: Tench, Bill [mailto:bill.te...@pph.org] 
Sent: Monday, October 11, 2010 9:02 AM
To: Podawiltz, Thomas; Rene J Buesa; histonet@lists.utsouthwestern.edu; Laurie 
Colbert
Subject: RE: [Histonet] Quality Assurance for Histology

Why would you want to have the pathologists fill out a QA sheet for a function 
you have already performed (and should document).  This would seem to be a 
meaningless exercise (ie, waste of time) for the pathologist. 


Bill Tench
Associate Dir. Laboratory Services
Chief, Cytology Services
Palomar Medical Center
555 E. Valley Parkway
Escondido, California  92025
bill.te...@pph.org
Voice: 760- 739-3037
Fax: 760-739-2604

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Podawiltz, 
Thomas
Sent: Monday, October 11, 2010 8:28 AM
To: 'Rene J Buesa'; histonet@lists.utsouthwestern.edu; Laurie Colbert
Subject: RE: [Histonet] Quality Assurance for Histology

I actually randomly review the slides before they are sent to the Pathologist 
any slide with incomplete sections, chatter or other major defects get re-cut 
at that time. Since doing this complaints from the Pathologist disappeared 
about the quality of the slides they were getting. They get the QA form with 
the last book of slides for the day. They fill it out then give it back to me. 
Works well for us. I do know this will not work for others, but it works for 
us. 

Tom 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa
Sent: Monday, October 11, 2010 11:21 AM
To: histonet@lists.utsouthwestern.edu; Laurie Colbert
Subject: Re: [Histonet] Quality Assurance for Histology

After many different forms and many efforts to make the pathologists to provide 
feed back about the quality of the sections and procedures, this is what I 
finished doing:
to ask the pathologists to simply separate the slides they considered of poor 
quality and those unacceptable for diagnoses.
It was then my job to define the problem and to addressed it with the histotech 
who made the slide, to determine the re-training or any other administrative 
action deemed necessary.
After I did that I started to receive slides while before seldom any 
pathologist was willing to use any time to evaluate the slides. In all reality 
they are quite busy to take time to fill forms that, in any event, I also had 
to review, re-evaluate and discuss with the histotech.
This procedure worked very well for me and the quality of the work was improved 
considerably, as well as the rejections diminished.
Try this approach.
René J.

--- On Mon, 10/11/10, Laurie Colbert laurie.colb...@huntingtonhospital.com 
wrote:


From: Laurie Colbert laurie.colb...@huntingtonhospital.com
Subject: [Histonet] Quality Assurance for Histology
To: histonet@lists.utsouthwestern.edu
Date: Monday, October 11, 2010, 11:08 AM


I am revising our daily QA sheet that we hand out to the pathologists with the 
HE's in the morning. I would like to gather some ideas from other sites.  Does 
anyone have a form/chart that they would be willing to share with me?



Laurie Colbert

Huntington Hospital

Pasadena CA

___
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.  
This e-mail message and any attachments are proprietary and confidential 
information intended only for the use of the recipient(s) named above. If you 
are not the intended recipient, you may not print,distribute, or copy this 
message or any attachments.  If you have received this communication in error, 
please notify the sender by return e-mail and delete this message and any 
attachments from your computer. Any views or opinions expressed are solely 
those of the author and do not necessarily represent those of LRGHealthcare.


___
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[None] made the following annotations
-
Confidential E-Mail: This e-mail is intended only for the person or entity to 
which it is addressed, and may contain information that is privileged, 
confidential, or otherwise protected from disclosure. Dissemination, 
distribution, or copying of this e-mail or the information herein by anyone 
other than the intended recipient is prohibited. If you have received this 
e

RE: [Histonet] Quality Assurance for Histology

2010-10-11 Thread Tench, Bill
 Sorry, you are right about that. But, one wonders, if the problem has been 
solved before they get the slides, what's the usefulness of the activity (that 
would be a CAP debate)


Bill Tench
Associate Dir. Laboratory Services
Chief, Cytology Services
Palomar Medical Center
555 E. Valley Parkway
Escondido, California  92025
bill.te...@pph.org
Voice: 760- 739-3037
Fax: 760-739-2604

-Original Message-
From: Laurie Colbert [mailto:laurie.colb...@huntingtonhospital.com] 
Sent: Monday, October 11, 2010 9:07 AM
To: Tench, Bill; Podawiltz, Thomas; Rene J Buesa; 
histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Quality Assurance for Histology

Actually, it is a CAP requirement: 
ANP.11713 There is documented evidence of daily review of the technical 
quality of histologic preparations by the pathologist.

-Original Message-
From: Tench, Bill [mailto:bill.te...@pph.org]
Sent: Monday, October 11, 2010 9:02 AM
To: Podawiltz, Thomas; Rene J Buesa; histonet@lists.utsouthwestern.edu; Laurie 
Colbert
Subject: RE: [Histonet] Quality Assurance for Histology

Why would you want to have the pathologists fill out a QA sheet for a function 
you have already performed (and should document).  This would seem to be a 
meaningless exercise (ie, waste of time) for the pathologist. 


Bill Tench
Associate Dir. Laboratory Services
Chief, Cytology Services
Palomar Medical Center
555 E. Valley Parkway
Escondido, California  92025
bill.te...@pph.org
Voice: 760- 739-3037
Fax: 760-739-2604

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Podawiltz, 
Thomas
Sent: Monday, October 11, 2010 8:28 AM
To: 'Rene J Buesa'; histonet@lists.utsouthwestern.edu; Laurie Colbert
Subject: RE: [Histonet] Quality Assurance for Histology

I actually randomly review the slides before they are sent to the Pathologist 
any slide with incomplete sections, chatter or other major defects get re-cut 
at that time. Since doing this complaints from the Pathologist disappeared 
about the quality of the slides they were getting. They get the QA form with 
the last book of slides for the day. They fill it out then give it back to me. 
Works well for us. I do know this will not work for others, but it works for 
us. 

Tom 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa
Sent: Monday, October 11, 2010 11:21 AM
To: histonet@lists.utsouthwestern.edu; Laurie Colbert
Subject: Re: [Histonet] Quality Assurance for Histology

After many different forms and many efforts to make the pathologists to provide 
feed back about the quality of the sections and procedures, this is what I 
finished doing:
to ask the pathologists to simply separate the slides they considered of poor 
quality and those unacceptable for diagnoses.
It was then my job to define the problem and to addressed it with the histotech 
who made the slide, to determine the re-training or any other administrative 
action deemed necessary.
After I did that I started to receive slides while before seldom any 
pathologist was willing to use any time to evaluate the slides. In all reality 
they are quite busy to take time to fill forms that, in any event, I also had 
to review, re-evaluate and discuss with the histotech.
This procedure worked very well for me and the quality of the work was improved 
considerably, as well as the rejections diminished.
Try this approach.
René J.

--- On Mon, 10/11/10, Laurie Colbert laurie.colb...@huntingtonhospital.com 
wrote:


From: Laurie Colbert laurie.colb...@huntingtonhospital.com
Subject: [Histonet] Quality Assurance for Histology
To: histonet@lists.utsouthwestern.edu
Date: Monday, October 11, 2010, 11:08 AM


I am revising our daily QA sheet that we hand out to the pathologists with the 
HE's in the morning. I would like to gather some ideas from other sites.  Does 
anyone have a form/chart that they would be willing to share with me?



Laurie Colbert

Huntington Hospital

Pasadena CA

___
Histonet mailing list
Histonet@lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet



  
___
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Histonet@lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet
THIS MESSAGE IS CONFIDENTIAL.  
This e-mail message and any attachments are proprietary and confidential 
information intended only for the use of the recipient(s) named above. If you 
are not the intended recipient, you may not print,distribute, or copy this 
message or any attachments.  If you have received this communication in error, 
please notify the sender by return e-mail and delete this message and any 
attachments from your computer. Any views or opinions expressed are solely 
those of the author and do not necessarily represent those