RE: [Histonet] mislabeling of slides and blocks
So who gets fired the person that made the error or the person who let the slide out of the lab after verifying that the block matched the number and tissue on the slide? -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mahoney,Janice A Sent: Friday, October 08, 2010 12:41 PM To: Amy Farnan; histonet@lists.utsouthwestern.edu Cc: Dean, Sherry Subject: RE: [Histonet] mislabeling of slides and blocks I'd be happy to share mine but it is very strict. People are given a final written warning for the first mislabel not caught in the department and can be fired for the second within a year. I highly suggest the Ventana Vantage (there are others but in my opinion Vantage is the best) bar code system for patient safety. It also relieves the stress on your Histo techs because the bar coding helps them assure they have the correct slide, block, etc. Techs are hard to find and if we start firing for inevitable human error we will cause even more tech shortages. When you look at all the costs that a mislabel can incur, (law suits, replacing personnel, rework, etc.) the cost of the software is not too bad. Janice Mahoney HT(ASCP) Histology/Cytology Coordinator Alegent Health Laboratory 4955 F Street Omaha, NE (402)717-2889 fax(402)717-5231 From: histonet-boun...@lists.utsouthwestern.edu [histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Amy Farnan [farn...@nehealth.com] Sent: Friday, October 08, 2010 7:14 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] mislabeling of slides and blocks Hello everyone, I was wondering if you could share your policy for employee infractions of mislabeling blocks and slides? I would like to get an idea of what the standard is out there. Any help would be appreciated. Thank you Disclaimer: The information in this message is confidential. If you are not the intended recipient, do not disclose, copy, or distribute this message, and please immediately contact the sender. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet Sponsored by Catholic Health Initiatives and Immanuel, Alegent Health is faithful to the healing ministry of Jesus Christ, providing high quality care for the body, mind and spirit of every person. The information contained in this communication, including attachments, is confidential and private and intended only for the use of the addressees. Unauthorized use, disclosure, distribution or copying is strictly prohibited and may be unlawful. If you received this communication in error, please inform us of the erroneous delivery by return e-mail message from your computer. Additionally, although all attachments have been scanned at the source for viruses, the recipient should check any attachments for the presence of viruses before opening. Alegent Health accepts no liability for any damage caused by any virus transmitted by this e-mail. Thank you for your cooperation. ___ 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. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] mislabeling of slides and blocks
I would say the person who did the QC After all, isn't that their job? But then again, 2 mislabeled slides does not justify termination (well, depending on the frequency)... I guess I would be looking at performance improvement. Janice hit the nail on the head and is very right... bar-coding is the way to go! That was one of the big topics at this year's NSH. Maria Katleba MS HT(ASCP) Pathology Dept. Mgr Queen of the Valley Medical Center 1000 Trancas Street Napa CA 94558 (707) 252-4411 x3689 direct (707) 226-4385 pager (707) 294-9229 cell- anytime -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Podawiltz, Thomas Sent: Monday, October 11, 2010 8:16 AM To: 'Mahoney,Janice A'; Amy Farnan; histonet@lists.utsouthwestern.edu Cc: Dean, Sherry Subject: RE: [Histonet] mislabeling of slides and blocks So who gets fired the person that made the error or the person who let the slide out of the lab after verifying that the block matched the number and tissue on the slide? -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mahoney,Janice A Sent: Friday, October 08, 2010 12:41 PM To: Amy Farnan; histonet@lists.utsouthwestern.edu Cc: Dean, Sherry Subject: RE: [Histonet] mislabeling of slides and blocks I'd be happy to share mine but it is very strict. People are given a final written warning for the first mislabel not caught in the department and can be fired for the second within a year. I highly suggest the Ventana Vantage (there are others but in my opinion Vantage is the best) bar code system for patient safety. It also relieves the stress on your Histo techs because the bar coding helps them assure they have the correct slide, block, etc. Techs are hard to find and if we start firing for inevitable human error we will cause even more tech shortages. When you look at all the costs that a mislabel can incur, (law suits, replacing personnel, rework, etc.) the cost of the software is not too bad. Janice Mahoney HT(ASCP) Histology/Cytology Coordinator Alegent Health Laboratory 4955 F Street Omaha, NE (402)717-2889 fax(402)717-5231 From: histonet-boun...@lists.utsouthwestern.edu [histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Amy Farnan [farn...@nehealth.com] Sent: Friday, October 08, 2010 7:14 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] mislabeling of slides and blocks Hello everyone, I was wondering if you could share your policy for employee infractions of mislabeling blocks and slides? I would like to get an idea of what the standard is out there. Any help would be appreciated. Thank you Disclaimer: The information in this message is confidential. If you are not the intended recipient, do not disclose, copy, or distribute this message, and please immediately contact the sender. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet Sponsored by Catholic Health Initiatives and Immanuel, Alegent Health is faithful to the healing ministry of Jesus Christ, providing high quality care for the body, mind and spirit of every person. The information contained in this communication, including attachments, is confidential and private and intended only for the use of the addressees. Unauthorized use, disclosure, distribution or copying is strictly prohibited and may be unlawful. If you received this communication in error, please inform us of the erroneous delivery by return e-mail message from your computer. Additionally, although all attachments have been scanned at the source for viruses, the recipient should check any attachments for the presence of viruses before opening. Alegent Health accepts no liability for any damage caused by any virus transmitted by this e-mail. Thank you for your cooperation. ___ 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. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet Notice from St. Joseph Health System
RE: [Histonet] mislabeling of slides and blocks
Well, thank you to those that shared your policies. To those that just shared criticizism I wish you had shared your policies as well. It would have been more helpful and maybe others would have benefited as well. Remember folks the histonet if for sharing information not negativity. Again, thank you to those that shared or emailed me offline. Goins, Tresa tgo...@mt.gov 10/09/10 1:08 PM If mistakes occur, the lab protocols must be altered to prevent the mistakes. If personnel can not or will not follow protocol to eliminate mistakes, then employment must be terminated. This is not being picky or unreasonable - ask any potential cancer patient relying on an accurate diagnosis. Tresa Goins Bozeman, Montana From: histonet-boun...@lists.utsouthwestern.edu [histonet-boun...@lists.utsouthwestern.edu] on behalf of sgoe...@xbiotech.com [sgoe...@xbiotech.com] Sent: Friday, October 08, 2010 1:30 PM To: Amy Farnan Cc: histonet@lists.utsouthwestern.edu; Sherry Dean Subject: RE: [Histonet] mislabeling of slides and blocks Currrently I am working in a lab where I am the only tech., but in previous labs when mislabeling happened, the tech would be written up for it after one formal verbal warning. If they were written up 3 times in 6 months, then a suspension was possible (although never happens), then if the problem continued could lead to being fired. So, basically you would have to mislabel something or another 6 times in one year to be fired. Again...just my opinion... Sarah Goebel, B.A., HT (ASCP) Histotechnician XBiotech USA Inc. 8201 East Riverside Dr. Bldg 4 Suite 100 Austin, Texas 78744 (512)386-5107 Original Message Subject: RE: [Histonet] mislabeling of slides and blocks From: Amy Farnan farn...@nehealth.com Date: Fri, October 08, 2010 10:52 am To: Janice A Mahoney janice.maho...@alegent.org, sgoe...@xbiotech.com Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu, Sherry Dean sherry.d...@ventana.roche.com Sarah, What is your policy? ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet Disclaimer: The information in this message is confidential. If you are not the intended recipient, do not disclose, copy, or distribute this message, and please immediately contact the sender. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] mislabeling of slides and blocks
If mistakes occur, the lab protocols must be altered to prevent the mistakes. If personnel can not or will not follow protocol to eliminate mistakes, then employment must be terminated. This is not being picky or unreasonable - ask any potential cancer patient relying on an accurate diagnosis. Tresa Goins Bozeman, Montana From: histonet-boun...@lists.utsouthwestern.edu [histonet-boun...@lists.utsouthwestern.edu] on behalf of sgoe...@xbiotech.com [sgoe...@xbiotech.com] Sent: Friday, October 08, 2010 1:30 PM To: Amy Farnan Cc: histonet@lists.utsouthwestern.edu; Sherry Dean Subject: RE: [Histonet] mislabeling of slides and blocks Currrently I am working in a lab where I am the only tech., but in previous labs when mislabeling happened, the tech would be written up for it after one formal verbal warning. If they were written up 3 times in 6 months, then a suspension was possible (although never happens), then if the problem continued could lead to being fired. So, basically you would have to mislabel something or another 6 times in one year to be fired. Again...just my opinion... Sarah Goebel, B.A., HT (ASCP) Histotechnician XBiotech USA Inc. 8201 East Riverside Dr. Bldg 4 Suite 100 Austin, Texas 78744 (512)386-5107 Original Message Subject: RE: [Histonet] mislabeling of slides and blocks From: Amy Farnan farn...@nehealth.com Date: Fri, October 08, 2010 10:52 am To: Janice A Mahoney janice.maho...@alegent.org, sgoe...@xbiotech.com Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu, Sherry Dean sherry.d...@ventana.roche.com Sarah, What is your policy? ___ 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] mislabeling of slides and blocks
Holy cow man!! Fired for mislabeling 2 times in 260 days!!= nbsp;
Have you never been human and made a mistake?! I could understa= nd
if it was a tech on a regular basis messing up, but that seems a
little = crazy, especially if you are in a high volume hospital!!
WOW!!
Just my opinion...
Sarah Goebel, B.A., HT (ASCP)
= div
Histo= technician
XBiotech USA Inc.
8201 East Rivers= ide Dr. Bldg 4 Suite 100
Austin, Texas 78744
(512)386-5107
Original Message
Subject: RE: [Histonet] mislabeling of slides and blocks
From: Mahoney,Janice A [1]= janice.maho...@alegent.org
Date: Fri, October 08, 2010 9:40 am
To: Amy Farnan [2]farn...@nehealth= .com,
[3]histo...@lists.utsout= hwestern.edu [4]
histonet@lists.utsouthwestern.edu
Cc: Dean, Sherry [5]she= rry.d...@ventana.roche.com
I'd be happy to share mine but it is very strict. People are given a
final= written warning for the first mislabel not caught in the
department and ca= n be fired for the second within a year.
I highly suggest the Ventana Vantage (there are others but in my
opinion Va= ntage is the best) bar code system for patient safety. It
also relieves th= e stress on your Histo techs because the bar coding
helps them assure they = have the correct slide, block, etc. Techs are
hard to find and if we start= firing for inevitable human error we
will cause even more tech shortages.= br When you look at all the
costs that a mislabel can incur, (law suits, repla= cing personnel,
rework, etc.) the cost of the software is not too bad.
Janice Mahoney HT(ASCP)
Histology/Cytology Coordinator
Alegent Health Laboratory
4955 F Street
Omaha, NE
(402)717-2889
fax(402)717-5231
From: [6]histonet= -boun...@lists.utsouthwestern.edu
[[7]histonet-boun...@lists.utsouthwestern.edu] On = Behalf Of Amy
Farnan [[8]farn...@nehea= lth.com]
Sent: Friday, October 08, 2010 7:14 AM
To: [9]histo...@lists.uts= outhwestern.edu
Subject: [Histonet] mislabeling of slides and blocks
Hello everyone,
I was wondering if you could share your policy for employee
infractions of = mislabeling blocks and slides? I would like to get an
idea of what the stan= dard is out there. Any help would be
appreciated.
Thank you
Disclaimer: The information in this message is confidential. If you
are no= t the intended recipient, do not disclose, copy, or distribute
this message= , and please immediately contact the sender.
___
Histonet mailing list
[10]histo...@lists.utsouth= western.edu
[11]http:= //lists.utsouthwestern.edu/mailman/listinfo/histonet
Sponsored by Catholic Health Initiatives and Immanuel, Alegent Health
is fa= ithful to the healing ministry of Jesus Christ, providing high
quality care= for the body, mind and spirit of every person.
The information contained in this communication, including
attachments, is = confidential and private and intended only for the
use of the addressees. = Unauthorized use, disclosure, distribution or
copying is strictly prohibite= d and may be unlawful. If you received
this communication in error, please= inform us of the erroneous
delivery by return e-mail message from your com= puter. Additionally,
although all attachments have been scanned at the sou= rce for
viruses, the recipient should check any attachments for the presenc= e
of viruses before opening. Alegent Health accepts no liability for any
d= amage caused by any virus transmitted by this e-mail. Thank you for
your c= ooperation.
___
Histonet mailing list
[12]histo...@lists.utsouth= western.edu
[13]http:= //lists.utsouthwestern.edu/mailman/listinfo/histonet
References
1. 3Dmailto:janice.maho...@alegent.org;
2. 3Dmailto:farn...@nehealth.com;
3. 3Dmailto:histonet@lists.utsouthwestern.edu;
4. 3Dmailto:histonet@lists.utsouthwestern.edu;
5. 3Dmailto:sherry.d...@ventana.roche.com;
6. 3Dmailto:histonet-boun...@lists.utsouthwestern.edu;
7. 3Dmailto:histonet-boun...@l 8. 3Dmailto:farn...@nehealth.com;
9. 3Dmailto:histonet@lists.utsouthwestern.edu;
10. 3Dmailto:Histonet@lists.utsouthwestern.edu;
11. 3Dhttp://lists.utsouthwestern.edu/mailman/listinfo/histonet;
12. 3Dmailto:Histonet@lists.utsouthwestern.edu;
13. 3Dhttp://lists.utsouthwestern.edu/mailman/listinfo/histonet;
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Histonet@lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] mislabeling of slides and blocks
Sarah, What is your policy? Disclaimer: The information in this message is confidential. If you are not the intended recipient, do not disclose, copy, or distribute this message, and please immediately contact the sender. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] mislabeling of slides and blocks
I agree with Janice. Except we need three incidents and the person is fired on the third. If it is a pathologist or the case is called negative when it was not and the patient goes untreated we are in a legal battle. We also have pathologist and doctors who can make it happen faster if it is one of their cases that is called wrong. We can't have patient care and diagnosis compromised because someone was not paying attention. Yes, I have bad days, too. If I am having one I have someone else check me if there is any quesiton. Pam Marcum UAMS AP Manager - Original Message - From: sgoe...@xbiotech.com To: Janice A Mahoney janice.maho...@alegent.org Cc: histonet@lists.utsouthwestern.edu, Sherry Dean sherry.d...@ventana.roche.com, Amy Farnan farn...@nehealth.com Sent: Friday, October 8, 2010 12:41:43 PM Subject: RE: [Histonet] mislabeling of slides and blocks Holy cow man!! Fired for mislabeling 2 times in 260 days!!= nbsp; Have you never been human and made a mistake?! I could understa= nd if it was a tech on a regular basis messing up, but that seems a little = crazy, especially if you are in a high volume hospital!! WOW!! Just my opinion... Sarah Goebel, B.A., HT (ASCP) = div Histo= technician XBiotech USA Inc. 8201 East Rivers= ide Dr. Bldg 4 Suite 100 Austin, Texas 78744 (512)386-5107 Original Message Subject: RE: [Histonet] mislabeling of slides and blocks From: Mahoney,Janice A [1]= janice.maho...@alegent.org Date: Fri, October 08, 2010 9:40 am To: Amy Farnan [2]farn...@nehealth= .com, [3]histo...@lists.utsout= hwestern.edu [4] histonet@lists.utsouthwestern.edu Cc: Dean, Sherry [5]she= rry.d...@ventana.roche.com I'd be happy to share mine but it is very strict. People are given a final= written warning for the first mislabel not caught in the department and ca= n be fired for the second within a year. I highly suggest the Ventana Vantage (there are others but in my opinion Va= ntage is the best) bar code system for patient safety. It also relieves th= e stress on your Histo techs because the bar coding helps them assure they = have the correct slide, block, etc. Techs are hard to find and if we start= firing for inevitable human error we will cause even more tech shortages.= br When you look at all the costs that a mislabel can incur, (law suits, repla= cing personnel, rework, etc.) the cost of the software is not too bad. Janice Mahoney HT(ASCP) Histology/Cytology Coordinator Alegent Health Laboratory 4955 F Street Omaha, NE (402)717-2889 fax(402)717-5231 From: [6]histonet= -boun...@lists.utsouthwestern.edu [[7]histonet-boun...@lists.utsouthwestern.edu] On = Behalf Of Amy Farnan [[8]farn...@nehea= lth.com] Sent: Friday, October 08, 2010 7:14 AM To: [9]histo...@lists.uts= outhwestern.edu Subject: [Histonet] mislabeling of slides and blocks Hello everyone, I was wondering if you could share your policy for employee infractions of = mislabeling blocks and slides? I would like to get an idea of what the stan= dard is out there. Any help would be appreciated. Thank you Disclaimer: The information in this message is confidential. If you are no= t the intended recipient, do not disclose, copy, or distribute this message= , and please immediately contact the sender. ___ Histonet mailing list [10]histo...@lists.utsouth= western.edu [11]http:= //lists.utsouthwestern.edu/mailman/listinfo/histonet Sponsored by Catholic Health Initiatives and Immanuel, Alegent Health is fa= ithful to the healing ministry of Jesus Christ, providing high quality care= for the body, mind and spirit of every person. The information contained in this communication, including attachments, is = confidential and private and intended only for the use of the addressees. = Unauthorized use, disclosure, distribution or copying is strictly prohibite= d and may be unlawful. If you received this communication in error, please= inform us of the erroneous delivery by return e-mail message from your com= puter. Additionally, although all attachments have been scanned at the sou= rce for viruses, the recipient should check any attachments for the presenc= e of viruses before opening. Alegent Health accepts no liability for any d= amage caused by any virus transmitted by this e-mail. Thank you for your c= ooperation. ___ Histonet mailing list [12]histo...@lists.utsouth= western.edu [13]http
Re: [Histonet] mislabeling of slides and blocks
Our policy deals with general serious infractions which are any error which could potentially harm the patient, 2 examples are embedding floaters and slide mislabeling. We use bar-coding for our blocks and slides as well as a rather sophisticated in-house-made tracking software. The way it works here, you scan a block and the label prints out telling you what is ordered and needs to be cut. We implemented a strict policy of making sure you match the block profile with the tissue profile on the slide a second time before it leaves the cutting bench. The first mistake is a meeting. Second mistake is a verbal warning. Third and fourth mistake is a written warning, and the final one is termination. With over 100,000 blocks cut and well over 150,000 slides and 20 employees, since we established this policy, I have not had two mistakes by the same person. This policy as well as the fantastic hard work by our employees has been quite successful. Good luck. On Fri, Oct 8, 2010 at 5:14 AM, Amy Farnan farn...@nehealth.com wrote: Hello everyone, I was wondering if you could share your policy for employee infractions of mislabeling blocks and slides? I would like to get an idea of what the standard is out there. Any help would be appreciated. Thank you Disclaimer: The information in this message is confidential. If you are not the intended recipient, do not disclose, copy, or distribute this message, and please immediately contact the sender. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Patrick Laurie HT(ASCP)QIHC CellNetix Pathology Laboratories 1124 Columbia Street, Suite 200 Seattle, WA 98104 plau...@cellnetix.com ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] mislabeling of slides and blocks
Glad I never worked at that lab, never would have made to a supervisory
role.
I have to agree with Sarah, two infractions in a 12 month period is
extremely severe. I don't care if you have Vantage or any one of the million
tracking software packages out there. Especially with the shortage of
qualified Histotechs out there to be so picky is not good. Anyone that has
worked for a busy Histology lab knows mistakes happen, we all want them
caught prior to going out but there are so many areas that these mistakes
can happen.
We do have a policy on mislabeled slides (or any infraction), there is a
verbal warning, written warning, final warning and then if it happens again
we would go to more of an extreme conclusion. That being said, we also
would go over with them how the mistake happened, ways to avoid that type of
mistake and then track that employee's slides more closely.
Now if an employee made the first mistake in January and the 4th one in
December of that same year I am still not sure we would dismiss that person.
Especially if than employee in good standing, maybe there are extenuating
circumstances going on.
Two and out is pretty severe.
Just my two cents!
Thanks,
Timothy Higgins, HT(ASCP) QIHC
Histology Manager
APA
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
sgoe...@xbiotech.com
Sent: Friday, October 08, 2010 12:42 PM
To: Mahoney,Janice A
Cc: histonet@lists.utsouthwestern.edu; Dean, Sherry; Amy Farnan
Subject: RE: [Histonet] mislabeling of slides and blocks
Holy cow man!! Fired for mislabeling 2 times in 260 days!!=bsp;
Have you never been human and made a mistake?! I could understa=d
if it was a tech on a regular basis messing up, but that seems a
little =razy, especially if you are in a high volume hospital!!
WOW!!
Just my opinion...
Sarah Goebel, B.A., HT (ASCP)
=iv
Histo=echnician
XBiotech USA Inc.
8201 East Rivers=de Dr. Bldg 4 Suite 100
Austin, Texas 78744
(512)386-5107
Original Message
Subject: RE: [Histonet] mislabeling of slides and blocks
From: Mahoney,Janice A [1]=anice.maho...@alegent.org
Date: Fri, October 08, 2010 9:40 am
To: Amy Farnan [2]farn...@nehealth=com,
[3]histo...@lists.utsout= hwestern.edu [4]
histonet@lists.utsouthwestern.edu
Cc: Dean, Sherry [5]she=ry.d...@ventana.roche.com
I'd be happy to share mine but it is very strict. People are given a
final=written warning for the first mislabel not caught in the
department and ca= be fired for the second within a year.
I highly suggest the Ventana Vantage (there are others but in my
opinion Va=tage is the best) bar code system for patient safety. It
also relieves th= stress on your Histo techs because the bar coding
helps them assure they =ave the correct slide, block, etc. Techs are
hard to find and if we start=iring for inevitable human error we
will cause even more tech shortages.=r When you look at all the
costs that a mislabel can incur, (law suits, repla=ing personnel,
rework, etc.) the cost of the software is not too bad.
Janice Mahoney HT(ASCP)
Histology/Cytology Coordinator
Alegent Health Laboratory
4955 F Street
Omaha, NE
(402)717-2889
fax(402)717-5231
From: [6]histonet=-boun...@lists.utsouthwestern.edu
[[7]histonet-boun...@lists.utsouthwestern.edu] On =Behalf Of Amy
Farnan [[8]farn...@nehea=th.com]
Sent: Friday, October 08, 2010 7:14 AM
To: [9]histo...@lists.uts=uthwestern.edu
Subject: [Histonet] mislabeling of slides and blocks
Hello everyone,
I was wondering if you could share your policy for employee
infractions of =islabeling blocks and slides? I would like to get an
idea of what the stan=dard is out there. Any help would be
appreciated.
Thank you
Disclaimer: The information in this message is confidential. If you
are no= the intended recipient, do not disclose, copy, or distribute
this message= and please immediately contact the sender.
___
Histonet mailing list
[10]histo...@lists.utsouth=estern.edu
[11]http:=/lists.utsouthwestern.edu/mailman/listinfo/histonet
Sponsored by Catholic Health Initiatives and Immanuel, Alegent Health
is fa=thful to the healing ministry of Jesus Christ, providing high
quality care=or the body, mind and spirit of every person.
The information contained in this communication, including
attachments, is =onfidential and private and intended only for the
use of the addressees. =nauthorized use, disclosure, distribution or
copying is strictly prohibite= and may be unlawful. If you received
this communication in error, please=inform us of the erroneous
RE: [Histonet] mislabeling of slides and blocks
Tim, I would both agree and disagree with your statement. We're all human.
We all make mistakes. However, I do believe that 'systems' can be put in
place which can render the likelihood of errors to almost zero.
By 'systems', I mean either computer systems or some manual mechanism that
may require checking and rechecking, perhaps by different parties.
While I'm not an expert on other people's tracking systems, I do believe I
know my own system pretty well, and I would tell you that it would be very,
very difficult, if not impossible to mislabel blocks and slides in our
system. Could you do it? Yes, I can imagine anyone can defeat a
computerized system or a manual system if that is their intent, but then
that's another question.
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 Tim Higgins
Sent: Friday, October 08, 2010 1:10 PM
To: sgoe...@xbiotech.com; 'Mahoney,Janice A'
Cc: histonet@lists.utsouthwestern.edu; 'Dean, Sherry'; 'Amy Farnan'
Subject: RE: [Histonet] mislabeling of slides and blocks
Glad I never worked at that lab, never would have made to a supervisory
role.
I have to agree with Sarah, two infractions in a 12 month period is
extremely severe. I don't care if you have Vantage or any one of the million
tracking software packages out there. Especially with the shortage of
qualified Histotechs out there to be so picky is not good. Anyone that has
worked for a busy Histology lab knows mistakes happen, we all want them
caught prior to going out but there are so many areas that these mistakes
can happen.
We do have a policy on mislabeled slides (or any infraction), there is a
verbal warning, written warning, final warning and then if it happens again
we would go to more of an extreme conclusion. That being said, we also
would go over with them how the mistake happened, ways to avoid that type of
mistake and then track that employee's slides more closely.
Now if an employee made the first mistake in January and the 4th one in
December of that same year I am still not sure we would dismiss that person.
Especially if than employee in good standing, maybe there are extenuating
circumstances going on.
Two and out is pretty severe.
Just my two cents!
Thanks,
Timothy Higgins, HT(ASCP) QIHC
Histology Manager
APA
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
sgoe...@xbiotech.com
Sent: Friday, October 08, 2010 12:42 PM
To: Mahoney,Janice A
Cc: histonet@lists.utsouthwestern.edu; Dean, Sherry; Amy Farnan
Subject: RE: [Histonet] mislabeling of slides and blocks
Holy cow man!! Fired for mislabeling 2 times in 260 days!!=bsp;
Have you never been human and made a mistake?! I could understa=d
if it was a tech on a regular basis messing up, but that seems a
little =razy, especially if you are in a high volume hospital!!
WOW!!
Just my opinion...
Sarah Goebel, B.A., HT (ASCP)
=iv
Histo=echnician
XBiotech USA Inc.
8201 East Rivers=de Dr. Bldg 4 Suite 100
Austin, Texas 78744
(512)386-5107
Original Message
Subject: RE: [Histonet] mislabeling of slides and blocks
From: Mahoney,Janice A [1]=anice.maho...@alegent.org
Date: Fri, October 08, 2010 9:40 am
To: Amy Farnan [2]farn...@nehealth=com,
[3]histo...@lists.utsout= hwestern.edu [4]
histonet@lists.utsouthwestern.edu
Cc: Dean, Sherry [5]she=ry.d...@ventana.roche.com
I'd be happy to share mine but it is very strict. People are given a
final=written warning for the first mislabel not caught in the
department and ca= be fired for the second within a year.
I highly suggest the Ventana Vantage (there are others but in my
opinion Va=tage is the best) bar code system for patient safety. It
also relieves th= stress on your Histo techs because the bar coding
helps them assure they =ave the correct slide, block, etc. Techs are
hard to find and if we start=iring for inevitable human error we
will cause even more tech shortages.=r When you look at all the
costs that a mislabel can incur, (law suits, repla=ing personnel,
rework, etc.) the cost of the software is not too bad.
Janice Mahoney HT(ASCP)
Histology/Cytology Coordinator
Alegent Health Laboratory
4955 F Street
Omaha, NE
(402)717-2889
fax(402)717-5231
From: [6]histonet=-boun...@lists.utsouthwestern.edu
[[7]histonet-boun...@lists.utsouthwestern.edu] On =Behalf Of Amy
Farnan [[8]farn...@nehea=th.com]
Sent: Friday, October 08, 2010 7:14 AM
To: [9]histo...@lists.uts=uthwestern.edu
Subject: [Histonet] mislabeling of slides and blocks
Hello everyone
RE: [Histonet] mislabeling of slides and blocks
Currrently I am working in a lab where I am the only tech., but in previous labs when mislabeling happened, the tech would be written up for it after one formal verbal warning. If they were written up 3 times in 6 months, then a suspension was possible (although never happens), then if the problem continued could lead to being fired. So, basically you would have to mislabel something or another 6 times in one year to be fired. Again...just my opinion... Sarah Goebel, B.A., HT (ASCP) Histotechnician XBiotech USA Inc. 8201 East Riverside Dr. Bldg 4 Suite 100 Austin, Texas 78744 (512)386-5107 Original Message Subject: RE: [Histonet] mislabeling of slides and blocks From: Amy Farnan farn...@nehealth.com Date: Fri, October 08, 2010 10:52 am To: Janice A Mahoney janice.maho...@alegent.org, sgoe...@xbiotech.com Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu, Sherry Dean sherry.d...@ventana.roche.com Sarah, What is your policy? ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
