The new CAP Checklist (published 6/4/2020) no longer requires validations for "/LDTs that employ the following methods: manual microscopy eg. histopathologic and cytopathologic microscopic interpretation/"  (see COM.40350, note 8).  So, CAP does not require it and won't have guidance for that.  HOWEVER, CLIA still requires validations!   The common way to do that is to run a minimum of 5, and preferably 10, different samples by the new method and grade them according to expected results.  A few of the samples should be 'negative' samples.  Using various control tissue for your validations is perfectly acceptable.  Write that up, have the medical director review the slides and sign and date the bottom of the form: "This procedure has been validated and is approved for patient use."

Beth Cox, HTL/SCT(ASCP)QIHC
Pathology Solutions
Prescott, MI


----------------------------------------------------------------------
Message: 1
Date: Fri, 6 Nov 2020 18:35:25 +0000
From: "Pairan, Kelly" <kelly.pai...@nationwidechildrens.org>
To: "'histonet@lists.utsouthwestern.edu'"
        <histonet@lists.utsouthwestern.edu>
Subject: [Histonet] Validating a new manual special stain
Message-ID:
        <49e4f7123d03401385e3727519640...@l1perdwmbx04.childrensroot.net>
Content-Type: text/plain; charset="us-ascii"

Good Afternoon,
We are currently updating one of our manual special stain procedures.  How have 
you documented the validating of a new special stain method at your 
institution?  We have a IHC validation protocol that follows the CAP guidelines 
but the CAP checklist does not mention special stain validations.

Thanks for your input,
Kelly


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