Elaine:As you wrote there are differences of opinion, so here is mine:Start
with "analysis" which is the process of determining the qualities of something.
As I see it, in histology the pathologist is the one who analyzes = determines
the qualities of the tissue sections and gets to a diagnosis.Consequently,
pre-analytical are all those steps leading to the preparation of the slide,
namely, grossing, processing, sectioning and staining.The PT analyzes the
finished tissue section and asks for special procedures; and those are post
analytical but they can be also considered as part of a final diagnoses and, as
such, are also "pre-analytical". If you take this last definition, then the
post analytical will be limited to everything is done in the lab after the
diagnosis is reached and will include billing, contacting the patient/referring
physician, archiving and other tasks.So you have first to get CAP's definition
or elaborate your own one in accordance with your lab director.René
On Saturday, November 7, 2015 2:36 PM, Elaine allison Hoffman via Histonet
wrote:
Greeting everyone in Histo-land,
I'm still working on a competency assessment procedure but I have a question
that needs clarification. According to CAP, "A laboratory must evaluate and
document the competency of all testing personnel for each test system. A TEST
SYSTEM is the process that includes pre-analytic, analytic, and post-analytic
steps used to produce a test result or set of results. A test system may be
manual, automated, multi-channel or single use and can include reagents,
components, equipment or instruments required to produce results". My question
is, what histology tasks or steps are considered pre-analytic, analytic, and
post-analytic? In all the resources I've found, there seems to be a difference
of opinion as to what is considered pre-analytic, analytic, and post-analytic
specific to histology tasks which is not really considered "resulting" in
histology. Also, there should be a different TEST SYSTEM for what pathologists
do (resulting slides) and what PA's do (gross description of tissue), so what
tasks are considered pre-analytic, analytic, and post-analytic specific for
their jobs? A person could go crazy with all this and to ask an inspector, they
aren't really sure either. And different inspectors will give you different
answers.Any takers out there?
Elaine Hoffman
___
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