Re: [Histonet] Quality Measure for Pathology

[Blazek, Linda via Histonet]

Gudrun,
Now you're making me think!  I do have a cut-off.  It's at 95%.  I do keep 
records of the percentages of specimens that do not fall into the range.  But 
as to the process of solving the problem it's just counseling.  As we have only 
hit that cut-off once in the past three years I really haven't thought it out 
farther than that.  

Linda

-Original Message-
From: Gudrun Lang [mailto:gu.l...@gmx.at] 
Sent: Wednesday, June 13, 2018 11:55 AM
To: Blazek, Linda
Cc: histonet@lists.utsouthwestern.edu
Subject: AW: [Histonet] Quality Measure for Pathology

Linda,
that's exactly what we do here.
I wondered, if you fixed a cut-off. Because in quality-audits they often
asked the "what do you if.."-questions. 
for example: "There is an increase in the number of discrepancies in this
special month. The rate is over your defined aim. What did you do to fix the
problem? Do you keep records about the process of solving the problem?"

I was just curious, if you go further than the counting of events. 
In daily work we often know the causes of mistakes, and very often we know,
that a certain amount of mistakes can't be avoided, although everyone tries
to give his/her best. 
I think QM should help to discover the special events or circumstances, that
raise the number of mistakes above the "normal" level. I was curious, if you
defined this "normal" level for your lab.

Kind regards
Gudrun


-Ursprüngliche Nachricht-
Von: Blazek, Linda [mailto:lbla...@digestivespecialists.com] 
Gesendet: Mittwoch, 13. Juni 2018 14:38
An: Gudrun Lang
Cc: histonet@lists.utsouthwestern.edu
Betreff: RE: [Histonet] Quality Measure for Pathology

Gudrun,
Our lab is 95% biopsy specimens.  Therefor the number of pieces counted at
gross is written on the side of the cassette so that at the time of
embedding the tech knows what should be present.  That helps in being sure
there isn't a piece stuck to the lid or forceps, or popped out when opening
the cassette.  It's really more of a Quality Assurance measure than tracking
a discrepancy.  I do watch how frequent there is a discrepancy though and if
there seems to be a pattern will initiate a review of processes for both the
grossing person and the embedding person.  
What we see most is the gross will say one piece and there will actually be
multiple tiny pieces or two pieces will be three at embedding.  As all staff
is aware that we are following this they tend to be much more precise in
counting at grossing and embedding.  
Linda

-Original Message-
From: Gudrun Lang [mailto:gu.l...@gmx.at] 
Sent: Wednesday, June 13, 2018 4:19 AM
To: Blazek, Linda
Cc: histonet@lists.utsouthwestern.edu
Subject: AW: [Histonet] Quality Measure for Pathology

Linda,
How do you handle this key figure of discrepancies? Have you set a cut-off
(per person, per day) for any consequencies? What are the
consequencies, besides repeated training?

thanks
Gudrun

-Ursprüngliche Nachricht-
Von: Blazek, Linda via Histonet [mailto:histonet@lists.utsouthwestern.edu] 
Gesendet: Dienstag, 12. Juni 2018 18:55
An: Normington Lacy; Amy Self
Cc: histonet@lists.utsouthwestern.edu
Betreff: Re: [Histonet] Quality Measure for Pathology

Also a discrepancy between the number of pieces that are dictated at gross
as being in a cassette compared to what is found in the
cassette at embedding.  You can record the number of blocks that need
re-embedded and the number of slide recuts needed a month. 

Linda

Linda Blazek HT (ASCP)
Pathology Lab Manager
GI Pathology of Dayton
Digestive Specialists, Inc
Phone: (937) 396-2623
Email: lbla...@digestivespecialists.com

-Original Message-
From: Normington Lacy via Histonet
[mailto:histonet@lists.utsouthwestern.edu] 
Sent: Tuesday, June 12, 2018 9:34 AM
To: Amy Self; 'histonet@lists.utsouthwestern.edu'
Subject: Re: [Histonet] Quality Measure for Pathology

Some ideas:

Proficiency Testing
Corrected Results (Addendums/Amendment) volume
Turnaround Time Monitoring
Frozen Section TAT (critical call)
Rejected Tests (empty bottles, etc)


-Original Message-
From: Amy Self via Histonet [mailto:histonet@lists.utsouthwestern.edu] 
Sent: Tuesday, June 12, 2018 8:18 AM
To: 'histonet@lists.utsouthwestern.edu' 
Subject: [Histonet] Quality Measure for Pathology

WARNING: This email appears to have originated outside of the UW Health
email system.
DO NOT CLICK on links or attachments unless you recognize the sender and
know the content is safe.




Good Morning,

I am looking for ideas/suggestions for QM Histology/Pathology.  My QM
director wants me to "measure" something that I can place on
the lab dashboard.

Thanks in advance for your help..

Amy Self
Histology Lab Senior Tech
Lab
Tidelands Georgetown Memorial Hospital
606 Black River Road
Georgetown, SC 29440
843-520-8711
as...@tidelandshealth.org
Our mission:  We help people live better lives through better health.
NOTE:
 The information contained in this message may be privileged, confidential
and protected from 

Re: [Histonet] Quality Measure for Pathology

[Gudrun Lang via Histonet]

Linda,
that's exactly what we do here.
I wondered, if you fixed a cut-off. Because in quality-audits they often
asked the "what do you if.."-questions. 
for example: "There is an increase in the number of discrepancies in this
special month. The rate is over your defined aim. What did you do to fix the
problem? Do you keep records about the process of solving the problem?"

I was just curious, if you go further than the counting of events. 
In daily work we often know the causes of mistakes, and very often we know,
that a certain amount of mistakes can't be avoided, although everyone tries
to give his/her best. 
I think QM should help to discover the special events or circumstances, that
raise the number of mistakes above the "normal" level. I was curious, if you
defined this "normal" level for your lab.

Kind regards
Gudrun


-Ursprüngliche Nachricht-
Von: Blazek, Linda [mailto:lbla...@digestivespecialists.com] 
Gesendet: Mittwoch, 13. Juni 2018 14:38
An: Gudrun Lang
Cc: histonet@lists.utsouthwestern.edu
Betreff: RE: [Histonet] Quality Measure for Pathology

Gudrun,
Our lab is 95% biopsy specimens.  Therefor the number of pieces counted at
gross is written on the side of the cassette so that at the time of
embedding the tech knows what should be present.  That helps in being sure
there isn't a piece stuck to the lid or forceps, or popped out when opening
the cassette.  It's really more of a Quality Assurance measure than tracking
a discrepancy.  I do watch how frequent there is a discrepancy though and if
there seems to be a pattern will initiate a review of processes for both the
grossing person and the embedding person.  
What we see most is the gross will say one piece and there will actually be
multiple tiny pieces or two pieces will be three at embedding.  As all staff
is aware that we are following this they tend to be much more precise in
counting at grossing and embedding.  
Linda

-Original Message-
From: Gudrun Lang [mailto:gu.l...@gmx.at] 
Sent: Wednesday, June 13, 2018 4:19 AM
To: Blazek, Linda
Cc: histonet@lists.utsouthwestern.edu
Subject: AW: [Histonet] Quality Measure for Pathology

Linda,
How do you handle this key figure of discrepancies? Have you set a cut-off
(per person, per day) for any consequencies? What are the
consequencies, besides repeated training?

thanks
Gudrun

-Ursprüngliche Nachricht-
Von: Blazek, Linda via Histonet [mailto:histonet@lists.utsouthwestern.edu] 
Gesendet: Dienstag, 12. Juni 2018 18:55
An: Normington Lacy; Amy Self
Cc: histonet@lists.utsouthwestern.edu
Betreff: Re: [Histonet] Quality Measure for Pathology

Also a discrepancy between the number of pieces that are dictated at gross
as being in a cassette compared to what is found in the
cassette at embedding.  You can record the number of blocks that need
re-embedded and the number of slide recuts needed a month. 

Linda

Linda Blazek HT (ASCP)
Pathology Lab Manager
GI Pathology of Dayton
Digestive Specialists, Inc
Phone: (937) 396-2623
Email: lbla...@digestivespecialists.com

-Original Message-
From: Normington Lacy via Histonet
[mailto:histonet@lists.utsouthwestern.edu] 
Sent: Tuesday, June 12, 2018 9:34 AM
To: Amy Self; 'histonet@lists.utsouthwestern.edu'
Subject: Re: [Histonet] Quality Measure for Pathology

Some ideas:

Proficiency Testing
Corrected Results (Addendums/Amendment) volume
Turnaround Time Monitoring
Frozen Section TAT (critical call)
Rejected Tests (empty bottles, etc)


-Original Message-
From: Amy Self via Histonet [mailto:histonet@lists.utsouthwestern.edu] 
Sent: Tuesday, June 12, 2018 8:18 AM
To: 'histonet@lists.utsouthwestern.edu' 
Subject: [Histonet] Quality Measure for Pathology

WARNING: This email appears to have originated outside of the UW Health
email system.
DO NOT CLICK on links or attachments unless you recognize the sender and
know the content is safe.




Good Morning,

I am looking for ideas/suggestions for QM Histology/Pathology.  My QM
director wants me to "measure" something that I can place on
the lab dashboard.

Thanks in advance for your help..

Amy Self
Histology Lab Senior Tech
Lab
Tidelands Georgetown Memorial Hospital
606 Black River Road
Georgetown, SC 29440
843-520-8711
as...@tidelandshealth.org
Our mission:  We help people live better lives through better health.
NOTE:
 The information contained in this message may be privileged, confidential
and protected from disclosure. If the reader of this
message is not the intended recipient, or an employee or agent responsible
for delivering this message to the intended recipient,
you are hereby notified that any dissemination, distribution or copying of
this communication is strictly prohibited. If you have
received this communication in error, please notify us immediately by
replying to this message and deleting it from your computer.
Thank you.
___
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[Histonet] ALK FISH Validation Protocol

[Dachel, Susan K. via Histonet]

Does anybody have or have access to a validation protocol for FISH?  
Specifically, ALK and ROS testing in NSCLS cancer patients?  How many samples 
are sufficient for validation?  Where can one their hands on cases that are 
positive for ALK or ROS break apart (without buying tissue)?

Thanks!

Sue Dachel BA, HTL(ASCP)CM
Histology Supervisor
Minneapolis VA Health Care System

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Re: [Histonet] Quality Measure for Pathology

[Michael Kent via Histonet]

Good Morning:
Repeated work:  Slides that don't pass QC or the pathologists muster and 
require repeated embedding or cutting. E.G. because they are not cut deep 
enough, are missing the important features, needed to be soaked, inappropriate 
reactivity (IHC).  This is different than levels, but things that can be caught 
at the bench.
Mike

-Original Message-
From: Garrey Faller via Histonet  
Sent: Wednesday, June 13, 2018 5:36 AM
To: Normington Lacy 
Cc: histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Quality Measure for Pathology

Good ideas. I would get the pathologist(s) involved. Having just one monitor in 
my opinion would not fly in my book. 

Sent from my iPhone

> On Jun 12, 2018, at 9:33 AM, Normington Lacy via Histonet 
>  wrote:
> 
> Some ideas:
> 
> Proficiency Testing
> Corrected Results (Addendums/Amendment) volume Turnaround Time 
> Monitoring Frozen Section TAT (critical call) Rejected Tests (empty 
> bottles, etc)
> 
> 
> -Original Message-
> From: Amy Self via Histonet [mailto:histonet@lists.utsouthwestern.edu]
> Sent: Tuesday, June 12, 2018 8:18 AM
> To: 'histonet@lists.utsouthwestern.edu' 
> 
> Subject: [Histonet] Quality Measure for Pathology
> 
> WARNING: This email appears to have originated outside of the UW Health email 
> system.
> DO NOT CLICK on links or attachments unless you recognize the sender and know 
> the content is safe.
> 
> 
> 
> 
> Good Morning,
> 
> I am looking for ideas/suggestions for QM Histology/Pathology.  My QM 
> director wants me to "measure" something that I can place on the lab 
> dashboard.
> 
> Thanks in advance for your help..
> 
> Amy Self
> Histology Lab Senior Tech
> Lab
> Tidelands Georgetown Memorial Hospital
> 606 Black River Road
> Georgetown, SC 29440
> 843-520-8711
> as...@tidelandshealth.org
> Our mission:  We help people live better lives through better health.
> NOTE:
> The information contained in this message may be privileged, confidential and 
> protected from disclosure. If the reader of this message is not the intended 
> recipient, or an employee or agent responsible for delivering this message to 
> the intended recipient, you are hereby notified that any dissemination, 
> distribution or copying of this communication is strictly prohibited. If you 
> have received this communication in error, please notify us immediately by 
> replying to this message and deleting it from your computer.
> Thank you.
> ___
> 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

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[Histonet] old cryostat

[Eck, Allison via Histonet]

Good morning,
Thank you to everyone who responded to my frozen section question.  The 
information I received was very useful.
 With that being said, I have an old cryostat, a Jung 1800.  It no longer works 
as the refrigeration system has died but does anyone know of a company that 
would purchase (or even take) an old broken piece of equipment.  It could 
potentially be scrapped for parts.  I'm not sure how else to dispose of a 
cryostat.

Thanks
Allison

Allison Eck, HTL(ASCP)cm,QLS, AHI(AMT),CEAS1
Lead Tech Histology
Doylestown Hospital
595 W State St
Doylestown, PA 18901
215-345-2264
a...@dh.org


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Re: [Histonet] Quality Measure for Pathology

[Blazek, Linda via Histonet]

Gudrun,
Our lab is 95% biopsy specimens.  Therefor the number of pieces counted at 
gross is written on the side of the cassette so that at the time of embedding 
the tech knows what should be present.  That helps in being sure there isn't a 
piece stuck to the lid or forceps, or popped out when opening the cassette.  
It's really more of a Quality Assurance measure than tracking a discrepancy.  I 
do watch how frequent there is a discrepancy though and if there seems to be a 
pattern will initiate a review of processes for both the grossing person and 
the embedding person.  
What we see most is the gross will say one piece and there will actually be 
multiple tiny pieces or two pieces will be three at embedding.  As all staff is 
aware that we are following this they tend to be much more precise in counting 
at grossing and embedding.  
Linda

-Original Message-
From: Gudrun Lang [mailto:gu.l...@gmx.at] 
Sent: Wednesday, June 13, 2018 4:19 AM
To: Blazek, Linda
Cc: histonet@lists.utsouthwestern.edu
Subject: AW: [Histonet] Quality Measure for Pathology

Linda,
How do you handle this key figure of discrepancies? Have you set a cut-off (per 
person, per day) for any consequencies? What are the
consequencies, besides repeated training?

thanks
Gudrun

-Ursprüngliche Nachricht-
Von: Blazek, Linda via Histonet [mailto:histonet@lists.utsouthwestern.edu] 
Gesendet: Dienstag, 12. Juni 2018 18:55
An: Normington Lacy; Amy Self
Cc: histonet@lists.utsouthwestern.edu
Betreff: Re: [Histonet] Quality Measure for Pathology

Also a discrepancy between the number of pieces that are dictated at gross as 
being in a cassette compared to what is found in the
cassette at embedding.  You can record the number of blocks that need 
re-embedded and the number of slide recuts needed a month. 

Linda

Linda Blazek HT (ASCP)
Pathology Lab Manager
GI Pathology of Dayton
Digestive Specialists, Inc
Phone: (937) 396-2623
Email: lbla...@digestivespecialists.com

-Original Message-
From: Normington Lacy via Histonet [mailto:histonet@lists.utsouthwestern.edu] 
Sent: Tuesday, June 12, 2018 9:34 AM
To: Amy Self; 'histonet@lists.utsouthwestern.edu'
Subject: Re: [Histonet] Quality Measure for Pathology

Some ideas:

Proficiency Testing
Corrected Results (Addendums/Amendment) volume
Turnaround Time Monitoring
Frozen Section TAT (critical call)
Rejected Tests (empty bottles, etc)


-Original Message-
From: Amy Self via Histonet [mailto:histonet@lists.utsouthwestern.edu] 
Sent: Tuesday, June 12, 2018 8:18 AM
To: 'histonet@lists.utsouthwestern.edu' 
Subject: [Histonet] Quality Measure for Pathology

WARNING: This email appears to have originated outside of the UW Health email 
system.
DO NOT CLICK on links or attachments unless you recognize the sender and know 
the content is safe.




Good Morning,

I am looking for ideas/suggestions for QM Histology/Pathology.  My QM director 
wants me to "measure" something that I can place on
the lab dashboard.

Thanks in advance for your help..

Amy Self
Histology Lab Senior Tech
Lab
Tidelands Georgetown Memorial Hospital
606 Black River Road
Georgetown, SC 29440
843-520-8711
as...@tidelandshealth.org
Our mission:  We help people live better lives through better health.
NOTE:
 The information contained in this message may be privileged, confidential and 
protected from disclosure. If the reader of this
message is not the intended recipient, or an employee or agent responsible for 
delivering this message to the intended recipient,
you are hereby notified that any dissemination, distribution or copying of this 
communication is strictly prohibited. If you have
received this communication in error, please notify us immediately by replying 
to this message and deleting it from your computer.
Thank you.
___
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Re: [Histonet] Quality Measure for Pathology

[Garrey Faller via Histonet]

Good ideas. I would get the pathologist(s) involved. Having just one monitor in 
my opinion would not fly in my book. 

Sent from my iPhone

> On Jun 12, 2018, at 9:33 AM, Normington Lacy via Histonet 
>  wrote:
> 
> Some ideas:
> 
> Proficiency Testing
> Corrected Results (Addendums/Amendment) volume
> Turnaround Time Monitoring
> Frozen Section TAT (critical call)
> Rejected Tests (empty bottles, etc)
> 
> 
> -Original Message-
> From: Amy Self via Histonet [mailto:histonet@lists.utsouthwestern.edu] 
> Sent: Tuesday, June 12, 2018 8:18 AM
> To: 'histonet@lists.utsouthwestern.edu' 
> Subject: [Histonet] Quality Measure for Pathology
> 
> WARNING: This email appears to have originated outside of the UW Health email 
> system.
> DO NOT CLICK on links or attachments unless you recognize the sender and know 
> the content is safe.
> 
> 
> 
> 
> Good Morning,
> 
> I am looking for ideas/suggestions for QM Histology/Pathology.  My QM 
> director wants me to "measure" something that I can place on the lab 
> dashboard.
> 
> Thanks in advance for your help..
> 
> Amy Self
> Histology Lab Senior Tech
> Lab
> Tidelands Georgetown Memorial Hospital
> 606 Black River Road
> Georgetown, SC 29440
> 843-520-8711
> as...@tidelandshealth.org
> Our mission:  We help people live better lives through better health.
> NOTE:
> The information contained in this message may be privileged, confidential and 
> protected from disclosure. If the reader of this message is not the intended 
> recipient, or an employee or agent responsible for delivering this message to 
> the intended recipient, you are hereby notified that any dissemination, 
> distribution or copying of this communication is strictly prohibited. If you 
> have received this communication in error, please notify us immediately by 
> replying to this message and deleting it from your computer.
> Thank you.
> ___
> Histonet mailing list
> Histonet@lists.utsouthwestern.edu
> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
> 
> ___
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Re: [Histonet] Quality Measure for Pathology

[Gudrun Lang via Histonet]

Linda,
How do you handle this key figure of discrepancies? Have you set a cut-off (per 
person, per day) for any consequencies? What are the
consequencies, besides repeated training?

thanks
Gudrun

-Ursprüngliche Nachricht-
Von: Blazek, Linda via Histonet [mailto:histonet@lists.utsouthwestern.edu] 
Gesendet: Dienstag, 12. Juni 2018 18:55
An: Normington Lacy; Amy Self
Cc: histonet@lists.utsouthwestern.edu
Betreff: Re: [Histonet] Quality Measure for Pathology

Also a discrepancy between the number of pieces that are dictated at gross as 
being in a cassette compared to what is found in the
cassette at embedding.  You can record the number of blocks that need 
re-embedded and the number of slide recuts needed a month. 

Linda

Linda Blazek HT (ASCP)
Pathology Lab Manager
GI Pathology of Dayton
Digestive Specialists, Inc
Phone: (937) 396-2623
Email: lbla...@digestivespecialists.com

-Original Message-
From: Normington Lacy via Histonet [mailto:histonet@lists.utsouthwestern.edu] 
Sent: Tuesday, June 12, 2018 9:34 AM
To: Amy Self; 'histonet@lists.utsouthwestern.edu'
Subject: Re: [Histonet] Quality Measure for Pathology

Some ideas:

Proficiency Testing
Corrected Results (Addendums/Amendment) volume
Turnaround Time Monitoring
Frozen Section TAT (critical call)
Rejected Tests (empty bottles, etc)


-Original Message-
From: Amy Self via Histonet [mailto:histonet@lists.utsouthwestern.edu] 
Sent: Tuesday, June 12, 2018 8:18 AM
To: 'histonet@lists.utsouthwestern.edu' 
Subject: [Histonet] Quality Measure for Pathology

WARNING: This email appears to have originated outside of the UW Health email 
system.
DO NOT CLICK on links or attachments unless you recognize the sender and know 
the content is safe.




Good Morning,

I am looking for ideas/suggestions for QM Histology/Pathology.  My QM director 
wants me to "measure" something that I can place on
the lab dashboard.

Thanks in advance for your help..

Amy Self
Histology Lab Senior Tech
Lab
Tidelands Georgetown Memorial Hospital
606 Black River Road
Georgetown, SC 29440
843-520-8711
as...@tidelandshealth.org
Our mission:  We help people live better lives through better health.
NOTE:
 The information contained in this message may be privileged, confidential and 
protected from disclosure. If the reader of this
message is not the intended recipient, or an employee or agent responsible for 
delivering this message to the intended recipient,
you are hereby notified that any dissemination, distribution or copying of this 
communication is strictly prohibited. If you have
received this communication in error, please notify us immediately by replying 
to this message and deleting it from your computer.
Thank you.
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