Re: [Histonet] Erroneous result

2019-11-07 Thread William Shipley via Histonet
As an LIS developer, I struggle with how to deal with reporting data we know 
to be incorrect in a way that maintains the record but prevents someone from 
accidentally acting on it if they review the report in haste.


In this example, I am curious as to how to deal with the idea that we 
actually have two different reports. The report to the wrong patient which, 
presumably, went into their file and the report to the proper patient. If 
the amended report corrects the data to the proper patient, how will a copy 
find it's way to the original patient's file to cancel it?


It would seem that the original report would need to be amended to say 
disregard -- with the original patient identification and an entirely new 
report made with the new demographics to go to the proper patient. Would 
this second report even qualify as amended since it's the first one for that 
patient?


To further complicate the scenario, the original report may have gone to a 
clinician who is not authorized to see the results on the proper patient. 
Sending them an amended report which identifies the proper patient might 
constitute a HIPAA violation.


William Shipley
Schuyler House
www.schuylerhouse.com

- Original Message - 
From: "Terri Braud via Histonet" 

To: 
Sent: Thursday, November 07, 2019 8:47 AM
Subject: Re: [Histonet] Erroneous result


The report must be amended, not deleted.  The amended reason should state 
the reason for the amendment, and the correction. "This report is amended 
to correct the patient data to the correct patient"

All electronic reports that are downstream must show that correction.
You can never just delete an incorrect report. Terri

Terri L. Braud, HT(ASCP)
Anatomic Pathology Supervisor
Laboratory
Holy Redeemer Hospital
1648 Huntingdon Pike
Meadowbrook, PA 19046
ph: 215-938-3689
fax: 215-938-3874
Care, Comfort, and Heal

  4. erroneous results (Nancy Schmitt)

Message: 4
Date: Wed, 6 Nov 2019 11:31:32 +
From: Nancy Schmitt 
Subject: [Histonet] erroneous results
Hello-
Could you please share your process for erroneous results?  Scenario: 
Specimen received, processed and reported out.  Physician office calls to 
say that the specimen was labeled with incorrect patient information.  1. 
Do you remove the results? 2. do you amend the report? 3. do you leave any 
trace?  4. is your process the same for surgical specimens as it is for 
GYN paps?

Looking forward to the discussion,
Nancy Schmitt
Pathology Support Services Mgr.
Dubuque, IA


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[Histonet] Muscle histochemistry workflow?

2019-11-07 Thread Morken, Timothy via Histonet
I'm wondering how other muscle histochem labs handle their workflow. Because 
the histochem stains require frozen sections and a freshly-prepared reagents, 
and muscle conditions are not usually very time sensitive, we batch all our 
cutting and staining to one batch per week. We have 5-10 cases a week. We run 6 
stains in our standard batch (H, Trich, Dual Myosin, SDH, NADH, COX/SDH, 
MHC-1) and have a menu of 10 extra special stains and 10 immuno stains we can 
do once the slides are cut.

Do you batch once a week?
Batch more often?
Cut/stain as they come in?
Number of cases per week?


Thanks for any info!


Tim Morken
Supervisor, Electron Microscopy/Neuromuscular Special Studies
Department of Pathology
UC San Francisco Medical Center

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Re: [Histonet] Erroneous result

2019-11-07 Thread Terri Braud via Histonet
The report must be amended, not deleted.  The amended reason should state the 
reason for the amendment, and the correction. "This report is amended to 
correct the patient data to the correct patient"
All electronic reports that are downstream must show that correction.
You can never just delete an incorrect report. Terri

Terri L. Braud, HT(ASCP)
Anatomic Pathology Supervisor
Laboratory
Holy Redeemer Hospital
1648 Huntingdon Pike
Meadowbrook, PA 19046
ph: 215-938-3689
fax: 215-938-3874
Care, Comfort, and Heal

   4. erroneous results (Nancy Schmitt)

Message: 4
Date: Wed, 6 Nov 2019 11:31:32 +
From: Nancy Schmitt 
Subject: [Histonet] erroneous results
Hello-
Could you please share your process for erroneous results?  Scenario:  Specimen 
received, processed and reported out.  Physician office calls to say that the 
specimen was labeled with incorrect patient information.  1. Do you remove the 
results? 2. do you amend the report? 3. do you leave any trace?  4. is your 
process the same for surgical specimens as it is for GYN paps?
Looking forward to the discussion,
Nancy Schmitt
Pathology Support Services Mgr.
Dubuque, IA


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