Re: [Histonet] JC requirement for stain QC question

[Cates, Julia via Histonet]

Hi Tim,

We have a form here that was developed after a similar inspection.  The form 
has quality control indicators for both the histologist and pathologist to 
review.  At the end of the day, the pathologist will initial as reviewed for 
the entire form.  He also documents QC in the patients report for Specials and 
IHC controls.

Thanks,

Julia Cates, HT(ASCP)cm
Pathology Coordinator, Pathology
Park Ridge Health
(828)650-8243| Fax: (828)209-5315

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[Histonet] JC requirement for stain QC question

[Morken, Timothy via Histonet]

Hi all, for those under Joint Commission, can you give your interpretation of 
this standard having to do with QC of stains?
_
QSA 13.06.01
The equipment, methods and stains used in producing microscopic slides provides 
tissue sections that facilitate a diagnosis
Elements of Performance
A 1.  A pathologist qualified in anatomic pathology assesses the staining 
quality (for example, equipment, methods, stains) of microscopic tissue 
sections to determine the stains ability to facilitate a diagnosis

C 2.  (D)The Laboratory performs quality controls on histologic stains for 
intended reactivity. The quality control results are documented. (m)
Notes: for example, immunohistochemical (IHC) stains have 
positive and negative controls, and for periodic acid-Schiff 9PAS) stains, 
documentation
C 3 (D)  Each time of use for patient testing, the laboratory performs quality 
controls for each type of histologic stain used. The quality control results 
are documented.
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We always read this as the pathologist signs off on a validated stain procedure 
and the histotechs do the QC of stains (H and Special Stains) and document 
it. The pathologist does not necessarily review the daily QC slides.

The inspector today says that the Pathologist has to review and sign off each 
daily QC slide.

Does anyone have any experience other than what we normally do?

Tim Morken
Pathology Site Manager, Parnassus
Supervisor, Electron Microscopy/Neuromuscular Special Studies
Department of Pathology
UC San Francisco Medical Center
505 Parnassus Ave, Box 1656
Room S570
San Francisco, CA 94143

(415) 353-1266 (ph)
(415) 514-3403 (fax)
tim.mor...@ucsfmedctr.org

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