RE: [Histonet] RE: Two Patient Identifiers on slides
Yes. Tom McNemar, HT(ASCP) Histology Co-ordinator Licking Memorial Health Systems (740) 348-4163 (740) 348-4166 tmcne...@lmhealth.org www.LMHealth.org -Original Message- From: Pratt, Caroline [mailto:caroline.pr...@uphs.upenn.edu] Sent: Wednesday, July 31, 2013 1:47 PM To: Tom McNemar; Jean Wood; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] RE: Two Patient Identifiers on slides Just for clarification, patient first and last name? Thanks! -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tom McNemar Sent: Wednesday, July 31, 2013 5:49 AM To: 'Jean Wood'; histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: Two Patient Identifiers on slides Our cassettes are printed with the accession number, patient name, and a barcode that also contains the DOB. When sectioning, this barcode is scanned at the microtome when the slides are cut. Labels are printed, again at the microtome, and the slides are labeled. The slide label contains the accession number, patient name, level number or special stain, the pathologist's initials, and the hospital address. Tom McNemar, HT(ASCP) Histology Co-ordinator Licking Memorial Health Systems (740) 348-4163 (740) 348-4166 tmcne...@lmhealth.org www.LMHealth.org -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jean Wood Sent: Tuesday, July 30, 2013 3:37 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Two Patient Identifiers on slides Hello Histonetters, Recently we started utilizing a slide labeling component that is built into our AP Easy LIS system and has accession number, levels and patients first and last name when labels are printed out. Dymo does not have a chemically resistant label (we have a Dymo 450 printer) and we have been putting the labels on AFTER the slides are stained and cover slipped. In the meantime, the HT is writing in pencil the accession # and levels on the slide which is then covered up with the permanent label after cover slipping. Our Lab Manager is worried that we are not compliant as we do not have two patient identifiers on throughout the whole process (she wants us to write patient names on slides in pencil (before staining) and then cover that up with the pre-printed label after staining. 1. What is everyone else doing? 2. Have any of you found a chemically resistant label compatible with the Dymo labeler? Jean Wood BS, HT Fairchild Medical Center Pathology Dept. Ph:530.841.6243 Fax:530.841.6232 jw...@fairchildmed.orgmailto:jw...@fairchildmed.org ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This e-mail, including attachments, is intended for the sole use of the individual and/or entity to whom it is addressed, and contains information from Licking Memorial Health Systems which is confidential or privileged. If you are not the intended recipient, nor authorized to receive for the intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this e-mail and attachments is prohibited. If you have received this in error, please advise the sender by reply e-mail and delete the message immediately. You may also contact the LMH Process Improvement Center at 740-348-4641. E-mail transmissions cannot be guaranteed to be secure or error-free as information could be intercepted, corrupted, lost, destroyed, arrive late or incomplete, or contain viruses. The sender therefore does not accept liability for any errors or omissions in the contents of this message, which arise as a result of e-mail transmission. Thank you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet The information contained in this e-mail message is intended only for the personal and confidential use of the recipient(s) named above. If the reader of this message is not the intended recipient or an agent responsible for delivering it to the intended recipient, you are hereby notified that you have received this document in error and that any review, dissemination, distribution, or copying of this message is strictly prohibited. If you have received this communication in error, please notify us immediately by e-mail, and delete the original message. This e-mail, including attachments, is intended for the sole use of the individual and/or entity to whom it is addressed, and contains information from Licking Memorial Health Systems which is confidential or privileged. If you are not the intended recipient, nor authorized to receive for the intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this e-mail and attachments is prohibited. If you
RE: [Histonet] Re: Two Patient Identifiers on slides
Hello, I may not have read every e-mail on this discussion but would like to chime in here. I was just having this discussion with someone yesterday. At large research hospitals that have various goals in our mission statements, we are concerned about continuously improving the process to minimize any errors in patient care. But at the same time we also are using these same cases for research. Our IRB's allow us to use the Pathology Archives as a bank of tissues and slides. If the names of patients were on the slides and or blocks that would really make it impossible to do Specimen based research. We really couldn't use any of those materials for research. It has been a process here at Hopkins to try and keep both of these things moving forward, Improving patient care and maintaining access to specimens for research. Helen L. Fedor Prostate Tissue Bank, Manager Oncology Tissue Services, Manager Johns Hopkins University 600 N. Wolfe St, | Marburg Room 406 Baltimore, MD | 21287-7065 410.614.1660 http://tmalab.jhmi.edu/ http://prostatebiorepository.org/ -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Bob Richmond Sent: Wednesday, July 31, 2013 7:07 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Re: Two Patient Identifiers on slides Realizing we're talking about regulator compliance rather than good sense here - nonetheless let a pathologist observe that having the patient's name on the slide is a very important defense against mixing up cases at sign-out. Small labs still usually have no identifier on the slide other than a hand-scribbled accession number (two of the three small labs I'm working in at the moment don't - both CAP accredited), and it's easy for the pathologist to misread the label. I saw a mixup like this just a few days ago - it wasn't my case, but I should have caught the misreading when I reviewed the case, which involved a squamous carcinoma that wasn't. Good management, bad medicine. Bob Richmond Samurai Pathologist Maryville TN ___ 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
Re: [Histonet] RE: Two Patient Identifiers on slides
I often see blocks from many institutions that only have surgical numbers on them, then after the slides are always expected to have both. Seems like blocks are the only exception to this rule, but it is probably just a commonly practiced noncompliancy type of thing more than an exception. Sent from my iPhone On Jul 30, 2013, at 3:41 PM, Boyd, Debbie M dkb...@chs.net wrote: Your manager is correct. You must have two patient identifiers through the whole process. We write the full name, accession number and designation ( a, b L1 ) on each slide. I have had both CAP and Joint Commission inspectors pull the labels back looking for 2 identifiers. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jean Wood Sent: Tuesday, July 30, 2013 3:37 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Two Patient Identifiers on slides Hello Histonetters, Recently we started utilizing a slide labeling component that is built into our AP Easy LIS system and has accession number, levels and patients first and last name when labels are printed out. Dymo does not have a chemically resistant label (we have a Dymo 450 printer) and we have been putting the labels on AFTER the slides are stained and cover slipped. In the meantime, the HT is writing in pencil the accession # and levels on the slide which is then covered up with the permanent label after cover slipping. Our Lab Manager is worried that we are not compliant as we do not have two patient identifiers on throughout the whole process (she wants us to write patient names on slides in pencil (before staining) and then cover that up with the pre-printed label after staining. 1. What is everyone else doing? 2. Have any of you found a chemically resistant label compatible with the Dymo labeler? Jean Wood BS, HT Fairchild Medical Center Pathology Dept. Ph:530.841.6243 Fax:530.841.6232 jw...@fairchildmed.orgmailto:jw...@fairchildmed.org ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ 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
RE: [Histonet] RE: Two Patient Identifiers on slides
I notice the new AP checklists effective 7/31/2013 do not include ANP.11800. From: histonet-boun...@lists.utsouthwestern.edu [histonet-boun...@lists.utsouthwestern.edu] on behalf of Lisa Hamilton [lhamil...@wcplaboratories.com] Sent: Tuesday, July 30, 2013 4:09 PM To: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] RE: Two Patient Identifiers on slides The Two Identifiers are for Intra-Operative (frozen section) slides only, not routine HE slides *ANP.11800* at least so far! Routine slide information is listed under *ANP.21050 Specimen Identity* -Lisa H. On 7/30/2013 1:41 PM, Boyd, Debbie M wrote: Your manager is correct. You must have two patient identifiers through the whole process. We write the full name, accession number and designation ( a, b L1 ) on each slide. I have had both CAP and Joint Commission inspectors pull the labels back looking for 2 identifiers. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jean Wood Sent: Tuesday, July 30, 2013 3:37 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Two Patient Identifiers on slides Hello Histonetters, Recently we started utilizing a slide labeling component that is built into our AP Easy LIS system and has accession number, levels and patients first and last name when labels are printed out. Dymo does not have a chemically resistant label (we have a Dymo 450 printer) and we have been putting the labels on AFTER the slides are stained and cover slipped. In the meantime, the HT is writing in pencil the accession # and levels on the slide which is then covered up with the permanent label after cover slipping. Our Lab Manager is worried that we are not compliant as we do not have two patient identifiers on throughout the whole process (she wants us to write patient names on slides in pencil (before staining) and then cover that up with the pre-printed label after staining. 1. What is everyone else doing? 2. Have any of you found a chemically resistant label compatible with the Dymo labeler? Jean Wood BS, HT Fairchild Medical Center Pathology Dept. Ph:530.841.6243 Fax:530.841.6232 jw...@fairchildmed.orgmailto:jw...@fairchildmed.org ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ 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 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] RE: Two Patient Identifiers on slides
Just for clarification, patient first and last name? Thanks! -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tom McNemar Sent: Wednesday, July 31, 2013 5:49 AM To: 'Jean Wood'; histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: Two Patient Identifiers on slides Our cassettes are printed with the accession number, patient name, and a barcode that also contains the DOB. When sectioning, this barcode is scanned at the microtome when the slides are cut. Labels are printed, again at the microtome, and the slides are labeled. The slide label contains the accession number, patient name, level number or special stain, the pathologist's initials, and the hospital address. Tom McNemar, HT(ASCP) Histology Co-ordinator Licking Memorial Health Systems (740) 348-4163 (740) 348-4166 tmcne...@lmhealth.org www.LMHealth.org -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jean Wood Sent: Tuesday, July 30, 2013 3:37 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Two Patient Identifiers on slides Hello Histonetters, Recently we started utilizing a slide labeling component that is built into our AP Easy LIS system and has accession number, levels and patients first and last name when labels are printed out. Dymo does not have a chemically resistant label (we have a Dymo 450 printer) and we have been putting the labels on AFTER the slides are stained and cover slipped. In the meantime, the HT is writing in pencil the accession # and levels on the slide which is then covered up with the permanent label after cover slipping. Our Lab Manager is worried that we are not compliant as we do not have two patient identifiers on throughout the whole process (she wants us to write patient names on slides in pencil (before staining) and then cover that up with the pre-printed label after staining. 1. What is everyone else doing? 2. Have any of you found a chemically resistant label compatible with the Dymo labeler? Jean Wood BS, HT Fairchild Medical Center Pathology Dept. Ph:530.841.6243 Fax:530.841.6232 jw...@fairchildmed.orgmailto:jw...@fairchildmed.org ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This e-mail, including attachments, is intended for the sole use of the individual and/or entity to whom it is addressed, and contains information from Licking Memorial Health Systems which is confidential or privileged. If you are not the intended recipient, nor authorized to receive for the intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this e-mail and attachments is prohibited. If you have received this in error, please advise the sender by reply e-mail and delete the message immediately. You may also contact the LMH Process Improvement Center at 740-348-4641. E-mail transmissions cannot be guaranteed to be secure or error-free as information could be intercepted, corrupted, lost, destroyed, arrive late or incomplete, or contain viruses. The sender therefore does not accept liability for any errors or omissions in the contents of this message, which arise as a result of e-mail transmission. Thank you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet The information contained in this e-mail message is intended only for the personal and confidential use of the recipient(s) named above. If the reader of this message is not the intended recipient or an agent responsible for delivering it to the intended recipient, you are hereby notified that you have received this document in error and that any review, dissemination, distribution, or copying of this message is strictly prohibited. If you have received this communication in error, please notify us immediately by e-mail, and delete the original message. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] RE: Two Patient Identifiers on slides
We use the surgical case number and a minimum of the first 5 letters of the patients name on barcode labeled cassettes and then that code will be transferred to the slides as they are printed. We have found that having two identifiers on every cassette and slide has saved us when an error was made with the cassette labeling or slide labeling process. It has been a way to confirm or clear up an issue very quickly. Whether it is required or not; at this point we will continue to use both identifiers for both the patient's safety and our ability to backtrack/clear issues of possible miss identification of a cassette or slide. We are all human and mistakes happen so plan a way to limit the possibilities. Pam Marcum UAMS -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Pratt, Caroline Sent: Wednesday, July 31, 2013 12:47 PM To: Tom McNemar; Jean Wood; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] RE: Two Patient Identifiers on slides Just for clarification, patient first and last name? Thanks! -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tom McNemar Sent: Wednesday, July 31, 2013 5:49 AM To: 'Jean Wood'; histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: Two Patient Identifiers on slides Our cassettes are printed with the accession number, patient name, and a barcode that also contains the DOB. When sectioning, this barcode is scanned at the microtome when the slides are cut. Labels are printed, again at the microtome, and the slides are labeled. The slide label contains the accession number, patient name, level number or special stain, the pathologist's initials, and the hospital address. Tom McNemar, HT(ASCP) Histology Co-ordinator Licking Memorial Health Systems (740) 348-4163 (740) 348-4166 tmcne...@lmhealth.org www.LMHealth.org -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jean Wood Sent: Tuesday, July 30, 2013 3:37 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Two Patient Identifiers on slides Hello Histonetters, Recently we started utilizing a slide labeling component that is built into our AP Easy LIS system and has accession number, levels and patients first and last name when labels are printed out. Dymo does not have a chemically resistant label (we have a Dymo 450 printer) and we have been putting the labels on AFTER the slides are stained and cover slipped. In the meantime, the HT is writing in pencil the accession # and levels on the slide which is then covered up with the permanent label after cover slipping. Our Lab Manager is worried that we are not compliant as we do not have two patient identifiers on throughout the whole process (she wants us to write patient names on slides in pencil (before staining) and then cover that up with the pre-printed label after staining. 1. What is everyone else doing? 2. Have any of you found a chemically resistant label compatible with the Dymo labeler? Jean Wood BS, HT Fairchild Medical Center Pathology Dept. Ph:530.841.6243 Fax:530.841.6232 jw...@fairchildmed.orgmailto:jw...@fairchildmed.org ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This e-mail, including attachments, is intended for the sole use of the individual and/or entity to whom it is addressed, and contains information from Licking Memorial Health Systems which is confidential or privileged. If you are not the intended recipient, nor authorized to receive for the intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this e-mail and attachments is prohibited. If you have received this in error, please advise the sender by reply e-mail and delete the message immediately. You may also contact the LMH Process Improvement Center at 740-348-4641. E-mail transmissions cannot be guaranteed to be secure or error-free as information could be intercepted, corrupted, lost, destroyed, arrive late or incomplete, or contain viruses. The sender therefore does not accept liability for any errors or omissions in the contents of this message, which arise as a result of e-mail transmission. Thank you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet The information contained in this e-mail message is intended only for the personal and confidential use of the recipient(s) named above. If the reader of this message is not the intended recipient or an agent responsible for delivering it to the intended recipient, you are hereby notified that you have received this document
Re: [Histonet] RE: Two Patient Identifiers on slides
The Two Identifiers are for Intra-Operative (frozen section) slides only, not routine HE slides *ANP.11800* at least so far! Routine slide information is listed under *ANP.21050 Specimen Identity* -Lisa H. On 7/30/2013 1:41 PM, Boyd, Debbie M wrote: Your manager is correct. You must have two patient identifiers through the whole process. We write the full name, accession number and designation ( a, b L1 ) on each slide. I have had both CAP and Joint Commission inspectors pull the labels back looking for 2 identifiers. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jean Wood Sent: Tuesday, July 30, 2013 3:37 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Two Patient Identifiers on slides Hello Histonetters, Recently we started utilizing a slide labeling component that is built into our AP Easy LIS system and has accession number, levels and patients first and last name when labels are printed out. Dymo does not have a chemically resistant label (we have a Dymo 450 printer) and we have been putting the labels on AFTER the slides are stained and cover slipped. In the meantime, the HT is writing in pencil the accession # and levels on the slide which is then covered up with the permanent label after cover slipping. Our Lab Manager is worried that we are not compliant as we do not have two patient identifiers on throughout the whole process (she wants us to write patient names on slides in pencil (before staining) and then cover that up with the pre-printed label after staining. 1. What is everyone else doing? 2. Have any of you found a chemically resistant label compatible with the Dymo labeler? Jean Wood BS, HT Fairchild Medical Center Pathology Dept. Ph:530.841.6243 Fax:530.841.6232 jw...@fairchildmed.orgmailto:jw...@fairchildmed.org ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ 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
