RE: [Histonet] a question on ethics

From:"Weems, Joyce"

Ron, I feel your pain!!I'm not sure what your resources are. But if you have a risk manager, I would first of all ask your manager to meet with you and the risk manager. If she refused, I'd let her know that I intended to request a meeting. I would also involve the pathologists as they are at risk for malpractice.The consensus of management gurus would be that processes cause most errors - not people. JCAHO now requires a "Root Cause Analysis" of serious error, to help determine what processes could be put into place to eliminate errors. I would review the error with this in mind to see what could be put into place to prevent errors and to catch them when they occur.One suggestion would be to ink the tissue - not just different colored cassettes or slides. There are kits of dyes in neat little dispensers that you would rotate through all the skins that would be dictated in the gross to help identify the specimen. That way you would know that Patient A was red, B was blue, There would be very little one could do to separate two skins of like size, other than something like this, I would think. Didn't intend to write a book. Good luck! JoyceHave a good weekend everyone!Confidentiality Notice ** The information contained in this message may be privileged and is confidential information intended for the use of the addressee listed above. If you are neither the intended recipient nor the employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on the contents of this information is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer.Thank you. Saint Josephs Health System, Inc.

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