RE: [Histonet] What are peoples feelings on pre lablingslides?

From:"Bonnie Whitaker"

IMHO, ideally, someone is matching blocks and slides before they go out
(part of the QA process).  I know that it doesn't ALWAYS happen, but I think
that regardless of when the slides are labeled, checking them is a prudent
thing to do.

Bonnie Whitaker


-----Original Message-----
From: histonet-bounces@lists.utsouthwestern.edu
[mailto:histonet-bounces@lists.utsouthwestern.edu] On Behalf Of Vicki Gauch
Sent: Friday, February 03, 2006 7:18 AM
To: Histonet@lists.utsouthwestern.edu; petepath@yahoo.com
Subject: Re: [Histonet] What are peoples feelings on pre lablingslides?


We do not pre-label any of our slides in the lab.  We cut our slides and
then label them as we do each one.  As for frozens, we label the slide as we
cut the frozen- if we do multiple frozens on that block we label each one as
we go.  It has been our policy to do it this way for a long time now..in the
past we had a few techs who decided to do it "their" way instead of
following our procedures and it almost resulted in a case being sent out
mislabeled  (fortunately it ws caught before it left the
lab) which is why we do not allow that practice in our lab.

Vicki Gauch
AMCH
Albany, NY

>>> "Stephen Peters M.D."  2/3/2006 8:02:01 AM >>>
I am curious to see if it is considered acceptable practice to pre-label
multiple 
  slides before cutting the blocks and picking the tissues up on these
pre-labeled 
  slides. We came close to a dangerous misdiagnosis because a tech picked up
   a malignant section from a " part 2 breast biopsy" on a prelabled part 1
slide. Luckily it made no sense that only one of many slides contained tumor
that 
  looked like it was coming from an advanced tumor. After playing match the
blocks
   it was obvious that the malignant part one slide matched a part 2 block.
It seems 
  to me that this is a potentially dangerous habit despite the convenience
of 
  assembly line labeling. Early in my career I stopped labeling my frozen
section slides 
  up front and wait until after I pick up the section. When I am cutting
frozens I  make
   variable #s of slides depending on the situation. Working quickly under
the
   pressure of multiple cases it is not hard to pick up the wrong slide and
make
   this mistake. I am curious to hear peoples thoughts.


Stephen Peters M.D. 
Vice Chairman of Pathology
Hackensack University Medical Center 
201 996 4836
 
Pathology Innovations, LLC 
410 Old Mill Lane, 
Wyckoff, NJ 07481 
201 847 7600 
www.pathologyinnovations.com 




_______________________________________________
Histonet mailing list
Histonet@lists.utsouthwestern.edu 
http://lists.utsouthwestern.edu/mailman/listinfo/histonet

-----------------------------------------
CONFIDENTIALITY NOTICE: This email and any attachments may contain
confidential information that is protected by law and is for the sole use of
the individuals or entities to which it is addressed. If you are not the
intended recipient, please notify the sender by replying to this email and
destroying all copies of the communication and attachments. Further use,
disclosure, copying, distribution of, or reliance upon the contents of this
email and attachments is strictly prohibited. To contact Albany Medical
Center, or for a copy of our privacy practices, please visit us on the
Internet at www.amc.edu.


_______________________________________________
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


<< Previous Message | Next Message >>