Re: RE: [Histonet] What are peoples feelings on pre labling slides?
I believe this to be entirely histotech dependent.
I have worked with some histologists who never had a problem as their attention to detail was high ... and I have
also worked with others who would constantly confuse slides if labeled ahead of time.
Ideally we are all attentive to detail and can handle labeling ahead of time, but practically in the real world that just
isn't the case. Everyone is different.
I believe a supervisor needs to know their staff well enough to enforce the proper criteria to achieve NO
From: Stephen Peters M.D. [firstname.lastname@example.org]
Sent: Friday, February 03, 2006 5:02 AM
Subject: [Histonet] What are peoples feelings on pre labling slides?
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
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