Well, I've worked in roughly 60 hospital and private lab pathology
services in my locum tenens career, and I've never seen a functioning
QA (or whatever they call it this year) program for H & E (or any
other stain) in a pathology lab. An occasional lab has the pathologist
fill out QA sheets telling them that the slides are wonderful -
invariably in such labs the slides are horrible. In most labs nobody
but the pathologist ever looks at a slide under a microscope.
A meaningful QA program would have a pathologist and a senior
histotechnologist review some of the day's production, during the
working day. I've always been ridiculed for suggesting it.
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