After many years struggling with this issue, including the usual pathologists' reluctance to review/grade slides, I came up with a method that satisfied everybody, and it was as follows:
to let the pathologist REJECT slides (without being specific, just that it was below quality and could affect diagnosis). Those rejected slides were the ones I reviewed, graded, and discussed with the HT that prepared them.
This constituted my QA and my training/evaluation tool. I worked fine for me. Other methods, like ramdomly selecting slides to review, took so much valuable time for me as manager/supervisor and rendered so few results (most of the slides were OK) and there were always slides I did not select to review that were rejected by the pathologists. Let the PT reject slides and deal with them afterwards.
Susan Owens wrote:
There should be a QC chart sent to the Pathologist daily with someone
selecting a random H & E case..The Pathologist can check off such things as
stain quality, wrinkles/folds etc....Poor sections should be addressed
whether it interferes with the diagnosis or not.....
There can be a problem within a certain section that makes it's early
impossible for a wrinkle/fold fee selection...BUT, that would not be a daily
issue...I would say any good Histo tech can and should have at least 99.%
wrinkle/fold fee sections.
If wrinkles/folds are routine, then that's a big problem that needs to be
addressed and addressed now.
>>> others input. I believe any time there is a wrinkle or fold it should
I agree Sandy, BUT don't start a "witch hunt"...If you fine the poor quality
sections coming from the same person(s) then a sit down talk with a walk
down memory lane( as in back to basics) would be in order....Not a burning
on the cross(at least not yet)...
If wrinkles/folds are a big daily issue, then yes document, investigate and
correct the problems..But if your talking about one wrinkle on one slide out
of many slides.....then you can document, but don't go to war over it.....
> Message: 17
> Date: Fri, 30 Nov 2007 15:15:20 -0800 (PST)
> From: Sandy Smith
> Subject: RE: [Histonet] Slide quality
> To: firstname.lastname@example.org
> Message-ID: <email@example.com>
> Content-Type: text/plain; charset=us-ascii
> When should the pathologist document wrinkles/folds? Only when it
> interferes with the diagnosis? Or any time there is a wrinkle or fold?
> Also how many histo techs out there get 100% wrinkle free sections? I
> had discussions with my pathologists about these issues and would like
> others input. I believe any time there is a wrinkle or fold it should be
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