Chaudhary et al., Int J Med Lab Res, 1(2): 38-47
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38 38
ISSN 2456-4400
QUALITY DETERMINANTS FOR MEDICAL HISTOLOGY LABORATORY
* Poonam Chaudhary
1
, Mahesh Sharma
2
, Kanchan Kapoor
3
1
Senior Medical Technologist, Department of Anatomy, GMCH, Chandigarh and Research Scholar,
Amity University Haryana, India
2
Professor & Head, Department of Anatomy, GMCH, Chandigarh, India
3
Professor, Department of Anatomy, GMCH, Chandigarh, India
Received:13 Sep, 2016/Accepted:24 Oct, 2016
Abstract: Unlike other fields of laboratory medicine, the concept of quality control and quality assurance
is relatively less applied and experienced for histological testing. This conceptual review article is an
attempt in the direction to observe best practices in a histology or histopathology laboratory. These best
practices have been observed and experienced by us over a long period while working in a histology
laboratory. Quality control and quality assurance involved at every step of the histological testing right
from the specimen collection up to issuing of the final report will help to achieve quality outcomes in a
comprehensive manner which ultimately will contribute towards achieving of a culture of total quality
management in a hospital or any healthcare organization.
Keywords: Quality; pre-analytical; analytical; post-analytical; histological; total quality
management
INTRODUCTION:
The discipline of Histology in the Department of
Anatomy or the section of Histopathology under
Laboratory Medicine deals with the scientific
study of cells & tissues and related diseases. The
study involves microscopy to look at cells and
tissues present in the specimens which have
been carefully prepared by undergoing
procedures called histological techniques. The
concept of quality assurance and quality control
is relatively new to these sections unlike other
parts of Laboratory Medicine.
It is basically due to inherent characteristics of
histology specimens and their studies including
lack of numerical data, subjective assessment of
histological and pathological slides, descriptive
reports, lack of standardized pattern of reporting
and individual bias and judgement while
interpreting the slides under the microscope.
1
In
cases of histological processing which are done
manually, most of the variables depend upon the
individual operator’s ability and training which
in turn influence the final findings.
REVIEW ARTICLE INTERNATIONAL JOURNAL OF MEDICAL LABORATORY RESEARCH
*Corresponding Author:
Poonam Chaudhary
Senior Medical Technologist, Department of Anatomy, GMCH, Sector -32, Chandigarh-160030