Run Surgical Specimen Handoff to Pathology Audit — Free

Audit Details

Audit date and time recorded

Audited location or service line identified

Specimen type or case reviewed documented

Inspector name and role recorded

Applicable policy, SOP, or reference document identified

Specimen Labeling and Identification

Specimen container label includes two patient identifiers critical (required)

Yes No N/A

Specimen label matches the requisition exactly critical (required)

Yes No N/A

Specimen source/site and laterality documented consistently critical (required)

Yes No N/A

Specimen container integrity maintained at handoff critical (required)

Yes No N/A

Unlabeled, partially labeled, or illegible specimens identified as non-conformances critical (required)

Yes No N/A

Requisition Match and Documentation

Requisition contains patient name and medical record number matching the specimen record critical (required)

Yes No N/A

Requisition includes specimen source, test requested, and collection date/time critical (required)

Yes No N/A

Collector or OR staff documentation is complete and legible

Yes No N/A

Any special handling instructions are documented and followed

Yes No N/A

Discrepancies between requisition and specimen are documented as a non-conformance critical (required)

Yes No N/A

Chain of Custody and Handoff

Handoff from OR to pathology is documented with date, time, and receiving party critical (required)

Yes No N/A

Specimen transfer includes sender and receiver identification or signature critical (required)

Yes No N/A

Specimen remained under controlled custody during transfer critical (required)

Yes No N/A

Transport method was appropriate for specimen type and handling requirements

Yes No N/A

Any delay, loss, or break in custody was escalated and documented critical (required)

Yes No N/A

Pathology Receipt and Non-Conformance Review

Pathology receipt confirms specimen acceptance or rejection status critical (required)

Yes No N/A

Rejected specimens have documented reason and disposition

Yes No N/A

Corrective action or incident report initiated for labeling or custody defects

Yes No N/A

Audit findings reviewed with responsible department leadership

Yes No N/A

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Run: Surgical Specimen Handoff to Pathology Audit

Audit Details

Specimen Labeling and Identification

Requisition Match and Documentation

Chain of Custody and Handoff

Pathology Receipt and Non-Conformance Review

Get your results