Retrospective audit of standards and quality in colposcopy services in a district hospital

TS Shylasree MRCOG, M Ashraf MRCOG, NS Jayawickrama FRCOG
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Abstract A retrospective audit to compare the performance of a colposcopy clinic with the standards set by National Health Service Cervical Screening Programme (NHSCSP) was carried out at Caerphilly District Miners Hospital, South Wales, United Kingdom. The study sample size consisted of 150 women who underwent colposcopy and diathermy large loop excision of the transformation zone (LLETZ) for abnormal cytology during January l995 to January 1998. The results showed deficiencies in the areas of communication for clinic appointments for women with high-grade cytology and in information given to general practitioners about test results. The services fell short of the standards in recording of colposcopy findings and grading of lesions. The rest of the parameters audited reached the NHSCSP standards. Recommendations to improve communication and to increase the objectivity of recording colpscopy findings were made. A more practical approach to set standards in areas of communication was suggested.

某地区医院阴道镜检查服务标准与质量的回顾性审核
摘要在英国南威尔士卡菲利区矿工医院进行了回顾性审计,以比较阴道镜检查诊所的表现与国家卫生服务子宫颈筛查计划(NHSCSP)设定的标准。研究样本量包括150名妇女,她们在1995年1月至1998年1月期间因细胞学异常接受了阴道镜检查和热疗大环切除(LLETZ)。结果表明,在与高级别细胞学检查的妇女进行门诊预约的沟通方面存在缺陷,并且在向全科医生提供有关检查结果的信息方面存在缺陷。这些服务在记录阴道镜检查结果和病变分级方面达不到标准。其余经审计的参数均达到NHSCSP标准。提出了改善沟通和提高记录镜检结果客观性的建议。有人建议采取一种更实际的办法来制订通讯领域的标准。
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