Chorionic villus sampling: quality control--a continuous improvement model.
OBJECTIVE
Our purpose was to describe Vanderbilt University Medical Center's experience in establishing a chorionic villus sampling program and the importance of quality control along with a continuous improvement model on the first 1000 cases.


METHODS
A continuous improvement model was established with emphasis on a multidisciplinary team approach and quality assurance process. A computerized data base was used for continuing analysis of complications and for allowing facile access to pertinent information.


RESULTS
A continuous improvement model allowed for an improved process and outcome for patients, personnel, and referring health care providers. Follow-up for initial symptoms after chorionic villus sampling was obtained on 98.5% of patients. Pregnancy follow-up, including birth data, was obtained on 93%.


CONCLUSIONS
A continuous improvement mode from the project's onset resulted in an improved process and outcome, information helpful for accessing spontaneous abortion rates and pregnancy outcomes (including the incidence of limb abnormalities and factors associated with abortions) and recommendations for training personnel.
Boehm
F H
FH
Department of Obstetrics and Gynecology, Vanderbilt University Medical Center, Nashville, TN.
Salyer
S L
SL
Dev
V G
VG
Reed
G W
GW
D000022:Abortion, Spontaneous / Q000209:etiology; D015193:Chorionic Villi Sampling / Q000009:adverse effects; D005260:Female; D006801:Humans; D007621:Karyotyping; D017880:Limb Deformities, Congenital; D008962:Models, Theoretical; D011247:Pregnancy; D011786:Quality Control; D012044:Regression Analysis; D012732:Sex Determination Analysis; D011795:Surveys and Questionnaires