Colposcopy audit for improving quality of service in areas with a high incidence of cervical cancer.
OBJECTIVE
To audit routine colposcopy performance using 8 standard requirements of the National Health Service Cervical Screening Programme (NHSCSP).


METHODS
Records of women who underwent colposcopy for abnormal cervical cytology between January and December 2008 at Chiang Mai University Hospital, Thailand, were reviewed.


RESULTS
The standard requirements were not achieved in 2 practices: (1) the proportion of women who had recordings of visibility of the transformation zone (96.6%) did not achieve the NHSCSP requirement of 100%; and (2) the rate of excisional biopsy (87.8%) was lower than the 95% minimum required.


CONCLUSIONS
Colposcopic performance at Chiang Mai University Hospital was generally favorable. However, re-audit is necessary to ensure that unmet standards of performance are improved and achieved standards are maintained.
Manopunya
Manatsawee
M
Department of Obstetrics and Gynecology, Chiang Mai University, Chiang Mai, Thailand.
Suprasert
Prapaporn
P
Srisomboon
Jatupol
J
Kietpeerakool
Chumnan
C
D000293:Adolescent; D000328:Adult; D000368:Aged; D003127:Colposcopy / Q000592:standards*; D005260:Female; D005500:Follow-Up Studies; D006785:Hospitals, University; D006801:Humans; D008403:Mass Screening / Q000379:methods; D008485:Medical Audit; D008875:Middle Aged; D011785:Quality Assurance, Health Care; D013785:Thailand / Q000453:epidemiology; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000453:epidemiology / Q000473:pathology; D055815:Young Adult