Document Detail


Documentation of preoperative counselling for female sterilisation: a complete audit cycle.
MedLine Citation:
PMID:  15720843     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Female sterilisation is a commonly performed gynaecological procedure that attracts a disproportionate number of complaints and litigation. Documentation of the key counselling issues provides an important record of the information given to the woman prior to undergoing sterilisation. METHODS: Auditable standards were obtained from published guidelines. After the initial audit of 100 cases a proforma was introduced in an effort to improve documentation. A re-audit of 50 cases was undertaken to ascertain compliance of documentation following the introduction of the proforma. RESULTS: The proforma was used in 62% of cases and in all such cases documentation was 100% compliant with the auditable standards. Overall, documentation of standards pre- and post-proforma, respectively, was as follows (all the figures quoted are percentage values, with the range given in parentheses): 33 (24-43) vs 68 (53-80) for long-term alternatives, 94 (87-98) vs 78 (62-87) for irreversibility, 96 (90-99) vs 78 (64-88) for failure rate, 48 (38-58) vs 66 (51-79) for ectopic pregnancy risk if sterilisation fails, 39 (29-49) vs 66 (51-79) for the intended method, 67 (57-76) vs 66 (51-79) for operative risks and 37 (28-47) vs 64 (49-77) for continuing current contraception until sterilisation performed. CONCLUSIONS: Documentation of preoperative counselling for female sterilisation is often incomplete and does not comply with published recommendations. The introduction of a proforma resulted in a mixture of both improvement and deterioration of documentation. When the proforma was used, compliance with recommendations was 100%.
Authors:
Judy Anderson; Eleanor Gunn; Mandy Hunter; Philip Owen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of family planning and reproductive health care / Faculty of Family Planning & Reproductive Health Care, Royal College of Obstetricians & Gynaecologists     Volume:  31     ISSN:  1471-1893     ISO Abbreviation:  J Fam Plann Reprod Health Care     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-02-21     Completed Date:  2005-04-14     Revised Date:  2006-03-28    
Medline Journal Info:
Nlm Unique ID:  101087687     Medline TA:  J Fam Plann Reprod Health Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  24-5     Citation Subset:  IM    
Affiliation:
Department of Gynaecology, Stobhill Hospital, Glasgow, UK.
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MeSH Terms
Descriptor/Qualifier:
Counseling / standards*
Documentation
Female
Guideline Adherence
Humans
Laparoscopy / standards
Medical Audit*
Preoperative Care / standards*
Retrospective Studies
Scotland
Sterilization, Reproductive / methods,  standards*
Comments/Corrections
Comment In:
J Fam Plann Reprod Health Care. 2005 Oct;31(4):336-7; author reply 337   [PMID:  16274575 ]
J Fam Plann Reprod Health Care. 2006 Jan;32(1):53-4   [PMID:  16492348 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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