| Documentation of preoperative counselling for female sterilisation: a complete audit cycle. | |
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MedLine Citation:
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PMID: 15720843 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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%. |
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Authors:
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Judy Anderson; Eleanor Gunn; Mandy Hunter; Philip Owen |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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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:
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Created Date: 2005-02-21 Completed Date: 2005-04-14 Revised Date: 2006-03-28 |
Medline Journal Info:
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Nlm Unique ID: 101087687 Medline TA: J Fam Plann Reprod Health Care Country: England |
Other Details:
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Languages: eng Pagination: 24-5 Citation Subset: IM |
Affiliation:
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Department of Gynaecology, Stobhill Hospital, Glasgow, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Counseling
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standards* Documentation Female Guideline Adherence Humans Laparoscopy / standards Medical Audit* Preoperative Care / standards* Retrospective Studies Scotland Sterilization, Reproductive / methods, standards* |
| Comments/Corrections | |
Comment In:
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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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