Document Detail

Weekly rescreening of 10% of the total cervical Papanicolaou smears: a worthwhile quality assurance scheme.
MedLine Citation:
PMID:  16083199     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: In awareness of possible false negative cervical Papanicolaou tests in routine service, the authors developed and tested a new scheme that would be a practical adjunct in quality assurance. OBJECTIVE: To evaluate the value of a weekly rescreen of 10% of the total cervical Papanicolaou smears as a quality assurance scheme. DESIGN: A prospective descriptive study. RESULTS: Of 31,914 slides in the 9-month study period, a total of 3,097 slides (9.7%) were picked up in the rescreen scheme. There were 29 discordant cases (0.9%) consisting of 7 cases (0.2%) of errors from the initial reporting, 2 cases of errors from the rescreening and 20 other cases from disagreements on designating atypical squamous cells of undetermined significance. The errors of the initial reports could be further classified into 6 cases due to screening errors and one case because of interpretation error. The proper diagnoses had been revised and resent to the attending gynecologists. CONCLUSION: A weekly rescreening 10% of total cervical Papanicolaou smears scheme was worthwhile for quality assurance. It could be used for evaluating screener performance and create internal quality improvement. The detected false diagnoses were manageable.
Pichet Sampatanukul; Pongsak Wannakrairot; Usanee Promprakob; Sirisanpang Yodavudh; Chaiyut Anansiriprapa
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Medical Association of Thailand = Chotmaihet thangphaet     Volume:  87 Suppl 2     ISSN:  0125-2208     ISO Abbreviation:  J Med Assoc Thai     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2005-08-08     Completed Date:  2005-09-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7507216     Medline TA:  J Med Assoc Thai     Country:  Thailand    
Other Details:
Languages:  eng     Pagination:  S261-5     Citation Subset:  IM    
Department of Pathology, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.
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MeSH Terms
False Negative Reactions
Laboratories / standards*
Prospective Studies
Quality Assurance, Health Care*
Vaginal Smears / standards*

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