Multicentre criterion based audit of the management of induced abortion in Scotland

摘要: Abstract Objectives: To assess and improve the quality of care provided to women undergoing induced abortion. Design — Two rounds prospective, criterion based case note review audit. Setting: Ten NHS gynaecology units throughout Scotland. Subjects: 2004 patient episodes abortion identified consecutively during two The first round comprised 967 cases second 1037. Interventions: Dissemination results from audit recommendations for change20in form a written report at postgraduate meetings in participating hospitals. Main outcome measures: Improvements as assessed against 16 previously agreed criteria, both overall across 10 study hospitals within individual Results: Overall, four significant improvements occurred: increased availability early medical abortion, decreased utilisation surgical very gestation, use mifepristone priming before trimester provision follow up. At hospital level 42 150 elements studied20were “close optimal” time audit, rising 54 (NS). A total 31 occurred, but 11 deteriorations also occurred (at P Conclusions: prospective multicentre proved feasible aqnd achieved aims any terms identifying deficiencies variations care. promoted objective local services least some were detectable.