Quality improvement in colposcopy

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The NSCP Quality and Safety Monitoring Committee has developed a Quality Framework that includes quality standards and targets for individual diagnostic and therapeutic colposcopists.

Diagnostic and therapeutic colposcopists

Diagnostic and therapeutic colposcopy has been practised in the absence of any organised quality assurance program since before the commencement of the NCSPNational Cervical Screening ProgramA joint program of the Australian, state and territory governments. It aims to reduce morbidity and mortality from cervical cancer, in a cost-effective manner through an organised approach to cervical screening. The program encourages women in the target population to have regular Pap smears. in 1991. Within the pre-renewal NCSPNational Cervical Screening ProgramA joint program of the Australian, state and territory governments. It aims to reduce morbidity and mortality from cervical cancer, in a cost-effective manner through an organised approach to cervical screening. The program encourages women in the target population to have regular Pap smears., colposcopy is the only screening program element not included in quality assurance monitoring. The NCSPNational Cervical Screening ProgramA joint program of the Australian, state and territory governments. It aims to reduce morbidity and mortality from cervical cancer, in a cost-effective manner through an organised approach to cervical screening. The program encourages women in the target population to have regular Pap smears. Quality Framework, currently under development, includes the following statements:

  1. Colposcopic assessment should be performed in a timely manner to ensure the safety of women at risk of cervical cancer precursors.
  2. Women who are diagnosed with cervical cancer are appropriately referred to a certified gynaecological oncologist or gynaecological cancer treatment centre for further assessment and/or treatment.
  3. Women are appropriately treated and returned from colposcopic surveillance to routine screening in accordance with the clinical management guidelines.
  4. The therapeutic colposcopist adequately informs the woman and her usual cervical screening test collector of any follow-up that may be required in accordance with the clinical management guidelines.
  5. The quality of the colposcopic and therapeutic assessment procedures is regularly assessed. It is expected that all colposcopists (diagnostic and therapeutic), who provide services to the NCSPNational Cervical Screening ProgramA joint program of the Australian, state and territory governments. It aims to reduce morbidity and mortality from cervical cancer, in a cost-effective manner through an organised approach to cervical screening. The program encourages women in the target population to have regular Pap smears., will participate in a cervical management quality assurance program (CM-QAP). Quality standards for diagnostic colposcopists have been developed by the NCSPNational Cervical Screening ProgramA joint program of the Australian, state and territory governments. It aims to reduce morbidity and mortality from cervical cancer, in a cost-effective manner through an organised approach to cervical screening. The program encourages women in the target population to have regular Pap smears. to provide guidance for individual performance review.
  6. ColposcopistsHealth professionals, usually gynaecologists, trained to perform colposcopy. provide the National Cancer Screening RegisterA database of identifiable persons containing defined demographic and health information, established for a specific purpose. In the case of cervical screening or other cancer screening registers, the purpose includes inviting eligible persons for screening, sending reminders when they are overdue for screening, follow up of abnormalities, statistical reporting and research. with data in accordance with the minimum dataset.
  7. The National Cancer Screening RegisterA database of identifiable persons containing defined demographic and health information, established for a specific purpose. In the case of cervical screening or other cancer screening registers, the purpose includes inviting eligible persons for screening, sending reminders when they are overdue for screening, follow up of abnormalities, statistical reporting and research. provides colposcopists with individual performance data benchmarked to national standards for quality improvement and certification purposes.

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