by Dr Astrid Stellingwerff

Quality Improvement Poster Download



Background & Problem

The Royal College of Pathologists (RCPath) has set standards and produced datasets to use in reports of malignancies. The diagnostic Services of Histopathology in Cheltenham General Hospital use a local dataset based on this standard regarding endometrial cancer. There should be a 100% compliance to the dataset, but a previous audit showed this was not reached.

Aim

There needs to be 100% compliance by September 2017.

Method

There were recommendations made in the previous audit and an interim audit was performed to assess the compliance during the implementation phase of these recommendations.

Results

The recommendations improved to compliance with a trend to 100%.

Implications

Though there is clear progress, an automation of the dataset and re-audit in 6 months is recommended.





Quality Improvement Presenter(s)
Dr Astrid Stellingwerff, Senior house officer with hope of becoming a pathologist
Quality Improvement Team
Dr S. Ferryman, Consultant cyto/histopathologist
Dr R. Fulmali, Consultant histopathologist
Dr L. Ludeman, Consultant histopathologist