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Chapter 14 - The Organisation of Services and Quality Assurance in Fertility Practice

Published online by Cambridge University Press:  25 February 2021

Siladitya Bhattacharya
Affiliation:
University of Aberdeen
Mark Hamilton
Affiliation:
University of Aberdeen
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Summary

This chapter seeks to give an overview of the place of Quality Management (QM) in contemporary fertility practice. It provides the reader with an understanding of the terminology used in QM and explores the definition of quality and success in fertility care. An examination of process modelling in the organisation of services is outlined and an analysis in practical terms as to how QM is applied in practice is provided, covering key issues such as document control, organisational structure and the role of the quality manager. Audit as a tool for improving quality is a fundamental tool and its use within a clinical governance framework including risk management/assessment, and other key responsibilities is detailed. Measuring what we do, analysing performance and setting targets to improve should be fundamental to how we approach our work in contemporary clinical practice.

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Chapter
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Publisher: Cambridge University Press
Print publication year: 2021

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References

Further Reading

Alper, MM. Experience with ISO quality control in assisted reproductive technology Fertil Steril. 2013;100:1503–8.CrossRefGoogle ScholarPubMed
Dancet, EAF, D’Hooghe, TM, Spiessens, C, Sermeus, W, De NeuBourg, D, Karel, N, et al. Quality indicators for all dimensions of infertility care quality: consensus between professionals and patients Hum Reprod. 2013;28:1584–97.Google Scholar
ESHRE Special Interest Group of Embryology and Alpha Scientists in Reproductive Medicine. The Vienna consensus: report of an expert meeting on the development of art laboratory performance indicators. Hum Reprod. Open. 2017. DOI: 10.1093/hropen/hox011 117.CrossRefGoogle Scholar
Human Fertilisation and Embryology Authority. Code of Practice, 9th ed. Revised January 2019. Available at: www.hfea.gov.uk/media/2793/2019–01-03-code-of-practice-9th-edition-v2.pdf (accessed February 2019).Google Scholar
Human Fertilisation and Embryology Authority. Fertility Treatment 2014–2016 Trends and Figures. Available at: www.hfea.gov.uk/media/2563/hfea-fertility-trends-and-figures-2017-v2.pdf (accessed March 2019).Google Scholar
Olofsson, JI, Banker, MR, Sjoblom, LP. Quality Management systems for your in vitro fertilization clinic’s laboratory: why bother? J Hum Rep Sci. 2013;6:38.Google ScholarPubMed
World Health Organization. Quality of Care: A process for making strategic choices in health systems. Available at: www.who.int/management/quality/assurance/QualityCare_B.Def.pdf (accessed February 2019).Google Scholar

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