Monitoring the practice standard review efficiency
O. Casian-Botez, L. Coca, A. Adascalitei, G. Sovaliev
‘Elena Doamna’ Women’s Wellness Center, Iasi, Romania
Objective: To prove the efficiency of the practice standard review, by
analysing the monitoring criteria for the practice standard review applied to
infertility problems treated within the WWC Iasi.
Tools and method: Between 2000–2003 we conducted periodical practice
standard reviews for various problems related to couple infertility (infertility
with ovarian causes, male infertility, artificial insemination). We maintained
the same efficiency monitoring criteria for each practice standard review we
performed. These were: number of couples who addressed our service, number of
couples with infertility from unidentified causes, number of pregnancies
following infertility treatment. Our retrospective survey emphasises a
progressive increase in the number of couples who addressed the services of the
WWC Iasi (2001, 2002,2003). A decrease by in the number of cases of infertility
from unidentified causes (from 53% to 16%). An increase by 9,27% of the number
of pregnancies resulting from infertility treatment.
Conclusions: A thoroughly controlled practice standard review is the
ideal method to ensure that medical practice is performed according to the
latest evidence base. It is essential to encourage the staff to keep up to date
with the latest evidence base in this domain. The question that remains is that
of the balance between the need for autonomy of the staff and the need to
control the practice standard reviews.