ASC-H: Quality Improvement, Ancillary HPV testing, and Medicolegal aspects 1) Highlight blinded review quality improvement technique employed at MWH to enhance ASC-H detection 2) medicolegal ramifications of disputed retrospective ASC-H interpretations. 3) Unpublished data on the usefulness of HPV testing in the largest series reported to date from MWH
Multiple Slide Blinded Reviews as a Quality Improvement Tool
Identify Pap tests screened as negative or equivocally abnormal preceding subsequent diagnoses of CIN2/3, AIS, or cervical cancer.
Insert Pap tests of interest into 10-20 slide cytology challenge sets.
Ask staff cytotechnologists to rescreen and interpret all cases on anonymous answer sheets.
Review rescreening findings with staff along with histologic and cytologic follow-up.
Paps #1 and 2 Two Negative Paps Preceding CIN2 Biopsy Result