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Quality Improvements In The Management Of Fibroid Lesions of the Uterus

Recently The Ottawa Hospital’s Department of Obstetrics, Gynecology and Newborn Care and the Department of Diagnostic Imaging worked together to complete an analysis of the systems related to the detection, tracking and management of uterine problems. The review included an internal analysis of all aspects of the diagnosis and treatment of patients with uterine fibroids as well as the canvassing of several facilities across Canada which perform Uterine Artery Embolization (UAE). UEA is a procedure used to treat symptomatic fibroids and works by blocking the blood flow to these fibroids. The Uterine Artery Embolization program initiated in 1998 at The Ottawa Hospital was one of the first in Canada and is a benchmark to other programs. As with any quality review, the goal was to look at best practices and to identify changes for improved quality of care.

As a result of this review a number of changes have been made involving both departments. Mapping and tracking of lesions, cysts or swellings, now includes a diagram that is scanned into the imaging system. As a result, the locations of lesions can more easily be reconfirmed on each visit. A comprehensive requisition form is used to facilitate the sharing of information between caregivers. An enhanced consultation process has been developed to assist and facilitate communication between specialists. As well, a checklist was updated to assist physicians in follow-up of UAE patients. Patients will also have access to this checklist which is in addition to the information booklet which has been available for several years.

The changes made by the hospital will enhance the quality of care provided to women experiencing uterine fibroids and treatment and will facilitate early diagnosis should the patient develop a further pathology. We would like to thank all who participated in identifying new approaches and ensuring that they have been implemented.