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Heavy menstrual bleeding [QS47]

Measuring the use of this guidance

Statement: 1

Women presenting with symptoms of heavy menstrual bleeding have a detailed history and a full blood count taken.

Quality standard measure: Proportion of women presenting with symptoms of heavy menstrual bleeding who have a detailed history and a full blood count taken.
What was measured: Proportion of women who were asked about their quality of life before referral for heavy menstrual bleeding.
Data collection end: May 2013
23%
Area covered: Local
Source: Joseph B.M. (2014) Primary care referrals for heavy menstrual bleeding. Gynecological Surgery; 329-330

Quality standard measure: Proportion of women presenting with symptoms of heavy menstrual bleeding who have a detailed history and a full blood count taken.
What was measured: Percentage of hospitals that 'always' or mostly' considered taking a full blood count.
Data collection end: December 2013
53.1%
Number that met the criteria: 95 / 179
Area covered: National
Source: The Royal College of Obstetricians and Gynaecologists. National Heavy Menstrual Bleeding Audit.

Quality standard measure: Proportion of women presenting with symptoms of heavy menstrual bleeding who have a detailed history and a full blood count taken.
What was measured: Percentage of hospitals that reported that patients would ‘always’ or ‘mostly’ have had full blood count in primary care before being referred to hospital.
Data collection end: December 2013
52.2%
Area covered: National
Source: The Royal College of Obstetricians and Gynaecologists. National Heavy Menstrual Bleeding Audit.

Quality standard measure: Proportion of women presenting with symptoms of heavy menstrual bleeding who have a detailed history and a full blood count taken.
What was measured: Proportion of women who had a full blood count carried out before referral for heavy menstrual bleeding.
Data collection end: May 2013
24%
Area covered: Local
Source: Joseph B.M. (2014) Primary care referrals for heavy menstrual bleeding. Gynecological Surgery; 329-330


Statement: 2

Women with heavy menstrual bleeding in whom a structural or histological abnormality is suspected have a physical examination before referral for further investigations.

Quality standard measure: Proportion of women with heavy menstrual bleeding in whom a structural or histological abnormality is suspected who have a physical examination before referral for further investigations.
What was measured: Proportion of women who had an abdominal examination before referral for heavy menstrual bleeding.
Data collection end: May 2013
9%
Area covered: Local
Source: Joseph B.M. (2014) Primary care referrals for heavy menstrual bleeding. Gynecological Surgery; 329-330

Quality standard measure: Proportion of women with heavy menstrual bleeding in whom a structural or histological abnormality is suspected who have a physical examination before referral for further investigations.
What was measured: Proportion of women who had an vaginal examination before referral for heavy menstrual bleeding.
Data collection end: May 2013
24%
Area covered: Local
Source: Joseph B.M. (2014) Primary care referrals for heavy menstrual bleeding. Gynecological Surgery; 329-330



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