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Measuring the significance of workload on performance of cytotechnologists in gynecologic cytology

✍ Scribed by Deschenes, Majorie ;Renshaw, Andrew A. ;Auger, Manon

Publisher
John Wiley and Sons
Year
2008
Tongue
English
Weight
112 KB
Volume
114
Category
Article
ISSN
0008-543X

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✦ Synopsis

BACKGROUND.

Workload is extensively regulated and often used as a measure of quality in gynecologic cytology. Whether workload correlates with the sensitivity of screening in gynecologic cytology is not known.

METHODS.

The sensitivity of gynecologic cytology screening was measured over an 8-month period using the result of full screening coupled with the results of rapid prescreening. Sensitivity results were then correlated with daily workload volumes and the experience level of individual cytotechnologists.

RESULTS.

Rapid prescreening had an average sensitivity of 41.9% for atypical squamous cells of undetermined significance (ASCUS) and above. Full screening had a corrected sensitivity of 82.2% for ASCUS and above. Rapid prescreening increased the sensitivity of the laboratory to 89.9%. The sensitivity of full screening was significantly different between cytotechnologists (79.2% vs 99%, P \ .001), but was not correlated with years of experience, sensitivity of rapid prescreening, or workload (all P [ .05). When sensitivity and workload were examined on a monthly basis, there was no significant difference between sensitivity either as a group or individually at the highest and lowest workloads (P [.40 for all).

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