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Completed projects

This page brings together completed RCOG audits and research projects.

Evaluation of surgical treatment for heavy menstrual bleeding using Hospital Episode Statistics

Aims 

To investigate and identify patterns of care, morbidity and patient outcomes related to women suffering with heavy menstrual bleeding in the UK.

Outputs

  • Bansi-Matharu L, Gurol-Urganci I, Mahmood TA, Templeton A, van der Meulen JH, Cromwell D. Rates of subsequent surgery following endometrial ablation among English women with menorrhagia: population-based cohort study. BJOG 2013;120:1500–7.
  • Kiran A, Knight HE, Tsang C, Gurol-Urganci I, Cromwell D, La Corte B, et al. ORCA: audit and research in obstetrics and gynaecology. London School of Hygiene & Tropical Medicine – 25 years of health services research. London, November 2013.
  • Cromwell D, Mahmood T, Templeton A, van der Meulen J. Rates of subsequent surgery following endometrial ablation among English women with menorrhagia: population-based cohort study. RCOG World Congress 2013, Liverpool, June 2013 (presented by Gurol-Urganci I).
  • Cromwell D, Mahmood T, Templeton A, van der Meulen J. Regional variation in surgery for menorrhagia in England. British International Congress of Obstetrics and Gynaecology. Belfast, June 2010.
  • Cromwell D, Mahmood T, Templeton A, van der Meulen J. Surgery for menorrhagia within English regions: variation in rates of endometrial ablation and hysterectomy. BJOG 2009;116:1373–9.
  • Cromwell D, Mahmood T, Templeton A, van der Meulen J. Surgical treatment for heavy menstrual bleeding within England: variation in rates of endometrial ablation and hysterectomy. HSRN conference ‘Delivering better health services’. Birmingham, June 2009.

Evaluation of caesarean section rates using Hospital Episode Statistics

Aims

To investigate and identify patterns of care, morbidity and patient outcomes related to women undergoing caesarean sections in the UK.

Outputs

Evaluation of rates, risk factors and patterns of care for vesicovaginal and urethrovaginal fistula using Hospital Episode Statistics

Aims

To investigate and identify patterns of care, morbidity and patient outcomes related to women who suffered vesicovaginal and urethrovaginal fistulae in the UK.

Outputs

Hospital Episode Statistics as a source of information on safety and quality in gynaecology to support revalidation

This project was funded by the Academy of Medical Royal Colleges (AoMRC).

Aims

This project investigated the value of Hospital Episode Statistics (HES) data to assess the quality of gynaecological care in English NHS trusts.

Outputs

Safer practice in intrapartum care: care bundle project

This was a joint project with the Royal College of Midwives (RCM) and the National Patient Safety Agency (NPSA).

Aims

This project was set up to oversee the development and testing of ‘care bundles’ in intrapartum care, for women requiring electronic fetal monitoring (EFM) during labour and for women with placenta praevia after previous lower segment caesarean section. Care bundles are a collection of interventions needed to effectively and safely care for patients.

Outputs

Children’s and maternity services in 2009: working time solutions

This was a joint project with the Royal College of Paediatrics and Child Health (RCPCH).

Aims

This project was developed to assess the impact of the implementation of the EU Working Time Directive and to explore possible solutions, specifically to ensure patient safety wasn’t compromised and that postgraduate training could be delivered effectively. Maternity and paediatric services faced particular difficulties owing to the need to have specialty-specific clinical skills immediately available 24/7.

Outputs

  • Royal College of Obstetricians and Gynaecologists, Royal College of Paediatrics and Child Health. Children’s and maternity services in 2009: working time solutions. London: RCOG; 2008.
  • Dunlop W. Children’s and maternity services in 2009: working time solutions: working in partnership with the National Workforce Projects: Annual Conference. London, July 2008.

Prevention of neonatal group B streptococcal disease 

Aims

This audit aimed to evaluate practice in UK obstetric units on the prevention of early-onset neonatal group B streptococcal disease against the recommendations of the first edition of the relevant RCOG Green-top Guideline (published 2003).

Outputs

National Sentinel Caesarean Section Audit

Aims

This was the first national survey of the caesarean section rate in England, Wales and Northern Ireland, providing information about the range and determinants of the caesarean section rate with comparative data (by country, region and maternity unit) about demographic, clinical and organizational factors that may be influential, and about the view of women and obstetricians.

Outputs

National Audit of Induced Abortion 2000

Aims

This audit was a national survey of clinical practice in England and Wales, undertaken as a baseline from which to evaluate change before publication of the RCOG’s evidence-based guideline on the care of women requesting induced abortion. It was the first national overview of the provision of abortion services.

Outputs

Implementation and uptake of clinical guidelines in obstetrics and gynaecology

Aims

The College began producing clinical guidance in the form of Green-top Guidelines in 1994, and in 1996 began to produce a series of national evidence-based guidelines with funding from the Department of Health. As a first step in assessing the uptake of clinical guidelines, the RCOG surveyed all consultant obstetricians and gynaecologists in the British Isles to assess their response to the distribution of College guidelines

Outputs 

Find out more

For information about the Lindsay Stewart Centre for Audit and Clinical Informatics, please visit the main audit and quality improvement page.

Contact us

For more information about any of the above projects, please email Hannah Knight or call +44 20 7772 6472.

Elsewhere on the site

Invited review service
Designed to help employers improve O&G services and/or individual clinical practice
Academic O&G
Find out how the RCOG supports and promotes academic work within obstetrics and gynaecology