{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T04:53:24Z","timestamp":1696308804318},"reference-count":24,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,2,5]],"date-time":"2013-02-05T00:00:00Z","timestamp":1360022400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cytopathology"],"published-print":{"date-parts":[[2013,8]]},"abstract":"Objective<\/jats:title>To investigate the sampling performance of individual cervical cytology practitioners using the transformation zone sampling rate (TZSR<\/jats:styled-content>) as a performance indicator and to assess the impact of dedicated on site training for those identified with a low TZSR<\/jats:styled-content>.<\/jats:p><\/jats:sec>Methods<\/jats:title>The TZSR<\/jats:styled-content> was calculated for all practitioners submitting T<\/jats:styled-content>hinPrep\u00ae<\/jats:sup> cervical cytology specimens to the Conquest laboratory between J<\/jats:styled-content>anuary 2010 and N<\/jats:styled-content>ovember 2011. After excluding those with less than 30 qualifying samples the 10th percentile of the TZSR<\/jats:styled-content> was calculated. Practitioners with a TZSR<\/jats:styled-content> below the 10th percentile were visited by a specialist cervical cytology screening facilitator after which the TZSR<\/jats:styled-content> of these practitioners was closely monitored.<\/jats:p><\/jats:sec>Results<\/jats:title>After exclusions there were 175 practitioners who had collected 24\u00a0358 qualifying liquid\u2010based cytology (LBC)<\/jats:styled-content> samples. The average TZSR<\/jats:styled-content> was 70% (range 12\u201396%). The 10th percentile was 44%; 18 scored below the 10th percentile. Failure to apply sufficient pressure when sampling was identified as the most common reason for a low TZSR<\/jats:styled-content>. In some cases there was suspicion that the cervix was not always adequately visualized. Continuous monitoring after assessment identified improvement in the TZSR<\/jats:styled-content>s of 13\/18 practitioners.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Identification of practitioners with low TZSR<\/jats:styled-content>s compared with their peers allows these individuals to be selected for personalized observation and training by a specialist in cervical cytology which can lead to an improvement in TZSR<\/jats:styled-content>. As previous studies show a significant correlation between the TZSR<\/jats:styled-content> and the detection rate of cytological abnormality it is useful to investigate low TZSR<\/jats:styled-content>s.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cyt.12045","type":"journal-article","created":{"date-parts":[[2013,2,5]],"date-time":"2013-02-05T07:51:29Z","timestamp":1360050689000},"page":"222-227","source":"Crossref","is-referenced-by-count":2,"title":["Transformation zone sampling rate used as a performance indicator for cervical liquid\u2010based cytology sample\u2010takers"],"prefix":"10.1111","volume":"24","author":[{"given":"C. A.","family":"Faraker","sequence":"first","affiliation":[{"name":"Cytology Department Conquest Hospital East Sussex Healthcare NHS Trust St Leonards\u2010on\u2010Sea East Sussex UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Greenfield","sequence":"additional","affiliation":[{"name":"Public Health Directorate Working on behalf of NHS Sussex and East Sussex County Council Lewes East Sussex UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,2,5]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"NHSCSP Publication No 8. (1997)Guidelines for Clinical Practice and Programme Management.2ndedn.http:\/\/www.cancerscreening.nhs.uk\/cervical\/publications\/pm-06.html[accessed on 10 December 2012]."},{"key":"e_1_2_6_3_1","unstructured":"NHSCSP Publication NO 23. 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