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DISCPLINES: Embryology Andrology Ultrasound Endocrinology
Modules HEB HEC HEE HEF HER HES HET HOva
 
Information on QA Scheme: Blastocyst QAP - 2008
Comment = Images of day 5 human embryos for QAP purposes. The images are all animated gif files of multiple embryo images. The primary question used for quality assessments, the QAP question has been modified from 2003 with the introduction of a calculated embryo scrore parameter [ESP]. This allows for the assessment to be based upon the common criteria embryologists used in their daily embryo grading. The sum of each paramter leads to a calculated value that is submitted for assessment and comparison. The multiple images (3-4 animated images) is used to assess comparative judgements for both transfer and for freezing. A text based summary has been included allowing participants to review how others describe and guage embryos. While the replies to all questions can be probed from conformity, the QAP question forms the basis for internal quality control and for external comparison for both each staff member and for the clinic overall. A new question has been added to explore one capacity to identify the inner cell mass.
Number of enrollments =448 [* This indicates only the number of enrollments. Not all participants will have completed the scheme]
List of QA Issues (or Instalments)
Code Title Available from
HEF2008.01-1 Single Human Embryo 1/1/2008
HEF2008.01-2 Three human blastocysts 1/1/2008
HEF2008.02-1 Single Human Embryo 1/2/2008
HEF2008.02-2 Early Human Blastocyst 1/2/2008
HEF2008.02-3 Three human embryos 1/2/2008
HEF2008.03-1 Single Human Embryo 1/3/2008
HEF2008.03-2 Single Human Embryo 1/3/2008
HEF2008.03-3 Three Human Blastocysts 1/3/2008
HEF2008.04-1 Single Human Embryo 1/4/2008
HEF2008.04-2 Single Human Embryo 1/4/2008
HEF2008.04-3 Three Human Blastocysts 1/4/2008
HEF2008.05-1 Single Human Embryo 1/5/2008
HEF2008.05-2 Single Human Embryo 1/5/2008
HEF2008.05-3 Three Human Blastocysts 1/5/2008
HEF2008.06-1 Single Human Embryo 1/6/2008
HEF2008.06-2 Single Human Blastocyst 1/6/2008
HEF2008.06-3 Three Human Blastocysts 1/6/2008
HEF2008.07-1 Single Human Embryo 1/7/2008
HEF2008.07-2 Single Human Embryo 1/7/2008
HEF2008.07-3 Three Human Blastocysts 1/7/2008
HEF2008.08-1 Single Human Embryo 1/8/2008
HEF2008.08-2 Single Human Blastocyst 1/8/2008
HEF2008.08-3 Four human blastocysts 1/8/2008
HEF2008.09-1 Single Human Embryo 1/9/2008
HEF2008.09-2 Single Human Embryo 1/9/2008
HEF2008.09-3 Four human blastocysts 1/9/2008
HEF2008.10-1 Single Human Embryo 1/10/2008
HEF2008.10-2 Single Human Blastocyst 1/10/2008
HEF2008.10-3 Three human blastocysts 1/10/2008
HEF2008.11-1 Single Human Embryo 1/11/2008
HEF2008.11-2 Single Human Blastocyst 1/11/2008
HEF2008.11-3 Three human embryos 1/11/2008
HEF2008.12-1 Single Human Embryo 1/12/2008
HEF2008.12-2 Single human blastocyst 1/12/2008
HEF2008.12-3 Three human blastocysts 1/12/2008
List of Questions asked for QA Scheme:Blastocyst QAP - 2008
ID Question Question Format
11 Describe the appearance of the inner cell mass Defined Options
12 Describe the appearance of the trophectoderm Defined Options
203 Explain why you selected one embryo over the others for transfer? Educational Outcome
216 Explain why you would choose to freeze or discard each embryo. Educational Outcome
202 How would you describe this embryo AND GRADE BY YOUR OWN CLINICS GRADING PROCESS? Educational Outcome
393 Identify the location of the inner cell mass. Defined Options
563 If A was the only embryo, would you recommend its transfer? Defined Options
564 If B was the only embryo, would you recommend its transfer? Defined Options
565 If C was the only embryo, would you recommend its transfer? Defined Options
217 Is embryo A normal? Defined Options
218 Is embryo B normal? Defined Options
219 Is embryo C normal? Defined Options
28 Is the rate of cleavage normal? Defined Options
512 Please provide a brief comment of the embryology in relation to the clinical history [clinical review] Educational Outcome
589 This is a QA question. Would you consider the list of questions asked to assess a blastocyst sufficient? If not what further questions would you like to see asked and included in the formulation? Educational Outcome
210 What is the embryo score for this blastocyst Calculation Outcome
13 What stage of blastocyst formation is evident from the image? Defined Options
27 Which embryo would you rank first? Defined Options
41 Which embryo would you rank fourth? Defined Options
39 Which embryo would you rank second. Defined Options
40 Which embryo would you rank third? Defined Options
212 Would you freeze embryo A? Defined Options
213 Would you freeze embryo B? Defined Options
214 Would you freeze embryo C? Defined Options
215 Would you freeze embryo D? Defined Options
Detailed Information on Question: Identify the location of the inner cell mass.
Status This is not a key question for the Scheme    
Type Defined Options
Order Question Options
1 First quarter (12-3 o`clock)
2 Second quarter ( 4-6 o`clock)
3 Third quarter (7-9 o`clock)
4 Forth quarter (10-11 o`clock)
5 Top of embryo (start of animation)
6 Bottom on embryo ( end of animation)
7 The inner cell mass is not identifable.
 
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