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How are we doing? Benchmarking
• ICSI damage rate (the proportion of injected oocytes which degenerate during, or immediately after, the injection procedure) • Zygote grade • Cleavage rate (e.g. the proportion of zygotes which cleave to become embryos) • Embryo development rate (e.g. the proportion of cleaved embryos which are at the 4-cell stage 2 days after insemination; the proportion of cleaved embryos which are at the 8-cell stage 3 days after insemination; and/or the proportion of embryos which are at the blastocyst stage 5 days after insemination) • Embryo fragmentation rate (e.g. the proportion of Day 3 embryos with <5% fragmentation) • Embryo score or “grade” (e.g. the proportion of Day 3 embryos with the highest score) • Embryo utilization rate (the proportion of cleaved embryos which were transferred or cryopreserved) • Embryo cryosurvival rate Efficiency
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Number of tests handled by individual operators Time lag between receipt of an enquiry and the response Proportion of patient records which are complete Number of telephone calls answered by a person, rather than by voicemail • Average delay between completion of a test and the publication of results Best practice
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Incident reports Treatment complications Infection and Accident Reports Number of comments received per month (both positive and negative)