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PUL rate
 Definition:
 A clinically stable woman who presents with a positive pregnancy test, but no transvaginal ultrasound evidence of intra- or extrauterine pregnancy
 Why is it a good indicator?
 Directly related to quality of scanning  Reproducible outcome measure
 Consensus statement on PUL (2005)
 In modern EPAUs using TVS, PUL rate should be <15%
Follow-up rate
 Definition:
 Number of return visits to clinic for scan/blood tests
 Why is it a good indicator?
 Quality of scanning
 Evidence of a structured approach to clinical care with most problems resolved at first presentation
BUT
 Natural history of early pregnancy  Service accessibility
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PRECONGRESS COURSE 05 I BARCELONA, SPAIN – 1 JULY 2018 27