Compliance with Quality Standards and Causes of Incomplete Colonoscopy: A Prospective Observational Study (original) (raw)
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Gastroentérologie Clinique et Biologique, 2009
Objectives. -To produce valid information, an evaluation of professional practices has to assess the quality of all practices before, during and after the procedure under study. Several auditing techniques have been proposed for colonoscopy. The purpose of this work is to describe a straightforward original validated method for the prospective evaluation of professional practices in the field of colonoscopy applicable in all endoscopy units without increasing the staff work load. Methods. -Pertinent quality-control criteria (14 items) were identified by the endoscopists at the Cochin Hospital and were compatible with: findings in the available literature; guidelines proposed by the Superior Health Authority; and application in any endoscopy unit. Prospective routine data were collected and the methodology validated by evaluating 50 colonoscopies every quarter for one year.
Quality Assurance and Colonoscopy
Endoscopy, 1999
Little is known concerning the usefulness and feasibility of quality assurance pro grams in gastrointestinal departments. The aim of this study was to identify the indicators of quality in colo noscopy, to check their use in clinical practice, and to identify their threshold values.
Colonoscopy completion rates and reasons for incompletion
International journal of health sciences, 2011
Colonoscopy is one of the major procedures in gastroenterology. Since the procedure is operator dependant, Quality of each procedure is the main element of reliable outcome. One of the elements is the completion rate. Completion rate of endoscopy unit is a reliable measure to improve the quality of the procedure. We here reviewed retrospectively our endoscopy database from the main tertiary hospital in Qassim province, central part of Saudi Arabia. The recommended completion based on several professional societies range from 90 - 95 % completion rate according to the indication. We retrospectively reviewed our endoscopy database over the period from 2005 to 2008 in King Fahad Specialist Hospital. Our adjusted completion rate was 85.3 %. The main reason of incompletion was poor preparation. Our completion rate was comparable throughout the study period. our completion rate is below recommended range. We think this result will stimulate the efforts to incorporate more quality measures...
Quality of colonoscopy practice: a single-center experience in Egypt
The Egyptian Journal of Internal Medicine, 2016
Background Colonoscopy is a technically demanding procedure with the potential to cause harm if its performance is suboptimal. It is incumbent on endoscopists, therefore, to evaluate their practices and to make improvements wherever possible. Bolak Eldakror Hospital is a secondary-care governmental hospital in Egypt in which we set up an endoscopy quality-assurance program in 2003. Aim The aim of this study was specifically to evaluate the quality of colonoscopy practice in our endoscopy unit and by publishing our experience to encourage others to develop a quality-improvement program. Patients and methods Predetermined international quality indicators for colonoscopy were employed to monitor the standard of endoscopic procedures between 2010 and 2014. Recorded information included all medical and technical details. Results A total of 286 colonoscopies were assessed. The main indication of colonoscopy was hematochezia (58.7%). Polyps were the main endoscopic findings (34.6%). Conscious sedation was used in 56.6%. Cecal intubation was achieved in 77.6%. The adjusted cecal intubation was 94%. Image documentation of cecal intubation was achieved in 92.3% examinations reaching the cecum. Mean cecal intubation time was 17.4±10 min. Mean withdrawal time was 6.6±4 min. The main reasons for unsuccessful cecal intubation were impassable mass or stricture in 23 (8%) colonoscopies and poor bowel preparation in 23 (8%). Colon preparation was rated adequate in 66.4%. Diagnostic colorectal biopsies for those with persistent diarrhea were obtained in 97%. Polyp detection rate was 36.1% and adenoma detection rate was 5.3%. Polypectomy was carried out in 89 (93.6%) patients with detected polyp/s. Retrieval of all excised polyps was successful in 84.3%. Postpolypectomy perforation occurred in one (0.4%) patient. Conclusion A high standard of colonoscopy can be achieved by the rigorous application of quality-assurance measures.
Quality indicators in colonoscopy. The colonoscopy procedure
Revista Espanola De Enfermedades Digestivas, 2018
The aim of the project this paper is part of was to propose quality and safety procedures and indicators to facilitate quality improvement in digestive endoscopy units. In this second issue, procedures and indicators are suggested regarding colonoscopy. First, a diagram charting the previous and subsequent steps of colonoscopy was designed. A group of experts in health care quality and/or endoscopy, under the auspices of the Sociedad Española de Patología Digestiva (SEPD), performed a qualitative review of the literature regarding colonoscopy-related quality indicators. Subsequently, using a paired-analysis method, the aforementioned literature was selected and analyzed. A total of 13 specific indicators were found aside of the common markers elsewhere described, ten of which are process-related (one pre-procedure, seven procedure, and two post-procedure markers) while the remaining three are outcome-related. Quality of evidence was assessed for each one of them using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) classification.
Endoscopy International Open, 2021
Background and study aims The European Colonoscopy Quality Investigation (ECQI) Group comprises expert colonoscopists and investigators with the aim of raising colonoscopy standards. We assessed the levels of monitoring and achievement of European Society of Gastrointestinal Endoscopy (ESGE) performance measures (PMs) across Europe using responses to the ECQI questionnaires. Methods The questionnaire comprises three forms: institution and practitioner questionnaires are completed once; a procedure questionnaire is completed on multiple occasions for individual total colonoscopies. ESGE PMs were approximated as closely as possible from the data collected via the procedure questionnaire. Procedure data could provide rate of adequate bowel preparation, cecal intubation rate (CIR), withdrawal time, polyp detection rate (PDR), and tattooing resection sites. Results We evaluated ECQI questionnaire data collected between June 2016 and April 2018, comprising 91 practitioner and 52 instituti...
Real-life risk factors of inadequate procedure prior to colonoscopy in a Turkish population
2022
Colonoscopy is one of the main diagnostic tools for symptoms related to the colon and colorectal cancer screening programs. Inadequate cleansing of colonoscopy leads to misdiagnosis of adenomas. It is recommended to re-evaluate ineffective colonoscopy. It is of utmost importance to predict whether the bowel is clean or not because the procedure is expensive, invasive and timeconsuming. This study aimed to identify the risk factors of inadequate bowel preparation. The consecutive two hundred and fifty-three patients who were referred for colonoscopy were enrolled into the study. The demographic and clinical data were obtained using a questionnaire. Only 79.1% of colonoscopy were assessed as adequate. In the univariate analysis; adherence to protocol, older age, consuming high-fiber diet in last two days, number of days of low residue diet, consumed all laxative, consumed 1.5 L water after laxative usage, regular diet for dinner before the day of colonoscopy, amount of water consumed ...