Assembling an ADR Improvement Toolkit for Your Practice

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The document discusses the importance of quality in colonoscopy procedures and provides guidance on how to improve Adenoma Detection Rate (ADR) as a key quality indicator. It emphasizes the significance of ADR in detecting and preventing colorectal cancer and reducing missed cases. The text outlines various quality indicators of colonoscopy, such as completion rate, withdrawal time, and prep quality, that influence the effectiveness of the examination.<br /><br />Key interventions to enhance ADR include tools like longer withdrawal times, water exchange, video recording, and educational courses. Improving prep quality through split doses and proper timing is highlighted, along with techniques for better polyp recognition and inspection. The role of technology, such as high-definition endoscopes and advanced imaging techniques, in boosting ADR is discussed.<br /><br />Additionally, the document suggests systemic interventions like participating in quality improvement programs such as GIQuIC and training endoscopy leaders to elevate ADR rates. It also delves into the impact of AI-enabled programs on ADR improvement. The text concludes by emphasizing the need for multifaceted approaches, continuous feedback, and persistent efforts to elevate the quality of colonoscopy practices. It encourages practitioners to commit to quality, track metrics, ensure excellent prep quality, and consider factors beyond ADR for comprehensive improvement.

Keywords

colonoscopy procedures

Adenoma Detection Rate

colorectal cancer prevention

quality indicators

withdrawal time

prep quality

polyp recognition

high-definition endoscopes

GIQuIC program

AI-enabled programs