Improving Quality & Safety in Your Endoscopy Unit (Virtual)

02_Levin_Colonoscopy

Pdf Summary

This document provides an overview of quality indicators for colonoscopy and emphasizes the importance of measuring and improving colonoscopy quality. The document discusses the common quality indicators for all gastrointestinal endoscopic procedures, including pre-colonoscopy, intra-colonoscopy, and post-colonoscopy indicators. It highlights the need for quality improvement in colonoscopy due to its high prevalence as a procedure, its effectiveness in reducing colorectal cancer incidence and mortality, and the variable performance of endoscopists. The document also addresses the challenges in measuring colonoscopy quality, such as determining appropriate surveillance intervals and documenting cecal intubation with photodocumentation. It emphasizes the importance of adenoma detection rate (ADR) as the single most important quality measure in colonoscopy and cites studies that demonstrate the association between higher ADR and lower risk of interval cancers and fatal cancers. The document also provides an update on colonoscopy surveillance recommendations, including changes in follow-up intervals for patients with adenomas and serrated polyps. It discusses strategies for improving colonoscopy quality, including feedback, education, and training, and the use of technology and best practices. The document concludes by highlighting the need for practices to develop workflows that facilitate quality measurement and reporting, and emphasizes the significance of measuring and reporting colonoscopy quality for improving patient outcomes.

Keywords

quality indicators

colonoscopy

measuring

improving

endoscopists

adenoma detection rate

ADR

surveillance intervals

colonoscopy surveillance recommendations

patient outcomes