Improving Quality and Safety In Your Endoscopy Unit: Live and Virtual | October 2022-02_Levin_Colonoscopy

02_Levin_Colonoscopy _Updated

Pdf Summary

This document discusses quality indicators for colonoscopy, emphasizing the importance of measuring colonoscopy quality and providing updated recommendations. It highlights that high-quality colonoscopy is expected for all patients and that the benchmark for adenoma detection differs for men and women. The document also acknowledges the need for quality improvement in colonoscopy due to its common occurrence and the variable performance of endoscopists, which can impact its effectiveness. <br /><br />The quality indicators for colonoscopy are categorized into pre-colonoscopy, intra-colonoscopy, and post-colonoscopy indicators. These indicators include documenting appropriate indications, surveillance recommendations, bowel preparation quality, cecal intubation with photodocumentation, and detecting adenomas in average-risk individuals undergoing screening. It is emphasized that adenoma detection rate (ADR) is the most important quality measure in colonoscopy and should be above 25% overall, with higher targets for men and women. Withdrawal time is also highlighted as an important quality metric, with an average of over 6 minutes recommended in negative-result screening colonoscopy. Furthermore, appropriate surveillance recommendations and post-procedure documentation are important for improving colonoscopy quality.<br /><br />The document discusses challenges in measuring colonoscopy quality, including issues with defining indications, benchmarking ADR, and determining appropriate surveillance recommendations. It also suggests utilizing automated systems and auditing photodocumentation to overcome these challenges. <br /><br />Overall, the document emphasizes the importance of measuring and improving colonoscopy quality as it is associated with reduced colorectal cancer incidence and mortality. It encourages focusing on the priority quality indicators and using quality reporting tools to facilitate measurement and improvement. The document concludes by stating that measuring colonoscopy quality is the standard of care and can lead to improved outcomes for patients.

Keywords

quality indicators

colonoscopy

measuring colonoscopy quality

adenoma detection

benchmark

men and women

endoscopists

ADR

withdrawal time

surveillance recommendations