Improving Quality and Safety In Your Endoscopy Unit: Live and Virtual | October 2022-Quality Indicators for Colonoscopy

Video Transcription

Video Summary

In this video, Dr. T.R. Levin discusses the importance of measuring and improving the quality of colonoscopy procedures. He emphasizes that colonoscopy is the most valuable procedure in reducing cancer incidence and mortality, but there is variation in performance and effectiveness among endoscopists. Dr. Levin highlights the key quality indicators for colonoscopy, including adenoma detection rate (ADR), cecal intubation, and surveillance recommendations. He explains that a high ADR is associated with a lower risk of interval colorectal cancer, and that withdrawal time during the procedure is an important factor in improving ADR. Dr. Levin also discusses the surveillance intervals for different findings, such as the size and number of adenomas or serrated polyps, and emphasizes the importance of appropriate surveillance recommendations. He mentions the challenges in measuring colonoscopy quality and suggests using automated systems for certain measures. Dr. Levin concludes by emphasizing the need to measure and improve colonoscopy quality as a standard of care, and highlights interventions that can help improve ADR. Overall, the video provides valuable insights into the importance of quality indicators in colonoscopy and strategies for improving performance.

Asset Subtitle

T.R. Levin, MD

Keywords

colonoscopy

quality measurement

adenoma detection rate

cecal intubation

surveillance recommendations

interval colorectal cancer

withdrawal time