Improving Quality and Safety In Your Endoscopy Unit (Virtual)

02_Dominitz_Colonoscopy

Pdf Summary

This document discusses quality indicators for colonoscopy, highlighting the importance of measuring and improving colonoscopy quality. The author emphasizes that high-quality colonoscopy is essential for all patients and that the benchmark for adenoma detection differs for men and women. The need for quality improvement in colonoscopy is justified by the procedure's widespread use, its association with reduced colorectal cancer (CRC) incidence and mortality, and the variable performance of endoscopists. The document discusses the impact of interval cancers (PCCRC) and their causes.<br /><br />Several quality indicators for colonoscopy are outlined, including pre-colonoscopy, intra-colonoscopy, and post-colonoscopy indicators. The author emphasizes the importance of adenoma detection, documenting withdrawal time, and achieving cecal intubation with photodocumentation as crucial quality measures. The document also mentions challenges in measuring quality indicators, such as the labor-intensive nature of assessing appropriate surveillance recommendations and photodocumentation.<br /><br />The importance of measuring quality indicators is further emphasized, as they are associated with CRC risk and mortality. The document recommends focusing on priority quality indicators, including appropriate indication, adenoma detection, cecal intubation, and surveillance recommendations. Additionally, the document highlights the role of endoscopists and their techniques in improving adenoma detection rates and suggests implementing feedback and education programs.<br /><br />In conclusion, the document stresses the importance of measuring and improving colonoscopy quality, as it has a significant impact on CRC incidence and mortality. It emphasizes the need to focus on priority quality indicators and implement interventions to enhance adenoma detection rates and adherence to surveillance recommendations.

Keywords

quality indicators

colonoscopy

adenoma detection

colorectal cancer

mortality

endoscopists

interval cancers

cecal intubation

photodocumentation

surveillance recommendations