Improving Quality and Safety In Your Endoscopy Unit (Virtual) | October 2021-Quality Indicators for Colonoscopy

Video Transcription

Video Summary

In this video, Dr. Jason Dominitz discusses quality indicators for colonoscopy and how to improve colonoscopy quality. He starts by polling the audience on which quality indicators they track in their practice and how they report them. He then goes on to discuss the importance of measuring and improving adenoma detection rate (ADR) and cecal intubation rate as key quality indicators for colonoscopy. He emphasizes that ADR directly correlates with colon cancer incidence and mortality and that low ADR can lead to an increased risk of interval cancers. He also discusses the challenges in measuring ADR, such as the need for large sample sizes and the debate on whether to include all indications or only screening colonoscopies. Dominitz explains the importance of adequate withdrawal time, as shorter withdrawal times are associated with an increased risk of interval cancers. He also mentions the importance of appropriate surveillance recommendations, proper use of prophylactic antibiotics, and management of anti-thrombotic therapy. Dominitz concludes by emphasizing the importance of measuring and reporting colonoscopy quality and implementing interventions to improve performance for endoscopists who fall below benchmarks. Overall, the video highlights the key quality indicators for colonoscopy and the challenges and strategies for improving colonoscopy quality.

Asset Subtitle

Jason Dominitz, MD, MHS, FASGE

Keywords

colonoscopy quality

quality indicators

improving colonoscopy

adenoma detection rate

cecal intubation rate

interval cancers

withdrawal time