Improving Quality and Safety in the Endoscopy Unit (On-Demand) | October 2024-06_Levin

06_Levin_Colonoscopy 10.2024

Pdf Summary

The document outlines quality indicators for colonoscopy, emphasizing the importance of maintaining high standards in this procedure due to its role in reducing colorectal cancer (CRC) incidence and mortality. The document recognizes the variability in endoscopists' performance and aims to establish evidence-based quality measures to enhance effectiveness.<br /><br />Key updates in quality indicators include setting new benchmarks for adenoma detection rates (ADR) and sessile serrated lesion detection rates (SSLDR), focusing on different targets for men and women. A high ADR is linked with reduced post-colonoscopy CRC risk and mortality, making it a critical quality measure. It is recommended that colonoscopies follow specific surveillance intervals, and adherence to these is emphasized as a priority, with a target of 90%.<br /><br />The document also underscores the significance of adequate bowel preparation and complete cecal intubation with photodocumentation, targeting a 95% success rate to prevent CRC effectively. Furthermore, it stresses the need for photodocumentation, withdrawal time for inspection, and the reduction of incomplete resection rates, especially for larger or sessile serrated lesions.<br /><br />The document also confronts the challenges in measuring and reporting these indicators, such as the labor-intensive nature of some tasks and the potential for discrepancies in self-reported data. The use of technology and audits is proposed to enhance accuracy and quality control.<br /><br />Overall, the document advocates for reporting colonoscopy quality, focusing on these priority indicators to improve outcomes and reduce risks associated with low detection rates. It underlines the necessity for continuous measurement and improvement to achieve better patient care in colonoscopy practices.

Keywords

colonoscopy

quality indicators

adenoma detection rate

sessile serrated lesion

colorectal cancer

bowel preparation

cecal intubation

photodocumentation

surveillance intervals

quality control