Improving Quality and Safety in the Endoscopy Unit (Virtual) | October 2024-Defining and Measuring Quality in Colonoscopy

Video Transcription

Video Summary

The video provides an overview of the recent updates to the colonoscopy quality indicators document. Key changes include new priority indicators with defined targets, such as adenoma detection rate, sessile serrated lesion detection rate, and bowel preparation adequacy. The switch from measuring adenoma detection only in screening colonoscopies to including diagnostic and surveillance procedures is highlighted. Emphasis is placed on understanding and implementing these indicators to ensure high-quality colonoscopy, which is linked to reduced colorectal cancer incidence and mortality. A high adenoma detection rate, now set at a minimum of 35%, correlates with lower intervals of post-colonoscopy colorectal cancer. The video also discusses complications from missed or incomplete adenoma removals and the importance of thorough examination techniques. Legal guidelines for surveillance intervals post-polypectomy are revised, and a call for adherence to these guidelines is highlighted to prevent overuse of colonoscopies and ensure efficient cancer prevention. The session concludes by stressing the need for strong focus on quality indicators and documented improvements in colonoscopy quality to enhance patient outcomes.

Asset Subtitle

T.R. Levin, MD MS

Keywords

colonoscopy

quality indicators

adenoma detection

colorectal cancer

bowel preparation

surveillance intervals

patient outcomes