Quality and Safety in Endoscopy Units Around the Globe (On-Demand) | 2023-Optimizing Bowel Preparation in Your Endoscopy Unit

Video Transcription

Video Summary

In this video, Dr. Tiara Levin discusses optimizing bowel preparation in an endoscopy unit. The video covers barriers to adequate bowel prep, approaches to optimizing bowel prep, and ways to score the quality of bowel prep. Dr. Levin emphasizes the importance of having a plan to achieve 90% or more adequate preps. Factors that can affect bowel prep quality include age, sex, body mass index, medication use, prior surgeries, and certain medical conditions. Various options for patient education and reminders are discussed, such as booklets, videos, text messages, smartphone apps, and robocalls. Different types of bowel prep solutions are mentioned, including full-volume, low-volume, and over-the-counter options. Dr. Levin explains the significance of personalized regimens to improve patient satisfaction and adherence. Split-dose bowel preps are highlighted as superior to taking the entire prep the night before. The video discusses dietary restrictions, assessment of bowel prep adequacy using scales like the Boston Bowel Prep Scale and the Urnich Scale, and the challenges of managing inadequate preps. Alternative screening modalities are suggested for patients who are challenging to prep. The key takeaways include split-dosing, assessing bowel prep after cleaning, monitoring adequacy, using standardized scoring systems, enhancing patient instructions, and considering patient factors when prescribing preps. The video offers references for further reading and mentions an upcoming document from the Multisociety Task Force on bowel prep.

Asset Subtitle

T.R. Levin, MD

Keywords

bowel preparation

endoscopy unit

adequate bowel prep

bowel prep optimization

bowel prep quality

patient education