Quality and Safety in Endoscopy Units Around the Globe (On-Demand)

Video Transcription

Video Summary

In this video, Dr. T.R. Levin discusses the quality indicators for colonoscopy. He emphasizes the importance of measuring and improving colonoscopy quality, as it is associated with reducing cancer incidence and mortality. He highlights the need to provide high-quality colonoscopy for all patients, regardless of their socioeconomic status. Dr. Levin explains the different factors that can contribute to post-colonoscopy colorectal cancer, such as missed tumors, incomplete polyp removal, technical limitations, inadequate bowel preparation, and examination technique. He also discusses the priority quality indicators for colonoscopy, which include adenoma detection rate (ADR), frequency of appropriate surveillance recommendations, and the frequency of cecal intubation. Dr. Levin explains the surveillance intervals for different risk groups and the importance of adhering to these recommendations. He also discusses the challenges in measuring colonoscopy quality, such as the variation in how often quality metrics are measured and the difficulty in including serrated polyps in the ADR measure. Dr. Levin suggests ways to improve colonoscopy quality, such as providing feedback and education to endoscopists, using advanced technologies like robotic assistance, and optimizing technique and documentation. Overall, the video emphasizes the importance of measuring and improving colonoscopy quality for better patient outcomes.

Asset Subtitle

T.R. Levin, MD

Keywords

quality indicators

colonoscopy

cancer incidence

mortality

socioeconomic status

post-colonoscopy colorectal cancer

adenoma detection rate