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©2013 Baishideng Publishing Group Co.
World J Gastrointest Endosc. Oct 16, 2013; 5(10): 468-475
Published online Oct 16, 2013. doi: 10.4253/wjge.v5.i10.468
Published online Oct 16, 2013. doi: 10.4253/wjge.v5.i10.468
When to measure | Outcome to measure | Standard |
Pre-procedure | Appropriateness | 100% indicated |
Pre-assessment–bowel prep to use | 100% of cases | |
Patient information | 100% of cases | |
Awaiting time when positive test | < 4 wk (< 2 wk desirable) | |
On the day of procedure | Review of comorbidities, check of vital signs | 100% on admission |
Informed consent | 100% signed | |
Decontamination of endoscopes | 100% agreement with local policy | |
Appropriate function and availability of endoscopes/equipment | 100% checked by competent staff | |
Equipment for resuscitation and monitoring | 100% regular checks | |
CO2 insufflation | 100% availability | |
CIR | > 90% unadjusted | |
Use of reversal agents | < 1/500 cases | |
Bowel cleansing | good/excellent > 90% | |
Patient comfort | NA | |
Polyp detection rate | Dependent on case mix | |
Polyp retrieval rate | > 90% | |
Time of scope withdrawal | > 6 min | |
Complication rates | Bleeding < 1/100 | |
Perforation < 1/1000 (diagnostic) | ||
< 1/500 (therapeutic) | ||
Electronically based endoscopy report | 100% attached to histology request | |
Aftercare plan | 100% provided at recovery area | |
Time for recovery | NA | |
Post-procedure | Annual number of procedures/endoscopist | > 150 ( > 300 desirable) |
Adenoma detection rate | > 15% unadjusted to race or gender | |
Time of histopathology report | < 15 d post-colonoscopy | |
Patient feedback/delayed AEs | 100% at 30 d | |
Endoscopic Surveillance needed | 100% agreement with guidelines |
- Citation: Bourikas LA, Tsiamoulos ZP, Haycock A, Thomas-Gibson S, Saunders BP. How we can measure quality in colonoscopy? World J Gastrointest Endosc 2013; 5(10): 468-475
- URL: https://www.wjgnet.com/1948-5190/full/v5/i10/468.htm
- DOI: https://dx.doi.org/10.4253/wjge.v5.i10.468