S0567 Improving Short Term Endoscopy Rates by Schedule Standardization
| Autor: | Grace Hopp, Adam Hughston, Randy Wright, Brenda M. Briones, Pankaj Aggarwal, Eric A. Lorio |
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| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | American Journal of Gastroenterology. 115:S259-S259 |
| ISSN: | 1572-0241 0002-9270 |
| DOI: | 10.14309/01.ajg.0000704316.32914.4f |
| Popis: | INTRODUCTION: Esophagogastroduodenoscopy (EGD) is an important tool for assessing the resolution of high-risk varices, ulcers, and esophagitis At our institution, the process of scheduling surveillance EGD has proven inconsistent This quality improvement study is designed to improve rates of short-term follow-up EGD (4-12 weeks) via standardization of the scheduling process, a change we hope will increase early detection rates of high-risk lesions and facilitate rapid management of threatening conditions METHODS: We retrospectively reviewed 191 EGDs from 1/1/19-4/30/19 Collected variables included recommended follow-up timeframe, whether repeat EGD was performed within the recommended period, evidence of a consult being placed, and the presence or absence of a visit being scheduled Scheduling was then standardized via a newly created form, filled out by fellows/faculty and given directly to scheduling staff Afterwards, an additional 69 charts were reviewed from 1/1/20-1/31/20, and pre and post-intervention rates were compared using chi squared testing RESULTS: Of the pre-intervention cases, 103 had follow up EGD recommended within 4-12 weeks Only 47 6% had an appointment properly scheduled, while 32 0% had an EGD within the recommended timeframe Of the post-intervention cases, 38 patients had a follow up EGD recommended within a 12 week period Of these patients, 81 6% had a visit made after initial EGD, demonstrating a dramatic improvement in the overall rate of properly scheduled appointments (P = 0 01) (Figure 1) When controlling for follow-up indication there was significant improvement in scheduled visits for high-risk varices (P = 0 02), ulcers (P = 0 04), and esophagitis (P = 0 028) (Figure 2) Follow-up EGD was actually performed in the recommended period for 42 1% of post-intervention patients (P = 0 27), When excluding the 10 patients with cancelations due to COVID 19 (3/25-5/3), this number increases to 57 1%, representing a statistically significant increase in EGDswithin the recommended time period (P = 0 01) Conclusion: Clinical expertise plays a large role in identifying high-risk lesions, and the ability to repeat EGDs in a timely manner remains a critical aspect to facilitating excellent patient care As seen in this project, the standardization of logistic processes can have a dramatic effect on follow-up rates for high-risk lesions While our data is affected by COVID 19 cancelations, our increase in successful surveillance indicates a positive shift in scheduling effectiveness |
| Databáze: | OpenAIRE |
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