Quality Indicators for Colonoscopy Procedures: A Prospective Multicentre Method for Endoscopy Units
| Autor: | P Podevin, Carole Cassaz, Dominique Lamarque, Olivier Berretta, Stanislas Chaussade, Romain Coriat, Hervé Roche, Catherine Nizou, Denis Sautereau, Augustin Lecler, Bruno Mesnard, Martin Bouygues, Jean-Luc Monnin, Frédéric Prat, Jacques Deyra, Alain Soupison |
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| Rok vydání: | 2012 |
| Předmět: |
Adenoma
Male medicine.medical_specialty Quality management Non-Clinical Medicine Quality Assurance Health Care Colon Colorectal cancer Science Sedation Colonoscopy Gastroenterology and Hepatology Physicians Health care medicine Quality of Care Humans Medical physics Prospective Studies Prospective cohort study Health Care Policy Multidisciplinary medicine.diagnostic_test business.industry Reproducibility of Results Communication in Health Care Middle Aged medicine.disease Checklist Surgery Endoscopy Medicine Female medicine.symptom business Research Article |
| Zdroj: | PLoS ONE, Vol 7, Iss 4, p e33957 (2012) PLoS ONE |
| ISSN: | 1932-6203 |
| Popis: | Background and aimsHealthcare professionals are required to conduct quality control of endoscopy procedures, and yet there is no standardised method for assessing quality. The topic of the present study was to validate the applicability of the procedure in daily practice, giving physicians the ability to define areas for continuous quality improvement.MethodsIn ten endoscopy units in France, 200 patients per centre undergoing colonoscopy were enrolled in the study. An evaluation was carried out based on a prospectively developed checklist of 10 quality-control indicators including five dependent upon and five independent of the colonoscopy procedure.ResultsOf the 2000 procedures, 30% were done at general hospitals, 20% at university hospitals, and 50% in private practices. The colonoscopies were carried out for a valid indication for 95.9% (range 92.5-100). Colon preparation was insufficient in 3.7% (range 1-10.5). Colonoscopies were successful in 95.3% (range 81-99). Adenoma detection rate was 0.31 (range 0.17-0.45) in successful colonoscopies.ConclusionThis tool for evaluating the quality of colonoscopy procedures in healthcare units is based on standard endoscopy and patient criteria. It is an easy and feasible procedure giving the ability to detect suboptimal practice and differences between endoscopy-units. It will enable individual units to assess the quality of their colonoscopy techniques. |
| Databáze: | OpenAIRE |
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