Quality indicators for gastrointestinal endoscopy units

Day, Lukejohn W.; Cohen, Jonathan; Greenwald, David A.; Petersen, Bret T.; Schlossberg, Nancy; Vicari, Joseph J.; Calderwood, Audrey H.; Chapman, Frank J.; Cohen, Lawrence B.; Eisen, Glenn M.; Gerstenberger, Patrick D.; Hambrick, Ralph David; Inadomi, John M.; MacIntosh, Donald; Sewell, Justin L.; Valori, Roland

doi:10.1016/j.vgie.2017.02.007

Cited by 33 publications

(22 citation statements)

References 65 publications

(80 reference statements)

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“…Many of these procedure-related indicators demand retrospective registrations and system developments for data tracking and interpretation. Furthermore, efforts needed to gather the relevant information have led to a low response rate [4]. Computerized automatic assessment of every colonoscopy could provide the units with a procedure specific quality indicator based on their entire production.…”

Section: Limitationsmentioning

confidence: 99%

“…Learning the skills needed to perform a safe colonoscopy is not an easy task, and it is imperative to ensure that every single endos-copist is competent before being allowed to practice independently [3]. The importance of regular assessment of individual endoscopists has been recognized by the major gastroenterology societies [4,5]. Recommended quality indicators are cecal intubation rate (CIR) above 90 %, cecal intubation time (CIT) less than 16 minutes, and a minimum number of performed colonoscopies [2,[6][7][8].…”

Section: Introductionmentioning

confidence: 99%

“…These assessment tools focus on technical performance and cognitive skills. Unfortunately, these are prone to observer bias and present a formidable workload for expert supervisors/ assessors, in turn reducing compliance [2,4,15,16]. Nerup et al developed a computerized assessment tool, the Colonoscopy Progression Score (CoPS) to allow an automatic and unbiased assessment of colonoscopy skills [17].…”

Section: Introductionmentioning

confidence: 99%

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Using computerized assessment in simulated colonoscopy: a validation study

et al. 2020

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Background and study aims Patient safety during a colonoscopy highly depends on endoscopist competence. Endoscopic societies have been calling for an objective and regular assessment of the endoscopists, but existing assessment tools are time-consuming and prone to bias. We aimed to develop and gather evidence of validity for a computerized assessment tool delivering automatic and unbiased assessment of colonoscopy based on 3 dimensional coordinates from the colonoscope. Methods Twenty-four participants were recruited and divided into two groups based on experience: 12 experienced and 12 novices. Participants performed twice on a physical phantom model with a standardized alpha loop in the sigmoid colon. Data was gathered directly from the Olympus ScopeGuide system providing XYZ-coordinates along the length of the colonoscope. Five different motor skill measures were developed based on the data, named: Travel Length, Tip Progression, Chase Efficiency, Shaft movement without tip progression, and Looping. Results The experinced had a lower travel length (P < 0.001), tip progression (P < 0.001), chase efficiency (P = 0.001) and looping (P = 0.006), and a higher shaft movement without tip progression (P < 0.001) reaching the cecum compared with the novices. A composite score was developed based on the five measurements to create a combined score of progression, the 3D-Colonoscopy-Progression-Score (3D-CoPS). The 3D-CoPS revealed a significant difference between groups (experienced: 0.495 (SD 0.303) and novices –0.454 (SD 0.707), P < 0.001). Conclusion This study presents a novel, real-time computerized assessment tool for colonoscopy, and strong evidence of validity was gathered in a simulation-based setting. The system shows promising opportunities for automatic, unbiased and continuous assessment of colonoscopy performance.

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Section: Limitationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Using computerized assessment in simulated colonoscopy: a validation study

et al. 2020

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“…Rationale: Bowel preparation is required for colonoscopy [4]. Bathrooms must be available for bowel preparation, enema as rescue for inadequate bowel preparation, and post-procedural self-care.…”

Section: Rationale For Aqeu Assessment Items For Facility Space Andmentioning

confidence: 99%

“…Rationale: With the increased importance of quality assurance in endoscopy, the importance of appropriate education for employees and patients has increased as well [4]. Therefore, an adequately sized area for education is a mandatory requirement.…”

Section: Rationale For Aqeu Assessment Items For Facility Space Andmentioning

confidence: 99%

Updates on the Facilities, Procedures, and Performance of the Accredited Endoscopy Unit

et al. 2019

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Endoscopic quality indicators can be classified into three categories, namely facilities and equipment, endoscopic procedures, and outcome measures. In 2019, the Korean Society of Gastrointestinal Endoscopy updated the accreditation of qualified endoscopy unit assessment items for these quality indicators to establish competence and define areas of continuous quality improvement. Here, we presented the updated program guidelines on the facilities, procedures, and performance of the accredited endoscopy unit. Many of these items have not yet been validated. However, the updated program will help in establishing competence and defining areas of continuous quality improvement in Korean endoscopic practice. clin endosc 2019;52:431-442

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Masters Program Flexible Endoscopy Pathway: Diagnostic Esophagogastroduodenoscopy

Bowles

Martı́nez

2019

The SAGES Manual of Flexible Endoscopy

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Quality indicators for gastrointestinal endoscopy units

Cited by 33 publications

References 65 publications

Using computerized assessment in simulated colonoscopy: a validation study

Using computerized assessment in simulated colonoscopy: a validation study

Updates on the Facilities, Procedures, and Performance of the Accredited Endoscopy Unit

Masters Program Flexible Endoscopy Pathway: Diagnostic Esophagogastroduodenoscopy

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