Quality indicators in colonoscopy. The colonoscopy procedure

Abstract

The aim of the project this paper is part of was to propose quality and safety procedures and indicators to facilitate quality improvement in digestive endoscopy units. In this second issue, procedures and indicators are suggested regarding colonoscopy. First, a diagram charting the previous and subsequent steps of colonoscopy was designed. A group of experts in health care quality and/or endoscopy, under the auspices of the Sociedad Española de Patología Digestiva (SEPD), performed a qualitative review of the literature regarding colonoscopy-related quality indicators. Subsequently, using a paired-analysis method, the aforementioned literature was selected and analyzed. A total of 13 specific indicators were found aside of the common markers elsewhere described, ten of which are process-related (one pre-procedure, seven procedure, and two post-procedure markers) while the remaining three are outcome-related. Quality of evidence was assessed for each one of them using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) classification.

Telephonic Nurse Guidance for Colonoscopy: A Clinical Trial

“…Although the literature proves a relationship between bowel cleansing and adenoma detection (Gálvez et al, 2017;Sánchez-del-Río et al, 2018), this study found no significant intergroup differences in that regard. Our data were consistent with studies (Gálvez et al, 2017;Rembacken et al, 2012) that included patients undergoing their first colonoscopies, and which found that an educational video on bowel cleansing was effective.…”

“…This present study analyzed the outcomes of colon cleansing based on BBPS scores, the presence of adenoma, and cecal intubation. A previous related study proposed necessary procedures and indicators of structure, process, and results when applying and evaluating colonoscopy quality, thus finding 13 specific indicators; of these, the quality of intestinal cleansing was characterized as a process indicator because it facilitates the detection of a colon adenoma-an outcome indicator (Sánchez-del-Río et al, 2018). Cecal intubation was also considered an outcome indicator because it enabled the quantification of colonoscopies resulting in complete colon exploration (Sánchez-del-Río et al, 2018).…”

Importância da consulta de Enfermagem para orientações de preparo para a realização de colonoscopia

“…O preparo intestinal adequado é um fator determinante para a capacidade de realização do exame, assim como a duração do procedimento (Andrade et al, 2020). Isso auxilia também o diagnóstico e as abordagens terapêuticas necessárias, pois possibilita a realização do exame de forma segura, com a introdução do aparelho sob visão direta, evitando que lesões passem despercebidas (Andrade et al, 2017;Guinhazi et al, 2019;Sánchez-del-Río et al,2018).…”