Effectiveness of a continuous quality improvement program on colonoscopy practice

• DOI: 10.1055/s-2006-945196
• Publication Date: 2007-04-11T05:37:56Z
• Authors: G. Imperiali; G. Minoli; G. M. Meucci; G. Spinzi; E. Strocchi; V. Terruzzi; F. Radaelli
• Keywords: Clinical Practice

Continuous quality improvement (CQI) is recommended by professional societies as part of every colonoscopy program, but little known with regard to its effectiveness for outcomes. We prospectively assessed whether the implementation a CQI program in routine clinical practice influences performance colonoscopy.In an open-access endoscopy unit at secondary care center Northern Italy, 6-monthly audit cycles were carried out over 4-year period, identify reasons poor outcomes and institute appropriate changes improve performance. The completion rate polyp detection detected endoscopists considered be key measures improvement.The initial crude was 84.6%, range individual 80.4%-94%. Four had lower than 90%. overall 34%, wide variation among (range 14%-42%). Poor patient tolerance differences colonoscopist expertise main determinants lack rate. Changes sedation practice, greater access sessions lowest rates, other organizational arrangements, implemented rates improved consistently, up 93.1%, study period. This trend confirmed even when adjusted calculated. All reached 90% or more 20%. introduction did not significantly change incidence procedure-related complications.The can implementing practice.