Journal
AMERICAN JOURNAL OF GASTROENTEROLOGY
Volume 115, Issue 8, Pages 1183-1190Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.14309/ajg.0000000000000622
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Funding
- UCLA Jonsson Comprehensive Cancer Center
- Vatche and Tamar Manoukian Division of Digestive Diseases at the UCLA
- David Geffen School of Medicine
- VA CSRD [CX 008-16F]
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Colonoscopy is a safe and effective tool, but operator dependent. Roomfor improvement in the quality of colonoscopy is the impetus for the development and measurement of colonoscopy quality indicators and the focus of many efforts to improve colonoscopy quality indicator prevention and control in provider practices and health systems. We present the preprocedural, intraprocedural, and postprocedural quality indicators and benchmarks for colonoscopy. Every provider and practice must make a commitment to performing high-quality colonoscopy and implement and monitor quality metrics. There are a variety of tools available to assist in improving quality indicators that range from distal attachment devices to education and feedback. Although technology can help, it is not a substitute for proper technique. The commitment also requires provider feedback through audits and report cards. The impact of these efforts on patient outcomes is an important area of further research.
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