How do you measure performance as a colonoscopist?

被引：2

作者：

Challand, C. P. ^{[1
]}

Bullen, N. ^{[1
]}

Wu, E. ^{[1
]}

Hosie, K. B. ^{[1
]}

机构：

[1] Derriford Hosp, Gastrointestinal Directorate, Plymouth Hosp NHS Trust, Plymouth PL6 8DH, Devon, England

来源：

COLORECTAL DISEASE | 2011年 / 13卷 / 08期

关键词：

Colonoscopy; performance; QUALITY IMPROVEMENT PROGRAM; SCREENING COLONOSCOPY; RATES;

D O I：

10.1111/j.1463-1318.2010.02344.x

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Aim The aim of this study was to describe an easy and reproducible method of measuring clinical performance in colonoscopy. Method Data from all endoscopy procedures performed within the main endoscopy unit at Derriford Hospital between January and December 2007 were analysed. Points were allocated for given procedures. A local health economic analysis revealed that at least 8 points (or four colonoscopies) must be performed to meet list costs. The clinical performance was described as a capability index of crude Caecal Intubation Rate (CIR) vs the mean Points Performed/Endoscopy List (points/list). Results Overall, 3884 colonoscopies were performed, with a mean crude CIR of 89.6% and 8.3 points/List. Only 7/23 endoscopists consistently met the Joint Advisory Group on Gastrointestinal Endoscopy (JAG) standard in a cost-effective way. An annual colonoscopy rate of >= 50 cases was associated with higher points per list (points/list) (P = 0.003). Endoscopists offering >= 15% of cases as training cases had significantly higher crude CIRs and points/list (P = 0.051; P = 0.017). Conclusions Clinical performance is a function of quality provided in a cost-effective way. Our capability index is an effective and reproducible way of measuring clinical performance. Training was not associated with reduced volume.

引用

页码：939 / 943

页数：5

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